http://repositorio.ufc.br/handle/riufc/22113 2026-04-05T13:57:40Z http://repositorio.ufc.br/handle/riufc/83386 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 2025-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/82395 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 2025-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/79931 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 2025-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/79926 Título: Análise da velocidade de marcha de pessoas com doença pulmonar obstrutiva crônica e pessoas com insuficiência cardíaca crônica através do teste 4-metre gait speed Autor(es): Madeira, Caroline Alves Abstract: People with chronic diseases such as Chronic Obstructive Pulmonary Disease (COPD) and Chronic Heart Failure (CHF) often have physical and functional impairments that are associated with a worse prognosis, such as decreased gait speed. However, it is not known whether gait speed impairment is similar between COPD and CHF. The aim of this study was to analyze the gait speed of individuals with COPD and individuals with HF using the 4-Metre Gait Speed (4MGS) test. This is a cross-sectional study that used baseline data from two larger prospective studies that included patients diagnosed with COPD or CHF who were clinically stable and did not have health conditions that could compromise or confound the results of the assessments. Sociodemographic, anthropometric (e.g., body mass index - BMI) and clinical (e.g., forced expiratory volume in 1 second - FEV1, ejection fraction - EF) data were collected, as well as usual gait speed through the 4MGS physical function test, and compared to reference values. The study included 190 patients, 99 with COPD (54% women, age 71±9 years, BMI 25.53±6.44 kg/m2) and 91 with CHF (53% women, age 60±15 years, BMI 27.85±4.92 kg/m2). There were no differences in measured gait speed between groups (p=0.486), but when compared with predicted, values were better in COPD (1.03 vs. 0.97 m/s; p=0.009). Age, height, weight, BMI, FEV1 and EF showed significant correlations with gait speed, varying between groups. Based on this, it is concluded that the study revealed that measured gait speed did not differ significantly between individuals with COPD and HF, although predicted values were better in COPD. Furthermore, significant correlations between clinical variables and gait speed highlight their relevance in the functional assessment of these groups. Tipo: TCC 2024-01-01T00:00:00Z