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Brazilian Journal of Physical Therapy

Camilla R S Silva, Lívia B Andrade, Danielle A S X Maux, Andreza L Bezerra, Maria C M B Duarte
Objective: To evaluate the effectiveness of prophylactic, non-invasive ventilation (NIV) on respiratory function in seven- to 16-year-old children in the post-operative phase of cardiac surgery. Method: A randomized, controlled trial with 50 children who had undergone cardiac surgery with median sternotomy. After extubation, patients were randomly assigned to one of two groups: control group (n=26), which received instructions regarding posture, early ambulation, and cough stimulation, and CPAP group (continuous positive airway pressure; n=24), which received the same instructions as the control group and CPAP=10 cmH20 twice daily for 30 minutes from the 1st to the 5th post-operative day (POD)...
September 29, 2016: Brazilian Journal of Physical Therapy
Dannuey M Cardoso, Guilherme A F Fregonezi, Renan T Jost, Ricardo Gass, Cristine L Alberton, Isabella M Albuquerque, Dulciane N Paiva, Sérgio S M Barreto
Objective: To investigate the acute effects of EPAP on the activity of sternocleidomastoid (SCM), parasternal muscles and ventilatory parameters in COPD patients. Method: Twenty-four patients with COPD were studied using surface electromyography (sEMG) and a ventilometer. Patients were randomly assigned to EPAP 10 cmH2O-EPAP10 or 15 cmH2O-EPAP15 for 20 minutes. Results: The parasternal muscle sEMG activity increased during EPAP10 and EPAP15; however, a greater and significant increase was observed with EPAP10 (mean between-group difference: 12...
September 16, 2016: Brazilian Journal of Physical Therapy
Patrícia Graef, Stella M Michaelsen, Maria L R Dadalt, Daiana A M S Rodrigues, Franciele Pereira, Aline S Pagnussat
Objective: To investigate the effects of functional strengthening (using functional movements) and analytical strengthening (using repetitive movements) on level of activity and muscular strength gain in patients with chronic hemiparesis after stroke. Method: A randomized, assessor-blinded trial was conducted in a therapist-supervised home rehabilitation program. Twenty-seven patients with chronic stroke were randomly allocated one of two groups: functional strengthening (FS) (n=13) and analytical strengthening (AS) (n=14)...
September 16, 2016: Brazilian Journal of Physical Therapy
Luiza F Teixeira, Leani S M Pereira, Silvia L A Silva, João M D Dias, Rosângela C Dias
Background: The attitudes and beliefs that older people have about acute low back pain (LBP) may influence the coping mechanisms and the adoption of treatment strategies in this population. Objective: The aim of this study was to identify the factors associated with the attitudes and beliefs of elderly patients with acute low back pain using the Back Beliefs Questionnaire. Method: This is a cross-sectional study with a subsample of the study "Back Complaints in the Elders" (BACE), composed of 532 older Brazilians of both genders with acute LBP...
September 15, 2016: Brazilian Journal of Physical Therapy
Amilton Vieira, Angelina F Siqueira, João B Ferreira-Junior, Paulo Pereira, Dale Wagner, Martim Bottaro
Background: Different ultrasound parameters have been frequently used to assess changes associated with training, aging, immobilization, and neuromuscular diseases. However, an exploratory reliability analysis of the echo intensity (EI) and muscle thickness (MT) of the forearm flexors is scarce, especially in women. Objective: The purpose of the present study was to determine the intra-rater reliability of MT and EI assessed by ultrasound in young women. Method: Ultrasonographic MT and EI were acquired in the forearm flexors of 41 young women (22±2 yrs)...
September 15, 2016: Brazilian Journal of Physical Therapy
Maude Dulac, Guy El Hajj Boutros, Charlotte Pion, Sébastien Barbat-Artigas, Gilles Gouspillou, Mylène Aubertin-Leheudre
Objective: To investigate whether handgrip strength normalized to body weight could be a useful clinical tool to identify dynapenia and assess functional capacity in post-menopausal women. Method: A total of 136 postmenopausal women were recruited. Body composition (Dual Energy X-ray Absorptiometry [DEXA], Bio-electrical Impedence Analysis [BIA]), grip strength (dynamometer) and functional capacity (senior fitness tests) were evaluated. Dynapenia was established according to a handgrip strength index (handgrip strength divided by body weight (BW) in Kg/KgBW) obtained from a reference population of young women: Type I dynapenic (<0...
September 15, 2016: Brazilian Journal of Physical Therapy
Nayza M B Rosa, Bárbara Z Queiroz, Renata A Lopes, Natalia R Sampaio, Daniele S Pereira, Leani S M Pereira
Background: Low back pain (LBP) is a common musculoskeletal condition among elders and is associated with falls. However, the underlying biological risk factors for falling among elders with LBP has been poorly investigated. The Physiological Profile Assessment (PPA) is a validated fall-risk assessment tool that involves the direct assessment of sensorimotor abilities and may contribute to the understanding of risk factors for falls among elders with LBP. Objective: To assess fall risk using the PPA in elders with and without LBP...
September 15, 2016: Brazilian Journal of Physical Therapy
Kate M O'Brien, Amanda Williams, John Wiggers, Luke Wolfenden, Serene Yoong, Elizabeth Campbell, Steven J Kamper, James McAuley, John Attia, Chris Oldmeadow, Christopher M Williams
Background: These trials are the first randomised controlled trials of telephone-based weight management and healthy lifestyle interventions for low back pain and knee osteoarthritis. This article describes the protocol and statistical analysis plan. Method: These trials are parallel randomised controlled trials that investigate and compare the effect of a telephone-based weight management and healthy lifestyle intervention for improving pain intensity in overweight or obese patients with low back pain or knee osteoarthritis...
September 13, 2016: Brazilian Journal of Physical Therapy
Karina C Furlanetto, Isabela F S Pinto, Thais Sant'Anna, Nidia A Hernandes, Fabio Pitta
Objective: To compare the profiles of patients with chronic obstructive pulmonary disease (COPD) considered physically active or inactive according to different classifications of the level of physical activity in daily life (PADL). Method: Pulmonary function, dyspnea, functional status, body composition, exercise capacity, respiratory and peripheral muscle strength, and presence of comorbidities were assessed in 104 patients with COPD. The level of PADL was quantified with a SenseWear Armband activity monitor...
September 12, 2016: Brazilian Journal of Physical Therapy
Jose V León-Hernández, Aitor Martín-Pintado-Zugasti, Laura G Frutos, Isabel M Alguacil-Diego, Ana I de la Llave-Rincón, Josue Fernandez-Carnero
BACKGROUND: Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain. OBJECTIVE: To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle. METHOD: This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited...
July 11, 2016: Brazilian Journal of Physical Therapy
Karina S S Vasconcelos, João M D Dias, Marília C Araújo, Ana C Pinheiro, Bruno S Moreira, Rosângela C Dias
BACKGROUND: Sarcopenic obesity is associated with disability in older people, especially in women. Resistance exercises are recommended for this population, but their efficacy is not clear. OBJECTIVE: To evaluate the effects of a progressive resistance exercise program with high-speed component on the physical function of older women with sarcopenic obesity. METHOD: Twenty-eight women 65 to 80 years old, with a body mass index ≥30kg/m2 and handgrip strength ≤21kg were randomly allocated to two groups...
July 11, 2016: Brazilian Journal of Physical Therapy
Larissa T Aguiar, Júlia C Martins, Eliza M Lara, Julianna A Albuquerque, Luci F Teixeira-Salmela, Christina D C M Faria
BACKGROUND: Muscle strength is usually measured in individuals with stroke with Portable dynamometers (gold standard). However, no studies have investigated the reliability, the standard error of measurement (SEM) and the minimal detectable difference (MDD95%) of the dynamometry for the measurement of hand grip, pinch grip and trunk strength in subjects with subacute stroke. OBJECTIVE: 1) To investigate the intra and inter-rater reliability, the SEM and the MDD95% of the portable dynamometers for the measurement of grip, pinch and trunk strength in subjects with subacute stroke, and 2) to verify whether the use of different number of trials (first trial and the average of the first two and three trials) affected the results...
July 11, 2016: Brazilian Journal of Physical Therapy
Kornanong Yuenyongchaiwat
BACKGROUND: Being overweight is associated not only with physical health problems, but also with risk of mental health problems. Increased physical activity (PA) has been recommended for the prevention of cardiovascular disease; however, little is known about the effect of walking on physical and mental health outcomes. OBJECTIVE: The purpose of the study was to explore the effectiveness of a pedometer-based PA intervention on physical and mental health states. METHOD: Thirty-five overweight participants with body mass index (BMI) ≥25 kg•m-2 were selected and assigned to a 12-week pedometer-based walking program (10,000 steps•d-1)...
July 2016: Brazilian Journal of Physical Therapy
Bárbara P B Carvalho-Pinto, Christina D C M Faria
BACKGROUND: Stroke patients commonly have impairments associated with reduction in functionality. Among these impairments, the motor impairments are the most prevalent. The functional profile of these patients living in the community who are users of the primary health-care services in Brazil has not yet been established. OBJECTIVE: To describe the functional profile of stroke patients who are users of the primary health-care services in Brazil, looking at one health-care unit in the city of Belo Horizonte, Brazil...
July 2016: Brazilian Journal of Physical Therapy
Nuno Morais, Joana Cruz, Alda Marques
BACKGROUND: There is limited evidence regarding interactions between pulmonary (dys)function, posture, and mobility of the upper body quadrant in patients with chronic obstructive pulmonary disease (COPD). OBJECTIVES: This exploratory study aimed to investigate whether postural alignment and mobility of the upper quadrant are related to changes in pulmonary function and compare such variables between patients with COPD and healthy individuals. METHOD: Fifteen patients with COPD (67...
July 2016: Brazilian Journal of Physical Therapy
Cristiana M Magalhães, Guilherme A Fregonezi, Mauro Vidigal-Lopes, Bruna S P P Vieira, Danielle S R Vieira, Verônica F Parreira
BACKGROUND: The effects of non-invasive ventilation (NIV) on the breathing pattern and thoracoabdominal motion of patients with amyotrophic lateral sclerosis (ALS) are unknown. OBJECTIVES: 1) To analyze the influence of NIV on chest wall volumes and motion assessed by optoelectronic plethysmography in ALS patients and 2) to compare these parameters in the supine and sitting positions to those of healthy individuals (without NIV). METHOD: Nine ALS patients were evaluated in the supine position using NIV...
July 2016: Brazilian Journal of Physical Therapy
Andrea Ushinohama, Bianca P Cunha, Leonardo O P Costa, Ana M F Barela, Paulo B de Freitas
BACKGROUND: Ear Acupuncture (EA) is a form of acupuncture in which needles are applied to the external ear and has been used in multiple painful conditions. Low back pain (LBP) is highly prevalent in active individuals and causes high economic burden to health systems worldwide. LBP affects the person's ability to keep balance, especially in challenging conditions. OBJECTIVE: The aim of the study was to examine the effects of a single session of EA on pain intensity and body sway during postural tasks...
July 2016: Brazilian Journal of Physical Therapy
Deise M Pacheco, Viviane D Silveira, Alex Thomaz, Ramiro B Nunes, Viviane R Elsner, Pedro Dal Lago
OBJECTIVE: To analyze respiratory mechanics and hemodynamic alterations in an experimental model of chronic heart failure (CHF) following myocardial infarction. METHOD: Twenty-seven male adult Wistar rats were randomized to CHF group (n=12) or Sham group (n=15). Ten weeks after coronary ligation or sham surgery, the animals were anesthetized and submitted to respiratory mechanics and hemodynamic measurements. Pulmonary edema as well as cardiac remodeling were measured...
July 2016: Brazilian Journal of Physical Therapy
Érika P Rampazo, Richard E Liebano, Carlos Eduardo Pinfildi, Roberta A C Folha, Lydia M Ferreira
OBJECTIVE: To verify the efficacy of high voltage pulsed current in collagen realignment and synthesis and in angiogenesis after the partial rupturing of the Achilles tendon in rats. METHOD: Forty male Wistar rats were randomized into four groups of 10 animals each: sham, cathodic stimulation, anodic stimulation, and alternating stimulation. Their Achilles tendons were submitted to direct trauma by a free-falling metal bar. Then, the treatment was administered for six consecutive days after the injury...
July 2016: Brazilian Journal of Physical Therapy
V Prakash, Manushi A Shah, K Hariohm
BACKGROUND: Inherent differences in organization of stroke care and rehabilitation practices in various settings influence the activity levels of patients in the hospital. The majority of published studies have been carried out in developed countries such as the United States, United Kingdom, Australia, Switzerland and Belgium; however, data from developing countries are scarce. OBJECTIVE: To measure the amount and nature of physical activity of patients admitted to medical wards of Indian hospitals and to assess the association between family presence and the patient and between the patient's functional status and their physical activity level...
July 2016: Brazilian Journal of Physical Therapy
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