João Afonso Ruaro

An overview and profile of the ICF's use in Brazil - a decade of history

BACKGROUND In 2001 the World Health Organization (WHO) adopted a classification system for understanding functioning and human disability: the International Classification of Functioning, Disability and Health (ICF). The ICFs acceptance and use has been facilitated by the development and global consensus process, with increasing evidence about its validity. OBJECTIVES To investigate the overview of the use of the ICF in Brazil, since its conception in 2001 until the year 2011. METHOD We conducted an integrative literature review by searching SciELO, Lilacs, PubMed and ISI databases. To be included in the review, the study must have been published as scientific article, editorial or technical note, and had to having the participation of Brazilian researchers or have been developed in Brazil. RESULTS One hundred and two publications were identified, but only 47 studies were included based in the inclusion criteria. Most of eligible studies were related to neurology (n=16) and orthopaedics (n=12) subdisciplines. The university that most appeared in the publications in national journals was The Universidade de São Paulo (11) and in the international journals was Universidade Federal de Minas Gerais (4). In 2003 there was only one publication; in 2010 and 2011 were 10 and 8, respectively. CONCLUSIONS Although incipient, the use of ICF in the Brazilian scientific community is rising. There is a concentration of studies related to the locomotor system, as well as performed by universities in the southeast area of Brazil.

Proposed use of the international classification of functioning, disability and health to evaluate quality of life after an amputation

Objective To quantify the quality of life of people with a lower limb amputation, and to propose a relationship between the quality of life and the International Classification of Functioning, Disability and Health (ICF). Materials and methods After a retrospective study of medical records, 15 amputees met the inclusion criteria. The characteristics of the amputation and quality of life were evaluated, and both were correlated with the ICF. The 36-Item Short-Form Survey (SF-36) was used to assess quality of life. Results It was possible to establish ICF codes for levels of amputation and the quality of life. A high and significant correlation was found between quantitative descriptors of the ICF and SF-36 scores (r = -0.9376, p < 0.0001). Conclusion People with a lower limb amputation showed a reduced quality of life, which was reflected in scores from a generic questionnaire and their correlation with the ICF.

Perfil funcional de atletas de basquetebol com traumatismo da medula espinal de acordo com a cif

abstract background: t he international classification of Functioning, d isability and health considers multiples aspects of functionality; it is believed that this tool can help to evaluate the athletes with disabilities. bjective: o determinate the functional profile t oof basketball players in wheelchairs according to the international classification of Functioning, isability and health for dindividuals with spinal cord injury (sci). Methods: a cross-sectional study was conducted with 12 wheelchair basketball athletes. the functionality has been classified by the abbreviated version of the core sets for individuals with chronic sci, which contains 33 categories. t hese categories were considered valid if they had at least 20% of the athletes with some degree of disability (according to the icF qualifiers). results: of the 33 evaluated categories, 31 (93.9%) were representative for the sample. wo categories were tnot considered valid (b710 and e340). n seven categories all athletes had some impairment (s120, d455, d465, d530, e115, ie150 e e580). however, the largest impairment was observed in the categories: s120, d455, d465, e115 and e120. onclusion: cthe athletes had different functional impairments; however such limitations do not prevent them from practicing the sport.Keywords: spinal cord injuries; international classification of functioning, disability and health, health evaluation.

International Classification of Functioning, Disability and Health core set for physical health of older adults.

Background:To facilitate a systematic, comprehensive description of functioning and to enable the use of the International Classification of Functioning, Disability and Health (ICF) in clinical practice and research, core sets have been developed. Purpose:The aim of this study was to propose a version of the ICF core set to classify the physical health of older adults. Methods:The proposition of the ICF core set was based on the Delphi technique. The panel of experts included 8 Brazilian researchers (physical therapists, medical doctors, nurses, and physical educators). The communication was wholly electronic. In total, there were 5 rounds of interactivity between the participants to arrive at the final version of the construct. Results:The ICF core set presented 30 categories (14 on body functions, 4 on body structures, 9 on activities or participation, and 3 on environmental factors) and had a Cronbach &agr; of 0.964. Conclusions:The presented core set is a secure, fast, and accurate instrument for assessing the physical health and engagement of older adults. It defines points related to functioning and health that are relevant when evaluating this population, as well as when reevaluating it and monitoring changes.

Efeito bactericida do gerador de alta frequência na cultura de Staphylococcus aureus

The purpose of this study was to check the bactericidal effect of the high frequency generator over the Staphylococcus aureus culture. A total of 36 Petri dish- es inoculated with Staphylococcus aureus were divided into 6 groups, including 4 treated (G5-15, G5-10, G3-15 and G3-10) and 2 controls (GC3 e GC5). G5-15 and G5-10 were treated 5 times per week during 15 and 10 minutes, respec- tively, while G3-15 and G3-10 were treated 3 times per week during 15 and 10 minutes, respectively. In treatment, it was used the high frequency generator with intensity of 10, sparking technique with standard electrode. After the 15th day of treatment, there were performed transplanting, in order to check if there were growth of new cultures, and only G5-15 showed to be effective when compared to GC5 (p=0.0039). So, the high frequency generator had a bacte- ricidal effect on Staphylococcus aureus in vitro culture at a frequency of 5 times per week and exposure time of 15 minutes daily.

Tratamento fisioterapêutico após reconstrução do ligamento cruzado anterior

The purpose of this study was to evaluate the existence of differences in the rehabilitation of patients after ACL reconstruction using bone-patellar tendon-bone graft and the four-strand semitendinosus and gracilis tendon grafts, through a literature revision. The researched databases were MEDLINE, EMBASE, LILACS, COCHRANE and PEDro. The inclusion criteria were published studies with methodology draw from randomized clinical trials with or without meta-analysis, individuals with ACL injury, associated or not to meniscal injury, submitted to ligamentoplasty using the bone-patellar tendon-bone graft and the four-strand semitendinosus and gracilis tendon grafts and physiotherapy; clinical trials comparing the differences in the rehabilitation of these patients, in Portuguese, English and Spanish, from 1990 to June, 2011. Five clinical trials were reviewed. No difference was observed between the techniques, however, with a recommendation for a less aggressive rehabilitation and greater attention to the strengthening of the hamstring when they are used as grafts.The purpose of this study was to evaluate the existence of differences in the rehabilitation of patients after ACL reconstruction using bone-patellar tendon-bone graft and the four-strand semitendinosus and gracilis tendon grafts, through a literature revision. The researched databases were MEDLINE, EMBASE, LILACS, COCHRANE and PEDro. The inclusion criteria were published studies with methodology draw from randomized clinical trials with or without meta-analysis, individuals with ACL injury, associated or not to meniscal injury, submitted to ligamentoplasty using the bone-patellar tendon-bone graft and the four-strand semitendinosus and gracilis tendon grafts and physiotherapy; clinical trials comparing the differences in the rehabilitation of these patients, in Portuguese, English and Spanish, from 1990 to June, 2011. Five clinical trials were reviewed. No difference was observed between the techniques, however, with a recommendation for a less aggressive rehabilitation and greater attention to the strengthening of the hamstring when they are used as grafts.

Avaliação do nível de conhecimento e aplicabilidade da Classificação Internacional de Funcionalidade, Incapacidade e Saúde

RESUMO A pesquisa foi conduzida com o objetivo de avaliar o nivel de conhecimento e aplicabilidade da Classificacao Internacional de Funcionalidade, Incapacidade e Saude por profissionais de saude do municipio de Natal (RN). Trata-se de um estudo transversal, que avaliou 186 profissionais de saude, mediante questionario eletronico semiestruturado, composto de questoes sobre o nivel de conhecimento em relacao a classificacao e sua aplicabilidade. Concluiu-se que os profissionais de saude possuem pouco conhecimento sobre a ferramenta. Alem disso, os que relataram conhece-la, dela fazem pouco uso devido as dificuldades para seu entendimento e aplicacao.

PERFIL FUNCIONAL DE IDOSOS ATIVOS COM DOR LOMBAR DE ACORDO COM A CIF

Introduction: The International Classification of Functioning, Disability and Health (ICF) considers multiples aspects of functionality. It is believed that this tool can help to classify the functionality of older adults with low back pain (LBP) . Objectives: To describe the functionality of active older adults with LBP according to the ICF. Methods: A transversal study was conducted using the brief ICF core set for low back pain, to establish functional profiles of 40 older adults. The ICF categories were considered valid when ≥20% of participants showed some disability. Results: Thirty-two of the 35 categories of the brief ICF core set could be considered representative of the sample. Conclusion: The brief ICF core set for LBP results demonstrated that this classification system is representative for describing the functional profile of the sample.Introducao: A Classificacao Internacional de Funcionalidade, Incapacidade e Saude (CIF) considera multiplos aspectos da funcionalidade. Acredita-se que essa ferramenta pode auxiliar a classificar a funcionalidade de idosos com dor lombar (DL) . Objetivos: Descrever a funcionalidade de idosos ativos com DL de acordo com a CIF. Metodos: Foi realizado um estudo transversal para estabelecer o perfil funcional de 40 idosos, utilizando a versao abreviada do core set da CIF para dor lombar. As categorias da CIF foram consideradas validas quando ≥ 20% dos participantes apresentavam alguma deficiencia. Resultado: Trinta e duas das 35 categorias da versao abreviada do core set da CIF para DL foram consideradas representativas da amostra. Conclusao: Os resultados da versao abreviada do core set da CIF para DL demonstraram que esse e um sistema de classificacao representativo para descrever o perfil funcional da amostra.

PERFIL FUNCIONAL DE LOS ANCIANOS ACTIVOS CON DOLOR LUMBAR SEGÚN LA CIF

Introduction: The International Classification of Functioning, Disability and Health (ICF) considers multiples aspects of functionality. It is believed that this tool can help to classify the functionality of older adults with low back pain (LBP) . Objectives: To describe the functionality of active older adults with LBP according to the ICF. Methods: A transversal study was conducted using the brief ICF core set for low back pain, to establish functional profiles of 40 older adults. The ICF categories were considered valid when ≥20% of participants showed some disability. Results: Thirty-two of the 35 categories of the brief ICF core set could be considered representative of the sample. Conclusion: The brief ICF core set for LBP results demonstrated that this classification system is representative for describing the functional profile of the sample.Introducao: A Classificacao Internacional de Funcionalidade, Incapacidade e Saude (CIF) considera multiplos aspectos da funcionalidade. Acredita-se que essa ferramenta pode auxiliar a classificar a funcionalidade de idosos com dor lombar (DL) . Objetivos: Descrever a funcionalidade de idosos ativos com DL de acordo com a CIF. Metodos: Foi realizado um estudo transversal para estabelecer o perfil funcional de 40 idosos, utilizando a versao abreviada do core set da CIF para dor lombar. As categorias da CIF foram consideradas validas quando ≥ 20% dos participantes apresentavam alguma deficiencia. Resultado: Trinta e duas das 35 categorias da versao abreviada do core set da CIF para DL foram consideradas representativas da amostra. Conclusao: Os resultados da versao abreviada do core set da CIF para DL demonstraram que esse e um sistema de classificacao representativo para descrever o perfil funcional da amostra.

FUNCTIONAL PROFILE OF ACTIVE OLDER ADULTS WITH LOW BACK PAIN, ACCORDING TO THE ICF

Introduction: The International Classification of Functioning, Disability and Health (ICF) considers multiples aspects of functionality. It is believed that this tool can help to classify the functionality of older adults with low back pain (LBP) . Objectives: To describe the functionality of active older adults with LBP according to the ICF. Methods: A transversal study was conducted using the brief ICF core set for low back pain, to establish functional profiles of 40 older adults. The ICF categories were considered valid when ≥20% of participants showed some disability. Results: Thirty-two of the 35 categories of the brief ICF core set could be considered representative of the sample. Conclusion: The brief ICF core set for LBP results demonstrated that this classification system is representative for describing the functional profile of the sample.Introducao: A Classificacao Internacional de Funcionalidade, Incapacidade e Saude (CIF) considera multiplos aspectos da funcionalidade. Acredita-se que essa ferramenta pode auxiliar a classificar a funcionalidade de idosos com dor lombar (DL) . Objetivos: Descrever a funcionalidade de idosos ativos com DL de acordo com a CIF. Metodos: Foi realizado um estudo transversal para estabelecer o perfil funcional de 40 idosos, utilizando a versao abreviada do core set da CIF para dor lombar. As categorias da CIF foram consideradas validas quando ≥ 20% dos participantes apresentavam alguma deficiencia. Resultado: Trinta e duas das 35 categorias da versao abreviada do core set da CIF para DL foram consideradas representativas da amostra. Conclusao: Os resultados da versao abreviada do core set da CIF para DL demonstraram que esse e um sistema de classificacao representativo para descrever o perfil funcional da amostra.