Navegando por Palavras-chave "Prospective Studies"

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    Capacidade Funcional: estudo prospectivo em idosos residentes em uma instituição de longa permanência
    (Universidade do Estado do Rio Janeiro, 2010-08-01) Marchon, Renata Marques [UNIFESP]; Cordeiro, Renata Cereda [UNIFESP]; Nakano, Márcia Mariko; Universidade Federal de São Paulo (UNIFESP); Lar Escola São Francisco Centro de Reabilitação Setor de Reabilitação Gerontológica; Universidade de São Paulo (USP)
    The Short Physical Performance Balance - SPPB has been largely used in researches related to the effects of aging, as a practical and efficient instrument to estimate the physical conditions and screening of elderly people with future disability risk. The SPPB estimates the performance of lower limbs in three aspects: muscle strength, gait and balance, all recognized as fundamental to achieve good quality of life, being accepted as universal indicators to value the health conditions of the elderly. PURPOSE: Analyze the SPPB effectiveness to detect functional capacity changes among institutionalized elderly patients and how it is influenced by cognitive, clinical and global functional variables. METHODS: a prospective study, involving 30 residents of a philanthropic long-term care facility in São Paulo (17 women and 13 men), with ages above 60 years old (43% older than 80 years old) and an average of seven years of residence. After 18 months, these old people were reevaluated and data were compared. RESULTS: Considering the evaluated elderly who had good performance (17%), all of them showed up loss of strength during the research. It was observed that there was an improvement of 16% and 1%, respectively, in the balance and in gait, respectively. There was one or more falls in 47% of them. Comparing the Katz's Index of Independency in the Daily Living, the SPPB was more sensitive to the functional decline, indicating 39%, as compared to the 14% of the loss indentified by Katz. CONCLUSIONS: the data confirm the previous studies, which indicate the functional capacity decline of institutionalized elderly and for the SPPB applicability in the routine of functional attendance of this population.
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    Estudo prospectivo randomizado entre as fixações transversas e extracorticais nas reconstruções do ligamento cruzado anterior
    (Sociedade Brasileira de Ortopedia e Traumatologia, 2012-01-01) Guarilha, Eduardo Da Silva; Caldeira, Paulo Roberto De Andrade Fígaro; Lira Neto, Ozorio De Almeida [UNIFESP]; Navarro, Marcelo Schmidt; Milani, Antonio; Carneiro Filho, Mario [UNIFESP]; Hospital IFOR; Universidade Federal de São Paulo (UNIFESP); Faculdade de Medicina do ABC Grupo de Traumatologia Esportiva
    OBJECTIVE: This study had the objective of prospectively comparing transverse fixation (Cross-PinTM) with extracortical fixation (EZLocTM) for the femur, in surgical reconstruction of the anterior cruciate ligament, from a clinical, biomechanical and functional point of view. METHODS: Between April 2007 and November 2009, 50 patients with acute or chronic anterior cruciate ligament injuries underwent arthroscopic reconstruction using the homologous flexor tendons (gracilis and semitendinosus). Randomization of the femoral fixation method was done by means of a draw at the time of the procedure. Patients were excluded if they presented multiple ligament lesions, fractures, previous surgery, autoimmune disease and impairment of the contralateral knee. The Lysholm scale, SF36 quality-of-life questionnaire and KT1000TM arthrometer were used. RESULTS: After a mean follow-up of 18.1 months, there were no statistically significant differences between the groups regarding the Lysholm scale and KT1000TM measurements. However, the SF36 questionnaire showed a statistical difference such that transverse fixation was superior regarding pain and vitality. CONCLUSION: Both techniques were shown to be efficient for transfemoral fixation, but with almost no statistically significant difference between them. We believe that new studies will be necessary for better understanding of these differences.