Brazilian Journal of Physical Therapy最新文献

{"title":"Brazilian classification of physical therapy diagnosis","authors":"Bruno Prata Martinez ,&nbsp;Roberto Mattar Cepeda ,&nbsp;Fernando Mauro Muniz Ferreira ,&nbsp;Francimar Ferrari Ramos ,&nbsp;Flavia Massa Cipriani ,&nbsp;Sibele de Andrade Melo Knaut ,&nbsp;Elaine Caldeira de Oliveira Guirro ,&nbsp;Cristine Homsi Jorge","doi":"10.1016/j.bjpt.2024.101066","DOIUrl":"10.1016/j.bjpt.2024.101066","url":null,"abstract":"<div><h3>Background</h3><p>The Brazilian Classification of Physical Therapy Diagnosis, developed by the Federal Council of Physiotherapy and Occupational Therapy (COFFITO), has the constitutional objectives of standardizing ethical, scientific and social aspects of the Physical Therapy profession.</p></div><div><h3>Objective</h3><p>To describe the work process, rationale and proposal for standardization of a physical therapy diagnosis classification system in Brazil.</p></div><div><h3>Methods</h3><p>A working group was created to propose a standardized classification for the description and codification of physical therapy diagnoses. Some terminologies common to the International Classification of Functioning (ICF) were used to make the nomenclature of diagnoses compatible with the outcomes inherent in the field of physical therapy.</p></div><div><h3>Results</h3><p>The Brazilian Classification of Physical Therapy Diagnosis project culminated in a physical therapy diagnosis model consisting of terms grouped by organic systems and identifying codes. In addition, an application was developed to allow professionals to use the standardized diagnostic classification in an online system.</p></div><div><h3>Conclusion</h3><p>The diagnostic classification system is expected to advance the Physical Therapy profession allowing the identification of structural and/or functional alterations in a simplified and standardised manner. From a physical therapy perspective, this classification may help to consolidate the autonomy of the Brazilian physical therapists by establishing a clearer pathway between the diagnosis and interventions.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 3","pages":"Article 101066"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing women's pelvic floor muscle function diagnosis: the EFSMAP examination and its reliability evaluation","authors":"Fernanda Saltiel ,&nbsp;Ana Paula Gonçalves Miranda-Gazzola ,&nbsp;Gabriella Ferreira Vieira ,&nbsp;Elyonara Mello Figueiredo","doi":"10.1016/j.bjpt.2024.101067","DOIUrl":"10.1016/j.bjpt.2024.101067","url":null,"abstract":"<div><h3>Background</h3><p>The accurate diagnosis of pelvic floor muscle impairments is essential. The plethora of terms and the lack of evidence to support widely used pelvic floor muscle function (PFMF) measurements hinder diagnostic labels.</p></div><div><h3>Objective</h3><p>To structure an examination of PFMF using visual observation and digital palpation and terms consistent with the ICF terminology, and to test its intra and interrater reliability/agreement.</p></div><div><h3>Methods</h3><p>A panel of 9 physical therapists applied Delphi method to structure the PFMF exam under ICF terminology and to verify its measurements reproducibility. For reliability and agreement, a convenience sample of women aged 51.2 ± 14.7 years had the sensitivity to pressure, pain, muscle tone, involuntary movement reaction, control of voluntary movement (contraction/relaxation), coordination, strength, and endurance examined by two raters, in the same day for interrater (<em>n</em> = 40), and one week apart, for intrarater reliability (<em>n</em> = 25). Percent agreement, linear weighted kappa, intraclass correlation coefficient, and Bland-Altman's limits of agreement were calculated (alpha = 0.05).</p></div><div><h3>Results</h3><p>Four round Delphi discussion structured the PFMF exam, named EFSMAP (<em>Exame das Funções Sensoriais e Motoras do Assoalho Pélvico/Examination of Pelvic Floor Sensory and Motor Functions</em>), set a list of concepts and instructions targeted at reproducibility and established PFMF diagnostic labels. Reliability, except for pain and tone, were moderate to excellent (Kw= 0.67–1.0 and ICC=0.48–0.82). Agreement was substantial for most PFMF features (0.64–1.00), except pain.</p></div><div><h3>Conclusions</h3><p>The EFSMAP was successfully developed as a valid and reliable exam to be used in research and clinical practice; it provides labels for the diagnosis of pelvic floor muscle impairments. It might be easily adopted worldwide as it uses ICF terminology.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 3","pages":"Article 101067"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reporting of confidence intervals, achievement of intended sample size, and adjustment for multiple primary outcomes in randomised trials of physical therapy interventions: an analysis of 100 representatively sampled trials","authors":"David Fernández Hernando ,&nbsp;Mark Elkins ,&nbsp;Ana Paula Coelho Figueira Freire","doi":"10.1016/j.bjpt.2024.101079","DOIUrl":"10.1016/j.bjpt.2024.101079","url":null,"abstract":"<div><h3>Background</h3><p>The physical therapy profession has made efforts to increase the use of confidence intervals due to the valuable information they provide for clinical decision-making. Confidence intervals indicate the precision of the results and describe the strength and direction of a treatment effect measure.</p></div><div><h3>Objectives</h3><p>To determine the prevalence of reporting of confidence intervals, achievement of intended sample size, and adjustment for multiple primary outcomes in randomised trials of physical therapy interventions.</p></div><div><h3>Methods</h3><p>We randomly selected 100 trials published in 2021 and indexed on the Physiotherapy Evidence Database. Two independent reviewers extracted the number of participants, any sample size calculation, and any adjustments for multiple primary outcomes. We extracted whether at least one between-group comparison was reported with a 95 % confidence interval and whether any confidence intervals were interpreted.</p></div><div><h3>Results</h3><p>The prevalence of use of confidence intervals was 47 % (95 % CI 38, 57). Only 6 % of trials (95 % CI: 3, 12) both reported and interpreted a confidence interval. Among the 100 trials, 59 (95 % CI: 49, 68) calculated and achieved the required sample size. Among the 100 trials, 19 % (95 % CI: 13, 28) had a problem with unadjusted multiplicity on the primary outcomes.</p></div><div><h3>Conclusions</h3><p>Around half of trials of physical therapy interventions published in 2021 reported confidence intervals around between-group differences. This represents an increase of 5 % from five years earlier. Very few trials interpreted the confidence intervals. Most trials reported a sample size calculation, and among these most achieved that sample size. There is still a need to increase the use of adjustment for multiple comparisons.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 3","pages":"Article 101079"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence and Machine Learning approaches in sports: Concepts, applications, challenges, and future perspectives","authors":"Felipe J.J. Reis ,&nbsp;Rafael Krasic Alaiti ,&nbsp;Caio Sain Vallio ,&nbsp;Luiz Hespanhol","doi":"10.1016/j.bjpt.2024.101083","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.101083","url":null,"abstract":"<div><h3>Background</h3><p>The development and application of Artificial Intelligence (AI) and Machine Learning (ML) in healthcare have gained attention as a promising and powerful resource to change the landscape of healthcare. The potential of these technologies for injury prediction, performance analysis, personalized training, and treatment comes with challenges related to the complexity of sports dynamics and the multidimensional aspects of athletic performance.</p></div><div><h3>Objectives</h3><p>We aimed to present the current state of AI and ML applications in sports science, specifically in the areas of injury prediction, performance enhancement, and rehabilitation. We also examine the challenges of incorporating AI and ML into sports and suggest directions for future research.</p></div><div><h3>Method</h3><p>We conducted a comprehensive literature review, focusing on publications related to AI and ML applications in sports. This review encompassed studies on injury prediction, performance analysis, and personalized training, emphasizing the AI and ML models applied in sports.</p></div><div><h3>Results</h3><p>The findings highlight significant advancements in injury prediction accuracy, performance analysis precision, and the customization of training programs through AI and ML. However, future studies need to address challenges such as ethical considerations, data quality, interpretability of ML models, and the integration of complex data.</p></div><div><h3>Conclusion</h3><p>AI and ML may be useful for the prevention, detection, diagnosis, and treatment of health conditions. In this Masterclass paper, we introduce AI and ML concepts, outline recent breakthroughs in AI technologies and their applications, identify the challenges for further progress of AI systems, and discuss ethical issues, clinical and research opportunities, and future perspectives.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 3","pages":"Article 101083"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141250416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, cross-cultural adaptation, and measurement properties of the dysmenorrhea symptom interference (DSI) scale–Brazilian version","authors":"Sara Giovanna de Melo Mantovan ,&nbsp;Guilherme Tavares de Arruda ,&nbsp;Thuane Da Roza ,&nbsp;Barbara Inácio da Silva ,&nbsp;Mariana Arias Avila ,&nbsp;Soraia Cristina Tonon da Luz","doi":"10.1016/j.bjpt.2024.101065","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.101065","url":null,"abstract":"<div><h3>Background</h3><p>The Dysmenorrhea Symptom Interference (DSI) scale is a reliable, valid, and responsive tool to assess the interference of menstrual pain in the physical, mental, and social activities of women.</p></div><div><h3>Objective</h3><p>To translate and cross-culturally adapt the DSI scale into Brazilian-Portuguese (DSI-BrPt) and investigate the measurement properties of this version in on- and off-menses versions.</p></div><div><h3>Methods</h3><p>The original (United States) scale was translated and culturally adapted following existing guidelines. Measurement properties of the DSI-BrPt were investigated in 1387 women with dysmenorrhea. Reliability was analyzed via intraclass correlation coefficients (ICC) and test-retest reliability. Furthermore, structural validity, internal consistency (Cronbach's alpha), cross-cultural validity, construct validity (correlation with WHODAS 2.0 and SPS-6 scores questionnaires), and floor and ceiling effects were determined.</p></div><div><h3>Results</h3><p>No significant adaptations were needed during the translation process of the DSI-BrPt. The values of Cronbach's α were adequate (α ≥0.87) for the unidimensional scale. The test-retest reliability was considered adequate (ICC &gt;0.78) and there was no systematic error for both on-menses and off-menses versions. Moreover, the DSI had a positive and strong correlation with WHODAS 2.0. There were no floor and ceiling effects neither for the total sample, nor among off-menses, or on-menses women.</p></div><div><h3>Conclusion</h3><p>The DSI-BrPt scale has been translated and cross-culturally adapted successfully. The DSI-BrPt scale presented adequate measurement properties. The scale is valid and reliable, and, therefore, an adequate tool for monitoring dysmenorrhea symptoms in Brazilian women during and between menses.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 3","pages":"Article 101065"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation of the Rotterdam Transition Profile to Brazilian Portuguese: measuring autonomy in participation of Brazilian youth with cerebral palsy","authors":"Gabriela Rovai ,&nbsp;Camila Araújo Santos Santana ,&nbsp;Marina de Brito Brandão ,&nbsp;Ana Carolina de Campos","doi":"10.1016/j.bjpt.2024.101080","DOIUrl":"10.1016/j.bjpt.2024.101080","url":null,"abstract":"<div><h3>Background</h3><p>Autonomy in participation of young adults with cerebral palsy (CP) is not well understood due to the lack of appropriate instruments, especially for the Brazilian population. The Rotterdam Transition Profile (RTP) categorizes autonomy in Participation (education, employment, finances, housing, leisure, intimate relationships, sexuality, transportation) and Health Services (care demands, services and aids, and rehabilitation services) domains.</p></div><div><h3>Objectives</h3><p>To cross-culturally adapt the RTP for use in Brazil, and to describe the levels of autonomy in participation and associated factors of Brazilian youth with CP.</p></div><div><h3>Methods</h3><p>RTP was translated and content validity was investigated through an expert panel (<em>n</em> = 4 researchers and <em>n</em> = 4 clinicians); 30 adolescents and young adults with CP provided data for construct validity and internal consistency analysis. To analyze influencing factors, 56 youth with CP, mean age 25 years (SD = 6.9 years), with good cognitive level remotely responded to the RTP, sociodemographic information, and functional classifications (gross motor, manual ability).</p></div><div><h3>Results</h3><p>Following translation, content and construct validity were established, with changes made to improve the clarity of items. Cronbach's alpha (0.82) was considered good and test-reliability was fair to good for most items. High levels of autonomy were found in the areas of Leisure and Rehabilitation, with the lowest proportion of participants with autonomy in Housing, Intimate Relationships, and Finances. Autonomy in participation was associated with age, gross motor and manual ability classifications, and with context-related factors.</p></div><div><h3>Conclusion</h3><p>The Brazilian Portuguese version of the RTP was considered valid and reliable. Findings will support transition planning for young people with CP.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 3","pages":"Article 101080"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FUNCTIONAL INDEPENDENCE, EXERCISE CAPACITY AND EXERTIONAL DESATURATION AFTER NON-CRITICAL COVID-19 IN NON VACCINED PATIENTS: SHORT AND MEDIUM-TERM IMPACTS","authors":"Breno Caldas Ribeiro ,&nbsp;Soany de Jesus Valente Cruz ,&nbsp;Eder Gabriel S Ferreira ,&nbsp;Luiz Fábio M Falcão ,&nbsp;Saul Rassy Carneiro ,&nbsp;Laura Maria Tomazi Neves","doi":"10.1016/j.bjpt.2024.100658","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100658","url":null,"abstract":"<div><h3>Background</h3><p>Studies point to the persistence of symptoms in patients with non-critical COVID-19 after hospitalization, pointing to impairments in functionality, exercise capacity and effort desaturation, which characterize the need for continuity of management and treatment after acute illness.</p></div><div><h3>Objectives</h3><p>To evaluate functional independence, exercise capacity, and effort desaturation after non-critical COVID-19 after hospital discharge.</p></div><div><h3>Methods</h3><p>A cross-sectional study included adult individuals with a noncritical COVID-19 diagnosis who were hospitalized for at least 24 hours between 30 and 180 days after hospital discharge. Participants were classified into 3 groups: G1M - one month after hospital discharge, G3M - three months after hospital discharge, and G6M - six months after charge. A digital form with clinical and sociodemographic questionnaire, modified MRC scale, Barthel Index, and London Chest Activity of Daily Living Scale was applied, in addition to the 6-minute Walk Test in G3M and G6M. The significance value was p&lt;0.05.</p></div><div><h3>Results</h3><p>We included 64 individuals (G1M=18, G3M=25, G6M=21). There was a significant difference in Barthel Index between G1M and G6M (p=0.007). G3M walked 420m vs 442m of G6M (p=0.25). 48% of participants in G3M and 52% in G6M walked a distance less than 80% of predicted; 28% of G3M participants had &gt;=4% drop in SpO2, vs 19.05% in G6M (p=0.478). There was a high prevalence of persistent symptoms, with a significant association between dyspnea (p=0.001), cough (p=0.038) and angina (p=0.001) and decreased functional independence.</p></div><div><h3>Conclusion</h3><p>After non-critical COVID-19, decreased functional independence was observed, with significant improvement 6 months after hospital discharge, in addition to decreased exercise capacity, the occurrence of desaturation on exertion, and high prevalence of persistent symptoms with no improvement 6 months after hospitalization.</p></div><div><h3>Implications</h3><p>Patients with persistent symptoms after COVID-19 should be evaluated and treated in pulmonary rehabilitation clinics. The changes caused by non-critical COVID-19 remain in the short and medium term, as in critical COVID-19.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100658"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NORMATIVE VALUES FOR ISOMETRIC MUSCLE STRENGTH OF HIP FLEXORS WITH HAND-HELD DYNAMOMETER IN UNIVERSITY ATHLETES","authors":"Carolina Holz Nonnenmacher ,&nbsp;Laura Bortolozzo Leitão ,&nbsp;Daniela Pacheco dos Santos Haupenthal ,&nbsp;Alessandro Haupenthal","doi":"10.1016/j.bjpt.2024.100679","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100679","url":null,"abstract":"<div><h3>Background</h3><p>Establishing normative strength data can assist professionals in guiding post-injury rehabilitation and be a criterion for deciding discharge for sports return.</p></div><div><h3>Objectives</h3><p>To establish reference values for isometric hip flexor muscle strength in college athletes.</p></div><div><h3>Methods</h3><p>This was a cross-sectional observational study. The athletes were submitted to an isometric muscle strength evaluation of the hip flexors through a hand-held dynamometer (Medeor Medtech Tecnologia em Saúde Industria e Comercio Ltda). The athletes remained in dorsal decubitus position on a stretcher, with the tested leg flexed 10 cm above the surface to start the test. The dynamometer was positioned on the anterior part of the leg, above the talotibial joint line. The lever arm was defined as the distance, in meters (m), between the anterior superior iliac spine and the dynamometer application point. The athletes performed three isometric contractions of 5 seconds, with a rest interval of 30 seconds between repetitions. If there was a discrepancy greater than 10% in the first three repetitions, a fourth repetition was performed. The isometric force data were expressed in kilogram-force (Kg/f) and converted to newton (N) for the calculation of torque (N.m). The normality of the data was verified using the Shapiro-Wilk test. The mean and standard deviation were calculated, followed by and by independent samples t-test. A significance level of (p &gt; 0.05) was adopted.</p></div><div><h3>Results</h3><p>Thirteen female athletes (22 ± 2.19 years; 1.63 ± 0.06 m and 63.5 ± 16.9 kg) and 14 male athletes (23.85 ± 6.97 years; 1.75 ± 0.06 m and 72.8 ± 8.6 kg) participated in the study, totaling 27 college athletes. The athletes were classified according to the International Physical Activity Questionnaire (IPAQ) as Very Active (29.62%), Active (55.55%) and Irregularly Active (14.81%). Male athletes produced significantly more torque (109.36 ± 43.70 N.m; CI 84.12 - 134.59 N.m) when compared to female athletes (73.05 ± 14.26 N.m; CI 64.43 - 81.67 N.m).</p></div><div><h3>Conclusion</h3><p>This study provides a normative database on isometric hip flexor strength measured with a hand-held dynamometer. In general, differences in strength were present between the sexes, with men showing higher torque values compared to women.</p></div><div><h3>Implications</h3><p>The isokinetic dynamometer is the gold standard instrument for quantifying muscle strength. However, it is not accessible to all athletes. Therefore, we sought an alternative for the quantification of muscle strength in an affordable way. These data provide a description of hip flexor muscle strength in college athletes in order to assist professionals in post-injury rehabilitation, and to be a discharge criterion for sports return.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100679"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SCREENING FOR FRAILTY, NUTRITION AND MUSCLE STRENGTH OF HOSPITALIZED ELDERLY","authors":"Ana Luiza de Arruda Camargo ,&nbsp;Fernanda dos Santos Lima ,&nbsp;Marcelo Olímpio de Oliveira ,&nbsp;Elaine Gomes da Silva ,&nbsp;Patrícia Vigano Contri Degiovani ,&nbsp;Adriana Sanches Garcia-Araujo","doi":"10.1016/j.bjpt.2024.100624","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100624","url":null,"abstract":"<div><h3>Background</h3><p>The increase in life expectancy in recent years has brought a scenario of multimorbidities and the presence of geriatric syndromes, such as frailty, making the elderly vulnerable to decompensation and hospitalizations. In addition, nutritional status and muscle strength have a significant association with frailty, so their characterization in the hospitalized elderly population is extremely relevant since such conditions are accompanied by adverse clinical outcomes, increasing the length of hospitalization and mortality. From this, it is possible to program multidisciplinary strategies and outline the best individualized intervention for these patients, aiming at an early discharge and higher quality of life.</p></div><div><h3>Objectives</h3><p>To evaluate the presence of frailty, nutritional status, and muscle strength of hospitalized elderly.</p></div><div><h3>Methods</h3><p>This is a prospective, observational, and cross-sectional study in which patients hospitalized in the ward of a University Hospital over 60 years of age were evaluated. Data were collected from medical records and characterization of the sample. Patients were assessed for frailty screening (Fried criteria), nutritional assessment through mini nutritional assessment (MAN) and handgrip strength.</p></div><div><h3>Results</h3><p>Partial data from 51 study participants were analyzed. Regarding frailty, according to Fried's criteria, 90.2% of the patients were classified as frail, 9.8% as pre-frail, and none as non-frail. The MAN scores reveal that, in relation to nutritional status, 19.6% are at risk of malnutrition and 43.13% are malnourished. Regarding muscle strength, 66.66% of men and 76.9% of women had muscle weakness, with the mean of men of 27.6 ±11.43 (76.66% of predicted) and of women of 19.3 ±5.76 (83.91% of predicted).</p></div><div><h3>Conclusion</h3><p>Hospitalized elderly are mostly fragile and have nutrition deficits and peripheral muscle weakness.</p></div><div><h3>Implications</h3><p>Faced with the presence of frailty, nutritional deficit, and muscle weakness, future intervention studies deserve attention to minimize damage to the independence and functionality of the elderly.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100624"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PHOTOBIOMODULATION MAY REVERSE CELLULAR SENESCENCE BY INDUCING CELL PROLIFERATION AND PRESERVING NUCLEAR SIZE","authors":"Alan Christhian Bahr ,&nbsp;Luana Suéling Lenz ,&nbsp;Elizama de Gregório ,&nbsp;Guido Lenz ,&nbsp;Patrick Türck ,&nbsp;Pedro Dal Lago","doi":"10.1016/j.bjpt.2024.100598","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100598","url":null,"abstract":"<div><h3>Background</h3><p>Cellular senescence is an irreversible state of cell cycle arrest, thus being characterized by decreased cell proliferation and increased nucleus area, often acting as a tumor suppressor program. Photobiomodulation (PBM) has been used in several conditions to increase the mitochondrial response, promoting nuclear changes and cell proliferation. However, the effects of PBM on cells are still unclear.</p></div><div><h3>Objectives</h3><p>To verify the efficacy of photobiomodulation on cell senescence processes.</p></div><div><h3>Methods</h3><p>We utilized A172 glioblastoma cells transduced with H2B-mCherry by lentivirus to nuclear tagging. Treatment was done with GaAIAs Laser (850nm). Cells were divided by intensity into the following groups: C= Control, L1= 1J/cm², L2= 2.2J/cm², L3= 3J/cm², L9= 9J/cm², L15= 15J/cm², L21= 21J/cm², nuclear evaluation was performed at experimental times (0h, 24h, 48h and 72h). For data analysis, two-way ANOVA with the Tukey post hoc test was used. Differences were significant when p&lt;0.05.</p></div><div><h3>Results</h3><p>PBM on intensities of 1J/cm², 2.2J/cm², 3J/cm², 9J/cm² e 15J/cm² showed a lower increase at the nuclear size when compared with time 0h and 72h in the control group. All intensities (1, 2.2, 3, 9, 15, and 21 J/cm²) promoted cellular proliferation after 72 hours, while 15J/cm² presented an accentuated increase compared to groups L1, L2.2, and L3.</p></div><div><h3>Conclusion</h3><p>PBM enhanced cellular proliferation while causing a reduced nuclear increase in glioblastoma cells.</p></div><div><h3>Implications</h3><p>In this study, we found that the laser decreased the cellular senescence state from the evaluation of the morphological parameters, thus increasing cell proliferation and decreasing the nuclear area; therefore, it is an important therapeutic tool against the cellular aging process.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100598"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}