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Pesquisa : E02.779 [Categoria DeCS]
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Id: biblio-964760
Autor: Paraguay. Ministerio de Salud Pública y Bienestar Social; Programa Nacional de Control de Lepra.
Título: Guía de fisioterapia: Manual de auto cuidados y prevención de discapacidades del paciente con lepra / PHYSIOTHERAPY GUIDE Self-care and prevention manual of disability of the Leprosy patient.
Fonte: Asunción; MSPB/OPS/OMS; 2016. 36 p.
Idioma: es.
Descritores: Autocuidado/métodos
Modalidades de Fisioterapia
Prevenção de Doenças
Hanseníase/terapia
-Paraguai
Hanseníase/diagnóstico
Limites: Seres Humanos
Tipo de Publ: Guia de Prática Clínica
Responsável: BR1.1 - BIREME


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Id: biblio-1048072
Autor: Torales, Julio; Almirón, Marcos; González, Israel; Navarro, Rodrigo; O'Higgins, Marcelo; Castaldelli-Maia, João; Ventriglio, Antonio.
Título: ¿Mejora el PILATES la salud mental? / Does PILATES improve mental health?
Fonte: Mem. Inst. Invest. Cienc. Salud (Impr.);17(3):97-102, dic.2019.
Idioma: es.
Resumo: El Pilates es una forma alternativa de terapia física de baja a moderada intensidad, predominantemente realizada en el suelo y que se enfoca en abordar estabilidad, fuerza muscular, flexibilidad, respiración y postura. Existe evidencia que sostiene su utilidad en la salud física. En cambio, la evidencia es todavía limitada en cuanto a su efectividad para mejorar la salud mental. El objetivo de este artículo de revisión fue resaltar la evidencia preliminar que apoya la utilidad del Pilates en la mejora de la salud mental y variables psicológicas de las personas. Esta fue una revisión narrativa, no sistemática, centrada en literatura primaria, seleccionada de una búsqueda en las bases de datos PubMed y SciELO. Los términos clave que se utilizaron fueron los siguientes: "Pilates y salud mental", "Pilates y trastornos mentales" y "Pilates y psiquiatría". Los resultados fueron complementados con literatura secundaria (libros y capítulos de libros). Todos los miembros del equipo de investigación participaron en la revisión de la literatura. Todo lo anterior se realizó a fin de brindar una orientación general que sirva a médicos psiquiatras y a fisioterapeutas en el diseño de planes terapéuticos que complementen a los psicofármacos, la psicoterapia y al ejercicio físico convencional(AU)

Pilates is an alternative form of physical therapy of low-to-moderate intensity, predominantly performed on the floor and which focuses on addressing stability, muscle strength, flexibility, breathing and posture. There is evidence supporting its usefulness in physical health. In contrast, the evidence is still limited in terms of its effectiveness in improving mental health. The objective of this review article was to highlight the preliminary evidence that supports the usefulness of Pilates in the improvement of mental health and psychological variables of people. This was a non-systematic narrative review, focused on primary literature, selected from a search in PubMed and SciELO databases. The key terms used were: "Pilates and mental health", "Pilates and mental disorders", and "Pilates and psychiatry". The results were supplemented with secondary literature (books and book chapters). The research was carried out in order to provide a general orientation that would serve psychiatrists and physiotherapists in the design of therapeutic plans that complement psychopharmaceuticals, psychotherapy and conventional physical exercise(AU)
Descritores: Saúde Mental
Técnicas de Exercício e de Movimento/psicologia
-Modalidades de Fisioterapia/psicologia
Tipo de Publ: Revisão
Responsável: PY3.1 - Biblioteca


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Texto completo SciELO Brasil
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Id: biblio-975607
Autor: Rodrigues, Daniele Leite; Ledesma, Alleluia Lima Losno; de Oliveira, Carlos Augusto Pires; Bahamad Júnior, Fayez.
Título: Physical Therapy for Posterior and Horizontal Canal Benign Paroxysmal Positional Vertigo: Long-term Effect and Recurrence: A Systematic Review
Fonte: Int. arch. otorhinolaryngol. (Impr.);22(4):455-459, Oct.-Dec. 2018. tab, graf.
Idioma: en.
Resumo: Abstract Introduction Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo, and it is characterized by episodes of vertigo roundabout when the head is moved. A systematic review was performed using the most important scientific databases. This review included studies published in English in the last ten years, performed in adults, with emphasis on the diagnosis and treatment of BPPV. Objective To investigate the long-term effectiveness of vestibular rehabilitation (VR) in patients with BPPV and the rate of recurrence of symptoms. Data Synthesis A total of 38 studies were identified, of which only 12 met the inclusion criteria. The majority of the studies stated that VR is effective in decreasing the symptoms, with a short-term efficacy of 84.7%, and 89.2% in the long term in the reviewed studies. Conclusion Valuable studies show the beneficial effects of the maneuvers for the treatment of BPPV and their long-term effectiveness. This strengthens the conclusion that this treatment is effective in resolving symptoms and decreasing recurrences.
Descritores: Modalidades de Fisioterapia
Vertigem Posicional Paroxística Benigna/reabilitação
-Recidiva
Vestíbulo do Labirinto
Resultado do Tratamento
Limites: Seres Humanos
Masculino
Feminino
Adulto
Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Tipo de Publ: 57788
Responsável: BR66.1 - Divisão de Biblioteca e Documentação


  4 / 1092 LILACS  
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Texto completo SciELO Brasil
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Id: lil-727051
Autor: Grecco, Luanda A. C; Duarte, Natália A. C; Zanon, Nelci; Galli, Manuela; Fregni, Felipe; Oliveira, Claudia S.
Título: Effect of a single session of transcranial direct-current stimulation on balance and spatiotemporal gait variables in children with cerebral palsy: A randomized sham-controlled study
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;18(5):419-427, 12/09/2014. tab, graf.
Idioma: en.
Projeto: Fundação de Amparo à Pesquisa.
Resumo: Background: Transcranial direct-current stimulation (tDCS) has been widely studied with the aim of enhancing local synaptic efficacy and modulating the electrical activity of the cortex in patients with neurological disorders. Objective: The purpose of the present study was to determine the effect of a single session of tDCS regarding immediate changes in spatiotemporal gait and oscillations of the center of pressure (30 seconds) in children with cerebral palsy (CP). Method: A randomized controlled trial with a blinded evaluator was conducted involving 20 children with CP between six and ten years of age. Gait and balance were evaluated three times: Evaluation 1 (before the stimulation), Evaluation 2 (immediately after stimulation), and Evaluation 3 (20 minutes after the stimulation). The protocol consisted of a 20-minute session of tDCS applied to the primary motor cortex at an intensity of 1 mA. The participants were randomly allocated to two groups: experimental group - anodal stimulation of the primary motor cortex; and control group - placebo transcranial stimulation. Results: Significant reductions were found in the experimental group regarding oscillations during standing in the anteroposterior and mediolateral directions with eyes open and eyes closed in comparison with the control group (p<0.05). In the intra-group analysis, the experimental group exhibited significant improvements in gait velocity, cadence, and oscillation in the center of pressure during standing (p<0.05). No significant differences were found in the control group among the different evaluations. Conclusion: A single session of tDCS applied to the primary motor cortex promotes positive changes in static balance and gait velocity in children with cerebral palsy. .
Descritores: Paralisia Cerebral/fisiopatologia
Paralisia Cerebral/terapia
Equilíbrio Postural
Estimulação Transcraniana por Corrente Contínua
-Método Duplo-Cego
Estudos Transversais
Modalidades de Fisioterapia
Limites: Seres Humanos
Criança
Responsável: BR1.1 - BIREME


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Texto completo SciELO Brasil
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Id: lil-761615
Autor: Oliveira, Ana L. O; Nunes, Everardo D.
Título: Physiotherapy: a historical analysis of the transformation from an occupation to a profession in Brazil
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(4):286-293, July-Aug. 2015. tab.
Idioma: en.
Resumo: ABSTRACTBackground:Analyzing the historical and social path of an occupation using the sociology of professions and the perspective of scientific knowledge promotes an understanding of the origin of physical therapy in Brazil and of discussions of the profession in its contemporary context.Objective: The aim of this paper was to discuss the professionalization process of physical therapy in São Paulo. The authors tried to analyze bath therapy, massage therapy, and physical therapy as occupations involving distinct expertise and as part of the group of occupations that evolved into the profession of physiotherapy in the first half of the twentieth century.Method: The analysis undertaken was a qualitative study based on an analysis of historical documents. Eighty-six professional records from the Service of Inspection of Professional Practice in the state of São Paulo and healthcare legislation from the 1930s and 1940s were analyzed.Results:The distinction between physical therapy practitioner and profession of physiotherapy can be seen by examining registration requirements for rank-and-file nurses with expertise in interactions; this distinction suggests the emergence of specialized expertise that was clearly a part of neither medicine nor nursing and contributed to expertise in physical therapy since the 1950s.Conclusion: The regulation of physiotherapy practices, the recognition of expertise, the accreditation of practical nurses by the State, and the institutionalization of a course for physical therapy practitioners in 1951 are key elements of the professionalization process for the physical therapy profession in Brazil.
Descritores: Modalidades de Fisioterapia
Ocupações/normas
-Prática Profissional/tendências
Brasil
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Id: lil-761613
Autor: Elkins, Mark R; Moseley, Anne M; Pinto, Rafael Z.
Título: Usage evaluation of the Physiotherapy Evidence Database (PEDro) among Brazilian physical therapists
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(4):320-328, July-Aug. 2015. tab, ilus.
Idioma: en.
Resumo: BACKGROUND: It is unclear whether the Physiotherapy Evidence Database (PEDro) is widely and equally used by physical therapists in Brazil. As PEDro is considered a key resource to support evidence-based physical therapy, analyses of PEDro usage could reflect the extent of dissemination of evidence-based practice.OBJECTIVE: To describe the usage of PEDro among the five regions of the World Confederation for Physical Therapy (WCPT) and, in more detail, in the South American region and Brazil over a 5-year period.METHOD: PEDro home-page sessions and the number of searches performed were logged for a 5-year period (2010-2014). Absolute usage and relative usage were calculated for each region of the WCPT, each country in the South American region of WCPT, and each Regional Council (CREFITO) in Brazil.RESULTS: Europe had the highest absolute and relative usage among the five regions of the WCPT (971 searches per million-population per year), with the South American region ranked 4th in absolute terms and 3rd in relative terms (486). Within the South American region, Brazil accounted for nearly 60% of searches (755). Analysis at a national level revealed that usage per physical therapist in Brazil is very low across all CREFITOs. The highest usage occurred in CREFITO 6 with 1.3 searches per physical therapist per year.CONCLUSIONS: PEDro is not widely and equally used throughout Brazil. Strategies to promote PEDro and to make PEDro more accessible to physical therapists speaking Portuguese are needed.
Descritores: Bases de Dados Factuais/estatística & dados numéricos
Fisioterapia/normas
Prática Clínica Baseada em Evidências/estatística & dados numéricos
Fisioterapeutas
-Brasil
Modalidades de Fisioterapia
Fisioterapia/estatística & dados numéricos
Prática Clínica Baseada em Evidências/normas
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Id: lil-567193
Autor: Ornelas, Fernanda Aparecida de; Rodrigues, José Ricardo Paciencia; Uemura, Gilberto.
Título: Avaliação convencional e estesiômetro: resultados controversos na avaliação sensitiva no câncer de mama / Evaluation Conventional & Esthesiometer: controversial results in sensory evaluation in breast cancer
Fonte: HU rev;36(2), abr.-jun. 2010.
Idioma: pt.
Resumo: Este estudo clínico, prospectivo e randomizado, foi realizado no período de agosto de 2004 a fevereiro de 2008,na amostra de conveniência de 60 mulheres, submetidas à cirurgia de mama com esvaziamento axilar, divididasem dois grupos (n=30): o GI (Orientação com Kit de diferentes texturas, para realização em domicilio) e oGII (Controle). O objetivo foi analisar o efeito da orientação domiciliar, em pacientes após cirurgia de câncer de mama com queixa de hipoestesia, pela avaliação convencional e com o uso do estesiômetro. A sensibilidade superficial foi avaliada pelos monofilamentos de Semmes-Weinstein e pela avaliação convencional utilizando dois tubos de ensaios com água quente (38 a 43°C) e fria (16 a 27°C), pincel e agulha. O GI foi submetido a dez sessões e ambos a avaliações em três momentos. O M1 (Pré intervenção), o M2 (Pós-intervenção) após dez sessões de intervenção fisioterapêutica e o M3 (washout) após três meses do segundo momento avaliativo. A região alvo de avaliação e intervenção sensitiva foi o dermátomo do nervo intercostobraquial. No teste de Goodman (avaliação convencional) houve melhora em ambos os grupos no P1, durante a avaliação térmica. No teste "t" de student (estesiômetro) houve melhora no P2 apenas no GI (p=0,003) entre os momentos ume dois mantendo no momento três (p=0,121 e p=0,733 respectivamente). Foi concluído que houve divergênciae resultados opostos, após analisado o efeito da orientação domiciliar no dermátomo do nervo intercostobraquial, pelas avaliações convencional e com uso do estesiômetro.

This study, clinical, prospective, randomized study was conducted from August 2004 to February 2008 in a convenience sample of 60 women who underwent breast surgery with axillary dissection, divided into two groups (n = 30). The GI (Guidance Kit with different textures, to perform at home) and GII (control). The objective was to analyze the effect of home orientation in patients after surgery for breast cancer complaining of numbness, evaluation, and the conventional esthesiometer. The surface sensitivity was assessed by monofilament Semmes-Weinstein and evaluation using conventional two test tubes with hot water (38 to 43°C) and cold (16 to 27°C), paintbrush, needle. The GI was subjected to 10 sessions and assessments in both 3times. The M1 (pre intervention), the M2 (post-intervention) after 10 sessions of physical therapy intervention and M3 (washout) after 3 months the second time for assessment. The region targeted for evaluation and intervention was the sensory nerve dermatome intercostobrachial. In the test of Goodman (conventional assessment) there was improvement in both groups, the P1, during the thermal evaluation. The t-test ofstudent (esthesiometer) there was improvement in P2 only in GI (p = 0.003) between points 1 and 2 while the time 3 (p = 0.121 and p = 0.733 respectively). It was concluded that there were divergent and opposite results after examining the effect of home orientation in the nerve dermatome intercostobrachial, evaluation, and the conventional esthesiometer.
Descritores: Neoplasias da Mama
-Neoplasias da Mama/reabilitação
Modalidades de Fisioterapia
Hipestesia
Tipo de Publ: Ensaio Clínico
Responsável: BR378.1 - Biblioteca Central


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Id: lil-778383
Autor: Robinson, Caroline C; Barreto, Rodrigo P. G; Sbruzzi, Graciele; Plentz, Rodrigo D. M.
Título: The effects of whole body vibration in patients with type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(1):4-14, Jan.-Feb. 2016. tab, graf.
Idioma: en.
Resumo: Background: Whole body vibration (WBV) has been used to increase physical activity levels in patients with type 2 diabetes mellitus (T2DM). Objective: To carry out a systematic review of the effects of WBV on the glycemic control, cardiovascular risk factors, and physical and functional capacity of patients with T2DM. Method: MEDLINE, LILACS, PEDro, and Cochrane Central Register of Controlled Trials were searched up to June 1st, 2015. Randomized controlled trials investigating the effects of WBV, compared to control or other intervention, on blood glucose levels, blood and physical cardiovascular risk factors, and physical and functional capacity in adult individuals with T2DM. Two independent reviewers extracted the data regarding authors, year of publication, number of participants, gender, age, WBV parameters and description of intervention, type of comparison, and mean and standard deviation of pre and post assessments. Results: Out of 585 potentially eligible articles, two studies (reported in four manuscripts) were considered eligible. WBV interventions provided a significant reduction of 25.7 ml/dl (95% CI:-45.3 to -6.1; I2: 19%) in 12 hours fasting blood glucose compared with no intervention. Improvements in glycated hemoglobin, cardiovascular risk factors, and physical and functional capacity were found only at 12 weeks after WBV intervention in comparison with no intervention. Conclusion: WBV combined with exercise seems to improve glycemic control slightly in patients with T2DM in an exposure-dependent way. Large and well-designed trials are still needed to establish the efficacy and understand whether the effects were attributed to vibration, exercise, or a combination of both.
Descritores: Vibração/uso terapêutico
Doenças Cardiovasculares/fisiopatologia
Modalidades de Fisioterapia/normas
Diabetes Mellitus Tipo 2/fisiopatologia
-Ensaios Clínicos Controlados Aleatórios como Assunto
Fatores de Risco
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Id: lil-767065
Autor: Reychler, Gregory; Jacquemart, Manon; Poncin, William; Aubriot, Anne-Sophie; Liistro, Giuseppe.
Título: Benefit of educational feedback for the use of positive expiratory pressure device
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(6):451-456, Nov.-Dec. 2015. tab.
Idioma: en.
Resumo: BACKGROUND: Positive expiratory pressure (PEP) is regularly used as a self-administered airway clearance technique. OBJECTIVE: The aim of this study was to evaluate the need to teach the correct use of the PEP device and to measure the progress of the success rate of the maneuver after training. METHOD: A PEP system (PariPEP-S Sytem) was used to generate PEP in 30 healthy volunteers. They were instructed by a qualified physical therapist to breathe correctly through the PEP device. Then they were evaluated during a set of ten expirations. Two other evaluations were performed at day 2 and day 8 (before and after feedback). The mean PEP and the success rate were calculated for each set of expirations. The number of maneuvers needed to obtain a correct use was calculated on the first session. RESULTS: An optimal PEP was reached after 7.5 SD 2.7 attempts by all subjects. Success rates and mean pressures were similar between the different sets of expirations (p=0.720 and p=0.326, respectively). Pressure variability was around 10%. After one week, 30% of subjects generated more than two non-optimal pressures in the set of ten expirations. No difference in success rate was observed depending on the evaluations. CONCLUSION: This study demonstrates that good initial training on the use of the PEP device and regular follow-up are required for the subject to reach optimal expiratory pressure.
Descritores: Volume Expiratório Forçado/fisiologia
Respiração com Pressão Positiva/instrumentação
-Pressão
Respiração
Respiração com Pressão Positiva/métodos
Modalidades de Fisioterapia/normas
Limites: Seres Humanos
Responsável: BR1.1 - BIREME


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Id: lil-767063
Autor: Phadke, Vandana; Makhija, Meena; Singh, Harpreet.
Título: The use of evidence-based practices for the management of shoulder impingement syndrome among Indian physical therapists: a cross-sectional survey
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(6):473-481, Nov.-Dec. 2015. tab, graf.
Idioma: en.
Resumo: ABSTRACT Background: The understanding of the pathomechanics of shoulder impingement has evolved over the years. Likewise, assessment techniques and effective treatment strategies have also been developed. Physical therapists should keep up-to-date on the current evidence. Objective: This study explored the practices currently used by Indian physical therapists for the assessment and management of shoulder impingement syndrome (SIS). Method: Using an online questionnaire, therapists were asked to declare the causes, methods of assessment and their choices of physical therapy techniques for the management of SIS. The proportions of therapists using different techniques were analyzed descriptively, and comparisons across gender, experience level, and training were made. Data were analyzed to see if the choices of respondents compared with their responses for etiology. Results: A total of 211 responses were analyzed. Most respondents (>75%) believed that overuse and abnormal motion/posture are the most significant causes of SIS. However, fewer respondents reported assessing posture (60.2%) and dyskinesis, especially in women (24.2%). Ninety-four percent of the respondents reported using exercises, but exercise prescription was rather generic. Therapists additionally trained in the techniques of joint mobilization or taping declared using these techniques more frequently. The use of interferential therapy and ultrasound was reported by 89.5% and 98.4% of respondents, respectively Conclusion: Most therapists declared awareness of current recommended practices, but patient assessment, exercise prescription, and use of electrotherapy modalities were only partially based on current evidence. The study helps to identify gaps in current physical therapy approaches to SIS in India.
Descritores: Modalidades de Fisioterapia
Síndrome de Colisão do Ombro
Índia
-Resultado do Tratamento
Fisioterapeutas
Limites: Seres Humanos
Responsável: BR1.1 - BIREME



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