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[PMID]:28278070
[Au] Autor:Rezende MS; Marsengo AL; de Jesus Guirro RR; de Oliveira Guirro EC
[Ad] Endereço:1 Postgraduate Program in Rehabilitation and Functional Performance, Medical School of Ribeirão Preto, University of São Paulo , São Paulo, Brazil .
[Ti] Título:Blood Flow Velocity in Brachial and Subclavian Vessels Immediately After Compressive Procedures for Treatment of Postcancer Therapy Lymphedema in Breast Cancer: A Randomized Blind Clinical Trial.
[So] Source:Lymphat Res Biol;15(1):23-31, 2017 Mar.
[Is] ISSN:1557-8585
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This study sought to evaluate the effect of elastic compression, functional compressive bandaging, and kinesiotherapy on blood flow of the upper limb with lymphedema secondary to the treatment of breast cancer. METHODS: This was a randomized blind crossover clinical trial with a washout period of 7 days between treatments. We evaluated 20 women with a mean age of 66.85 years (standard deviation = 11.76), undergoing three types of therapeutic procedures randomly applied by lot: kinesiotherapy, functional compressive bandaging + kinesiotherapy (FCB), and elastic compression + kinesiotherapy (EC). Blood flow, including mean and maximum velocity, was assessed by Doppler ultrasound before and after the therapeutic procedure (immediately after, 15 minutes, and 30 minutes). We used two-way analysis of variance for repeated measures followed by Bonferroni's test, considering a significance level of 5%. RESULTS: The EC and FCB groups showed a significant increase in the mean velocity of blood flow in the axillary and brachial arteries and veins compared to the group that received only kinesiotherapy (p < 0.05), but no difference between them (p > 0.05). Moreover, the EC and FCB groups showed greater increase in maximum velocity of blood flow in the brachial artery (p < 0.05) compared to the group that received only kinesiotherapy, but no difference between them (p > 0.05). CONCLUSION: Elastic compression and functional compressive bandaging combined with kinesiotherapy increased blood flow of upper limb lymphedema.
[Mh] Termos MeSH primário: Braço/irrigação sanguínea
Axila/irrigação sanguínea
Velocidade do Fluxo Sanguíneo
Bandagens Compressivas
Linfedema/terapia
[Mh] Termos MeSH secundário: Idoso
Neoplasias da Mama/complicações
Neoplasias da Mama/cirurgia
Feminino
Seres Humanos
Cinesiologia Aplicada
Linfedema/etiologia
Meia-Idade
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170310
[St] Status:MEDLINE
[do] DOI:10.1089/lrb.2016.0022


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[PMID]:28233009
[Au] Autor:Huang YC; Chang KH; Liou TH; Cheng CW; Lin LF; Huang SW
[Ad] Endereço:Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, , Taiwan ROC.
[Ti] Título:Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study.
[So] Source:J Rehabil Med;49(3):208-215, 2017 Mar 06.
[Is] ISSN:1651-2081
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate the effects of Kinesio taping for stroke patients with hemiplegic shoulder pain. DESIGN: Double-blind, placebo-controlled clinical trial. SUBJECTS: Twenty-one stroke patients with hemiplegic shoulder pain within 6 months of stroke onset in the rehabilitation ward of a medical university hospital in Taiwan. METHODS: A 3-week intervention involving a conventional rehabilitation protocol and therapeutic Kinesio taping was conducted with an experimental group of 11 stroke patients. A control group of 10 stroke patients underwent an identical conventional rehabilitation programme and sham Kinesio taping on the hemiplegic shoulder. Numerical rating scale scores, Shoulder Pain and Disability Index, ultrasound findings and pain-free passive range of motion of the affected shoulder, were evaluated before and after the intervention. Mann-Whitney test was used to compare within-group continuous variables before and after the intervention. Wilcoxon signed-rank test was used to analyse the differences and changes in values between study and control groups. RESULTS: There was no statistical difference in demographic variables between the 2 groups. Both groups showed improvement in passive range of motion of the shoulder, (mean numerical rating scale 2.36 (standard deviation (SD) 1.03)), and mean Shoulder Pain and Disability Index (16.64 (SD 2.62)) after the intervention (p < 0.001); however, no significant between-group differences were observed in the numerical rating scale score, pain-free passive ROM, and ultrasound findings for the shoulder after 3 weeks of treatment. Concerning the variables changes, the therapeutic Kinesio taping group showed more improvement in the numerical rating scale (p = 0.008), shoulder flexion (p = 0.008), external rotation (p = 0.006), internal rotation (p = 0.040), and Shoulder Pain and Disability Index (p < 0.001) than the sham Kinesio taping group. CONCLUSION: Stroke patients with hemiplegic shoulder pain can experience greater reductions in Shoulder Pain and Disability Index, pain, and improvement in shoulder flexion, external, and internal rotation after 3 weeks of Kinesio taping intervention compared with sham Kinesio taping. Kinesio taping may be an alternative treatment option for stroke patients with hemiplegic shoulder pain.
[Mh] Termos MeSH primário: Fita Atlética
Hemiplegia/terapia
Cinesiologia Aplicada/métodos
Dor de Ombro/terapia
Acidente Vascular Cerebral/complicações
[Mh] Termos MeSH secundário: Avaliação da Deficiência
Método Duplo-Cego
Feminino
Hemiplegia/etiologia
Hemiplegia/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Medição da Dor
Amplitude de Movimento Articular
Dor de Ombro/etiologia
Dor de Ombro/fisiopatologia
Acidente Vascular Cerebral/fisiopatologia
Taiwan
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170225
[St] Status:MEDLINE
[do] DOI:10.2340/16501977-2197


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[PMID]:28177749
[Au] Autor:Many GM; Kendrick Z; Deschamps CL; Sprouse C; Tosi LL; Devaney JM; Gordish-Dressman H; Barfield W; Hoffman EP; Houmard JA; Pescatello LS; Vogel HJ; Shearer J; Hittel DS
[Ad] Endereço:a Genetic Medicine, Children's National Medical Center, Washington, DC, USA.
[Ti] Título:Genetic characterization of physical activity behaviours in university students enrolled in kinesiology degree programs.
[So] Source:Appl Physiol Nutr Metab;42(3):278-284, 2017 Mar.
[Is] ISSN:1715-5320
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:Studies of physical activity behaviours have increasingly shown the importance of heritable factors such as genetic variation. Nonsynonymous polymorphisms of alpha-actinin 3 (ACTN3) and the ß-adrenergic receptors 1 and 3 (ADRB1 and ADRB3) have been previously associated with exercise capacity and cardiometabolic health. We thus hypothesized that these polymorphisms are also related to physical activity behaviours in young adults. To test this hypothesis we examined relationships between ACTN3 (R577X), ARDB1 (Arg389Gly), ADRB3 (Trp64Arg), and physical activity behaviours in university students. We stratified for student enrollment in kinesiology degree programs compared with nonmajors as we previously found this to be a predictor of physical activity. We did not identify novel associations between physical activity and ACTN3. However, the minor alleles of ADRB1 and ADRB3 were significantly underrepresented in kinesiology students compared with nonmajors. Furthermore, carriers of the ADRB1 minor allele reported reduced participation in moderate physical activity and increased afternoon fatigue compared with ancestral allele homozygotes. Together, these findings suggest that the heritability of physical activity behaviours in young adults may be linked to nonsynonymous polymorphisms within ß-adrenergic receptors.
[Mh] Termos MeSH primário: Actinina/genética
Exercício
Comportamentos Relacionados com a Saúde
Cinesiologia Aplicada/educação
Receptores Adrenérgicos beta 1/genética
Receptores Adrenérgicos beta 3/genética
[Mh] Termos MeSH secundário: Adolescente
Adulto
Alelos
Glicemia/metabolismo
Colesterol/sangue
Estudos de Coortes
Dieta
Feminino
Loci Gênicos
Marcadores Genéticos
Técnicas de Genotipagem
Hemoglobina A Glicada/metabolismo
Seres Humanos
Masculino
Síndrome Metabólica/sangue
Síndrome Metabólica/diagnóstico
Síndrome Metabólica/genética
Polimorfismo de Nucleotídeo Único
Estudantes
Inquéritos e Questionários
Triglicerídeos/sangue
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (ACTN3 protein, human); 0 (ADRB1 protein, human); 0 (ADRB3 protein, human); 0 (Blood Glucose); 0 (Genetic Markers); 0 (Glycated Hemoglobin A); 0 (Receptors, Adrenergic, beta-1); 0 (Receptors, Adrenergic, beta-3); 0 (Triglycerides); 11003-00-2 (Actinin); 97C5T2UQ7J (Cholesterol)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1139/apnm-2016-0441


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[PMID]:28177736
[Au] Autor:O'Brien MW; Shields CA; Oh PI; Fowles JR
[Ad] Endereço:a School of Kinesiology, Acadia University, 550 Main Street, Wolfville, NS B4P 2R6, Canada.
[Ti] Título:Health care provider confidence and exercise prescription practices of Exercise is Medicine Canada workshop attendees.
[So] Source:Appl Physiol Nutr Metab;42(4):384-390, 2017 Apr.
[Is] ISSN:1715-5320
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:The Exercise is Medicine Canada (EIMC) initiative promotes physical activity counselling and exercise prescription within health care. The purpose of this study was to evaluate perceptions and practices around physical activity counselling and exercise prescription in health care professionals before and after EIMC training. Prior to and directly following EIMC workshops, 209 participants (physicians (n = 113); allied health professionals (AHPs) (n = 54), including primarily nurses (n = 36) and others; and exercise professionals (EPs) (n = 23), including kinesiologists (n = 16), physiotherapists (n = 5), and personal trainers (n = 2)) from 7 provinces completed self-reflection questionnaires. Compared with AHPs, physicians saw more patients (78% > 15 patients/day vs 93% < 15 patients/day; p < 0.001) and reported lower frequencies of exercise counselling during routine client encounters (48% vs 72% in most sessions; p < 0.001). EPs had higher confidence providing physical activity information (92 ± 11%) compared with both physicians (52 ± 25%; p < 0.001) and AHPs (56 ± 24%; p < 0.001). Physicians indicated that they experienced greater difficulty including physical activity and exercise counselling into sessions (2.74 ± 0.71, out of 5) compared with AHPs (2.17 ± 0.94; p = 0.001) and EPs (1.43 ± 0.66; p < 0.001). Physicians rated the most impactful barriers to exercise prescription as lack of patient interest (2.77 ± 0.85 out of 4), resources (2.65 ± 0.82 out of 4), and time (2.62 ± 0.71 out of 4). The majority of physicians (85%) provided a written prescription for exercise in <10% of appointments. Following the workshop, 87% of physician attendees proposed at least one change to practice; 47% intended on changing their practice by prescribing exercise routinely, and 33% planned on increasing physical activity and exercise counselling, measured through open-ended responses.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Assistência à Saúde
Medicina Baseada em Evidências
Exercício
Promoção da Saúde
Estilo de Vida Saudável
Educação de Pacientes como Assunto
[Mh] Termos MeSH secundário: Pessoal Técnico de Saúde/educação
Canadá
Barreiras de Comunicação
Educação Médica Continuada
Educação Continuada em Enfermagem
Promoção da Saúde/recursos humanos
Seres Humanos
Cinesiologia Aplicada/educação
Cinesiologia Aplicada/recursos humanos
Enfermeiras e Enfermeiros
Cooperação do Paciente
Educação de Pacientes como Assunto/recursos humanos
Educação Física e Treinamento/recursos humanos
Fisioterapeutas/educação
Médicos
Autorrelato
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1139/apnm-2016-0413


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[PMID]:27782920
[Au] Autor:Chung MK; LaRiccia PJ
[Ad] Endereço:Cooper Medical School of Rowan University, Camden, and Chung Institute of Integrative Medicine and Won Sook Chung Foundation, Moorestown, New Jersey (Dr Chung); and Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, and Won Sook Chung Foundation, Moorestown, New Jersey (Dr LaRiccia).
[Ti] Título:Successful Integrative Medicine Assessment and Treatment of Chronic Pain Associated With Breast Surgery: A Report of 3 Cases.
[So] Source:Holist Nurs Pract;31(1):21-29, 2017 Jan/Feb.
[Is] ISSN:1550-5138
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Presented is the first reported case series of chronic neck and back pain associated with breast scars from breast surgery and successfully treated with an integrative medicine assessment and treatment approach, which included the assessment technique of autonomic response testing and the scar therapy technique of neural therapy. Implications for nursing practice are discussed.
[Mh] Termos MeSH primário: Dor Crônica/terapia
Cinesiologia Aplicada
Mastectomia/efeitos adversos
Dor Pós-Operatória/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170227
[Lr] Data última revisão:
170227
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161027
[St] Status:MEDLINE


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[PMID]:27689556
[Au] Autor:Sabzevari VR; Jafari AH; Boostani R
[Ad] Endereço:Department of Biomedical Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran.
[Ti] Título:Muscle synergy extraction during arm reaching movements at different speeds.
[So] Source:Technol Health Care;25(1):123-136, 2017.
[Is] ISSN:1878-7401
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Muscle synergy is the activation of a group of muscles that contribute to a particular movement. The goal of the present study is to examine the hypothesis that human reaching movements at different speeds share similar muscle synergies and to investigate the kinesiology basis and innervation of muscles. METHODS: Electromyographic activity from six muscles of the upper limb and shoulder girdle were recorded during three movements at different speeds, i.e. slow, moderate and fast. The effect of window length on the RMS signal of the EMG was analyzed and then EMG envelope signals were decomposed using non-negative matrix factorization. For each of the ten subjects, three synergies were extracted which accounted for at least 99% of the VAF. For each movement, the muscle synergies and muscle activation coefficients of all participants were clustered in to three partitions. Investigation showed a high similarity and dependency of cluster members due to the cosine similarity and mutual information in muscle synergy clustering. For further verification, the EMG envelope signals for all subjects were reconstructed. RESULTS: The results indicated a lower reconstruction error using the center of the muscle synergy clusters in comparison with the average of the activation coefficients, which confirms the current research's hypothesis.
[Mh] Termos MeSH primário: Braço/fisiologia
Movimento/fisiologia
Músculo Esquelético/fisiologia
[Mh] Termos MeSH secundário: Adulto
Algoritmos
Fenômenos Biomecânicos
Eletromiografia
Seres Humanos
Cinesiologia Aplicada
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161001
[St] Status:MEDLINE
[do] DOI:10.3233/THC-161256


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[PMID]:27684215
[Au] Autor:Loland S; McNamee M
[Ad] Endereço:a Department of Social Sciences and Humanities , Norwegian University of Sport and Exercise Sciences , Oslo , Norway.
[Ti] Título:Philosophical reflections on the mission of the European College of Sport Science: Challenges and opportunities.
[So] Source:Eur J Sport Sci;17(1):63-69, 2017 Feb.
[Is] ISSN:1536-7290
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The European College of Sport Science (ECSS) was established in part to promote the integrated study of sports and related phenomena from multi- and interdisciplinary perspectives. There are significant and enduring philosophical, epistemological and professional challenges and opportunities that arise from this integrationist perspective. In this article, we reflect upon the challenges that have arisen in the development of sport sciences in the attempt to realize the ECSS mission. We identify three paradigmatic approaches to sports science: (1) the mechanistic; (2) the hermeneutic and (3) the critical. We critically evaluate these paradigms and their potential within the broad framework of integrationist ambitions for sports science as a scientific field.
[Mh] Termos MeSH primário: Ciência/organização & administração
Medicina Esportiva/organização & administração
Universidades/organização & administração
[Mh] Termos MeSH secundário: Europa (Continente)
Seres Humanos
Cinesiologia Aplicada
Filosofia
Psicologia do Esporte/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170213
[Lr] Data última revisão:
170213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160930
[St] Status:MEDLINE


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[PMID]:28009588
[Au] Autor:Bezruczko N; Frank E; Perkins K
[Ad] Endereço:Nikolaus Bezruczko, 1524 E. 59th St., Chicago, IL 60637, USA, Nbezruczko@msn.com.
[Ti] Título:Does Instruction Affect the Underlying Dimensionality of a Kinesiology Test?
[So] Source:J Appl Meas;17(4):393-415, 2016.
[Is] ISSN:1529-7713
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Does effective instruction, which changes students' knowledge and possibly alters their cognitive functions, also affect the dimensionality of an achievement test? This question was examined by the parameterization of kinesiology test items (n = 42) with a Rasch dichotomous model, followed by an investigation of dimensionality in a pre- and post-test quasi-experimental study design. College students (n = 108) provided responses to kinesiology achievement test items. Then the stability of item difficulties, gender differences, and the interaction of item content categories with dimensionality were examined. In addition, a PCA/t-test protocol was implemented to examine dimensionality threats from the item residuals. Internal construct validity was investigated by regressing item content components on calibrated item difficulties. Measurement model item residuals were also investigated with statistical decomposition methods. In general, the results showed significant student achievement between pre and post testing, and dimensionality disturbances were relatively minor. The amount of unexpected item "shift" in an un-equated measurement dimension between pre and post testing was less than ten percent of the total items and largely concentrated among several unrelated items. An unexpected finding was a residual cluster consisting of several items testing related technical content. Complicating interpretation, these items tended to appear near the end of the test, which implicates test position as a threat to measurement equivalence. In general, the results across several methods did not tend to identify common threats and instead pointed to multiple sources of threats with varying degree of prominence. These results suggest conventional approaches to measurement equivalence that emphasize expedient overall procedures such as DIF, IRT, and factor analysis are probably capturing isolated sources of variability. Their implementation probably improves measurement equivalence but with substantial residual sources undetected.
[Mh] Termos MeSH primário: Avaliação Educacional/métodos
Cinesiologia Aplicada/educação
Modelos Estatísticos
Psicometria/métodos
Inquéritos e Questionários
Ensino/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Algoritmos
Interpretação Estatística de Dados
Feminino
Seres Humanos
Masculino
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170217
[Lr] Data última revisão:
170217
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161224
[St] Status:MEDLINE


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[PMID]:27387557
[Au] Autor:Larsson C; Ekvall Hansson E; Sundquist K; Jakobsson U
[Ad] Endereço:Center for Primary Health Care Research, Faculty of Medicine, Clinical Research Centre (CRC), Lund University, Skåne University Hospital, Building 28, floor 11, Jan Waldenströms gata 35, SE-205 02, Malmö, Sweden. caroline.larsson@med.lu.se.
[Ti] Título:Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain.
[So] Source:BMC Geriatr;16:128, 2016 Jul 07.
[Is] ISSN:1471-2318
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The contribution of kinesiophobia (fear of movement) to the pain experience among older adults has been poorly evaluated. The aim of this study was to study prevalence at baseline, development over a 12-month period and cognitive-affective variables of kinesiophobia in a population-based sample of older adults with chronic pain. METHODS: The study included 433 older adults (+65 years) with chronic pain (mean age 74.8 years) randomly selected using a Swedish register of inhabitants. Kinesiophobia was measured at baseline and 12-month follow-up with the 11-item version of the Tampa Scale of Kinesiophobia (TSK-11). Associations of demographic-, cognitive affective - and pain-related variables to kinesiophobia were analysed with linear regression analyses. RESULTS: The mean level of kinesiophobia was low. Worsening and recovering from kinesiophobia occurred over time, but the mean level of kinesiophobia remained unchanged (p = 0.972). High levels of kinesiophobia (TSK ≥35) were found among frailer and older adults predominately living in care homes, but not dependent on sex. Poor self-perceived health (OR = 8.84) and high pain intensity (OR = 1.22) were significantly associated with kinesiophobia. CONCLUSION: Results indicate that potential interventions regarding kinesiophobia among older adults should aim to decrease pain intensity and strengthen health beliefs.
[Mh] Termos MeSH primário: Dor Crônica
Medo
Movimento
Transtornos Fóbicos
Técnicas Psicológicas
[Mh] Termos MeSH secundário: Idoso
Dor Crônica/diagnóstico
Dor Crônica/psicologia
Cognição
Medo/fisiologia
Medo/psicologia
Feminino
Avaliação Geriátrica/métodos
Seres Humanos
Avaliação de Estado de Karnofsky
Cinesiologia Aplicada/métodos
Masculino
Medição da Dor/métodos
Transtornos Fóbicos/diagnóstico
Transtornos Fóbicos/fisiopatologia
Transtornos Fóbicos/psicologia
Autoimagem
Inquéritos e Questionários
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160709
[St] Status:MEDLINE
[do] DOI:10.1186/s12877-016-0302-6


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[PMID]:27356079
[Au] Autor:Blickenstaff C; Pearson N
[Ad] Endereço:a Forward Motion Physical Therapy , Vancouver , WA , USA.
[Ti] Título:Reconciling movement and exercise with pain neuroscience education: A case for consistent education.
[So] Source:Physiother Theory Pract;32(5):396-407, 2016 Jul.
[Is] ISSN:1532-5040
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This article will introduce a conceptual framework of kinesthetic education that is consistent with and reinforces pain neuroscience education. This article will also provide some specific guidance for integrating pain neuroscience education with exercise and movement in a more congruent manner. Our belief is that this will enhance the effectiveness of specific movement approaches such as graded exposure techniques. Over the past decade, a new paradigm of pain education has been explored in an effort to improve patient outcomes. Using advances in pain neuroscience, patients are educated in the biological and physiological processes involved in their pain experience. Growing evidence supports the ability of pain neuroscience education (PNE) to positively impact a person's pain ratings, disability, pain catastrophization, and movement limitations. What is often overlooked, however, is the consistency between the messages of PNE and those of other therapeutic interventions, including movement therapies. This article proposes the following: education provided in isolation will be limited in its impact, the addition of guided purposeful movement performed in a manner consistent with PNE may be vital to the desired behavioral changes, and when inconsistent messages are delivered between education and movement interventions, outcomes may be adversely impacted.
[Mh] Termos MeSH primário: Técnicas de Exercício e de Movimento
Terapia por Exercício/métodos
Conhecimentos, Atitudes e Prática em Saúde
Cinesiologia Aplicada/educação
Manejo da Dor/métodos
Dor/reabilitação
Educação de Pacientes como Assunto/métodos
[Mh] Termos MeSH secundário: Adaptação Psicológica
Catastrofização
Efeitos Psicossociais da Doença
Avaliação da Deficiência
Seres Humanos
Cinestesia
Dor/diagnóstico
Dor/fisiopatologia
Dor/psicologia
Medição da Dor
Percepção da Dor
Qualidade de Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170410
[Lr] Data última revisão:
170410
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160630
[St] Status:MEDLINE
[do] DOI:10.1080/09593985.2016.1194653



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