Marinêz Boeing 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.

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.

Diferença entre o uso do ácido hialurônico e as intervenções fisioterapêuticas para tratamento da osteoartrite de joelho: revisão sistemática

Introduction: There is evidence for various physical therapy interventions used for the knee osteoarthritis treatment, and currently in medicine has been used hyaluronic acid. Aims: The objective of this review was to identify studies that compared the use of hyaluronic acid with the physical therapy interventions for treatment of knee osteoarthritis. Methods: A systematic review was carried out by consulting the databases PubMed, CINAHL, SPORTDiscus, PEDro, LILACS and ACP Journal Club, using the keywords “hyaluronic acid”, “osteoarthritis” and “physical therapy”. Clinical trials, controlled and/or randomized clinical trials published in English, Spanish and Portuguese that compared the use of hyaluronic acid with some physical therapy intervention for the treatment of knee osteoarthritis were included. The study quality was evaluated using the Jadad and PEDro scale. Results: Were identified 81 studies, of these, 7 were included in this review. Conclusions: Although few studies have compared the efficacy of physical therapy treatment with the application of hyaluronic acid was observed that both treatments showed positive results in the knee osteoarthritis management.

Fisioterapia em pacientes com amputação transtibial: revisão sistemática

Introduction: Physical therapy contributes to the rehabilitation of persons following a transtibial amputation, but may also intervene in prevention and comp...

Influência do tempo de aplicação da crioterapia na sensibilidade cutânea

JUSTIFICATIVA E OBJETIVOS: A crioterapia e uma modalidade de tratamento com inumeros efeitos terapeuticos, de baixo custo, de facil aplicacao e acesso. Os objetivos deste estudo foram verificar se existe alteracao na sensibilidade de acordo com o tempo de aplicacao da crioterapia alem do comportamento da sensibilidade cutânea pos-aplicacao.METODOS: Vinte e um sujeitos (14 mulheres e 7 homens, idade media 23,8±4 anos) foram divididos aleatoriamente em 3 grupos, com 7 sujeitos cada, tendo recebido aplicacao da crioterapia por 10, 20 ou 30 minutos, denominados respectivamente grupos C10, C20 e C30. Todos foram previamente submetidos a avaliacao da sensibilidade cutânea com monofilamento de Semmes-Weinstein, e avaliados imediatamente ao termino da aplicacao da crioterapia, 5, 10 e 15 minutos apos a aplicacao. Para analise dos dados foi utilizado o teste de Friedman complementado pelo pos-teste de comparacao multipla (post hoc de Dunn).RESULTADOS: Na avaliacao imediatamente apos a aplicacao da crioterapia todos os sujeitos apresentaram hipoestesia. Observou-se diferenca significativa no retorno da sensibilidade do grupo C20 em relacao aos demais, apos 10 minutos da intervencao (p=0,0498). Para os grupos C10 e C30, o retorno da sensibilidade ocorreu apos 15 minutos do termino da aplicacao.CONCLUSAO: Cinco minutos depois do termino da aplicacao da crioterapia observou-se ausencia de sensibilidade tatil, independentemente do tempo de intervencao. O retorno da sensibilidade normal foi observado depois de 10 minutos quando se aplicou o frio por 20 minutos, e depois de 15 minutos quando aplicado por 10 ou 30 minutos.

Qualidade de vida em mulheres com fibromialgia submetidas à laserterapia de baixa intensidade

OBJETIVO: Avaliar a influencia da aplicacao do laser de baixa intensidade sobre a qualidade de vida em mulheres com fibromialgia. METODOS: 19 pacientes foram divididas em dois grupos: tratado (GT) e placebo (GP). O GT foi submetido a laserterapia GaAlAs (λ 670 nm), 4 J/cm 2 , nos 18 tender points , 3 vezes por semana, durante 4 semanas. A avaliacao foi feita pelo Medical Outcome Survey Short-Form 36 (SF-36). Para a analise estatistica dos dados, usou-se teste t pareado, com criterio de significância p≤0,05. RESULTADOS: Comparando-se os valores obtidos pre e pos-intervencao, observou-se que seis de nove dominios avaliados do SF-36 apresentaram diferenca estatisticamente significativa quando comparado o GT em relacao ao GP: aspectos fisicos (p=0,0107), dor (p<0,0001), aspectos sociais (p=0,002), aspectos emocionais (p=0,0302), saude mental (p=0,0319) e media do instrumento (p=0,0001). CONCLUSOES: Constatou-se que a laserterapia de baixa intensidade foi efetiva na melhora da qualidade de vida em mulheres com fibromialgia.