Navegando por Palavras-chave "Functional Capacity"
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- ItemSomente MetadadadosAvaliação Da Capacidade Funcional, Qualidade De Vida E Nível Da Atividade Física De Pacientes Com Fibromialgia E Com Artrite Reumatoide Em Hospital Universitário De Atenção Terciária(Universidade Federal de São Paulo (UNIFESP), 2018-03-29) Azevedo, Carolina Bassoli De [UNIFESP]; Simoes, Martin Fabio Jennings [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Fibromyalgia (Fm) Is A Disease Characterized By Disturbances In Pain Control Mechanisms. Rheumatoid Arthritis (Ra) Presents Itself Erosive Synovitis In Small And Large Joints. Both Diseases Can Generate Functional Impairment To The Patient And Reduce Physical Fitness. Objective: The Objective Of The Study (Descriptive Transversal) Was To Evaluate The Functional Capacity, Level Of Physical Activity And Quality Of Life Of Patients With Fm And Ra And Compare To Control Individuals. Material And Methods: Three Groups Were Formed: Fm (N = 30) Ra (N = 42) And Control (N = 30) To Evaluate Clinical Characteristics And Functional Capacity By Questionnaires Haq (Health Assessment Questionnaire) And Fiq (Fibromyalgia Impact Questionnaire), Physical Activity Level By Ipaq (International Physical Activity Questionnaire) And General Quality Of Life (Sf-36 Questionnaire). Results: The Characteristics Of Gender, Age, Body Mass Index (Bmi) And Socioeconomic Between Groups Were Similar. Regarding Haq, The Ra 1.13
- ItemSomente MetadadadosAvaliação Da Força E Fatigabilidade Muscular Periférica Por Dinamometria Isocinética Em Pacientes Com Doença Pulmonar Obstrutiva Crônica Associada À Insuficiência Cardíaca(Universidade Federal de São Paulo (UNIFESP), 2017-07-31) Medina, Luiz Antonio Rodrigues [UNIFESP]; Medeiros, Wladimir Musetti [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The coexistence of chronic obstructive pulmonary disease (COPD) and heart failure with ejection fraction reduced left ventricular (IC) is underdiagnosed and is associated with poor prognosis. Cardiocirculatory and pulmonary changes found in both diseases can impair the supply of oxygen (O2) to the peripheral muscles resulting in decreased muscle strength and endurance, resulting in the exercise intolerance and the decline in functional capacity. Fifty male patients, with twentyfive COPD + IC (age 67.8 ± 6.9; FEV1 62.5 ± 17.4% predicted; EF = 36.1 ± 10.7) and twenty-five COPD (age 66.1 ± 9.1; FEV1 51.3 ± 17.0% predicted; EF = 67.6 ± 4.7) underwent clinical evaluation, resting echocardiography, pulmonary function, cardiopulmonary test incremental exercise (CPET), step test 4 minutes, 6 minute walk test and peripheral muscle isokinetic evaluation. The groups did not differ in demographic and anthropometric characteristics (p> 0.05). The functional capacity measured in 6-minute walk test showed a trend of smaller distance in COPD + IC group (401.4 ± 92.7) compared to COPD (451.5 ± 99.4) maximum effort COPD + IC group had significantly lower values load achieved when compared with the COPD group (57.6 ± 24.3 vs. 73.5 ± 22.7; P <0.05). The muscle performance is compromised in both COPD and in COPD + IC group. The lower torque, power and work, it is most evident in COPD + IC group. The most significant findings were in the flexor muscles of the knee, the isokinetic evaluation at 60°/s and 300 °/s respectively. The 60 °/s work and the torque peak as a percentage of predicted in COPD + IC group was lower than the COPD group (54.7 ± 13.3 vs. 65.8 ± 13.1; P < 0.05), (87.0 ± 24.0 vs. 94.8 ± 22.8; P < 0.05). The COPD + HF group showed significantly lower values in the fatigue index in percentage corrected by muscle mass in the torque variables (1.5 ± 0.4 vs. 1.2 ± 0.3; P < 0.05), work (1.4 ± 0.4 vs. 1.1 ± 0.3; P < 0.05), and power (1.8 ± 0.4 vs. 1.4 ± 0.4; P < 0.05). The overlap of HF in patients with COPD worsens muscle dysfunction observed in patients with isolated COPD. However, this increase is not uniform over the entire lower limb muscles, specifically affecting the knee flexors.
- ItemSomente MetadadadosAvaliação da função pulmonar e da capacidade funcional em pacientes com mucopolissacaridose(Universidade Federal de São Paulo (UNIFESP), 2021) Dias, Bianca Moreira Cardoso [UNIFESP]; Wandalsen, Gustavo Falbo [UNIFESP]; Universidade Federal de São PauloIntroduction: Mucopolysaccharidoses (MPS) are a group of rare diseases caused by the intralisosomal accumulation of glycosaminoglycans, secondary to enzyme deficiencies. Respiratory impairment and impaired functionality may be present in MPS, however, there is a lack of studies on these aspects. Objective: To evaluate lung function and functional capacity in patients with MPS and compare it with a control group. Methods: This is an unicentric and cross-sectional study of patients aged 6 to 39 years, followed up at a Brazilian referral center. Lung function was assessed by spirometry and impulse oscillometry (IOS) and functional capacity was assessed by the Five times Sit-To-Stand test (FTSTS) and Shuttle Walk Incremental Test (ISWT). All tests were performed according to recommended standards and in the absence of respiratory infections. The results were compared with a control group by equivalent age and sex. Results: 21 patients with MPS were evaluated, most of them male (90%), with an average age of 17 ± 11 years. The most frequent type of MPS was II (62%). All patients underwent enzyme replacement therapy (ERT). Alteration in lung function was found in 13/16 (81%) patients, with the presence of obstructive and restrictive disorder. In comparison with control group, patients with MPS had lower values of FEV1 (%) (75,6 ± 13,5 vs 91,3 ± 11,4, p <0.01) and FVC (%) (80,4 ± 12,9 vs 96,0 ± 12,4, p <0, 01), fifteen percent showed a bronchodilator response. At IOS, 18/21 (86%) patients had changes, with a predominance of distal obstruction (47%). MPS patients had higher airway resistance values [R5 (%): 157,1 ± 63,0 vs 111,5 ± 35,3, p <0.01 and R20 (%): 1509, ± 60,2 vs 115,7 ± 30,8, p <0.01] when compared to control group, thirty-three percent showed a bronchodilator response. In the FTSTS, the MPS group needed almost 40% more time to perform the test (10.6 ± 2.5s vs 6.7 ± 1.2s, p <0.01). In the ISWT, patients with MPS reached significantly lower distance values than control group (407,6 ± 329,8m vs 1131,9 ± 183,3m, p <0.01) Conclusions: Eighty-six percent of patients with MPS showed changes in lung function, with the presence of obstructive and restrictive ventilatory disorder, indicating that the impairment of the respiratory system in MPS is multicausal. MPS patients also had worse functional performance when compared to their healthy peers, suggesting worse physical conditioning.
- ItemAcesso aberto (Open Access)Avaliação de risco de queda em idosos residentes da Baixada Santista(Universidade Federal de São Paulo (UNIFESP), 2018) Ikedo, Denis Takeshi [UNIFESP]; Lombardi Júnior, Imperio [UNIFESP]; http://lattes.cnpq.br/6748923176828764; http://lattes.cnpq.br/1455568525782052; Universidade Federal de São Paulo (UNIFESP)Introdução: A população de idosos do Brasil tem aumentado e um dos grandes problemas relacionados à saúde do idoso são os relacionados às quedas, elas têm sido alvo de estudos nas últimas décadas por terem grande incidência em idosos e serem responsáveis por causar significativa mortalidade e morbidade. Dessa forma, é importante que se adote medidas para avaliar e prevenir quedas e melhorar as condições de saúde da população idosa. Objetivos: Correlacionar os resultados obtidos nos testes e avaliar o risco de queda nos idosos da comunidade da Baixada Santista. Métodos: Pesquisa de caráter transversal e quantitativo, realizada no município da Baixada Santista, com 32 idosos. A idade variou de 62 a 80 anos. Foram utilizados o teste Escala de Eficácia de Queda, Escala de Depressão Geriátrica, força de preensão manual, Timed Up and GO, Short Physical Performance Battery, e questionário com perguntas específicas a respeito de eventos de quedas no último ano, medicações que são consumidas, se mora sozinho, além da caracterização do ambiente doméstico. Resultados: Correlações encontradas foram entre FES-I-Brasil e GDS-15 (r=0,614), FES-I-Brasil e número de medicamentos consumidos associados às quedas (r=0,524), TUG e SPPB velocidade de marcha (r= -0,615), TUG e SPPB final pontuação final (r= -0,569). Conclusão: Foi observado correlação entre os testes funcionais e entre os testes relacionados à saúde mental, e a quantidade de medicamentos consumida se correlacionou positivamente com a FES-I-Brasil. A maioria dos voluntários apresentaram boa capacidade funcional, pouca incidência de sintomas de depressão ou preocupação em sofrer quedas, pouco consumo de medicamentos, no teste SPPB, o teste de força de membros inferiores apresentou uma distribuição de pontuações mais equilibradas sendo a pontuação 2 à nota mais prevalente com incidência de 31,25%, a avaliação de risco ambiental domiciliar mostrou uma grande incidência de fatores que podem contribuir para ocorrer uma queda
- ItemSomente MetadadadosDistância no teste de caminhada de seis minutos como marcador prognóstico no pós-operatório de cirurgia de revascularização do miocárdio(Universidade Federal de São Paulo (UNIFESP), 2017-03-27) Pauletti, Hayanne Osiro [UNIFESP]; Guizilini, Solange [UNIFESP]; http://lattes.cnpq.br/1563905009199506; http://lattes.cnpq.br/1452005346400152; Universidade Federal de São Paulo (UNIFESP)Objectives: To Investigate The Ability Of Percent-Fall In Early Postoperative Six-Minute Walk Test Distance (6Mwd), Considering The Preoperative Baseline, As A Prognostic Marker For Mid-Term Outcomes After Coronary Artery Bypass Grafiting (Cabg); And To Recognize The Independent Determinants Of Fall In 6Mwd. Methods: A Prospective Cohort With Fifty-Four Patients Undergoing Elective Cabg Was Evaluated. The Percentfall In 6Mwd Was Assessed By The Maximum Distance Achieved In Six-Minute Walk Test Preoperatively And On 5Th Day Of Postoperative (Pod5). Respiratory Muscle Strength Was Also Obtained Preoperatively And On Pod5. After Discharge, A Three Months Follow-Up Was Conducted To Assess. Results: There Was A Significant Decrease In 6Mwd On Pod5 Compared With Preoperative Baselline Values (66.9±16.5%, P<0.0001). A Moderate Negative Correlation Was Observed Between Percent-Fall Of 6Mwd And Maximum Inspiratory Pressure (R=-0.66, P<0.001) And Maximum Expiratory Pressure (R=-0.61, P<0.001) On Pod5. Additionally, The
- ItemSomente MetadadadosEfeitos de um protocolo de reabilitação cardiovascular baseada em exercícios e da terapia laser de baixa intensidade em pacientes com insuficiência cardíaca(Universidade Federal de São Paulo (UNIFESP), 2017-05-30) Barbosa, Caroline Bublitz [UNIFESP]; Guizilini, Solange [UNIFESP]; Renno, Ana Claudia Muniz [UNIFESP]; http://lattes.cnpq.br/4106611304688552; http://lattes.cnpq.br/1563905009199506; http://lattes.cnpq.br/2412258927589930; Universidade Federal de São Paulo (UNIFESP)Chronic heart failure (CHF) is associated with a substantial intolerance to exercise and high levels of mortality and morbidities. Exercise-based cardiovascular rehabilitation (CR) is safe, effective, and even is able to decrease the level of ventricular dysfunction with consequent improvement in functional capacity. In addition, in the last years, low level laser therapy (LLLT) has been shown to be an important therapeutic resource as it improves muscle performance when associated with exercise in different populations. In this context, two studies (I and II) were conducted investigating the effects of an exercise based CR program, associated or not with LLLT, in CHF patients. Thus, the present study had the following objectives: (i) evaluate the acute effects of LLLT on functional capacity, muscle fatigue perception and blood lactate in hospitalized CHF patients; (ii) evaluate the effects of an exercise based CR program, associated or not with LLLT, on functional capacity, peripheral muscle strength and quality of life in CHF outpatients; (iii) evaluate the effects of an exercise based CR program, associated or not with LLLT, on systemic inflammatory markers in CHF outpatients. In study I, by the absence of clinical studies involving ICC and LLLT, cross-sectional pilot study was carried out in intra- hospital environment, where patients performed the 6-minute walk test (6MWT) for evaluation of functional capacity; and after 6 hours were submitted to placebo or active application of LLLT (808 nm, 100 mW, 28J) in rectus femoris muscle, and then performed again 6MWT. Moreover, peripheral blood samples were collected for analysis of blood lactate in five moments: basal and on the recovery period (0, 3, 6 and 30 minutes after application of LLLT and TC6 '). In study II, randomized and controlled clinical study was conducted with outpatients, in which a program of exercise-based RC was performed 4 times a week for 4 weeks, including placebo or active LLLT irradiation (808 nm, 100 mW, 28J). Patients were evaluated before programs and after a 4-weeks follow up regarding the functional capacity through the 6MWT, peripheral muscle strength, quality of life and systemic levels of inflammatory markers. Results of study I demonstrated that both groups increased 6MWT distance after active or placebo LLLT application compared to baseline values, however no difference was observed during intergroup comparison. The active LLLT group showed a significant reduction in the perceived exertion Borg (PEB) scale compared to the placebo LLLT group. In addition, the group that received active LLLT showed no significantly statistical difference for the blood lactate level through the times analyzed and the placebo LLLT group demonstrated a significant increase in blood lactate between the rest and recovery phase. The results of study II demonstrated that: a) both groups submitted to CR, with placebo or active LLLT, increased 6MWT distance compared to baseline (p< 0.05), although the active LLLT group achieved better improvement, with a significant difference compared to placebo group in a 4- week follow up; b) both groups submitted to CR, with placebo or active LLLT, demonstrated a significant increase in the peak force compared to baseline, with no significant difference between groups in a 4-week follow up; c) both groups submitted to CR, with placebo or active LLLT, demonstrated a significant better quality of life compared to baseline, with no significant difference between groups after CR protocols; d) for the inflammatory markers analysis, the active LLLT group demonstrated a significant decrease for IL1-β levels and an increase for IL-10 levels compared to baseline, with no difference for TNF-α levels; and for the placebo group, no significant difference for inflammatory markers was demonstrated compared to baseline. The intergroup comparison demonstrated higher levels of IL-10 for active LLLT group compared to placebo. Considering the results of the two studies, it is concluded that: acute effects of LLLT irradiation on skeletal musculature was not able to improve the functional capacity of hospitalized patients with HF, although it may favorably modulate blood lactate metabolism and reduce perceived muscle fatigue (study I); and that LLLT associated to exercise-based CR program for 4 weeks was able to improve exercise tolerance compared to the placebo group, and produced anti-inflammatory effect by increasing levels of IL-10 in outpatients with CHF (study II). In sum, the LLLT presents an innovative and promising therapy to improve exercise performance in CHF patients.
- ItemAcesso aberto (Open Access)Inclusão digital e capacidade funcional de idosos residentes em Florianópolis, Santa Catarina, Brasil (EpiFloripa 2009-2010)(Associação Brasileira de Saúde Coletiva, 2012-03-01) Medeiros, Felipe de Luca; Xavier, André Junqueira; Schneider, Ione Jayce Ceola [UNIFESP]; Ramos, Luiz Roberto [UNIFESP]; Sigulem, Daniel [UNIFESP]; D'Orsi, Eleonora [UNIFESP]; Universidade Federal de Santa Catarina; Universidade do Sul de Santa Catarina; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)OBJECTIVE: To study the relationship between digital inclusion, represented by the exchange of online messages, and functional capacity of older adults living in Florianópolis, Santa Catarina, Brazil. METHODS: Data were from EpiFloripa Idoso, a cross-sectional household-based survey conducted between 2009 and 2010 with older adults (60+ years). Functional capacity was represented by the inability / difficulty to perform basic / instrumental activities of daily living, and formed the outcome variable called functional dependence. The main independent variable was self-reported ability to send and receive online messages using the computer. Prevalence ratios (PR) and 95% confidence intervals (95%CI) were estimated with multivariable Poisson regression models. RESULTS: The sample consisted of 1,656 older adults between 60 and 102 years old with a mean age of 70.39 years (SD = 7.79). Older adults who could send and receive online messages without difficulty demonstrated a significant lower prevalence of moderate / severe functional dependence (PR = 0.61; 95%CI: 0.40 - 0.94) after adjustment for demographic, socioeconomic, health and behavioral factors. CONCLUSIONS: The exchange of online messages has a strong association with functional independence. The causality of this association cannot be determined. Studies support the hypothesis that the exchange of online messages and functional independence have a bidirectional, additive and synergistic association. Longitudinal studies could elucidate the mechanisms involved in this association, in order to support digital inclusion policies for older adults, and to identify the profile of older adults who would benefit the most from digital inclusion.
- ItemAcesso aberto (Open Access)Percepção da qualidade de vida, aptidão física e nível de dor entre mulheres e homens idosos praticantes de voleibol adaptado(Universidade Federal de São Paulo (UNIFESP), 2018-12-05) Garcia, Rafaela Maekawa [UNIFESP]; Guerra, Ricardo Luís Fernandes [UNIFESP]; http://lattes.cnpq.br/3856113753837921; http://lattes.cnpq.br/0433146761757662; Universidade Federal de São Paulo (UNIFESP)O envelhecimento implica em mudanças e adaptações. Neste processo é possível que ocorram também alterações na percepção da qualidade vida e nível de dor. No entanto, a prática de exercícios ou de esportes tem sido recomendada, pois podem contribuir para manutenção e melhoria dessas condições. Assim, o objetivo deste estudo foi analisar se haveriam diferenças na qualidade de vida, aptidão física, parâmetros antropométricos e níveis de dor entre mulheres e homens idosos praticantes de voleibol adaptado, assim como se haveriam diferenças dessas variáveis em decorrência do gênero. Foram avaliados 19 voluntários entre 60 e 80 anos de idade, distribuídos em 2 grupos, sendo: Grupo de Mulheres Idosas Praticante de Vôlei adaptado (GMPV n= 9) e o Grupo de Homens Idosos Praticante de Vôlei Adaptado (GHPV n= 10). Após a explicação sobre as condições éticas e consentimento dos voluntários, foi utilizada uma anamnese específica para o estudo seguido da aplicação do Questionário Internacional de Atividade Física – versão curta, questionário de percepção de Qualidade de Vida (SF-36), Escala Visual de Dor e Questionário de Dor de Mc Gill. Também foi realizado em um segundo momento avaliações antropométricas, de composição corporal e capacidades físicas (equilíbrio, agilidade, flexibilidade e força). Os dados foram tratados de acordo com estatística descritiva e para verificação da normalidade foi utilizado o teste de Shapiro-Wilks´s. Para comparar diferenças entre os grupos foi utilizado o teste t Student para as amostras independentes e o nível de significância foi estipulado em 5%, p≤0,05 (software Statistical Package for the Social Sciences (SPSS) (Windows 8, versão 21)). Como resultados observou-se que, como esperado, a grande maioria da variáveis de composição corporal, aptidão física e dados antropométricos, apresentaram diferenças significativas entre homens e mulheres. Além disso, mesmo tendo níveis de atividade física equivalentes (muito ativos) os dados sobre a percepção da qualidade de vida mostraram-se diferentes (melhor percepção para homens) para alguns domínios (capacidade física, vitalidade e limitações por aspectos emocionais) e para a média geral, oque não ocorreu em relação ao nível de dor. Concluiu se que, houve diferenças entre homens e mulheres (maiores valores para homens) em relação grande maioria dos parâmetros antropométricos, composição corporal, aptidão física e percepção de qualidade de vida, a não ser para nível de dor. Em relação as diferenças na percepção da qualidade de vida, estas podem ter ocorrido devido ao maior nível sócio econômico obtido pelos homens em relação às mulheres.