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Effects of physiotherapy on hemodynamic variables in newborns with Acute Respiratory Distress Syndrome

ABREU, Luiz Carlos de; VALENTI, Vitor E.; OLIVEIRA, Adriana G. de; LEONE, Claudio; SIQUEIRA, Arnaldo A. F.; GALLO, Paulo R.; FONSECA, Fernando L. A.; SIMON, Viviane G. N.; SALDIVA, Paulo H. N.
Fonte: DRUNPP-SARAJEVO Publicador: DRUNPP-SARAJEVO
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
37.35%
Background: Acute respiratory distress syndrome (ARDS) is a frequent respiratory disturbance in preterm newborns. Preceding investigations evaluated chronic physiotherapy effects on newborns with different lung diseases; however, no study analyzed acute physiotherapy treatment on premature newborns with ARDS. In this study we aimed to evaluate the acute effects of chest and motor physiotherapy treatment on hemodynamic variables in preterm newborns with ARDS. Methods: We evaluated heart rate (HR), respiratory rate (RR), systolic (SAP), mean (MAP) and diastolic arterial pressure (DAP), temperature and oxygen saturation (SO(2)%) in 44 newborns with ARDS. We compared all variables between six periods in one day: before first physiotherapy treatment vs. after first physiotherapy treatment vs. before second physiotherapy treatment vs. after second physiotherapy treatment vs. before third physiotherapy treatment vs. after third physiotherapy treatment. Variables were measured 2 minutes before and 5 minutes after each physiotherapy session. We applied Anova one way followed by post hoc Bonferroni test. Results: HR (147.5 +/- 9.5 bpm vs. 137.7 +/- 9.3 bpm; p<0.001), RR (45.5 +/- 8.7cpm vs. 41.5 +/- 6.7 cpm; p=0.001), SAP (70.3 +/- 10.4 mmHg vs. 60.1 +/- 7.1 mmHg; p=0.001) and MAP (55.7 +/- 10 mmHg vs. 46 +/- 6.6 mmHg; p=0.001) were significantly reduced after the third physiotherapy treatment compared to before the first session. There were no significant changes regarding temperature...

Conhecimentos e percepções dos usuários da Estratégia Saúde da Família sobre a fisioterapia; Knowledge and perceptions about Physiotherapy of users of the Family Health Strategy

Carvalho, Sarah Tarcísia Rebelo Ferreira de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 20/02/2009 PT
Relevância na Pesquisa
37.18%
O Ministério da Saúde criou em 1994 o Programa Saúde da Família (PSF) visando à reorientação do modelo assistencial do Brasil e a valorização da atenção básica. A partir da Portaria 648/06, passa a ser denominado de Estratégia Saúde da Família (EsSF) sinalizando para sua concepção mais ampla, voltada para as especificidades loco-regionais, para o trabalho intersetorial e para a valorização dos saberes e práticas interdisciplinares. Nesse contexto, várias experiências exitosas foram registradas de incorporação do fisioterapeuta na Atenção Básica, permitindo a ampliação de seu campo de atuação, historicamente vinculado à reabilitação, para atuar também na promoção da saúde e prevenção de agravos. No entanto, o número insuficiente de profissionais na rede assistencial, as dificuldades estruturais e materiais, e o desconhecimento da população sobre a atuação do fisioterapeuta ainda limitam a sua atividade na atenção básica. Essa pesquisa objetivou investigar o conhecimento dos usuários de uma Unidade Saúde da Família (USF) sobre a Fisioterapia, e sua percepção quanto às suas necessidades em relação à atuação do fisioterapeuta. Trata-se de um estudo transversal e descritivo, de abordagem quantitativa. Valeu-se da aplicação de um questionário elaborado pela autora a 275 usuários de uma USF em Ribeirão Preto/SP. Os entrevistados tinham como características predominantes a média de idade de 43 anos...

Eficacia da fisioterapia realizada durante a radioterapia na prevenção de complicações loco-regionais em mulheres em tratamento por cancer de mama : ensaio clinico controlado; The efficacy of physiotherapy during radiotherapy on the locoregional complications in women undergoing treatment for breast cancer: a controlled clincal trial

Mariana Maia Freire de Oliveira
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 26/01/2007 PT
Relevância na Pesquisa
37.32%
A fisioterapia no pós-operatório de câncer de mama visa a prevenir as complicações e promover a independência funcional. Porém, não há dados na literatura sobre a influência da fisioterapia realizada durante a radioterapia, bem como qual a melhor abordagem. Objetivo: Avaliar a eficácia da realização da fisioterapia durante a radioterapia na prevenção das seguintes complicações físicas loco-regionais: limitação da amplitude de movimento do ombro, aumento da circunferência e incapacidade funcional do membro superior e aderência cicatricial em mulheres em tratamento por câncer de mama. Sujeitos e Métodos: Ensaio clínico controlado randomizado, realizado no Serviço de Fisioterapia do Centro de Atenção Integral à Saúde da Mulher da Universidade Estadual de Campinas, com 66 mulheres em tratamento radioterápico após cirurgia para câncer de mama e fisioterapia pós-operatória. As mulheres foram alocadas no Grupo 1 (32 mulheres) que realizou fisioterapia durante a radioterapia e no Grupo 2 (34 mulheres), controle, sendo avaliadas no início e no final da radioterapia e 6 meses após seu término. A amplitude de movimento do ombro foi avaliada através da goniometria, a circunferência do braço, pela cirtometria e a aderência cicatricial...

International sustainable development cooperation of physiotherapy course from Escola Superior de Tecnologia da Saúde de Lisboa

Rebelo, Pedro; Coutinho, Isabel; Fernandes, Beatriz; Tomás, Mª Teresa; Pedro, Luísa; Nave Leal, Elisabete; Jóia, Manuel; Alves, C.
Fonte: European Network of Physiotherapy in Higher Education Publicador: European Network of Physiotherapy in Higher Education
Tipo: Conferência ou Objeto de Conferência
Publicado em /11/2012 ENG
Relevância na Pesquisa
46.96%
Objectives - To share with delegates the international experience in several Program of Physiotherapy course from Escola Superior de Tecnologia da Saúde de Lisboa (ESTeSL).

Epidemiology of physiotherapy utilization among adults and elderly

Siqueira,Fernando Vinholes; Facchini,Luiz Augusto; Hallal,Pedro Curi
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2005 EN
Relevância na Pesquisa
37.22%
OBJECTIVE: To analyze the prevalence of physiotherapy utilization and to explore the variables associated to its utilization. METHODS: A population-based cross-sectional study, including 3,100 subjects aged 20 years or more living in the urban area of Pelotas, southern Brazil, was carried out. The sample was selected following a multiple-stage protocol; the census tracts delimited by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Geography and Statistics) were the primary sample units. Following descriptive and crude analyses, Poisson regression models taking the clustering of the sample into account were carried out. Data were collected through face-to-face interviews using a standardized and pre-tested questionnaire. RESULTS: The lifetime utilization of physiotherapy was 30.2%; and physiotherapy utilization in the 12 months prior to the interview was reported by 4.9%. Women, elderly subjects, and those from higher socioeconomic levels were more likely to use physiotherapy. Restricting analysis to subjects who attended physiotherapy, 66% used public health services, 25% used insurance health services and 9% had private sessions. CONCLUSIONS: This is the first population-based study on physiotherapy utilization carried out in Brazil. Utilization of physio therapy was lower than reported in both developed and developing countries. The study findings might help public health authorities to organize healthcare service in terms of this important demand.

The influences of positive end expiratory pressure (PEEP) associated with physiotherapy intervention in phase I cardiac rehabilitation

Borghi-Silva,Audrey; Mendes,Renata Gonçalves; Costa,Fernando de Souza Melo; Di Lorenzo,Valéria Amorim Pires; Oliveira,Claudio Ricardo de; Luzzi,Sérgio
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2005 EN
Relevância na Pesquisa
37.18%
PURPOSE: To evaluate the effects of positive end expiratory pressure and physiotherapy intervention during Phase I of cardiac rehabilitation on the behavior of pulmonary function and inspiratory muscle strength in postoperative cardiac surgery. METHODS: A prospective randomized study, in which 24 patients were divided in 2 groups: a group that performed respiratory exercises with positive airway expiratory pressure associated with physiotherapy intervention (GEP, n = 8) and a group that received only the physiotherapy intervention (GPI, n = 16). Pulmonary function was evaluated by spirometry on the preoperative and on the fifth postoperative days; inspiratory muscle strength was measured by maximal inspiratory pressure on the same days. RESULTS: Spirometric variables were significantly reduced from the preoperative to the fifth postoperative day for the GPI, while the GEP had a significant reduction only for vital capacity (P < .05). When the treatments were compared, smaller values were observed in the GPI for peak flow on the fifth postoperative day. Significant reductions of maximal inspiratory pressure from preoperative to the first postoperative day were found in both groups. However, the reduction in maximal inspiratory pressure from the preoperative to the fifth postoperative day was significant only in the GPI (P < .05). CONCLUSIONS: These data suggest that cardiac surgery produces a reduction in inspiratory muscle strength...

Effects of chest physiotherapy on the respiratory function of postoperative gastroplasty patients

Forti,Eli; Ike,Daniela; Barbalho-Moulim,Marcela; Rasera Jr,Irineu; Costa,Dirceu
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2009 EN
Relevância na Pesquisa
37.18%
INTRODUCTION: Bariatric surgery has become increasingly more recommended for the treatment of morbidly obese individuals for whom it is possible to identify co-morbidities other than alterations in pulmonary function. The objective of this study was to evaluate the effects of conventional chest physiotherapy (CCP) and of conventional physiotherapy associated with transcutaneous electrical diaphragmatic stimulation (CCP+TEDS) on pulmonary function and respiratory muscle strength in patients who have undergone Roux-en-Y gastric bypass. METHODS: In total, 44 female patients with an average age of 37 ± 7.3 years and an average body mass index (BMI) of 47.4 ± 6.5 K/m² were selected as candidates for Roux-en-Y gastric bypass laparoscopy. They were evaluated for pulmonary volume and flow using spirometry and maximum respiratory pressure through manovacuometry during the preoperative period and on the fifteenth and thirtieth postoperative days. RESULTS: No differences were detected between CCP and CCP+TEDS, and both factors contributed to the maintenance of pulmonary flow and volume as well as inhalation muscle strength. Exhalation muscle strength was not maintained in the CCP group at fifteen or thirty days postoperative, but it was maintained in patients treated with conventional chest physiotherapy + transcutaneous electric diaphragmatic stimulation. DISCUSSION: These results suggest that both conventional chest physiotherapy and conventional chest physiotherapy + transcutaneous electric diaphragmatic stimulation prevent the reduction of pulmonary function during the Roux-en-Y gastric bypass postoperative period...

A profile of Irish physiotherapy services for ankylosing Spondylitis (AS)

Larkin, Louise
Fonte: Department of Physiotherapy, University of Limerick Publicador: Department of Physiotherapy, University of Limerick
Tipo: Bachelor thesis; all_ul_research; ul_theses_dissertations; none
ENG
Relevância na Pesquisa
47.18%
non-peer-reviewed; Background: Physiotherapy and exercise are main components in the non-pharmacological management of AS (Zochling et al 2006). A minority of the Irish AS population participate in regular exercise (Fitzpatrick et al 2006). No study has explored the physiotherapy services provided to AS patients in the Republic of Ireland (ROI). Objectives: Identify physiotherapy services provided to Irish AS patients. Ascertain if strategies are utilised to improve motivation to exercise. Determine the correlation between current practice and the available evidence base for AS management. Methods: Online questionnaire-based survey distributed to the Irish Society of Chartered Physiotherapists Rheumatology clinical interest group (CPR) (n=29), requesting information on assessment, treatment, education, motivation and self-management in AS management. Results: Response rate of 45% (13/29). 75% (9/12) currently treat AS patients. 88% (7/8) are aware of clinical guidelines for AS management. The most commonly utilised outcome measures are the Bath AS Scores – BASDAI (8/8, 100%), BASFI (7/8, 88%), BASMI and BAS-G (6/8, 75%). The most common treatment methods are home exercise programmes (8/8, 100%), group exercise and advice to undertake regular physical activity (7/8...

Physiotherapy and exercise interventions for the treatment of people with multiple sclerosis with moderate to severe mobility impairment

Hogan, Neasa
Fonte: University of Limerick Publicador: University of Limerick
Tipo: Doctoral thesis; all_ul_research; ul_published_reviewed; ul_theses_dissertations; none
ENG
Relevância na Pesquisa
37.36%
peer-reviewed; Multiple sclerosis (MS) is a disease of the central nervous system. It is characterised by both demyelination and degeneration. It is progressive in nature and can lead to severe disability, functional limitations and a poor quality of life (QoL). Many people with MS (PwMS) live with some form of physical impairment. Physiotherapy plays an important role in the management of physical symptoms. A review of the literature highlighted that a multitude of physiotherapy and exercise interventions have been evaluated in PwMS. These studies, however, included PwMS with varying levels of mobility. No randomised controlled trial has previously evaluated the effect of a physiotherapy intervention specifically on PwMS with moderate to severe mobility impairment. The overall aim of this research was to evaluate the effect of three community based interventions on PwMS who mobilise with at least bilateral assistance. Participants (n=111) were allocated to ten weekly hour long sessions of group physiotherapy, individual physiotherapy, yoga or a control group. The effect of treatment was analysed using baseline and post intervention (Week 12) data. The data at follow up (Week 24) was analysed separately. A post hoc analysis was performed to explore the variables that may influence outcome. Outcomes measures used at each time point were the Multiple Sclerosis Impact Scale-29v2 (MSIS- 29v2)...

Physical function in hospice patients and physiotherapy interventions: a profile of hospice physiotherapy

Cobbe, Sinead; Kennedy, Norelee
Fonte: Mary Anne Liebert Publicador: Mary Anne Liebert
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
37.32%
peer-reviewed; Objective: There is a dearth of international research on hospice physiotherapy. This study aims to profile hospice physiotherapy in an Irish setting in order to inform practice internationally. Design: The study design consisted of a retrospective chart audit over 6 months. Setting: The study took place at a specialist palliative care inpatient unit (hospice) in Limerick, Ireland. Participants: All patients were discharged (through death or discharge onwards) from January to June 2010. Outcome measure: The Edmonton Functional Assessment Tool (EFAT-2) was used as an outcome measure. Results: Sixty-five percent were referred for physiotherapy; 58% (n = 144) were assessed and treated. A wide range of patients was referred (mean functional score 11, range 1–23, SD 5). Rehabilitation activities were widespread: 48% with more than one functional score recorded made improvements; 53% of physiotherapy patients were eventually discharged home; 47% of physiotherapy patients died, of whom 52% received physiotherapy in the last week of life. The median physiotherapy program lasted 11 days (range 1–186, SD 22) whereas the median number of treatments was four (range 1–99, SD 10). The most common interventions were gait re-education (67%)...

Circuit class therapy and 7-day-week therapy increase physiotherapy time, but not patient activity: early results from the CIRCIT trial

English, C.; Bernhardt, J.; Hillier, S.
Fonte: American Heart Association Publicador: American Heart Association
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
37.22%
BACKGROUND AND PURPOSE: The optimum model of physiotherapy service delivery for maximizing active task practice during rehabilitation after stroke is unknown. The purpose of the study was to examine the relative effectiveness of 2 alternative models of physiotherapy service delivery against a usual care control with regard to increasing patient activity. METHODS: Substudy within a large 3-armed randomized controlled trial, which compared 3 different models of physiotherapy service delivery, was provided for 4 weeks during subacute, inpatient rehabilitation (n=283). The duration of all physiotherapy sessions was recorded. In addition, 32 participants were observed at 10-minute intervals for 1 weekday and 1 weekend day between 8:00 am and 4:30 pm. At each observation, we recorded physical activity, location, and people present. RESULTS: Participants receiving 7-day-week and circuit class therapy received an additional 3 hours and 22 hours of physiotherapy time, respectively, when compared with usual care. Participants were standing or walking for a median of 8.2% of observations. On weekdays, circuit class therapy participants spent more time in therapy-related activity (10.2% of observations) when compared with usual care participants (6.1% of observations). On weekends...

Therapie chronischer Rückenschmerzen: Vergleich der Wirksamkeit von Weichteilosteopathie gegenüber klassischer Krankengymnastik sowie einer Kombination beider Therapiearten mit einem Herzratenvariabilitätstraining; Therapy of chronic back pain: Comparison of the effectivity of soft part osteopathy with conventional physiotherapy and a combination of both treatments with a heart rate variability training

Beutinger, Daniela
Fonte: Universidade de Tubinga Publicador: Universidade de Tubinga
Tipo: Dissertação
DE_DE
Relevância na Pesquisa
37.22%
Ziel der Arbeit war die Untersuchung der Wirksamkeit einer manipulativen Technik, der Weichteilosteopathie, im Vergleich zur klassischen krankengymnastischen Therapie, die Stabilisationsübungen umfasste. Ein weiterer Gegenstand dieser Arbeit stellte die Frage nach der Effektivität eines Herzratenvariabilitätstrainings (HRV-Training, ein spezielles Atemtraining) dar. In einem kontrollierten Design wurden 124 Patienten mit chronischen Rückenschmerzen zufällig auf eine von vier Interventionsbedingungen (klassische Krankengymnastik, klassische Krankengymnastik & HRV-Training, Weichteilosteopathie, Weichteilosteopathie & HRV-Training) verteilt und über fünf Wochen (10 Sitzungen) behandelt. Die Ergebnisse zeigten, dass die Weichteilosteopathie die Schmerzintensität stärker reduzierte als die klassische Krankengymnastik. Zudem stieg in den Gruppen, die weichteilosteopathisch behandelt wurden, die Herzratenvariabilität unmittelbar nach den Behandlungssitzungen stärker an. In den Gruppen, die klassisch krankengymnastisch therapiert wurden, brachen mehr Patienten die Behandlung ab als in den osteopathisch therapierten Gruppen. Die Beeinträchtigung und den Medikamentenkonsum betreffend ergaben sich keine Unterschiede zwischen den beiden Behandlungsarten. Die vor den jeweiligen Behandlungen erfasste Herzratenvariabilität zeigte im Laufe der gesamten Therapie in allen Gruppen keine Veränderungen. Auch der Einsatz eines HRV-Trainings zeigte keinen signifikanten Einfluss auf die erhobenen Maße. Hinsichtlich der Nachhaltigkeit der Befunde unterschieden sich die beiden Behandlungsarten nicht. Insgesamt betrachtet scheint die Weichteilosteopathie der klassischen Krankengymnastik gegenüber teilweise gleichwertig...

Simulation can contribute a part of cardiorespiratory physiotherapy clinical education two randomized trials

Blackstock, F.; Watson, K.; Morris, N.; Jones, A.; Wright, A.; McMeeken, J.; Rivett, D.; O'Connor, V.; Peterson, R.; Haines, T.; Watson, G.; Jull, G.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
37.25%
INTRODUCTION: Simulated learning environments (SLEs) are used worldwide in health professional education, including physiotherapy, to train certain attributes and skills. To date, no randomized controlled trial (RCT) has evaluated whether education in SLEs can partly replace time in the clinical environment for physiotherapy cardiorespiratory practice. METHODS: Two independent single-blind multi-institutional RCTs were conducted in parallel using a noninferiority design. Participants were volunteer physiotherapy students (RCT 1, n = 176; RCT 2, n = 173) entering acute care cardiorespiratory physiotherapy clinical placements. Two SLE models were investigated as follows: RCT 1, 1 week in SLE before 3 weeks of clinical immersion; RCT 2, 2 weeks of interspersed SLE/clinical immersion (equivalent to 1 SLE week) within the 4-week clinical placement. Students in each RCT were stratified on academic grade and randomly allocated to an SLE plus clinical immersion or clinical immersion control group. The primary outcome was competency to practice measured in 2 clinical examinations using the Assessment of Physiotherapy Practice. Secondary outcomes were student perception of experience and clinical educator and patient rating of student performance. RESULTS: There were no significant differences in student competency between the SLE and control groups in either RCT...

An exploratory study of veterinary physiotherapist’s within Ireland

O'Sullivan, Stephanie
Fonte: Department of Physiotherapy, University of Limerick Publicador: Department of Physiotherapy, University of Limerick
Tipo: Bachelor thesis; all_ul_research; ul_theses_dissertations; none
ENG
Relevância na Pesquisa
37.18%
non-peer-reviewed; Background: Recently, there is a growing interest in the role of veterinary physiotherapy; however the concept of this speciality is still in its infancy in Ireland (Doyle and Horgan 2006). The apparent paucity of evidence within this unique profession warrants further investigation. Objectives: To explore factors influencing both the transitions from human to veterinary physiotherapy and the use of evidence based Practice (EBP); among the clinical interest group, within the ISCP, Chartered Physiotherapist in Veterinary Practice (CPVP). Methods: A multidimensional questionnaire was developed using SurveyMonkey®™ and sent to the members of the CPVP group via email, ensuring anonymity and confidentiality. It was piloted and modified to ensure clarity prior to distribution. A reminder email was sent to maximise responses. Descriptive, frequency and thematic content analysis was carried out to ensure accurate interpretation of the data. Results: A 50% (n=10) response rate was obtained. A variety of positive and negative influencing factors were identified. Common to both objectives, barriers such as use of human based research and facilitators such as animal experience were highlighted. Musculoskeletal experience was deemed significant for both transitioning and use of EBP...

A survey of the current physiotherapy management of people with multiple sclerosis

O'Donovan, Mary
Fonte: Department of Physiotherapy, University of Limerick Publicador: Department of Physiotherapy, University of Limerick
Tipo: Bachelor thesis; all_ul_research; ul_theses_dissertations; none
ENG
Relevância na Pesquisa
47.06%
non-peer-reviewed; Background: It is estimated that there are over 7,000 people with MS living in Ireland (MS Society 2008). Guidelines and evidence highlight the many benefits to be gained from physiotherapy interventions. However with limited resources (Coote et al 2010) and services for people with MS (PwMS), it is imperative physiotherapy management is effective, appropriate and evidence based. Objectives: To determine what criteria physiotherapists frequently include in subjective and objective assessment for PwMS. To examine the frequency of use of treatments and the use of evidence based practice in treatment choice. Methods: A self-report e-survey was developed and distributed via email to all group members of Physiotherapists with an Interest in MS, Chartered Physiotherapists in Neurology and Gerontology, and Chartered Physiotherapists in Community Care. A survey link was placed in Firsthand and on primary investigators web-page. Data was analysed using descriptive statistics and likert scales. Results: Only 65% of therapists were aware of clinical guidelines for MS. Current MS problems, medical history and active and passive range of movement; were the most frequently assessed domains. The top three treatments used were; patient education...

Avaliação dos parâmetros fisiológicos em recém nascidos pré-termo em ventilação mecânica após procedimentos de fisioterapia neonatal; Evaluation of the physiological parameters in pre-term newborn in mechanical ventilation after procedures of neonatal physiotherapy

Selestrin, Cláudia de Castro; Oliveira, Adriana Gonçalves de; Ferreira, Celso; Siqueira, Arnaldo Augusto Franco de; Abreu, Luiz Carlos de; Murad, Neif
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/04/2007 POR
Relevância na Pesquisa
37.32%
A fisioterapia nas Unidades de Cuidados Intensivos Neonatais pode ser considerada nova modalidade de terapia. Acredita-se que o acompanhamento fisioterapêutico dos recém-nascidos seja capaz de proporcionar uma estabilidade da freqüência cardíaca, da pressão arterial, freqüência respiratória e saturação de oxigênio, bem como preserva a temperatura corporal, promovendo a manutenção funcional da circulação cerebral do recém-nascido e secundariamente, mantém as vias aéreas com fluxo menos turbulento possível e com o mínimo de secreção, permitindo um aumento na permeabilidade e redução do número de fatores intrínsecos das vias aéreas que contribuem para o aumento da resistência pulmonar e diminuição nos eventos fisiológicos de trocas gasosas. Outros autores apresentam efeitos deletérios da fisioterapia sobre a população neonatal. Estas controvérsias em relação à fisioterapia respiratória neonatal nos induziram a estudar os efeitos de tal procedimento sobre os parâmetros fisiológicos. O objetivo foi analisar os efeitos da prática de fisioterapia neonatal sobre os parâmetros fisiológicos freqüência cardíaca, freqüência respiratória, saturação de oxigênio, pressão arterial e temperatura axilar em recém-nascidos pré-termo submetidos à ventilação mecânica. Realizou-se um estudo prospectivo...

Effects of chest physiotherapy on the respiratory function of postoperative gastroplasty patients

Forti, Eli; Ike, Daniela; Barbalho-Moulim, Marcela; Rasera Jr, Irineu; Costa, Dirceu
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2009 ENG
Relevância na Pesquisa
37.18%
INTRODUCTION: Bariatric surgery has become increasingly more recommended for the treatment of morbidly obese individuals for whom it is possible to identify co-morbidities other than alterations in pulmonary function. The objective of this study was to evaluate the effects of conventional chest physiotherapy (CCP) and of conventional physiotherapy associated with transcutaneous electrical diaphragmatic stimulation (CCP+TEDS) on pulmonary function and respiratory muscle strength in patients who have undergone Roux-en-Y gastric bypass. METHODS: In total, 44 female patients with an average age of 37 ± 7.3 years and an average body mass index (BMI) of 47.4 ± 6.5 K/m² were selected as candidates for Roux-en-Y gastric bypass laparoscopy. They were evaluated for pulmonary volume and flow using spirometry and maximum respiratory pressure through manovacuometry during the preoperative period and on the fifteenth and thirtieth postoperative days. RESULTS: No differences were detected between CCP and CCP+TEDS, and both factors contributed to the maintenance of pulmonary flow and volume as well as inhalation muscle strength. Exhalation muscle strength was not maintained in the CCP group at fifteen or thirty days postoperative, but it was maintained in patients treated with conventional chest physiotherapy + transcutaneous electric diaphragmatic stimulation. DISCUSSION: These results suggest that both conventional chest physiotherapy and conventional chest physiotherapy + transcutaneous electric diaphragmatic stimulation prevent the reduction of pulmonary function during the Roux-en-Y gastric bypass postoperative period...

A influência da pressão positiva expiratória final (PEEP) associada à intervenção fisioterapêutica na fase I da reabilitação cardiovascular; The influences of positive end expiratory pressure (PEEP) associated with physiotherapy intervention in phase I cardiac rehabilitation

Borghi-Silva, Audrey; Mendes, Renata Gonçalves; Costa, Fernando de Souza Melo; Di Lorenzo, Valéria Amorim Pires; Oliveira, Claudio Ricardo de; Luzzi, Sérgio
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/12/2005 ENG
Relevância na Pesquisa
37.18%
OBJETIVO: Avaliar os efeitos da pressão positiva expiratória final e da intervenção fisioterápica na fase I da reabilitação cardiovascular sobre o comportamento da função pulmonar e da força muscular inspiratória e sobre o pós-operatório de cirurgia cardíaca. MÉTODO: Estudo prospectivo, randomizado, com 24 pacientes, separados em 2 grupos: GEP (n=8), que realizaram exercícios respiratórios com pressão positiva expiratória nas vias aéreas associados à intervenção fisioterápica; e GFI (n=16), que realizaram somente a intervenção fisioterápica. A função pulmonar foi avaliada pela espirometria no pré e 5º dia pós-operatório; a força muscular inspiratória pela pressão inspiratória máxima no pré, 1º e 5º dias pós-operatório. RESULTADOS: As variáveis espirométricas mostraram reduções significativas do pré para o 5º dia pós-operatório no GFI, porém no GEP, observou-se redução apenas para capacidade vital (p; PURPOSE: To evaluate the effects of positive end expiratory pressure and physiotherapy intervention during Phase I of cardiac rehabilitation on the behavior of pulmonary function and inspiratory muscle strength in postoperative cardiac surgery. METHODS: A prospective randomized study...

Epidemiologia da utilização de fisioterapia em adultos e idosos; Epidemiology of physiotherapy utilization among adults and elderly

Siqueira, Fernando Vinholes; Facchini, Luiz Augusto; Hallal, Pedro Curi
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/08/2005 ENG
Relevância na Pesquisa
37.22%
OBJETIVO: Analisar a prevalência da utilização de serviços de fisioterapia e explorar as variáveis associadas à sua utilização. MÉTODOS: Estudo transversal de base populacional incluindo 3.100 indivíduos com 20 anos de idade ou mais residentes na zona urbana de Pelotas, Estado do Rio Grande do Sul. A amostra foi selecionada em múltiplos estágios, sendo que as unidades amostrais primárias foram os setores censitários delimitados pelo Instituto Brasileiro de Geografia e Estatística. Após análises descritivas e brutas, modelos de regressão de Poisson foram utilizados, levando em consideração a estratégia amostral por conglomerados. Os dados foram coletados em entrevistas face-a-face usando questionário padronizado e pré-testado. RESULTADOS: A prevalência de utilização de fisioterapia na vida foi de 30,2%, sendo que 4,9% dos entrevistados usaram algum serviço de fisioterapia nos 12 meses anteriores à entrevista. Mulheres, idosos e pessoas de nível socioeconômico alto apresentaram maior uso de fisioterapia. Entre os usuários de fisioterapia, 66% usaram o Sistema Único de Saúde, 25% usaram planos de saúde ou convênios e 9% tiveram consultas particulares. CONCLUSÕES: Este é o primeiro estudo de base populacional sobre utilização de fisioterapia no Brasil. A utilização de fisioterapia foi menor do que a relatada em países desenvolvidos e em desenvolvimento. Os resultados encontrados podem ajudar as autoridades na organização do sistema de saúde para atender esta importante demanda.; OBJECTIVE: To analyze the prevalence of physiotherapy utilization and to explore the variables associated to its utilization. METHODS: A population-based cross-sectional study...

Epidemiology of physiotherapy utilization among adults and elderly

Siqueira,Fernando Vinholes; Facchini,Luiz Augusto; Hallal,Pedro Curi
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2005 EN
Relevância na Pesquisa
37.22%
OBJECTIVE: To analyze the prevalence of physiotherapy utilization and to explore the variables associated to its utilization. METHODS: A population-based cross-sectional study, including 3,100 subjects aged 20 years or more living in the urban area of Pelotas, southern Brazil, was carried out. The sample was selected following a multiple-stage protocol; the census tracts delimited by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Geography and Statistics) were the primary sample units. Following descriptive and crude analyses, Poisson regression models taking the clustering of the sample into account were carried out. Data were collected through face-to-face interviews using a standardized and pre-tested questionnaire. RESULTS: The lifetime utilization of physiotherapy was 30.2%; and physiotherapy utilization in the 12 months prior to the interview was reported by 4.9%. Women, elderly subjects, and those from higher socioeconomic levels were more likely to use physiotherapy. Restricting analysis to subjects who attended physiotherapy, 66% used public health services, 25% used insurance health services and 9% had private sessions. CONCLUSIONS: This is the first population-based study on physiotherapy utilization carried out in Brazil. Utilization of physio therapy was lower than reported in both developed and developing countries. The study findings might help public health authorities to organize healthcare service in terms of this important demand.