Danilo Masiero

Espiritualidade baseada em evidências

Spirituality may be defined as a belief system that focus on intangible elements that transmit vitality and meaning to life. Such belief may mobilize highly positive energies and initiatives, with ilimited potential to improve person’s quality of life. Implications of spirituality on health have being scientificaly studied and documented in hundreds of papers. There is relationship between spiritualist engagement and many aspects of mental health, so that people experience better mental health and can copy with more success to stress if they are religious. Religious people are physically healthier, have more healthy lifestyles and demand less health assistance. There is an association between spirituality and health which is likely valid and possibly causal. It is fully recognized that people’s health is determined by interactions of physical, mental, social and spiritual factors. Health professionals already count on with scientific indications of the benefits of spiritual exploration on the therapeutic program of virtually any disease. The current paper cites the most relevant references about this issue.

Avaliação da dor e função de pacientes com lombalgia tratados com um programa de Escola de Coluna

As dores lombares incidem em cerca de 80% da populacao em algum momento de sua vida, sendo, portanto, um grande problema de saude publica. O diagnostico diferencial das doencas da coluna vertebral e bastante amplo, mas sabe-se que boa parte das afeccoes esta relacionada a posturas e movimentos corporais inadequados. Criou-se, portanto, a Escola de Coluna como opcao de tratamento a estes pacientes. Neste trabalho avaliamos a dor e a incapacidade funcional dos pacientes, antes e apos frequentarem a Escola de Coluna, atraves do questionario de Roland-Morris e da Escala Visual Analogica de Dor. Estudamos 30 pacientes no periodo de maio a novembro de 2004, sendo 86,7% do sexo feminino, com idade media de 48,1 anos, de baixa escolaridade e com excesso de peso (70%). A maioria dos pacientes apresentou melhora da dor (56,7%) e da funcao (60%) apos o termino do programa de reabilitacao.

Effect of spastic cerebral palsy on jaw-closing muscles during clenching

The motor effort of jaw-closing muscles during maximal voluntary clenching (MVC) was compared between individuals with spastic cerebral palsy (CP) and nondisabled control subjects (CG). Bilateral electromyographic (EMG) activity of the anterior temporalis (AT) and masseter (MS) muscles was obtained during MVC in 22 subjects with CP and 29 nondisabled subjects. The oral functional status of the group with CP was evaluated using the Orofacial Motor Function Assessment Scale. The group with CP presented lower bilateral EMG activity during MVC compared to the control group for both AT and MS muscles. Comparisons of AT and MS EMG activity showed no difference in muscular effort. Subgroups with CP who were only slightly and very slightly orally impaired had a higher bilateral AT EMG activity compared to individuals with CP who were severely and moderately compromised. A statistically significant positive correlation was found between the oral motor function and EMG activity of the group with CP in all the muscles evaluated. Individuals with CP had motor weakness in the jaw-closing muscles, a condition that may compromise their masticatory function.

Efeitos da propriocepção no processo de reabilitação das fraturas de quadril

Este estudo teve como objetivo principal realizar uma revisao de literatura dos ultimos dez anos, sobre os efeitos dos tratamentos fisioterapeuticos realizados nas fraturas de quadril e a observacao da descricao e da influencia do treinamento proprioceptivo especifico nesse processo de reabilitacao. Essas fraturas sao muito comuns, principalmente entre a populacao idosa, provocando diversas consequencias ao individuo, entre elas, a alteracao das sensacoes proprioceptivas, podendo predispor o paciente a importante instabilidade articular. Sendo assim, a reabilitacao dessas lesoes e de grande importância, afim de restaurar as funcoes do quadril e prevenir contra recidivas. De acordo com o levantamento bibliografico realizado, os estudos demonstraram protocolos de tratamento fisioterapeuticos nas fraturas do quadril, porem a maioria dos autores nao apresenta um treinamento proprioceptivo especifico isoladamente; em geral, relacionam o ganho de forca muscular, equilibrio e o treino de marcha e de funcionalidade a melhora indireta da propriocepcao articular. Fica evidente a carencia teorica sobre o assunto, e espera-se que novas pesquisas possam surgir, para que se tenha maior significância clinica e estatistica em relacao ao tema abordado.

Translation into Brazilian Portuguese, cultural adaptation and validation of the Prosthesis Evaluation Questionnaire

BACKGROUND: Quality of life has been one of the main issues for patients with a chronic condition.OBJECTIVE: To translate, adapt and validate a Brazilian Portuguese version of the Prosthesis Evaluation Questionnaire (PEQ).METHODS: The questionnaire was translated into Portuguese, back translated into English, and cross-culturally adapted to the Brazilian Population. Sixty-five transtibial unilateral amputees were recruited. The sample comprised 45 men and 20 women with a mean age of 44 years, 47 with traumatic amputations, 14 with vascular dysfunction and 4 with other reasons for amputation, and all of them fitted with prostheses. Patients were interviewed twice, at baseline and again after 15 days. The Brazilian Portuguese version of the SF-36 (a generic Quality of Life outcome measure) and the FIM (a Functional Independence Measure) were also administered.RESULTS: The internal consistency of the nine PEQ scales was tested by computing Cronbachs Alpha coefficients (0.65 - 0.89: high values). Students t test coefficients were used for interobserver evaluation (0.35 to 084: reliable values with one exception- the Residual Limb Health scale), and Intraclass Correlation Coefficients (ICC), which ranged from 0.65 to 0.92: reliable values. Students t test coefficients and ICCs were also used for intraobserver evaluation (0.42 to 0.83, except the Residual Limb Health scale and 0.80 to 0.94, respectively: reliable values). Correlations between PEQ, SF-36 and FIM were tested using Pearsons correlation coefficients, which were not statistically significant (p > 0, 01).CONCLUSION: The Brazilian-Portuguese version of the PEQ has high internal consistency and is a reliable quality of life measure for use in amputee patients, but is not associated with the SF-36 or FIM.