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http://repositorio.ufc.br/handle/riufc/62033
2024-03-29T05:20:53ZSingle Leg Stance para a avaliação do equilíbrio estático em idosos com doença pulmonar obstrutiva crônica (dpoc): comparações entre as pernas direita e esquerda, confiabilidade e características associadas
http://repositorio.ufc.br/handle/riufc/76699
Título: Single Leg Stance para a avaliação do equilíbrio estático em idosos com doença pulmonar obstrutiva crônica (dpoc): comparações entre as pernas direita e esquerda, confiabilidade e características associadas
Autor(es): Rodrigues, Ronikelson
Abstract: Introduction: Chronic obstructive pulmonary disease (COPD) is a disease that not only affects the lungs, but also causes several systemic manifestations, such as balance problems, which can lead to falls. Several tests have been proposed to assess balance in individuals with COPD. The single leg stance (SLS) is a quick and simple test to assess static balance, however there is no robust evidence for reliability between results performed on the same day and associated factors. Objective: To analyze aspects related to SLS not yet specifically explored in the literature in elderly people with COPD, such as the comparison between the results of each leg, reliability on the same day, and factors associated with the results of each leg. Methods: This is a cross-sectional study that used the baseline assessment of a study to predict negative outcomes in individuals with COPD. Elderly people with COPD in stable condition, followed at the pulmonology outpatient clinic of a public university hospital, were included. Sociodemographic (e.g., age, sex), anthropometric (e.g., weight, height) and clinical data (e.g., Charlson comorbidity index - ICC), degree of dyspnea (modified Medical Research Council scale - mMRC), and status (COPD assessment test – CAT)were collected. In addition, simple physical function tests were used: SLS, performed three times on each leg with a maximum time of 60 seconds for each attempt, timed up & go (TUG) and 1-minute sitto- stand (1MSTS). Results: 62 elderly people with COPD were included (mean age 71 years, 55% male, 45% GOLD 3). For 79% of the sample, the right leg was indicated as the dominant leg. There was no statistical difference when comparing the results of the right and left legs, or dominant and non-dominant (p>0.05 for all comparisons). However, the longest time was statistically greater than the average between the three repetitions, for any of the legs (p<0.001 for all). The intraclass correlation coefficient (ICC) between the three repetitions for the dominant leg was 0.72 (0.61 to 0.81) and for the non-dominant leg was 0.53 (0.39 to 0.66). The factors associated with the test result with statistically significant correlations were mainly the ICC score, and the TUG and 1MSTS results, regardless of which SLS result was considered (low to fair correlations). Conclusion: It is concluded that although there is no difference between the SLS results in the right and left legs, or dominant and non-dominant legs, in elderly people with COPD, the better reliability in the dominant leg suggests that only this leg needs to be evaluated. The associated factors were similar between the legs, represented mainly by the severity of comorbidities, dynamic balance and functional exercise capacity, which reinforces that only one leg needs to be evaluated.
Tipo: Dissertação2024-01-01T00:00:00ZAvaliação fisioterapêutica em indivíduos com apneia obstrutiva do sono segundo os conceitos relacionados à funcionalidade: qual a prática atual no Brasil?
http://repositorio.ufc.br/handle/riufc/76693
Título: Avaliação fisioterapêutica em indivíduos com apneia obstrutiva do sono segundo os conceitos relacionados à funcionalidade: qual a prática atual no Brasil?
Autor(es): Santos, Jefferson Nascimento dos
Abstract: Obstructive Sleep Apnea (OSA) is one of the most prevalent sleep disorders, affecting approximately 1 billion individuals aged 30-69 worldwide. It is a disease that can be quite disabling, impacting body functions and structures and limiting individuals' activities and participation. By understanding the damage resulting from OSA, the need to employ appropriate physiotherapeutic assessments to extract meaningful data that can guide interventions respecting the individuality of the patient and consequently be more assertive in promoting functioning becomes evident. Therefore, the objective was to investigate the use of the functioning model through the International Classification of Functioning, Disability and Health (ICF) in the evaluation carried out by physiotherapists in individuals with OSA. The study was conducted as an electronic survey, answered by Brazilian physiotherapists working in the field of sleep, with items related to physiotherapeutic assessment practices, sociodemographic, and academic characteristics. The Wilcoxon test was adopted for comparison between the ICF codes when indicating their applicability during assessment and as an objective for physiotherapeutic treatment. Qualitative data were analyzed using thematic analysis, and the word cloud technique was used complementarily for information processing. After responding to a virtual questionnaire, it was identified that 62.5% of the professionals work exclusively in clinical care with sleep disorders, 43.1% are certified in sleep, and there is a greater presence of physiotherapists in the southeast region of the country with 40 professionals. The components of the functioning model are seen as relevant during the evaluation routine, with emphasis on the activity component, indicated as the most relevant. The practice of frequently assessing functioning was indicated by 86.1% of the respondents. When comparing physiotherapists certified in sleep with those not certified, the results showed that 93% of the certified group and 80% of the non-certified group assessed functioning before therapeutic interventions as an outcome; however, this practice is often carried out through open questioning of the patient rather than validated instruments for this purpose. In summary, physiotherapists in Brazil recognize functioning as an outcome measure and investigate its components; however, the components of body function and activity are emphasized in this process. Furthermore, subjective questions are frequently adopted as an evaluative tool to measure functioning, but this approach does not encompass the biopsychosocial model. Regarding perception, it is noted that professionals, regardless of the group (certified or not certified), associate functioning with the performance of daily activities. These studies provide information for the gap in scientific literature that had not yet described the application of the functioning model in the clinical practice of sleep physiotherapy specifically in the evaluation practice. These data enable reflection on the importance of adopting functioning as a guiding axis of physiotherapeutic clinical practice and how this has been applied in the context of assistance to patients with OSA. With this discussion, it is hoped to contribute to the improvement of the assistance offered to this population.
Tipo: Dissertação2024-01-01T00:00:00ZFuncionalidade e incapacidade no cuidado fisioterapêutico após Acidente Vascular Cerebral: uma revisão de escopo
http://repositorio.ufc.br/handle/riufc/76365
Título: Funcionalidade e incapacidade no cuidado fisioterapêutico após Acidente Vascular Cerebral: uma revisão de escopo
Autor(es): Vieira, Sofia Queiros
Abstract: The impacts of stroke place a heavy burden on stroke survivors, their caregivers and the health and socio-economic sectors. In the field of rehabilitation, the use of the biopsychosocial model guarantees more comprehensive care and using functioning and disability indices indicates the needs of the population more accurately. Physiotherapists have been working on functioning/disability outcomes in people who have suffered a stroke, but there is no information on how the approach is taken from the perspective of the biopsychosocial model. This dissertation aimed to study the approach to functioning/disability, from a biopsychosocial perspective, in the post-stroke care offered by physiotherapy in different intervention settings. A scoping review was conducted to investigate clinical trials that included functioning or disability as an outcome, and that compared one physiotherapeutic intervention to another or no intervention in adults who after stroke. The search was carried out in 8 databases (Medline, PEDro, Embase, Scopus, LILACS, CINAHL, Web of Science and Cochrane CENTRAL database). Two independent reviewers analyzed 5554 articles in a two-stage screening that ended in 25 articles. The outcomes and their assessment instruments were extracted, as well the intervention setting of each study. Two blinded reviewers linked the concepts of the instruments to the International Classification of Functioning, Disability and Health (ICF). Coding allowed for a detailed content analysis to compare the approaches between the intervention settings. For both outcomes, the activity categories were the most covered and there was little coverage of participation and environmental factors. The hospital setting had the greatest coverage of the ICF. The results of this study can help professionals examine their clinical practice in order to adapt the choice of assessment measures and intervention elements to make care more comprehensive. The data also provides initial information for managers to use the biopsychosocial model and functioning and disability indices to plan and organize post-stroke rehabilitation sectors.
Tipo: Dissertação2024-01-01T00:00:00ZAre there differences in the kinetic parameters of the vertical jump on different types of sand performed by beach volleyball players?
http://repositorio.ufc.br/handle/riufc/76350
Título: Are there differences in the kinetic parameters of the vertical jump on different types of sand performed by beach volleyball players?
Autor(es): Oliveira Neto, Francisco de
Abstract: Vertical jumps are frequently used to measure neuromuscular capacity, with countermovement jumping (CMJ) and squat jumping (SJ) which are the types of jumps most commonly used by researchers. To better understand how force manifests, force-time curve analysis has been further explored. It is known that kinetic parameters of jumps performed on hard surfaces behave differently from those performed on sand. Even though there is an indication from the International Volleyball Federation, it is common to see athletes training in different types of sand with different density levels. The purpose of this study was to assess the kinetic variables of the vertical jump performed by beach volleyball athletes on sands with different particle size distributions. We evaluated 432 jumps (216 SJ; 216 WYD), performed by 12 athletes ((age = 23.5 ± 5.8 years, height = 175.4 ± 5.0 cm, body mass = 67.0 ± 4.8 kg, years of practice = 8.2 ± 4.4 years) who regularly train and compete at national and international level, including Pan american champions, world champions and under-21 national champions. Data was collected in a laboratory environment, where three types of sand were placed inside trapezoidal wooden boxes (lower base dimensions: 46 x 50 cm; upper opening dimensions: 59 x 63 cm; depth: 40 cm) and these were positioned in random order above a force platform for the jumps. Samples of the sands were sent to the soil analysis laboratory of the Federal University of Ceará, where they underwent analysis of the size and distribution of the particles using chemical methods (sodium hexametaphosphate) and physical methods (rapid stirring for 10 min) and the amount of clay was quantified by the pipetting method. Data acquisition was performed using a force platform (Bertec model FP4060-08-1000, COLUMBUS, OH, USA, sampling frequency of 1000 Hz.) and analysis by the Matlab routine (The MathWorks Inc., Natick, MA, USA) The omnibus test in SJ models showed differences among granulometry, only for time variables. The post-hoc analyzed revealed higher values for total duration in sand 1 than sand 2, time to peak power in sand 1 showed higher values than sand 2 and 3. For CMJ model, total duration (sand 1 higher than sand 3), eccentric phase duration (sand 1 and 2 higher than sand 3), concentric phase duration (sand 3 higher than sand 1), time to peak power (sand 1 higher than sand 2 and 3), time to peak force (sand 2 higher than sand 3), max rate force development concentric phase (sand 2 and 3 higher than sand 1), maximum velocity (sand 3 higher than sand 2) and peak power eccentric (sand 3 higher than sand 2). The particle size distribution influenced the neuromuscular function and, therefore, the generation of strength. This information is important so that athletes and coaches can reflect on their practice and build training strategies that consider the density of the sand where they train or play.
Tipo: Dissertação2024-01-01T00:00:00Z