Estélio Henrique Martin Dantas

The effectiveness of the Pilates method: Reducing the degree of non-structural scoliosis, and improving flexibility and pain in female college students

OBJECTIVE To evaluate the effectiveness of Pilates with regard to the degree of scoliosis, flexibility and pain. METHOD The study included 31 female students divided into two groups: a control group (CG = 11), which had no therapeutic intervention, and an experimental group (EG = 20), which underwent Pilates-based therapy. We used radiological goniometry measurements to assess the degree of scoliosis, standard goniometry measurements to determine the degree of flexibility and the scale of perceived pain using the Borg CR 10 to quantify the level of pain. RESULTS The independent t test of the Cobb angle (t = - 2.317, p = 0.028), range of motion of trunk flexion (t = 3.088, p = 0.004) and pain (t = -2.478, p = 0.019) showed significant differences between the groups, with best values in the Pilates group. The dependent t test detected a significant decrease in the Cobb angle (Δ% = 38%, t = 6.115, p = 0.0001), a significant increase in trunk flexion (Δ% = 80%, t = -7.977, p = 0.0001) and a significant reduction in pain (Δ% = 60%, t = 7.102, p = 0.0001) in the EG. No significant difference in Cobb angle (t = 0.430, p = 0.676), trunk flexion, (t = 0.938p = 0.371) or pain (t = 0.896, p = 0.391) was found for the CG. CONCLUSION The Pilates group was better than control group. The Pilates method showed a reduction in the degree of non-structural scoliosis, increased flexibility and decreased pain.

Functional autonomy, bone mineral density (BMD) and serum osteocalcin levels in older female participants of an aquatic exercise program (AAG)

The aim of the present study was to evaluate the effects of an AAG on BMD, osteocalcin and functional autonomy in older women. The sample consisted of eighty-two post-menopausal women with low BMD, randomly divided into two groups: the Aquatic Aerobics Group [AAG; n=42; age: 66.8±4.2years], submitted to two weekly sessions over eight months, and the Control Group (GC; n=42; age: 66.9±3.2years), which did not participate in regular exercise. BMD was measured by Dual Energy X-ray Absorptiometry [DXA] of the lumbar and femur, and serum osteocalcin was measured using electrochemiluminescence. A functional autonomy assessment protocol (GDLAM, 2004) was also applied. Statistical analyses used were repeated measures ANOVA and Tukeys post hoc tests. The results showed a significant improvement in tests following the GDLAM protocol: 10 meters walk (10mw) -p=0.003; rising from a ventral decubitus position (RVDP) - Δ%=0.78, p<0.001; rising from a chair and moving around the house (RCMH) -p<0.001 and autonomy index (AI) -p=0.007, with more favorable results observed in the AAG when compared to the CG. The AAG achieved the best results for BMD; however, no inter or intragroup statistical differences were recorded for total femur -p=0.975 and lumbar L(2)-L(4)p=0.597. For serum osteocalcin, intra and intergroup statistical differences of p=0.042 and p=0.027 were observed in the AAG, respectively. This demonstrates that an eight-month aquatic aerobic exercise program can improve functional autonomy and osteocalcin levels, although training did not improve lumbar and total femur BMD in the older women.

Efeitos da Reeducação Postural Global em escolares com escoliose

The aim of this study was to analyze the effect of Global Reeducation Postural (RPG) method in scholars diagnosed with thoracic nonstructural scoliosis (ETNE). Scholars with indicative of ETNE to postural exam and Adams test negative were directed to radiographic exam to diagnostic. Twenty participants were selected (11 boys and 9 girls, 10±3 years old) and randomly divided in two homogeneous groups: group treated by RPG (GRPG) and control group (CG). The GRPG was submitted a RPG treatment during 12 weeks in sessions from 25 to 30 minutes in agreement with each student tolerance at posture. The CG didn’t suffer intervention. After three months, both groups repeated the postural and radiographic exam. For statistics, it was used ANOVA univariated with repeated measures, followed by Tukey Post Hoc Test to identify the possible differences intra and intergroups. The α value used was 0.05. The GRPG present significant reduction at Cobb angle between pre and posttest (Δ%=-35.100; p=0.009), but the CG didn t show (Δ%=9.520; p=0.789). It was concluded that scholars submitted to RPG method presented improvement in thoracic nonstructural scoliosis. KEywORDS: posture; scoliosis; minors.

Comparison of functional autonomy with associated sociodemographic factors, lifestyle, chronic diseases (CD) and neuropsychiatric factors in elderly patients with or without the metabolic syndrome (MS)

The objective of this study was to compare autonomy and its associated factors in the elderly with and without MS. This study was a cross-sectional evaluation comprised of 402 subjects aged 60 years or older, of both sexes, consulting at the Family Health program, in Viçosa/MG. Autonomy was classified according to the Group of Latin American Development to Maturity (GDLAM) protocol and MS according to classification of the International Diabetes Federation. The independent variables were sociodemographic gender, age, marital status, education, those related to lifestyle including levels of physical activity and sedentary behavior, neuropsychological aspects included depressive symptoms, level of cognition and the presence of CD. A multiple linear regression model was used to estimate associations of variables with autonomy in the elderly with or without the MS. In the elderly group without MS, autonomy was associated with increasing age, sedentary behavior and depressive symptoms. In the group of elderly patients with MS, in addition to these factors, autonomy was also associated with being illiterate, not being physically active and presenting chronic illness. It was concluded that the presence of MS worsened the functional autonomy of elderly persons.

Impact of a music therapy program on the stress level of health professionals

Objetivou-se verificar os efeitos de um programa de musicoterapia sobre o nivel de estresse de profissionais de saude. Participaram do estudo 34 voluntarios do sexo feminino com 33,3 ± 8,5 anos de idade, de diferentes niveis de atuacao profissional. Utilizouse o inventario de sintomas de Stress para adultos de Lipp (ISSL) para avaliar o nivel de estresse dos participantes antes e apos a musicoterapia. O programa foi composto por 12 sessoes utilizando as tecnicas musicoterapicas de Improvisacao e Recriacao Musical, realizado uma vez por semana com 50 minutos/sessao em um periodo de tres meses. O teste de Wilcoxon para medidas repetidas foi utilizado para analise estatistica. Observou-se uma diminuicao estatistica significativa (Δ = - 60%, p<0,001) no nivel de estresse das profissionais estudadas apos o programa de musicoterapia. Conclui-se com o presente estudo que o programa de musicoterapia foi efetivo para diminuir o nivel de estresse de mulheres profissionais de saude que atuam em um hospital privado no municipio do Rio de Janeiro-RJ.The study aimed to assess the effects of a music therapy program on the level of stress for female professionals working in a private hospital in Rio de Janeiro-RJ, Brazil. Thirty four female volunteers with 33.3 ± 8.5 years of age from different levels of professional participated in the study. We used the Lipps inventory of symptoms of stress for adults (ISSL) to evaluate the level of stress of participants before and after music therapy. The program consisted of twelve sessions using the techniques of music therapy Improvisation and Musical Re-creation held once a week with 50 minutes / session in a period of three months. The Wilcoxon test for repeated measures was used for statistical analysis. The study showed a statistically significant decrease (Δ = - 60%, p <0.001) in the level of stress professionals studied after the music therapy program. In conclusion, the present study that the music therapy program was effective in decrease the level of stress of women health professionals working in a private hospital in Rio de Janeiro-RJ, Brazil.

Impacto de um programa de musicoterapia sobre o nível de estresse de profissionais de saúde

Objetivou-se verificar os efeitos de um programa de musicoterapia sobre o nivel de estresse de profissionais de saude. Participaram do estudo 34 voluntarios do sexo feminino com 33,3 ± 8,5 anos de idade, de diferentes niveis de atuacao profissional. Utilizouse o inventario de sintomas de Stress para adultos de Lipp (ISSL) para avaliar o nivel de estresse dos participantes antes e apos a musicoterapia. O programa foi composto por 12 sessoes utilizando as tecnicas musicoterapicas de Improvisacao e Recriacao Musical, realizado uma vez por semana com 50 minutos/sessao em um periodo de tres meses. O teste de Wilcoxon para medidas repetidas foi utilizado para analise estatistica. Observou-se uma diminuicao estatistica significativa (Δ = - 60%, p<0,001) no nivel de estresse das profissionais estudadas apos o programa de musicoterapia. Conclui-se com o presente estudo que o programa de musicoterapia foi efetivo para diminuir o nivel de estresse de mulheres profissionais de saude que atuam em um hospital privado no municipio do Rio de Janeiro-RJ.The study aimed to assess the effects of a music therapy program on the level of stress for female professionals working in a private hospital in Rio de Janeiro-RJ, Brazil. Thirty four female volunteers with 33.3 ± 8.5 years of age from different levels of professional participated in the study. We used the Lipps inventory of symptoms of stress for adults (ISSL) to evaluate the level of stress of participants before and after music therapy. The program consisted of twelve sessions using the techniques of music therapy Improvisation and Musical Re-creation held once a week with 50 minutes / session in a period of three months. The Wilcoxon test for repeated measures was used for statistical analysis. The study showed a statistically significant decrease (Δ = - 60%, p <0.001) in the level of stress professionals studied after the music therapy program. In conclusion, the present study that the music therapy program was effective in decrease the level of stress of women health professionals working in a private hospital in Rio de Janeiro-RJ, Brazil.

Avaliação da dor em portadores de hanseníase submetidos à mobilização neural

Este estudo tem como objetivo avaliar o efeito da tecnica de mobilizacao neural sobre a percepcao da dor em portadores de hanseniase. A amostra de 56 individuos portadores de hanseniase foi randomizada em: grupo experimental (GMN) composto por 29 individuos submetidos ao tratamento com mobilizacao neural e grupo controle (GC) composto por 27 individuos que foram submetidos ao tratamento convencional. A percepcao da dor foi avaliada atraves da Escala Visual Analogica, indicando-se em uma extremidade a marcacao de ausencia de dor e na outra, pior dor imaginavel. O GMN foi submetido ao tratamento utilizando a tecnica de mobilizacao neural, que consistiu de dezoito atendimentos (seis semanas), tres vezes por semana. O GC foi submetido ao tratamento convencional com exercicios de flexibilidade, fortalecimento, com uso de exercitadores de tornozelo ou de recursos eletroterapicos. O GMN apresentou reducao significativa (p=0,000) na percepcao da dor ao comparar o pre e o pos-teste e na comparacao com o GC no pos-teste. O GC nao apresentou diferenca significativa (p=0,520). Conclui-se que a utilizacao da tecnica de mobilizacao neural promoveu reducao nos niveis de dor em portadores de hanseniase.

Qualidade de vida de idosos da área urbana e rural do município de Concórdia, SC

The study aimed to analyze the quality of life (QOL) among elderly people in urban and rural areas, assessing the influence of two factors (area of residence and presence or absence of pathology). The research design of epidemiological cross-sectional was conducted with elderly people (men) living in the urban and rural municipality of Concordia, SC. The sample consisted of 60 elderly people: group of the urban area (UG, n = 30, age = 68 ± 8 years) and rural (RG, n = 30, age: 67 ± 7.88 years). QOL data were collected through the Medical Outcomes Study Questionnaire Form Health Survey (SF 36). The results showed that only health (Δ = 12.60, p <0.0001) and social (Δ = 28.53, p <0.0001) variables had significant difference (p <0.05) between groups and the values of RG higher (more favorable) to the UG. The chi-square revealed a significant difference (χ2: 4.34, p = 0.037) between groups, with the RG group that has a smaller quantity of individuals with disease. Thus, it is inferred that in our sample, the RG obtained improvement in quality of life in relation to health and social aspects when compared to the UG.

Adequabilidade dos principais modelos de periodização do treinamento esportivo

O estudo identificou, sob o prisma da adequabilidade, qual o melhor modelo de periodizacao do treinamento esportivo (PTE). Foram considerados dois indicadores: a estrutura da periodizacao e a forma de modulacao da carga. Foi utilizada a metanalise como ferramenta metodologica. 103 citacoes foram levantadas numa pesquisa sistematica, em bases de dados. A avaliacao pelos criterios estabelecidos indicou cinco modelos de PTE passiveis de estudo. A analise estatistica, empregando o tamanho efeito (TE), gerou um Indice de Adequabilidade (IADEQ) e a classificacao dos modelos em: Muito Bom - Matveev (IADEQ = 3,44; TE = 1,13); Bom - Verkhoshansky (IADEQ = 2,88; TE = 0,57), Bompa (IADEQ = 2,66; TE = 0,34) e Regular - ATR (IADEQ = 1,96; TE = -0,37), Forteza (IADEQ = 2,25; TE = -0,07).

Pressão arterial após programa de exercício físico supervisionado em mulheres idosas hipertensas

INTRODUCTION: The elderly population has increased the levels of chronic diseases such as hypertension (HBP) with prevalence in women. Non-pharmacological interventions, such as exercise, have been indicated by the effectiveness in lowering blood pressure (BP). OBJECTIVE: To analyze the blood pressure response in elderly hypertensive women in the different moments of a supervised physical exercise program (SPEP). METHODS: It consisted of a cross-sectional descriptive study carried out for 18 weeks. 41 elderly women with hypertension, under pharmacological treatment, distributed in the experimental group (EG) (n=26) which participated in the intervention, and control group (CG) (n=15) in two stages: before and after SPEP. BMI, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were evaluated at baseline and after 18 weeks of SPEP in the EG and CG. The intra and inter comparison was made with the paired t test and two-way ANOVA with Kruskal Wallis test, with a significance level of p <0.05. RESULTS: The EG (68.7 ± 8.4 years, BMI = 27.23 ± 4.73) and CG (67.3 ± 6.3 years, BMI = 26.13 ± 4.36), with a prevalence of overweight in all groups, without significant difference after SPEP. There was a correlation between BMI and SBP (r = 0.456, p = 0.01) and between SBP and DBP (r = 0.380, p = 0.01). The initial similarity between the groups was changed by SPEP in EG, remaining in the CG. Intergroup comparison showed differences in SBP (p = 0.000) and DBP (p = 0.005) before and after SPEP and intragroup, with reductions in SBP (Δ = 9.61 mmHg, p = 0.000) and DBP (Δ = 1.54 mmHg, p = 0.043) after SPEP, which did not occur in the CG. CONCLUSION: The supervised physical exercise program exerted an important model of non-drug treatment in the hypotensive response observed.