Navegando por Palavras-chave "physiotherapy"

Agora exibindo 1 - 15 de 15
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Cinesioterapia previne ombro doloroso em pacientes hemiplégicos/paréticos na fase sub-aguda do acidente vascular encefálico
    (Academia Brasileira de Neurologia - ABNEURO, 2003-09-01) Horn, Agnes Irna [UNIFESP]; Fontes, Sissy Veloso [UNIFESP]; Carvalho, Sebastião Marcos Ribeiro de [UNIFESP]; Silvado, Rubens Augusto Brazil; Barbosa, Pedro Marco Karan; Durigan Jr, Alcides; Atallah, Álvaro Nagib [UNIFESP]; Fukujima, Marcia Maiumi [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Marília; Faculdade de Medicina de Marília
    BACKGROUND: Painful shoulder is considered the most common complication of hemiplegic/parethic (H/P) stroke patients. It is a negative factor for neuromotor recovery. PURPOSE: To study the effects of kinesiotherapy treatment on shoulder pain prevention, and as a secondary endpoints, to analyze muscle strength of H/P shoulder looking at basic functional active mobility. METHOD: Twenty one inpatients (12 men, 9 women) aged 26 to 87 years, with post-stroke H/P were submitted to thirty minutes daily program kinesiotherapy, started at 48 hours post-stroke up to their hospital discharge. Patients were evaluated pre and post treatment according to the presence or absence of shoulder pain, movements and shoulder strength, and for presence or absence of basic functional movements. RESULTS: No patient complaining of shoulder pain at the hospital discharge (p<0.001). The muscle strength improved signifcantly for elevation, protusion, abduction and flexion of the shoulder (p<0.001). There was improvement also for functional mobility on moving from dorsal to lateral recumb, from lateral recumb to a seated position and in keeping the seated position (p<0.001). CONCLUSION: Kinesiotherapy in acute phase of stroke prevented shoulder pain.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    A comparison of treadmill training and overground walking in ambulant children with cerebral palsy: randomized controlled clinical trial
    (Sage Publications Ltd, 2013-08-01) Collange Grecco, Luanda Andre; Zanon, Nelci [UNIFESP]; Malosa Sampaio, Luciana Maria; Oliveira, Claudia Santos; Univ Nine July; Ctr Pediat Neurosurg CENEPE; Universidade Federal de São Paulo (UNIFESP)
    Objective: Compare the effects of treadmill training and training with overground walking (both without partial weight support) on motor skills in children with cerebral palsy.Design: Randomized controlled clinical trial.Setting: Physical therapy clinics.Subjects: Thirty-six children with cerebral palsy (levels I-III of the Gross Motor Functional Classification System) randomly divided into two intervention groups.Interventions: Experimental group (17 children) submitted to treadmill training without partial weight support. Overground walking group (18 children) submitted to gait training on a fixed surface (ground). Training was performed for seven consecutive weeks (two sessions per week), with four subsequent weeks of follow-up.Results: Both groups demonstrated improvements on the 6-minute walk test (experimental group from 227.4 SD 49.4 to 377.2 SD 93.0; overground walking group from 222.6 SD 42.6 to 268.0 SD 45.0), timed up-and-go test (experimental group from 14.3 SD 2.9 to 7.8 SD 2.2; overground walking group from 12.8 SD 2.2 to 10.5 SD 2.5), Pediatric Evaluation Disability Inventory (experimental group from 128.0 SD 19.9 to 139.0 SD 18.4; overground walking group from 120.8 SD 19.0 to 125.8 SD 12.2), Gross Motor Function Measure-88 (experimental group from 81.6 SD 8.7 to 93.0 SD 5.7; overground walking group from 77.3 SD 7.0 to 80.8 SD 7.2), Berg Balance Scale (experimental group from 34.9 SD 8.5 to 46.7 SD 7.6; overground walking group from 31.9 SD 7.0 to 35.7 SD 6.8) after treatment. the experimental group demonstrated greater improvements than the overground walking group both after treatment and during follow up (p < 0.05).Conclusion: Treadmill training proved more effective than training with overground walking regarding functional mobility, functional performance, gross motor function and functional balance in children with cerebral palsy.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials
    (Federacao Brasileira Soc Ginecologia & Obstetricia-Febrasgo, 2016) Moroni, Rafael Mendes; Magnani, Pedro Sergio; Haddad, Jorge Milhem; Castro, Rodrigo de Aquino [UNIFESP]; Brito, Luiz Gustavo Oliveira
    We performed a systematic review and meta-analysis of randomized controlled trials that studied the conservative management of stress urinary incontinence (SUI). There were 1058 results after the initial searches, from which 37 studies were eligible according to previously determined inclusion criteria. For the primary outcomes, pelvic floor muscle training (PFMT) was more efficacious than no treatment in improving incontinence-specific quality of life (QoL) scales (SMD = -1.24SDs; CI 95% = -1.77 to -0.71SDs). However, its effect on pad tests was imprecise. Combining biofeedback with PFMT had an uncertain effect on QoL (MD = -4.4 points; CI 95% = -16.69 to 7.89 points), but better results on the pad test, although with elevated heterogeneity (MD = 0.9g; 95% CI = 0.71 to 1,10g); group PFMT was not less efficacious than individual treatment, and home PFMT was not consistently worse than supervised PFMT. Both intravaginal and superficial electrical stimulation (IES and SES) were better than no treatment for QoL and pad test. Vaginal cones had mixed results. The association of IES with PFMT may improve the efficacy of the latter for QoL and pad test, but the results of individual studies were not consistent. Thus, there is evidence of the use of PFMT on the treatment of SUI, with and without biofeedback.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials
    (Federacao Brasileira Soc Ginecologia & Obstetricia-Febrasgo, 2016) Moroni, Rafael Mendes; Magnani, Pedro Sergio; Haddad, Jorge Milhem; Castro, Rodrigo de Aquino [UNIFESP]; Brito, Luiz Gustavo Oliveira
    We performed a systematic review and meta-analysis of randomized controlled trials that studied the conservative management of stress urinary incontinence (SUI). There were 1058 results after the initial searches, from which 37 studies were eligible according to previously determined inclusion criteria. For the primary outcomes, pelvic floor muscle training (PFMT) was more efficacious than no treatment in improving incontinence-specific quality of life (QoL) scales (SMD = -1.24SDs; CI 95% = -1.77 to -0.71SDs). However, its effect on pad tests was imprecise. Combining biofeedback with PFMT had an uncertain effect on QoL (MD = -4.4 points; CI 95% = -16.69 to 7.89 points), but better results on the pad test, although with elevated heterogeneity (MD = 0.9g; 95% CI = 0.71 to 1,10g); group PFMT was not less efficacious than individual treatment, and home PFMT was not consistently worse than supervised PFMT. Both intravaginal and superficial electrical stimulation (IES and SES) were better than no treatment for QoL and pad test. Vaginal cones had mixed results. The association of IES with PFMT may improve the efficacy of the latter for QoL and pad test, but the results of individual studies were not consistent. Thus, there is evidence of the use of PFMT on the treatment of SUI, with and without biofeedback.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    The effect of combined therapy (ultrasound and interferential current) on pain and sleep in fibromyalgia
    (Elsevier B.V., 2003-08-01) Almeida, Tatiana F. [UNIFESP]; Roizenblatt, Suely [UNIFESP]; Benedito-Silva, Ana Amelia [UNIFESP]; Tufik, Sergio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Multidisciplinary treatment has proven to be the best therapeutic option to fibromyalgia (FM) and physiotherapy has an important role in this approach. Considering the controversial results of electrotherapy in this condition, the aim of this study was to assess the effects of combined therapy with Pulsed ultrasound and interferential current (CTPI) on pain and sleep in FM. Seventeen patients fulfilling FM criteria were divided into two groups, CTPI and SHAM, and submitted to pain and sleep evaluations. Pain was evaluated by body map (BM) of the painful areas quantification of pain intensity by Visual analog scale (VAS); tender point (TP) Count and tenderness threshold (TT). Sleep was assessed by inventory and polysomnography (PSG). After 12 sessions of CTPI or SHAM procedure, patients were evaluated by the same initial protocol. After treatment, CTPI group showed, before and after sleep, subjective improvement of pain in terms of number (BM) and intensity (VAS) of painful areas (P < 0.001, both); as well as objective improvement, with decrease in TP Count and increase in TT (P < 0.001, both). Subjective sleep improvements observed after CTPI treatment included decrease in morning fatigue and in non-refreshing sleep complaint (P < 0.001, both). Objectively, PSG in this group showed decrease in sleep latency (P < 0.001) and in the percentage of stage 1 (P < 0.001), increase in the percentage of slow wave sleep (P < 0.001) and in sleep cycle count (P < 0.001). Decrease in arousal index (P < 0.001), number of sleep stage changes (P < 0.05) and wake time after sleep onset (P < 0.05), were also observed and no difference regarding pain or sleep parameters were verified after SHAM procedure. This study shows that CTPI call be an effective therapeutic approach for pain and sleep manifestations in FM. (C) 2003 International Association for the Study of Pain. Published by Elsevier Science B.V.. All rights reserved.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Fisioterapia respiratória em crianças com doença falciforme e síndrome torácica aguda
    (Sociedade de Pediatria de São Paulo, 2011-12-01) Hostyn, Sandro Valter [UNIFESP]; Johnston, Cíntia [UNIFESP]; Braga, Josefina Aparecida Pellegrini [UNIFESP]; Carvalho, Werther Brunow de [UNIFESP]; Nogueira, Solange Cristiane; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
    OBJECTIVE: To systematically review the medical literature to identify chest physiotherapy techniques applied to children with sickle cell disease and acute chest syndrome, and to report their level of evidence and recommendation. DATA SOURCE: A bibliographic search of published articles found in Medline, Lilacs, SciELO and Cochrane databases, between 1995 and 2009, was carried out using the following keywords: sickle cell disease, acute chest syndrome, physical therapy, child, incentive spirometry, in English and Portuguese; all review studies were excluded. The recovered studies were then classified according to their level of evidence and recommendation. DATA SYNTHESIS: Five papers were retrieved. Among them, three used incentive spirometry that played an important role in the prevention of pulmonary complications associated with acute chest syndrome (evidence levels II, III and IV); one of these studies (evidence II) compared incentive spirometry versus positive expiratory pressure and did not find differences between them. One paper reported a clinical bundle to improve the quality of care, including incentive spirometry (evidence level V). Incentive spirometry was associated with shorter length of stay and less requirement of oral pain medications. Another study evaluated the effect of non-invasive ventilation on respiratory distress in children that could not perform incentive spirometry and reported improvement in the oxygenation and in the respiratory distress (evidence level V). CONCLUSIONS: Physiotherapy techniques with incentive spirometry device, positive expiratory pressure and non-invasive ventilation can be performed in children with sickle cell disease and acute chest syndrome, with a C recommendation level.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Hydrotherapy and conventional physiotherapy improve total sleep time and quality of life of fibromyalgia patients: Randomized clinical trial
    (Elsevier B.V., 2006-04-01) Vitorino, Debora Fernandes de Melo; Carvalho, Luciane Bizari Coin de [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); UNILAVRAS
    Objective: To compare hydrotherapy (HT) and conventional physiotherapy (CP) in the treatment of fibromyalgia (FM), regarding quality of life QOL), total sleep time (TST), and total nap time (TNT).Methods: Fifty outpatients, all female, 30-60 years old, diagnosed with FM, were randomly assigned to two groups to carry out 3 weeks of treatment with HT or CP. in the beginning and in the end of treatment, patients were evaluated with the SF-36 questionnaire to measure QOL and the sleep diary for TST and TNT. Data analyses were blind.Results: All 24 HT patients increased I h in TST compared to 19 CP patients. TNT decreased in the HT group. QOL improved for the two groups in all domains when pre- and post-intervention were compared, but there was no difference between groups.Conclusion: HT is more effective than CP to improve TST and to decrease TNT in FM patients. (C) 2005 Elsevier B.V. All rights reserved.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Inspiratory training increases insulin sensitivity in elderly patients
    (Wiley-Blackwell, 2012-04-01) Silva, Mayra dos Santos [UNIFESP]; Martins, Ana Claudia; Cipriano Junior, Gerson [UNIFESP]; Ramos, Luiz Roberto [UNIFESP]; Lopes, Guiomar Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Inst Med Assistance State Publ Server São Paulo
    Aim: Physiological degeneration in the aging process can cause a notable decline in carbohydrate metabolism. Respiratory training has been recommended to elderly patients in an attempt to prevent or minimize the alterations to the cardiorespiratory, metabolic and cognitive systems and to improve their quality of life. the objective of this work was to investigate the influence of inspiratory muscular training, with Threshold, on insulin resistance in elderly people.Methods: This study included 14 insulin resistant elderly volunteers, ranging in age from 61 to 82 years old. Insulin resistance was confirmed using the homeostatic model assessment. the patients were divided into two groups: experimental and control. the program lasted 12 weeks, with 30-min training daily using Threshold to train the inspiratory muscles.Results: the experimental group had improved insulin resistance, with decreased glycemia and insulin requirements, a lower homeostatic model assessment of insulin resistance, and increased respiratory force and performance.Conclusion: the small sample does not allow for conclusions, but we can suggest that inspiratory muscular training improves insulin sensitivity in elderly patients with insulin resistance. Geriatr Gerontol Int 2012; 12: 345-351.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Intervenção da fisioterapia respiratória na função pulmonar de indivíduos obesos submetidos a cirurgia bariátrica. Uma revisão
    (Soc Portuguesa Pneumologia, 2010-03-01) Tenorio, Luis Henrique Sarmento; Lima, Anna Myrna Jaguaribe de; Brasileiro-Santos, Maria do Socorro [UNIFESP]; Universidade Federal de Pernambuco (UFPE); Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP); Universidade Federal da Paraíba (UFPB)
    Introduction: Obesity, considered a new worldwide epidemic, is characterised by excess adipose tissue and contributes to a series of chronic diseases and increased mortality. Obesity associated to surgical procedure in these patients makes respiratory physiotherapy a must to recover lung function and prevent postoperative pulmonary complications. Aims: To assess the effects of respiratory physiotherapy on the lung function of obese patients undergoing weight loss surgery. Material and methods: We conducted a literature review October 2008-June 2009 of data which had been published over the last thirty years and which was available on the Medline, Pubmed ans Scielo databases. Conclusion: Pre- and postoperative respiratory physiotherapy is vital for patients undergoing weight loss surgery irrespective of technique used, as it can prevent pulmonary complications inherent in the surgical procedure and aid lung function recovery.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Physiotherapeutic approach in early and late post-menopausal Brazilian women
    (Informa Healthcare, 2013-07-01) Calio, Caroline L. [UNIFESP]; Esposito Sorpreso, Isabel Cristina; Haidar, Mauro Abi [UNIFESP]; Rosa Maciel, Gustavo Arantes; Baracat, Edmund C.; Soares-, Jose Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
    To evaluate changes in joints after physiotherapy in post-menopausal women, specifically to identify clinical responses to the measurements of flexibility, functional capacity and joint pain in early and late post-menopausal women at a multi-disciplinary health education programme. A total of 69 women participated in the Integral Program for the Attention to Climacteric Women at the Department of Gynecology - Federal University of São Paulo and were sorted into two groups of early (n = 32) and late (n = 37) post-menopause. the average age of menopause was 47.9 +/- 5.6 years. the Blatt Kupperman Menopausal Index scores for the early (baseline = 12.8 +/- 6.1) and late (baseline = 14.1 +/- 7.7) post-menopausal groups after the programme were 8.4 +/- 7.1 and 9.4 +/- 8.1, respectively. Both groups presented improvements regarding functional capacity (p<0.01) and complaints of pain (p<0.001) after the intervention. the group of early post-menopausal women had better flexibility for hip flexion (p<0.001), and the late post-menopausal group showed greater improvement in shoulder flexion (p<0.001), extension (p<0.001) and elbow flexion (p<0.001). After multi-disciplinary approach, both early and late post-menopausal groups experienced decrease in intensity of climacteric symptoms, reduction in pain intensity and improvement in functional capacity, but the flexibility was different between both the groups.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Predictive factors for spasticity among ischemic stroke patients
    (Academia Brasileira de Neurologia - ABNEURO, 2009-12-01) Moura, Rita de Cássia dos Reis [UNIFESP]; Fukujima, Marcia Maiumi [UNIFESP]; Aguiar, Alexandre Santos; Fontes, Sissy Veloso [UNIFESP]; Dauar, Rafi Felício Bauab [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Statistical Consultant
    Spasticity is a determining for functional loss following ischemic stroke. OBJECTIVE: To detect possible predictive factors for its occurrence. METHOD: Demographic, clinical and tomographic data on 146 stroke patients were analyzed. RESULTS: Spasticity was noted more frequently among patients who underwent physiotherapy (p<0.0001; OR=19.4; 95% CI: 4.4-84.5), those who underwent such treatment for long periods (p=0.028; OR=4.80; 95% CI: 1.1-8.3) and those with manual work (p=0.041; OR=2.2; 95% CI: 1.02-4.6), lower income (p=0.038), pain complaints (p<0.0001; OR=107.0; 95% CI: 13.5-847.3), appearance of pain at the same time as spasticity (p<0.0001), previous vascular disease (p=0.001; OR=4.2; 95% CI: 1.7-10.3), muscle weakness (p<0.0001; OR=91.9; 95% CI: 12.0-699.4), extensive lesions as seen on tomography (p=0.01) and lesions affecting more than one cerebral lobe (p=0.018). Manual work had a relative risk of 2.9; previous stroke 3.9, and extensive lesion 3.6. CONCLUSION: Spasticity affected 25% of the patients, and was associated with: manual work, previous stroke, extensive lesions, decrease in individual income, underwent physiotherapy, underwent physiotherapy for longer period, pain complaints, the pain started simultaneously with the spasticity, presented changes in strength.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Prevalence and factors associated with thoracic alterations in infants born prematurely
    (Associação Médica Brasileira, 2012-12-01) Davidson, Josy [UNIFESP]; Garcia, Kessey Maria Bini [UNIFESP]; Yi, Liu Chiao [UNIFESP]; Goulart, Ana Lucia [UNIFESP]; Dos Santos, Amelia Miyashiro [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To determine the prevalence of thoracic musculoskeletal alterations and associated factors in infants born prematurely. METHODS: This was a cross sectional study with infants in the first year of age, born prematurely with birth weight < 2,000 g, who were followed up at the Premature Clinic from February, 2007 to December, 2008. Exclusion criteria were: maj or congenital malformations as defined by the Centers for Disease Control and Prevention (CDC), grade III/IV intraventricular hemorrhage, or periventricular leucomalacia. Physical examinations performed independently by two physiotherapists were used to assess shoulder elevation and thoracic retractions. Comparisons between groups were performed using the chi-squared test or Fisher's exact test for categorical variables, and Mann-Whitney's test or Student's t-test were used for continuous variables. Interobserver reliability between the two physiotherapists was assessed by the kappa coefficient. Variables associated with these thoracic musculoskeletal alterations were studied by univariate and multiple logistic analyses. Statistical differences were considered significant when p < 0.05. This study was approved by the ethical committee of the institution, and parents/guardians signed an informed consent. RESULTS: 121 infants with a gestational age of 31.1 ± 2.8 weeks and birth weight of 1,400 ± 338 g were included. Thoracic alterations were detected by Physiotherapist 1 in 81 (66.9%) infants, and in 83 (68.6%) by Physiotherapist 2 (kappa coefficient = 0.77). By multivariate logistic regression analysis, factors associated with thoracic musculoskeletal alterations were: respiratory distress syndrome (odds ratio [OR] = 3.246, 95% confidence interval [CI]: 1.237-8.732), bronchopulmonary dysplasia (OR = 11.138, 95% CI: 1.339-92.621), and low length/age ratio (OR = 4.571, 95% CI: 1.371-15.242). CONCLUSION: The prevalence of thoracic alterations was high in infants born prematurely, and was associated with pulmonary disease and low length/age ratio.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Prolonged Slow Expiration Technique in Infants: Effects on Tidal Volume, Peak Expiratory Flow, and Expiratory Reserve Volume
    (Daedalus Enterprises Inc, 2011-12-01) Lanza, Fernanda de Cordoba [UNIFESP]; Wandalsen, Gustavo [UNIFESP]; Dela Bianca, Ana Caroline [UNIFESP]; Cruz, Carolina Lopes da [UNIFESP]; Postiaux, Guy; Solé, Dirceu [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Grand Hop Charleroi
    BACKGROUND: Prolonged slow expiration (PSE) is a physiotherapy technique often applied in infants to reduce pulmonary obstruction and clear secretions, but there have been few studies of PSE's effects on the respiratory system. OBJECTIVE: To describe PSE's effects on respiratory mechanics in infants. METHODS: We conducted a cross-sectional study with 18 infants who had histories of recurrent wheezing. the infants were sedated for lung-function testing, which was followed by PSE. the PSE consisted of 3 sequences of prolonged manual thoraco-abdominal compressions during the expiratory phase. We measured peak expiratory flow (PEF), tidal volume (V(T)), and the frequency of sighs during and immediately after PSE. We described the exhaled volume during PSE as a fraction of expiratory reserve volume (%ERV). We quantified ERV with the raised-volume rapid-thoracic-compression technique. RESULTS: the cohort's mean age was 32.2 weeks, and they had an average of 4.8 previous wheezing episodes. During PSE there was significant V(T) reduction (80 +/- 17 mL vs 49 +/- 11 mL, P < .001), no significant change in PEF (149 +/- 32 mL/s vs 150 +/- 32 mL/s, P = .54), and more frequent sighs (40% vs 5%, P = .03), compared to immediately after PSE. the exhaled volume increased in each PSE sequence (32 +/- 18% of ERV, 41 +/- 24% of ERV, and 53 +/- 20% of ERV, P = .03). CONCLUSIONS: It was possible to confirm and quantify that PSE deflates the lung to ERV. PSE caused no changes in PEF, induced sigh breaths, and decreased V(T), which is probably the main mechanical feature for mucus clearance.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Spinal muscular atrophy type II (intermediary) and III (Kugelberg-Welander): evolution of 50 patients with physiotherapy and hydrotherapy in a swimming pool
    (Academia Brasileira de Neurologia - ABNEURO, 1996-09-01) Cunha, Márcia C. B. [UNIFESP]; Oliveira, Acary Souza Bulle [UNIFESP]; Labronici, Rita Helena D. D. [UNIFESP]; Gabbai, Alberto Alain [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    We added hydrotherapy to 50 patients with spinal muscular atrophy (SMA) who were being treated with individual conventional physiotherapy. Hydrotherapy was performed at an approximate temperature of 30 degrees Celsius, twice a week, for thirty minutes in children and for forty-five minutes in adults during a 2-year period. The outcome derived from this combined modality of treatment was rated according to physiotherapeutic evaluations, the MMT (Manual Muscular Test), and the Barthel Ladder. Patients were reevaluated at 2-month intervals. After two years of ongoing treatment, we were able to observe that the deformities in hip, knee and foot were progressive in all SMA Type II patients, and in some Type III. Muscle strength stabilized in most SMA Type III patients, and improved in some. MMT was not done in SMA Type II. In all patients we were able to detect an improvement in the Barthel Ladder scale. This study suggests that a measurable improvement in the quality of daily living may be obtained in patients with SMA Types II and III subjected to conventional physiotherapy when associated with hydrotherapy.
  • Nenhuma Miniatura disponível
    Item
    Somente Metadadados
    Virtual Rehabilitation through Nintendo Wii in Poststroke Patients: Follow-Up
    (Elsevier Science Bv, 2018) Carregosa, Adriani A.; Aguiar dos Santos, Luan Rafael; Masruha, Marcelo R. [UNIFESP]; Coelho, Marilia Lira da S.; Machado, Tacia C.; Souza, Daniele Costa B.; Passos, Gustavo Luan L.; Fonseca, Erika P.; Ribeiro, Nildo Manoel da S.; Melo, Ailton de Souza
    Objective: To evaluate in the follow-up the sensory-motor recovery and quality of life patients 2 months after completion of the Nintendo Wii console intervention and determine whether learning retention was obtained through the technique. Methods: Five hemiplegics patients participated in the study, of whom 3 were male with an average age of 54.8 years (SD = 4.6). Everyone practiced Nintendo Wii therapy for 2 months (50 minutes/day, 2 times/week, during 16 sessions). Each session lasting 60 minutes, under a protocol in which only the games played were changed, plus 10 minutes of stretching. In the first session, tennis and hula hoop games were used