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Retorno esportivo em atletas amadores de futebol operados do joelho: um estudo transversal do perfil clínico e correlações funcionais

Wed, 01 Jan 2025 00:00:00 GMT

Título: Retorno esportivo em atletas amadores de futebol operados do joelho: um estudo transversal do perfil clínico e correlações funcionais Autor(es): Sousa, Carlos Daniel Nunes de Abstract: Introduction: Return to sports after knee surgery involves multiple physical, psychological, and social factors, with the anterior cruciate ligament (ACL) being one of the most common injuries among recreational and competitive athletes. Studies show that psychological confidence is one of the main determinants of a safe and effective return to sport, and that knee function directly impacts the athlete’s quality of life. In amateur athletes, understanding these factors can guide more personalized and effective rehabilitation strategies. Objective: To analyze the profile of amateur soccer players with a history of knee surgery and investigate the correlation between time since surgery and scores of knee function, psychological confidence, and knee-related quality of life. Methods: This is a cross-sectional study with 45 male amateur soccer players, with a mean age of 30.9 ± 8.3 years. Sociodemographic, clinical, and sports data were collected, along with the application of validated questionnaires: International Knee Documentation Committee (IKDC), Anterior Cruciate Ligament– Return to Sport after Injury (ACL-RSI), and ACL–Quality of Life (ACL-QoL). Descriptive statistics and Spearman’s correlations were used (p≤0.05). Results: Most participants were overweight (68.9%) and returned to playing soccer after surgery (84.4%). The average time since surgery was 28.4±35.4 months. The mean scores were: IKDC 77.7±11.1; ACL-RSI 53.2±14.0; ACL-QoL 81.9±19.7 points. There was a positive correlation between time since surgery and ACL-RSI (r = 0.398; p < 0.05), indicating an increase in psychological confidence over time. A positive correlation was also found between IKDC and ACL-QoL (r = 0.384; p < 0.05), suggesting that better physical function is associated with better knee-related quality of life. Conclusion: Most amateur athletes who underwent knee surgery returned to soccer with good levels of function and quality of life, although psychological confidence changes over time. These findings highlight the importance of considering psychological and temporal factors in the sports rehabilitation process. Practical implications: The results point to the need for multidisciplinary approaches in return to sport, incorporating psychological support and postoperative time as key components in the rehabilitation of amateur athletes. Tipo: TCC

Perfil do paciente com osteoartrite sintomática de joelho: uma análise descritiva da localização e do padrão da dor, desfecho autorreportado e de capacidade física e força isométrica de quadríceps

Wed, 01 Jan 2025 00:00:00 GMT

Título: Perfil do paciente com osteoartrite sintomática de joelho: uma análise descritiva da localização e do padrão da dor, desfecho autorreportado e de capacidade física e força isométrica de quadríceps Autor(es): Viana, Fernanda Leal Abstract: Introduction: Knee osteoarthritis (KOA) is a chronic and multifactorial condition characterized by persistent pain, functional limitation, and reduced quality of life. The assessment of KOA may include pain location using the Photographic Knee Pain Map (PKPM), functional performance tests, and quadriceps strength measurement. The objective of this study was to describe the clinical profile, pain location and patterns, patient-reported outcomes of physical function, physical performance, and quadriceps isometric strength. Methods: This cross-sectional and descriptive, between August 2014 and February 2021, with approval from the Institutional Ethics Committee (CAAE: 1.000.404). Participants with symptomatic KOA were included according to the clinical criteria of the American College of Rheumatology. Exclusion criteria included uncontrolled diabetes mellitus, uncontrolled systemic arterial hypertension, and recent use of medications or procedures that could interfere with the assessments. Pain was assessed using the Numerical Pain Rating Scale (NPRS) and the PKPM. Patient-reported outcomes included the Lequesne Algofunctional Index, the Knee Injury and Osteoarthritis Outcome Score (KOOS), and the Short-Form Health Survey (SF-36). Functional performance was evaluated using the 30-Second Chair Stand Test (30s-CST) and the Timed Up and Go (TUG). Quadriceps isometric strength was measured with a handheld dynamometer. Data were analyzed using descriptive statistics with SPSS version 24.0 and R version 4.1.0.Results: A total of 166 patients participated, predominantly female (81.3%), with a mean age of 61.9 years and a mean BMI of 30.6 kg/m². Most presented bilateral pain with a mean symptom duration greater than seven years and reported low adherence to physical activity and physiotherapy. The most frequent pain locations were the medial joint line (56.6%), lateral joint line (52.4%), medial patella (51.8%), and lateral patella (50%). The most prevalent pain pattern was diffuse (51.8%). Functional test results showed reduced performance: an average of 6.4 repetitions in the 30s-CST and 15.3 seconds in the TUG test. Patient-reported scores indicated significant impairments: KOOS total (41.7), Lequesne Index (11.5), and low SF-36 scores in physical domains. Quadriceps isometric strength was reduced (0.3 Kgf/kg), with a mean Muscle Symmetry Index (MSI) of 91.6. Conclusion: The clinical profile of patients with symptomatic KOA was characterized by a predominance of women, advanced age, obesity, chronic bilateral pain, and low levels of physical activity. Pain was most frequently located in the medial and lateral joint lines and patellar regions, with the diffuse pattern being the most common. Functional tests revealed reduced performance, decreased quadriceps isometric strength, and a negative impact on quality of life. These findings highlight the relevance of a comprehensive and individualized physiotherapeutic assessment, guided by both functional tests and pain characterization, to support safer and more effective interventions. Tipo: TCC

A influência das variáveis biopsicossociais sobre os efeitos do método pilates em pacientes com dor lombar crônica

Wed, 01 Jan 2025 00:00:00 GMT

Título: A influência das variáveis biopsicossociais sobre os efeitos do método pilates em pacientes com dor lombar crônica Autor(es): Silva, Emerso Matheus Santos Abstract: INTRODUCTION: Nonspecific chronic low back pain (NCLBP) is one of the main public health problems worldwide, with significant impacts on individuals’ functionality and quality of life. The Pilates method has been widely used in the treatment of NCLBP, but the factors influencing clinical response are still not fully understood. OBJECTIVE: To investigate the influence of biopsychosocial variables on the effects of the Pilates method in individuals with NCLBP, using data from a randomized controlled trial. METHODS: Secondary analysis of a randomized controlled trial. RESULTS: The outcomes analyzed were the minimal clinically important difference (MCID) in pain and functional disability. Baseline sample characterization variables for pain (ΔPain), such as age, weight, height, BMI, NCLBP duration in months, Roland-Morris Disability Questionnaire (RMDQ), Hip Stability Isometric Test (HipSIT), Patient-Specific Functional Scale (PSFS), Tampa Scale for Kinesiophobia (TSK), group (high or low), sex, marital status, family income, prior treatment before the intervention, medication use, smoking, diagnosis of depression, and associated comorbidities were similar between both groups. Higher numerical pain rating scale (NPRS), higher education level, and no prior physical activity practice before the intervention were variables that distinguished participants who improved more in ΔPain. Baseline sample characterization variables for disability (ΔDisability) age, weight, height, BMI, NCLBP duration in months, RMDQ, NPRS, HipSIT, group, sex, education level, marital status, family income, prior treatment before the intervention, smoking, and associated comorbidities were similar between both groups. The variables lower PSFS, lower TSK, no medication use, and presence of a depression diagnosis distinguished participants who improved more in ΔDisability. Younger age and lower family income were predictors of greater improvement in ΔPain, while none of the other variables predicted improvement in ΔPain or ΔDisability regarding the effects of the Pilates method for NCLBP. CONCLUSION: Clinical Pilates provides relevant benefits in pain and functionality for people with NCLBP, regardless of most biopsychosocial factors, although younger individuals and those with lower socioeconomic status tend to experience greater pain reduction. The findings reinforce the effectiveness and applicability of the Pilates method as a comprehensive intervention in the management of NCLBP. Tipo: TCC

Algoritmos para detecção de estresse por meio de sensores vestíveis em cenário de vida real: uma revisão sistemática

Wed, 01 Jan 2025 00:00:00 GMT

Título: Algoritmos para detecção de estresse por meio de sensores vestíveis em cenário de vida real: uma revisão sistemática Autor(es): Mendonça, Letícia Carvalho Bezerra de Abstract: The definition of stress has evolved as researchers and clinicians gain a deeper understanding of the consequences and outcomes it generates for each individual. Recurring exposure to stressors can lead to physical, psychological, and neuropsychiatric consequences, such as metabolic, cardiac, and sleep disorders, as well as executive dysfunctions, most commonly exemplified by depression and anxiety. As a recurring condition associated with biopsychosocial harm, the reliable detection of stress can be an important step in assessing patient health, promoting preventive and personalized medicine. In an effort to make stress detection more objective, new technologies and methodological solutions are being developed and utilized. One such example is the use of wearable devices, which can be easily acquired and used daily by individuals, providing a large amount of information based on physiological parameters. While there are studies analyzing the accuracy of machine learning models for stress detection, few examine this metric in datasets developed from real-life scenario data collections. Therefore, the aim of this systematic review is to identify machine learning models available in the literature for stress detection captured by wearable devices in real-life settings. The PRISMA 2020 Statement checklist was used to ensure good methodological quality in the inclusion of articles for this systematic review. Regarding sample characterization, the size and profile used in each study were divergent. According to the findings, wearable device sensors were used either separately or in combination. In total, 17 model algorithms were utilized. The comprehensive identification of algorithms for stress detection via wearable devices allows us to conclude that this is an important tool for monitoring stressors for each individual and enabling self-management of the condition. Gaps in methodology were also identified, which still create uncertainty regarding the use of wearable devices as a clinical aid tool for healthcare professionals. Tipo: TCC