Fabrícia Azevêdo da Costa

Severidade clínica e funcionalidade de pacientes hemiplégicos pós-AVC agudo atendidos nos serviços públicos de fisioterapia de Natal (RN)

O acidente vascular cerebral (AVC) representa a terceira causa de morte em varios paises do mundo e principal causa de incapacidade fisica. O objetivo deste estudo foi investigar por meio de uma equipe multidisciplinar a severidade clinica e a independencia funcional de pacientes hemiplegicos pos-AVC. Trata-se de estudo descritivo composto por quarenta hemiplegicos atendidos nos quatro maiores servicos publicos de fisioterapia da cidade de Natal (RN). Foram utilizados uma ficha de avaliacao, a medida de independencia funcional e o NIHSS. A amostra e predominantemente feminina(55%), AVC isquemico(90%), hemisferio cerebral direito(52,5%) e fator de risco hipertensao(90%). A media da severidade clinica e 13,32±4,7 e da independencia funcional, 54,6±17,15. Nao houve diferenca significativa entre as medias funcionais dos pacientes quanto ao lado do AVC (pvalor=0,66). Existiu relacao significativa entre severidade clinica e independencia funcional (r=-0,45 pvalor=0,003). A severidade clinica e a dependencia funcional de pacientes com AVC, ao darem entrada na fisioterapia, sao significativas e evidenciam a necessidade de, alem do tratamento classico, serem incentivadas condutas educacionais que visem a conscientizacao da populacao.

Análise da Função Cognitiva e Capacidade Funcional em Idosos Hipertensos

The change in blood pressure in the elderly has been studied as a risk factor for deficits in cognition and functional capacity. OBJECTIVES: to investigate the cognitive function and functional capacity and their correlation in elderly hypertensive (HG) and normentensive (NG). METHODS: observational, analytical and crosssectional study with 56 elderly divided into two groups HG (n=42) and NG (n=14) assessed by the Mini-Mental State Examination (MMSE), IPAQ (International Physical Activity Questionnaire) and Functional Fitness Test. STATISTICAL ANALYSIS: data were evaluated using the t Student test, the chi-square and Pearsons correlation test by SPSS 17.0, assigning a significance level of 5% for all tests. RESULTS: there was a negative correlation, but low between the groups HG and NG on the cognitive deficit (r= -0,23; p=0,08), strength of lower limbs (r= 0,24; p=0,08) and endurance aerobic - 2MST (r=0,31; p=0,02). Testing the flexibility of upper and lower limbs there were moderately negative correlation between HG and NG groups (r=0.62; p <0.001 and r=0.39, p=0.003), and positive for agility and balance - TUG (r=0.38 and p=0.004). We found a significant difference to the level of physical activity of HG and NG with p<0.001. CONCLUSIONS: These findings suggest that hypertension directly affects the elderly in that it predisposes to cognitive decline, and limits the ability of individuals to perform their basic activities independently, reducing the functional mobility, mainly when associated with other comorbidities and unhealthy life style.

Estado neurológico e cognição de pacientes pós-acidente vascular cerebral

The objective of this study was to have a multidisciplinary team investigate the neurological state and cognitive performance of patients after a stroke, through a cross-sectional study with 45 patients in rehabilitation after having an acute stroke. The data collection instruments used were an assessment sheet, the Mini Mental-MEEM, and the National International Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate patients was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A significant difference was found between the cognitive means of patients in terms of education (p value=0.017), and there was a significant relationship between the neurological state and cognitive performance (r=-0.44 p value=0.002). It appears to be a direct relationship between the neurological state and cognition performance of patients after an acute stroke, which evinces the need for greater attention to the cognitive issue involved early in rehabilitation.The objective of this study was to have a multidisciplinary team investigate the neurological state and cognitive performance of patients after a stroke, through a cross-sectional study with 45 patients in rehabilitation after having an acute stroke. The data collection instruments used were an assessment sheet, the Mini Mental-MEEM, and the National International Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate patients was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A significant difference was found between the cognitive means of patients in terms of education (p value=0.017), and there was a significant relationship between the neurological state and cognitive performance (r=-0.44 p value=0.002). It appears to be a direct relationship between the neurological state and cognition performance of patients after an acute stroke, which evinces the need for greater attention to the cognitive issue involved early in rehabilitation.

Dor e funcionalidade na atenção básica à saúde

Musculoskeletal pain and functionality are linked to the individual health and, thus, influence the mode of interaction between individuals and between them and the environment that surrounds them. However, there are not many studies that question such health issues concerning the population in general, especially when we look at these issues from the basic care point of view. The aim of this article is to present initial data on the subject of pain and functionality in individuals with musculoskeletal complaints enrolled in a primary care unit and prompt a discussion on how complete the services provided by these units are. This study was carried out in a primary care unit and various households, among subjects aging 20 years or older. A functionality assessment tool and a Visual Analogue Scale were applied, and social and demographic issues were also considered. By using these tools, it was made an attempt to evaluate the profile of individuals in association with their degree of musculoskeletal pain and the degree of functionality in the activities of their daily lives, ages and occupations. We found a predominance of women in both groups: 84.37% and 81.25%, respectively. Nearly half of all people with musculoskeletal pain were housewives, and the average age between groups was over 55.

Influência do treinamento resistido realizado em intensidades diferentes e mesmo volume de trabalho sobre a pressão arterial de idosas hipertensas

Systemic arterial hypertension (HBP) is a multifactorial disease with high prevalence in the elderly population, hence resistance exercise (RE) is recommended for that disease. However, the literature lacks studies that demonstrate the acute hypotensive effect of RE in hypertensive elderly subjects. This study aimed to compare the effect of post -exercise hypotension (PEH) for 60 minutes between two sessions of resistance exercises performed at different intensities, but with the same load-repetition ratio in hypertensive elderly elderly women. The sample consisted of 32 women, randomly divided into two groups: 16 patients in the light intensity group (G1) and 16 patients in high intensity group (G2), both with the same training volume. After two weeks of adaptation, the elderly women performed three sessions of resistance exercise and immediately after them, their systolic and diastolic blood pressure were measured for 1 hour every 10 minutes. For statistical analysis Students t test for independent samples, Fisher exact and analysis of variance one-way ANOVA, with p < 0.05 considered significant were used. There was not significant difference of systolic and diastolic blood pressure after exercise in the individuals in groups G1 and G2, neither intra-group. However, there was a tendency for blood pressure reduction in G1 compared to G2. Our data suggest that the sequence of resistance exercise with duration of three sessions did not result in PEH in hypertensive elderly patients, with no significant differences in systolic and diastolic pressure between the groups with light and high intensity.

Estado neurológico y cognición de pacientes post accidente cerebro-vascular

The objective of this study was to have a multidisciplinary team investigate the neurological state and cognitive performance of patients after a stroke, through a cross-sectional study with 45 patients in rehabilitation after having an acute stroke. The data collection instruments used were an assessment sheet, the Mini Mental-MEEM, and the National International Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate patients was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A significant difference was found between the cognitive means of patients in terms of education (p value=0.017), and there was a significant relationship between the neurological state and cognitive performance (r=-0.44 p value=0.002). It appears to be a direct relationship between the neurological state and cognition performance of patients after an acute stroke, which evinces the need for greater attention to the cognitive issue involved early in rehabilitation.The objective of this study was to have a multidisciplinary team investigate the neurological state and cognitive performance of patients after a stroke, through a cross-sectional study with 45 patients in rehabilitation after having an acute stroke. The data collection instruments used were an assessment sheet, the Mini Mental-MEEM, and the National International Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate patients was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A significant difference was found between the cognitive means of patients in terms of education (p value=0.017), and there was a significant relationship between the neurological state and cognitive performance (r=-0.44 p value=0.002). It appears to be a direct relationship between the neurological state and cognition performance of patients after an acute stroke, which evinces the need for greater attention to the cognitive issue involved early in rehabilitation.

The neurological state and cognition of patients after a stoke

The objective of this study was to have a multidisciplinary team investigate the neurological state and cognitive performance of patients after a stroke, through a cross-sectional study with 45 patients in rehabilitation after having an acute stroke. The data collection instruments used were an assessment sheet, the Mini Mental-MEEM, and the National International Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate patients was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A significant difference was found between the cognitive means of patients in terms of education (p value=0.017), and there was a significant relationship between the neurological state and cognitive performance (r=-0.44 p value=0.002). It appears to be a direct relationship between the neurological state and cognition performance of patients after an acute stroke, which evinces the need for greater attention to the cognitive issue involved early in rehabilitation.The objective of this study was to have a multidisciplinary team investigate the neurological state and cognitive performance of patients after a stroke, through a cross-sectional study with 45 patients in rehabilitation after having an acute stroke. The data collection instruments used were an assessment sheet, the Mini Mental-MEEM, and the National International Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate patients was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A significant difference was found between the cognitive means of patients in terms of education (p value=0.017), and there was a significant relationship between the neurological state and cognitive performance (r=-0.44 p value=0.002). It appears to be a direct relationship between the neurological state and cognition performance of patients after an acute stroke, which evinces the need for greater attention to the cognitive issue involved early in rehabilitation.