Revista Brasileira De Fisioterapia最新文献_第5页

Comparação dos efeitos do laser de baixa potência e do ultrassom de baixa intensidade no processo de reparo ósseo em tíbia de rato 低功率激光和低强度超声对大鼠胫骨骨修复过程的影响比较

Revista Brasileira De Fisioterapia Pub Date : 2011-06-01 DOI: 10.1590/S1413-35552011000300005

Poliani de Oliveira, Evandro Fornias Sperandio, Kelly Rosseti Fernandes, F. A. Pastor, K. O. Nonaka, Ana Claudia Muniz Rennó

{"title":"Comparação dos efeitos do laser de baixa potência e do ultrassom de baixa intensidade no processo de reparo ósseo em tíbia de rato","authors":"Poliani de Oliveira, Evandro Fornias Sperandio, Kelly Rosseti Fernandes, F. A. Pastor, K. O. Nonaka, Ana Claudia Muniz Rennó","doi":"10.1590/S1413-35552011000300005","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300005","url":null,"abstract":"BACKGROUND: Electrophysical agents such as Ultrasound (US) and low-level laser therapy (LLLT) have been increasingly used in physical therapy practice. Studies suggest that these devices are able to stimulate osteoblast proliferation and osteogenesis at the fracture site, resulting in a greater deposition of bone mass and speeding up the consolidation process. OBJECTIVE: The aim of this study was to analyze the effects of US and LLLT on the bone healing process, through biomechanical and histological analysis of the bone callus. METHODS: A total of 30 rats were randomly allocated into three groups: control group fracture without treatment (GC); fracture group treated with pulsed US, burst 1.5 MHz, 200us, 1KHz, 30 mW/cm2 (GUS) and fracture group treated with laser 830nm, 100mW, 120J/cm² (GL). Bone defects were performed with a circular drill of 2mm in diameter in the animal's tibias. The treatments were carried out after surgery consisting of 7 applications every 48 hours. After 14 days the animals were sacrificed and the tibias were removed to perform the analysis, being the right tibia designated for biomechanical analysis, while the left tibia for histological analysis. RESULTS: The biomechanical analysis showed no statistically significant difference between biomechanical properties of the CG, CL and GUS. In morphometric analysis, both GUS and GL showed a significantly higher woven bone tissue area compared to the control group. However, when the two treatment modalities were compared, there were no statistical differences between them. CONCLUSION: Both devices used in this study were able to accelerate the bone healing process in rats.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"3 1","pages":"200-205"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82863653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Ativação muscular estabilizadora da patela e do quadril durante exercícios de agachamento em indivíduos saudáveis 健康人下蹲时髌骨和髋关节稳定肌肉的激活

Revista Brasileira De Fisioterapia Pub Date : 2011-05-01 DOI: 10.1590/S1413-35552011000300006

L. R. Felício, L. A. Dias, A. M. D. Silva, Anamaria Siriani de Oliveira, D. Bevilaqua-Grossi

{"title":"Ativação muscular estabilizadora da patela e do quadril durante exercícios de agachamento em indivíduos saudáveis","authors":"L. R. Felício, L. A. Dias, A. M. D. Silva, Anamaria Siriani de Oliveira, D. Bevilaqua-Grossi","doi":"10.1590/S1413-35552011000300006","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300006","url":null,"abstract":"BACKGROUND: Hip and knee muscle weaknesses have been associated with the onset of anterior knee pain (AKP). Therefore, the understanding of how squats exercises can be performed in order to optimize the electrical activity of these muscles is relevant for physical therapy treatments. OBJECTIVE: To compare the electromyographic activity of patella and pelvic stabilizers during traditional squat and squat associated with isometric hip adduction or abduction in subjects without AKP. METHODS: Electromyography signals were captured using double-differential electrodes at the vastus medialis obliquus (VMO), vastus lateralis obliquus (VLO), vastus lateralis longus (VLL) and gluteus medium (GMed) in 15 healthy and sedentary women during squats exercises: traditional and associated with hip adduction and hip abduction with load of 25% of body weight. Linear mixed models with significance level of 5% were used for data analysis. RESULTS: Squat associated with hip adduction and abduction produced electromyographic activity of GMed of 0.47 (0.2) and 0.59 (0.22) respectively, while conventional squat produced an electromyiographic activity of 0.33 (0.27). The higher VMO activity was 0.59 (0.27) during the isometric contraction in the squat associated with hip adduction. The higher VLO activity was 0.60 (0.32) during isometric contraction in the squat associated with hip abduction. CONCLUSION: Squat exercise associated with hip adduction increased VMO muscle activity as well as the activity of GMed activity.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"30 1","pages":"206-211"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83690925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

Análise do perfil, funções e habilidades do fisioterapeuta com atuação na área esportiva nas modalidades de futebol e voleibol no Brasil 分析在巴西足球和排球运动领域工作的物理治疗师的概况、功能和技能

Revista Brasileira De Fisioterapia Pub Date : 2011-05-01 DOI: 10.1590/S1413-35552011000300008

A. Silva, N. Bittencourt, Luciana D. Mendonça, M. G. A. Tirado, R. Sampaio, S. T. Fonseca

{"title":"Análise do perfil, funções e habilidades do fisioterapeuta com atuação na área esportiva nas modalidades de futebol e voleibol no Brasil","authors":"A. Silva, N. Bittencourt, Luciana D. Mendonça, M. G. A. Tirado, R. Sampaio, S. T. Fonseca","doi":"10.1590/S1413-35552011000300008","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300008","url":null,"abstract":"OBJECTIVE: To analyze the profile of Brazilian physical therapists working with soccer and volleyball professional teams, by verifying their level of education (graduate or undergraduate), as well as their role and insertion within the interdisciplinary team. METHODS: Structured questionnaires were administered to forty-nine physical therapists working at soccer, volleyball clubs and Brazilian national teams. These questionnaires provided data on social demographic, characteristics of the work environment and organization of clinical practice and its domains. RESULTS: From the 49 participants in this study only five were female. Mean age of all participants was 32.2 years. The majority of the sports physical therapists had specialization degrees in different areas (78.2%), were hired through referral (78.2%), worked more than 8 hours a day or were exclusively dedicated to their clubs (80.0%) and earned seven to ten Brazilian minimal wages (58.2%). They reported to have participation in the domains of emergency care (87.3%), prevention (92.7%), functional rehabilitation (98.2%) and return to competition (100%). They had interdisciplinary relationships with physical educators during functional rehabilitation programs (70.9%) and with physicians in the decision process of return to activity after rehabilitation (74.5%) and on the veto of an athlete to take part in practices or matches (63.6%). Therapists also complained of threats to their professional autonomy, specially directed by the team's physician. CONCLUSION: There is still a need to invest in continuing education of sports physical therapists with the objective to improve their educational level and to strengthen their professional autonomy.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"50 3","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72572600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

Reeducação Postural Global: uma revisão da literatura 全球体位再教育:文献综述

Revista Brasileira De Fisioterapia Pub Date : 2011-05-01 DOI: 10.1590/S1413-35552011000300003

R. M. Teodori, Júlia R. Negri, M. C. Cruz, A. P. Marques

{"title":"Reeducação Postural Global: uma revisão da literatura","authors":"R. M. Teodori, Júlia R. Negri, M. C. Cruz, A. P. Marques","doi":"10.1590/S1413-35552011000300003","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300003","url":null,"abstract":"BACKGROUND: The Global Postural Re-education (GPR) method has been widely used in clinical practice, with reported benefits for prevention and rehabilitation of musculoskeletal dysfunctions. In parallel with almost two decades of clinical implementation, research studies have tested and verified the effectiveness of GPR in treating different clinical conditions and have also compared this method with other physical therapy resources. However, few studies focused on the verification of the principles of mechanisms of action defended by the author of the method making the arguments in favor of the method weak. OBJECTIVE: To perform a critical systematic review of the effects of physical therapy intervention that use the GPR method. METHODS: We searched Medline, SciELO, LILACS and PeDRO, from 2000 to 2010, considering the key words: Global Postural Re-education, global and active stretching. RESULTS: We found 25 studies, 13 about GPR and 8 about global and active stretching in addition to three books and a thesis. After analysis, 20 references were included. CONCLUSIONS: Some of the studies indicated that the GPR method was more effective than other physical therapy interventions, while others demonstrated similar results of GPR when compared to other physical therapy interventions. Studies showed benefits of the GPR in improving the respiratory muscle strength, chest expansion, maximal respiratory pressure and in reducing pain, loss of urine in incontinent women, increasing flexibility, the electromyographic activity in temporomandibular disorders and postural stability in lower limb orthopedic alterations. Methodological limitations observed suggest the need for greater rigor in future research.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"159 1","pages":"185-189"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88187881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 35

Fatores clínicos, funcionais e inflamatórios associados à fadiga muscular e à fadiga autopercebida em idosas da comunidade 与肌肉疲劳和自我感知疲劳相关的临床、功能和炎症因素

Revista Brasileira De Fisioterapia Pub Date : 2011-05-01 DOI: 10.1590/S1413-35552011000300011

Juscélio P. Silva, Daniele Sirineu Pereira, Fernada M. Coelho, Lygia Paccini Lustosa, João Marcos Domingues Dias, Leani Souza Máximo Pereira

{"title":"Fatores clínicos, funcionais e inflamatórios associados à fadiga muscular e à fadiga autopercebida em idosas da comunidade","authors":"Juscélio P. Silva, Daniele Sirineu Pereira, Fernada M. Coelho, Lygia Paccini Lustosa, João Marcos Domingues Dias, Leani Souza Máximo Pereira","doi":"10.1590/S1413-35552011000300011","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300011","url":null,"abstract":"BACKGROUND: Fatigue is a common and nonspecific symptom associated with chronic health problems in the elderly. The modifications and adaptations of the aging process associated with complex and multidimensional nature of fatigue favors the interaction of multiple factors in the genesis of this phenomenon. OBJECTIVES: To investigate the association of clinical, functional and inflammatory factors with muscle fatigue and self perceived fatigue in elderly women. METHODS: Participated in the study one hundred and thirty five community elderly women, all sedentary, with a mean age of 71.2±4.57. A structured questionnaire and functional testing were used to evaluate clinical and functional characteristics. Plasma concentrations of inflammatory mediators (IL-6 and sTNFR1) were measured by ELISA method. Muscle fatigue was measured by isokinetic dynamometer and self-perceived fatigue was measured by a visual analog scale. Statistical analysis was performed by multiple linear regression and Spearman correlation coefficient with statistical significance of 5%. RESULTS: The regression models showed that the variables age, body mass index, physical activity level, functional capacity and peak torque were associated with muscle fatigue (R2=0.216, p<0.01). Self-perceived fatigue was associated with number of comorbidities, depression, physical activity level, functional capacity, peak torque and perceived health (R2=0.227, p<0.01). CONCLUSION: This study showed a psychophysical interaction of the fatigue, by identifying the main factors associated with muscle fatigue and self-perceived fatigue in elderly women. These findings demonstrate the importance of evaluation and treatment of modifiable factors in both muscle fatigue and self-perceived fatigue, seeking a better physical and functional performance of elders.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"26 1","pages":"241-248"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74718496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Relação entre a limitação nas atividades de vida diária (AVD) e o índice BODE em pacientes com doença pulmonar obstrutiva crônica 慢性阻塞性肺疾病患者日常生活活动限制(adl)与BODE指数的关系

Revista Brasileira De Fisioterapia Pub Date : 2011-05-01 DOI: 10.1590/S1413-35552011000300007

Karen Muriel Simon, Marta F. Carpes, Krislainy de Sousa Corrêa, K. Santos, M. Karloh, A. F. Mayer

{"title":"Relação entre a limitação nas atividades de vida diária (AVD) e o índice BODE em pacientes com doença pulmonar obstrutiva crônica","authors":"Karen Muriel Simon, Marta F. Carpes, Krislainy de Sousa Corrêa, K. Santos, M. Karloh, A. F. Mayer","doi":"10.1590/S1413-35552011000300007","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300007","url":null,"abstract":"BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease that reduces functional capacity, deteriorating the ability to perform activities of daily living (ADL). A close relationship between morbidity and mortality with functional limitation is observed in patients with COPD. OBJECTIVES: To determine if there is a relationship between ADL limitation and the BODE index, which is a predictor of mortality, in patients with moderate to severe COPD. METHODS: Thirty-nine patients with COPD GOLD 2 to 4 recruited by convenience, were submitted to the following tests: spirometry, body mass index (BMI), the London Chest Activity of Daily Living (LCADL) scale, six-minute walking test (6MWT), the Medical Research Council (MRC) scale and the BODE index was calculated. The total score and the percentage of the total score LCADL (LCADL%total) were compared between patients of the four quartiles of the BODE using the Analysis of Variance test. The Spearman correlation coefficient was used to investigate the association between scores of LCADL and BODE index. RESULTS: Patients had an average of FEV1%pred=37±12% and were on average 66±8 years-old. The LCADL%total correlated with the BODE index (r=0.65, p<0.05) as well as with the variables FEV1, dyspnea and walked distance in the 6MWT (r=-0.42, r=0.76 and r=-0.67, p<0.05, respectively). The comparison of the average scores of the LCADL%total between BODE quartiles 1, 2, 3 and 4, demonstrated that only the 4th quartile differed significantly from the others (p<0.05). CONCLUSIONS: ADL limitation has a strong association with the BODE index in patients with moderate to severe COPD and with three of the four variables that composes it.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"92 1","pages":"212-218"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78078764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 26

Confiabilidade da versão brasileira do Wolf Motor Function Test em adultos com hemiparesia 巴西版成人偏瘫沃尔夫运动功能测试的可靠性

Revista Brasileira De Fisioterapia Pub Date : 2011-05-01 DOI: 10.1590/S1413-35552011000300013

Natalia Duarte Pereira, S. M. Michaelsen, Isabella S. Menezes, A. Ovando, R. Lima, Luci Fuscaldi Teixeira-Salmela

{"title":"Confiabilidade da versão brasileira do Wolf Motor Function Test em adultos com hemiparesia","authors":"Natalia Duarte Pereira, S. M. Michaelsen, Isabella S. Menezes, A. Ovando, R. Lima, Luci Fuscaldi Teixeira-Salmela","doi":"10.1590/S1413-35552011000300013","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300013","url":null,"abstract":"BACKGROUND: The Wolf Motor Function Test (WMFT) evaluates the upper limb (UL) performance of adults with hemiparesis by combining time and quality of movement measures in both isolated movements and functional tasks. OBJECTIVES: To translate and adapt the WMFT form, functional ability scale (FAS) and manual to Brazilian Portuguese and evaluate the intra and inter-rater reliabilities. METHODS: Fifteen individuals with a mean age of 57.9±11.1 years and a mean time since stroke onset of 68.5±53.5 months participated. The WMFT was administered by one physiotherapist based on information in the manual, and video observations were assessed by two other independent physical therapists. Information regarding compensatory movements was included in the FAS. Intra-class correlation coefficients (ICCs) and Bland-Altman plots were calculated to examine the intra- and inter-rater reliabilities for performance time and FAS, whereas weighted kappa (Kp) was used to examine the agreement strength for FAS. RESULTS: The inter-rater ICC values for performance time were above 0.75 in 13 of the 15 tasks. For the FAS, they ranged from 0.87-0.99 for all evaluated tasks, with Kp values ranging from 0.63-0.92. For intra-rater reliability, the ICC ranged from 0.99-1.0 and from 0.96-1.0 for time measurement and FAS, respectively. Kp values ranged from 0.79-0.96 for individual and 0.93 for total scores. CONCLUSION: The Brazilian version of the WMFT showed adequate intra- and inter-rater reliabilities for evaluating the paretic UL of individuals with stroke.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"21 1","pages":"257-265"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89623356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 36

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise 经皮电刺激在缓解分娩疼痛中的作用:系统综述和荟萃分析

Revista Brasileira De Fisioterapia Pub Date : 2011-05-01 DOI: 10.1590/S1413-35552011000300002

L. F. D. Mello, Luciana F. Nóbrega, A. Lemos

{"title":"Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise","authors":"L. F. D. Mello, Luciana F. Nóbrega, A. Lemos","doi":"10.1590/S1413-35552011000300002","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300002","url":null,"abstract":"BACKGROUND: Transcutaneous electrical stimulation (TENS) is a non-pharmacological pain relief method. It is an auxiliary method and not intended to replace other techniques. OBJECTIVES: To perform a systematic review assessing the effectiveness of TENS compared to no TENS treatment or placebo with the following outcomes: pain relief (primary outcome), analgesic requirements, duration of labor, the mother's satisfaction, type of delivery and fetal repercussions (secondary outcomes). METHODS: The Pubmed, LILACS and Scielo databases were searched for randomized controlled trials and quasi-randomized trials published between 1966 and 2008 using the keywords 'TENS', 'Labor', 'Labor pain' and 'obstetric labor'. The selection of eligible items and assessment of methodological quality were performed independently by two researchers. Random effects meta-analysis was performed for studies that were sufficiently homogeneous. RESULTS: Nine studies involving a total of 1076 pregnant women were included. There was no statistically significant difference between groups in pain relief during labor (pooled RR = 1.09, 95% CI = 0.72 to 1.65) or the need of additional analgesia (pooled RR = 0.89, 95% CI = 0.74 to 1.08). There was no evidence that TENS interfered in any of the outcomes except the mothers' desire to use TENS in future deliveries. CONCLUSIONS: The use of TENS had no impact on mother or child and no influence on labor. According to the results of this review, there is no evidence that TENS reduces the use of additional analgesia.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"99 1","pages":"175-184"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86997329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

Estudo mostra que a força da mão pode prever alterações funcionais em idosos 研究表明，手的力量可以预测老年人的功能变化

Revista Brasileira De Fisioterapia Pub Date : 2011-02-01 DOI: 10.1590/S1413-35552011010200001

Patrícia Azevedo Garcia, João Marcos Domingues Dias

引用次数: 5

Multicenter research project: a challenge 多中心研究项目:一个挑战

Revista Brasileira De Fisioterapia Pub Date : 2011-02-01 DOI: 10.1590/S1413-35552011000100001

R. Guirro, J. C. Corrêa

引用次数: 1