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BACKGROUND: The Score Committee of the European Foot and Ankle Society (EFAS) developed, validated, and published the EFAS Score in ten languages (English, German, French, Italian, Polish, Dutch, Swedish, Finnish, Turkish, Portuguese). From other languages under validation, the Portuguese version completed data acquisition and underwent further validation. METHODS: The Portuguese version of the EFAS Score was developed and validated in three stages: 1) item (question) identification (completed during initial validation study), 2) item reduction and scale exploration (completed during initial validation study), 3) confirmatory analyses and responsiveness of Portuguese version (completed during initial validation study in nine other languages). The data were collected pre-operatively and post-operatively at a minimum follow-up of 3 months and mean follow-up of 6 months. Item reduction, scale exploration, confirmatory analyses and responsiveness were executed using classical test theory and item response theory. RESULTS: The internal consistency was confirmed in the Portuguese version (Cronbach's Alpha 0.84). The Standard Error of Measurement (SEM) was 0.27 and is similar to other language versions. Between baseline and follow-up, 69.4% of patients showed an improvement on their EFAS score, with adequate responsiveness (effect size 0.64). CONCLUSIONS: The Portuguese EFAS Score version was successfully validated in patients with a wide variety of foot and ankle pathologies. All score versions are freely available at www.efas.net.
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Tornozelo , Idioma , Tornozelo/cirurgia , Articulação do Tornozelo , Humanos , Portugal , Reprodutibilidade dos Testes , Inquéritos e QuestionáriosRESUMO
INTRODUCTION: The biggest challenge in the treatment of acute ankle sprain is the uncertainty of the prognosis. The traditional classifications have several interpretations and little correlation with prognosis. In this study we propose a new classification for acute ankle sprain only based on clinical criteria. MATERIAL AND METHODS: We prospectively evaluated all patients with an ankle sprain, aged between 18 and 45 years, admitted to a hospital during a 24 month period. The minimum follow-up period was 12 months. The sprains were classified, in the first few days (CASCaIS-Initial), according to autonomous gait capacity, inspection and palpation. After a few weeks (CASCaIS-Deferred), it was complemented with the mechanical evaluation of ligaments through the ankle pivot test. RESULTS: Among the 49 patients who completed the follow-up, none of those who had a pivot-negative test progressed to chronic ankle instability (CAI). Nine of the 33 patients (27%) with a positive pivot progressed to CAI (p = 0.022). The evaluation of CASCaIS-Deferred demonstrated an association with CAI (p = 0.018). CONCLUSION: This classification proved to be a simple, inexpensive, and reliable tool that clinicians can use to determine the prognosis of the sprain.
Introdução: O maior desafio no tratamento da entorse aguda do tornozelo é a indefinição do prognóstico. As classificações clássicas têm várias interpretações e pouca correlação com o prognóstico. Com este trabalho propomos uma nova classificação baseada apenas em critérios clínicos.Material e Métodos: Foram prospectivamente avaliados doentes entre os 18 e os 45 anos com entorse aguda do tornozelo, admitidos numa instituição durante 24 meses. O seguimento mínimo teve uma duração de 12 meses. Estes doentes foram classificados nos primeiros dias após a entorse (CASCaIS-Inicial) com base na valorização da capacidade de marcha autónoma, inspeção do quadro inflamatório e palpação. Passadas algumas semanas (CASCaIS-Diferida) complementou-se com a avaliação ligamentar pelo teste de pivot do tornozelo.Resultados: Dos 49 doentes que completaram o seguimento, nenhum dos que tinha um teste pivot-negativo evoluiu para instabilidade crónica do tornozelo (ICT). Nove dos 33 doentes (27%) com um pivot-positivo evoluíram para ICT (p = 0,022). A avaliação da CASCaIS-Diferida demonstrou uma associação com a ICT (p = 0,018).Conclusão: Esta classificação demonstrou ser uma ferramenta simples, não dispendiosa e fiável que os clínicos poderão usar para determinar o prognóstico da entorse.
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Traumatismos do Tornozelo , Instabilidade Articular , Entorses e Distensões , Humanos , Lactente , Pré-Escolar , Traumatismos do Tornozelo/diagnóstico , Traumatismos do Tornozelo/complicações , Estudos Prospectivos , Entorses e Distensões/diagnóstico , Entorses e Distensões/complicações , Articulação do Tornozelo , Instabilidade Articular/diagnóstico , Instabilidade Articular/complicaçõesRESUMO
Ankle sprains are mainly benign lesions, but if not well addressed can evolve into permanent disability. A non-treated lateral, syndesmotic or medial ankle instability can evolve into ankle osteoarthritis. For this reason, diagnosis and treatment of these entities is of extreme importance.In general, acute instabilities undergo conservative treatment, while chronic instabilities are better addressed with surgical treatment. It is important to identify which acute instabilities are better treated with early surgical treatment.Syndesmosis injuries are frequently overlooked and represent a cause for persistent pain in ankle sprains. Unstable syndesmotic lesions are always managed by surgery.Non-treated deltoid ligament ruptures can evolve into a progressive valgus deformity of the hindfoot, due to its links with the spring ligament complex. This concept would give new importance to the diagnosis and treatment of acute medial ligament lesions.Multi-ligament lesions are usually unstable and are better treated with early surgery. A high suspicion rate is required, especially for combined syndesmotic and medial lesions or lateral and medial lesions.Ankle arthroscopy is a powerful tool for both diagnostic and treatment purposes. It is becoming mandatory in the management of ankle instabilities and multiple arthroscopic lateral/syndesmotic/medial repair techniques are emerging. Cite this article: EFORT Open Rev 2021;6:420-431. DOI: 10.1302/2058-5241.6.210017.
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CASE: A 65-year-old man presented with plantar foot pain associated with a mass in the first webspace. A Morton neuroma was considered the probable diagnosis. Despite nonoperative treatment the pain continued. Surgical excision was performed, and histology was interpreted as a schwannoma. Symptoms resolved after surgery. CONCLUSION: Schwannoma of the foot is a rare condition, and to the best of our knowledge, this is the first case reported in the first webspace. Definitive treatment and diagnosis is surgical excision. Surgeons should consider schwannomas in the differential diagnosis of plantar foot pain because this can be misdiagnosed as a Morton neuroma.
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Neurilemoma , Idoso , Diagnóstico Diferencial , Pé/patologia , Humanos , Masculino , Neurilemoma/diagnóstico por imagem , Neurilemoma/cirurgiaRESUMO
BACKGROUND: The lack of consensus on the relevance of the varus talar tilt test (VTTT) might be due to the divergence between the insufficiency vector of lateral ankle instability and the direction of this clinical test. Our hypothesis is that the VTTT is more accurate to diagnose lateral ankle ligaments rupture when it's applied with a pre-positioning of the foot in internal rotation (IR). METHODS: We compared, in 12 cadaver ankles, the varus opening during a classic VTTT with the same test starting in an IR pivot, using a new arthrometer. RESULTS: The classic VTTT caused a 13° tilt after ATFL section and 23,8° after ATFL and CFL section. The application of a VTTT with an IR prepositioning caused a 21,2° tilt after ATFL section (p = 0,002) and 29,5° after ATFL and CFL section (p = 0,006). CONCLUSION: The VTTT is better to identify lateral ankle ligaments' insufficiency when it's applied with a pre-positioning of the foot in internal rotation. The resulting vector is similar to the supination trauma.
Assuntos
Traumatismos do Tornozelo/cirurgia , Articulação do Tornozelo/cirurgia , Instabilidade Articular/cirurgia , Ligamentos Laterais do Tornozelo/cirurgia , Traumatismos do Tornozelo/complicações , Traumatismos do Tornozelo/fisiopatologia , Articulação do Tornozelo/fisiopatologia , Cadáver , Consenso , Humanos , Instabilidade Articular/etiologia , Instabilidade Articular/fisiopatologia , Ligamentos Laterais do Tornozelo/lesões , Ruptura , Supinação , TálusRESUMO
O objetivo deste artigo foi analisar os modelos de avaliação da qualidade de serviços e a relação da qualidade dos serviços na satisfação de espectadores de eventos esportivos. O estudo é uma revisão sistemática. A busca por artigos originais publicados a partir de janeiro de 2000 até junho de 2017 foi realizada nas bases de dados: SPORTDiscus, Scopus, Web of Science e SciELO Citation Index. Foram incluídos 19 artigos. Os resultados apontaram a existência de inúmeros modelos de avaliação que estão relacionados com a qualidade de serviços no esporte. Atributos do serviço principal como qualidade do jogo e desempenho dos atletas, além de serviços periféricos, como instalação, empatia dos funcionários e segurança influenciaram significativamente a satisfação dos espectadores esportivos. Portanto, os resultados indicam que a percepção da qualidade de serviços é um antecedente da satisfação
This study analyzed service quality evaluation models and the relations among service quality and audience satisfaction in sporting events. The study is a systematic review. Original articles published from January 2000 to June 2017 were searched on databases SPORTDiscus, Scopus, Web of Science and SciELO Citation Index. Nineteen articles were included. The results pointed out the existence of numerous evaluation models related to service quality in sports. Core service attributes such as game quality and athletes' performance, in addition to peripheral services such as facilities, employee empathy and security, have significantly influenced sports audience's satisfaction. Therefore, these results indicate that service quality perception precedes satisfaction
El objetivo de este artículo fue analizar los modelos de evaluación de la calidad de servicios y su relación con la satisfacción de espectadores de eventos deportivos. El estudio es una revisión sistemática. La búsqueda de artículos originales publicados a partir de enero de 2000 y hasta junio de 2017 fue realizada en las siguientes bases de datos: SPORTDiscus, Scopus, Web of Science y SciELO Citation Index. Fueron incluidos 19 artículos. Los resultados mostraron la existencia de innumerables modelos de evaluación relacionados con la calidad de servicios en el deporte. Atributos del servicio principal, como: calidad del juego y desempeño de los atletas; servicios periféricos, como: instalaciones, empatía de los funcionarios y seguridad influenciaron significativamente sobre la satisfacción de los espectadores deportivos. Por lo tanto, los resultados indican que la percepción de la calidad de servicios es un antecedente de la satisfacción
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Humanos , Revisão , Comportamento do Consumidor , Gestão da Qualidade Total , Marketing , EsportesRESUMO
The clinical diagnosis of the anterior talofibular ligament (ATFL) rupture is based on the findings from the medical history and the anterior drawer test, a maneuver that allegedly pushes the talus and rearfoot anteriorly, although with great variability in its sensitivity. We consider that an ATFL rupture is best evaluated by a rotational vector (i.e., a pivot test) owing to the uncompromised medial ligaments that will block any pure anterior translation of the talus underneath the tibia. We idealized a constrained ankle cadaver model that only allows talar movements in the axial plane. Our hypothesis was that progressive sectioning of the lateral ankle ligaments in this model would cause a progressive and significant angular laxity in internal rotation. Our results showed 3.67 degrees ± 1.2 degrees of talus rotational laxity in the intact ankle, 9.6 degrees ± 3.2 degrees after ATFL sectioning, and 13.43 degrees ± 3.2 degrees after ATFL and calcaneofibular ligament sectioning, indicating almost threefold increase in internal talocrural rotation after single ATFL sectioning and an almost fourfold increase after double (ATFL and calcaneofibular ligament) sectioning. We consider this evidence of rotational ankle laxity to be a major step in defining the correct movement to diagnose an ATFL rupture and propose a new term to avoid further inconsistencies and variability, "the pivot test."
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Articulação do Tornozelo/fisiopatologia , Instabilidade Articular/etiologia , Ligamentos Laterais do Tornozelo/fisiopatologia , Amplitude de Movimento Articular/fisiologia , Traumatismos do Tornozelo/complicações , Traumatismos do Tornozelo/fisiopatologia , Cadáver , Feminino , Humanos , Ligamentos Laterais do Tornozelo/lesões , MasculinoRESUMO
Percutaneous and minimally invasive surgery is one of the greatest advances in the operating field of orthopedic since the late 1990s. The potential advantages include a shorter operative time, quicker recovery, and reduced hospital stay compared with traditional open surgery. However, scientific validation of the safety and efficacy of hallux valgus (HV) percutaneous surgery remains inconclusive. The objective of the present study was to systematically review the published data and clinical evidence for percutaneous HV surgery, evaluate the scientific method of the reports, and clarify the indications, safety, efficacy, and potential risks of these surgical techniques. Two reviewers independently identified the studies using a PubMed search, with the keywords "hallux valgus," "osteotomy," "minimally invasive," and "percutaneous." Quality assessment was performed using the Coleman methodology scale, and each study was assigned a level of evidence and grade of recommendation. Eighteen studies were included and reported a total of 1534 procedures for percutaneous HV surgery on 1397 patients. Of the 18 studies, 14 (77.8%) were level IV, 2 (11.1%) were level III, and 2 (11.1%) were level II. Overall, the average angle correction of the HV deformity improved postoperatively. Regarding the complications, although some investigators revealed no major complications, others described deformity recurrence in 7.8%, stiffness of the first metatarsophalangeal joint in 9.8%, malunion in 4% to 8.7%, and infection rates ranging from 1.9% to 14.3%. The main indication for percutaneous HV surgery is the correction of mild deformities. The complication rate was elevated even in experienced surgeons. In conclusion, future research in percutaneous techniques should include adequately sized randomized control trials, standardization of treatment protocols, and the use of validated tools for the measurement of clinical outcomes.
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Hallux Valgus/cirurgia , Osteotomia/métodos , Amplitude de Movimento Articular/fisiologia , Recuperação de Função Fisiológica , Adulto , Idoso , Feminino , Humanos , Tempo de Internação , Masculino , Ossos do Metatarso/cirurgia , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Duração da Cirurgia , Medição da Dor , Recidiva , Medição de Risco , Resultado do TratamentoRESUMO
PURPOSE: The purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions. METHODS: A questionnaire was sent to 32 orthopaedic surgeons with clinical and scientific experience in the treatment of CAI. The questions were related to preoperative imaging, indications and timing of surgery, technical choices, and the influence of patient-related aspects. RESULTS: Thirty of the 32 invited surgeons (94%) responded. Consensus was found on several aspects of treatment. Preoperative MRI was routinely recommended. Surgery was considered in patients with functional ankle instability after 3-6 months of non-surgical treatment. Ligament repair is still the treatment of choice in patients with mechanical instability; however, in patients with generalized laxity or poor ligament quality, lateral ligament reconstruction (with grafting) of both the ATFL and CFL should be considered. CONCLUSIONS: Most surgeons request an MRI during the preoperative planning. There is a trend towards earlier surgical treatment (after failure of non-surgical treatment) in patients with mechanical ligament laxity (compared with functional instability) and in high-level athletes. This study proposes an assessment and a treatment algorithm that may be used as a recommendation in the treatment of patients with CAI. LEVEL OF EVIDENCE: V.
Assuntos
Traumatismos do Tornozelo/cirurgia , Articulação do Tornozelo/cirurgia , Prova Pericial/normas , Instabilidade Articular/cirurgia , Ligamentos Laterais do Tornozelo/cirurgia , Adulto , Traumatismos do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/diagnóstico por imagem , Doença Crônica , Comorbidade , Consenso , Feminino , Pesquisas sobre Atenção à Saúde , Humanos , Instabilidade Articular/diagnóstico por imagem , Ligamentos Laterais do Tornozelo/diagnóstico por imagem , Ligamentos Laterais do Tornozelo/lesões , Ligamentos/diagnóstico por imagem , Ligamentos/cirurgia , Imageamento por Ressonância Magnética , Masculino , Cuidados Pré-Operatórios , Procedimentos de Cirurgia Plástica/métodos , Adulto JovemRESUMO
OBJECTIVE: Analyzing the frequency patterns of practicing sports, the stages of change phases and the pros and cons of decision-making balance in nursing students related to gender and which year of study they are in. METHOD: A cross-sectional, descriptive and exploratory study. RESULTS: 535 students of both genders participated in the study. An analysis of the results revealed that 27.6% of the students did not present any frequency of practicing sports; 55.3% of the students did not have a consistent or continuous habit of practicing sports; students overall exhibited a non-existing frequency of practicing sports at similar levels throughout the study cycle; male students presented similar percentages in their positioning in the precontemplation and contemplation stages throughout the study cycle; and throughout all the stages of change phases students showed higher values for pros over cons related to practicing sports. CONCLUSION: The results reinforce the relevance for implementing mechanisms for promoting and monitoring nursing students' involvement and regular participation in practicing sports.
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Comportamentos Relacionados com a Saúde , Esportes , Estudantes de Enfermagem , Adolescente , Adulto , Estudos Transversais , Tomada de Decisões , Feminino , Humanos , Masculino , Estudantes de Enfermagem/psicologia , Adulto JovemRESUMO
RESUMO Objetivo Analisar os padrões de frequência de prática esportiva, as fases dos estágios de mudança e os prós e os contras do balanço decisional em estudantes de enfermagem, em função do sexo e do ano da licenciatura. Método Realizou-se um estudo transversal, descritivo e exploratório. Resultados Participaram do estudo 535 estudantes de ambos os sexos. A análise dos resultados revelou que 27,6% dos estudantes não apresentavam qualquer frequência de prática esportiva; 55,3% dos estudantes não tinham uma prática esportiva habitual consistente e continuada; os estudantes exibiam globalmente uma frequência de prática esportiva inexistente em níveis similares ao longo do ciclo de estudos; os estudantes do sexo masculino apresentavam porcentagens similares no seu posicionamento nos estágios de pré-contemplação e contemplação ao longo do ciclo de estudos; e em todas as fases dos estágios de mudança, os estudantes apresentaram valores superiores de prós em relação aos de contras para a prática esportiva. Conclusão Os resultados reforçam a pertinência da implementação de mecanismos de promoção e monitorização no envolvimento e participação regular na prática esportiva nos estudantes de enfermagem.
RESUMEN Objetivo Analizar los estándares de frecuencia de práctica deportiva, las fases de los estadíos de cambio e los pro y contra del balance de decisiones en estudiantes de enfermería, en función del sexo y del año de licenciado. Método Se llevó a cabo un estudio transversal, descriptivo y exploratorio. Resultados Participaron en el estudio 535 estudiantes de ambos sexos. El análisis de los resultados reveló que el 27,6% de los estudiantes no presentaban cualquier frecuencia de práctica deportiva; el 55,3% de los estudiantes no tenían una práctica deportiva habitual consistente y continuada; los estudiantes exhibían globalmente una frecuencia de práctica deportiva inexistente en niveles similares a lo largo del ciclo de estudios; los estudiantes del sexo masculino presentaban porcentajes similares en su posicionamiento en los estadíos de pre contemplación y contemplación a lo largo del ciclo de estudios; y en todas las fases de los estadíos de cambio, los estudiantes presentaron valores superiores de pro con relación a los de contra para la práctica deportiva. Conclusión Los resultados refuerzan la pertinencia de la implementación de mecanismos de promoción y monitoreo en la involucración y participación regular en la práctica deportiva de los estudiantes de enfermería.
ABSTRACT Objective Analyzing the frequency patterns of practicing sports, the stages of change phases and the pros and cons of decision-making balance in nursing students related to gender and which year of study they are in. Method A cross-sectional, descriptive and exploratory study. Results 535 students of both genders participated in the study. An analysis of the results revealed that 27.6% of the students did not present any frequency of practicing sports; 55.3% of the students did not have a consistent or continuous habit of practicing sports; students overall exhibited a non-existing frequency of practicing sports at similar levels throughout the study cycle; male students presented similar percentages in their positioning in the precontemplation and contemplation stages throughout the study cycle; and throughout all the stages of change phases students showed higher values for pros over cons related to practicing sports. Conclusion The results reinforce the relevance for implementing mechanisms for promoting and monitoring nursing students' involvement and regular participation in practicing sports.
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Humanos , Masculino , Feminino , Estudantes de Enfermagem , Exercício Físico , Estilo de Vida Saudável , Promoção da Saúde , Estudos TransversaisRESUMO
BACKGROUND: The Satisfaction with Life Scale is one of the most widely used scales to measure the global cognitive judgment of satisfaction with one’s life. METHOD: This study assesses the equivalence of the SWLS across Spanish and Portuguese adolescents, using multi-sample Confirmatory Factor Analysis. Participants were Spanish (N = 2183) and Portuguese (N = 4082) junior high school. RESULTS: The results provide high support for the internal consistency of both the Spanish and Portuguese versions of this scale. The results also showed that factor structure, factor loadings, could be considered invariant across groups. However, the full scalar invariance between Spanish and Portuguese samples was not found, with the intercept for SWLS item 5 varying across countries. CONCLUSIONS: Similar findings have also been found in other cross-national studies with this scale. Implications of the findings are discussed and we conclude that the Spanish and Portuguese versions of the SWLS can be used for cross-national comparisons with Spanish and Portuguese adolescents.
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Satisfação Pessoal , Testes Psicológicos , Adolescente , Análise Fatorial , Feminino , Humanos , Masculino , Portugal , EspanhaRESUMO
Flexor hallucis longus (FHL) transfer is a well-established treatment option in failed Achilles tendon (AT) repair and has been routinely performed as an open procedure. We detail the surgical steps needed to perform an arthroscopic transfer of the FHL for a chronic AT rupture. The FHL tendon is harvested as it enters in its tunnel beneath the sustentaculum tali; a tunnel is then drilled in the calcaneus as near to the AT footprint as possible. By use of a suture-passing device, the free end of the FHL is advanced to the plantar aspect of the foot. After adequate tension is applied to the construct, the tendon is fixed in place with an interference screw in an inside-out fashion. This minimally invasive approach is a safe and valid alternative to classic open procedures with the obvious advantages of preserving the soft-tissue envelope and using a biologically intact tendon.
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A criação de instrumentos psicológicos com indicadores favoráveis de validade é de extrema importância para o estudo e desenvolvimento de um determinado construto teórico, em especial quando este se trata de um fenômeno relativamente novo, como é o caso da resiliência, que é compreendida de forma geral como o processo que permite aos indivíduos sobreporem-se os riscos e tirar ganhos positivos desta experiência. O objetivo desta pesquisa foi proceder à avaliação da estrutura fatorial para contexto brasileiro da escala de resiliência de Wagnild e Young (1993). Para realização do estudo participaram 359 estudantes de ambos os sexos com idade variando de 12 a 20 anos. A partir de procedimentos de análise fatorial confirmatória verificou-se que a estrutura dimensional que possui melhores índices estatísticos ao contexto brasileiro foi a de cinco fatores: autossuficiência, sentido da vida, equanimidade, perseverança e singularidade existencial.
The development of psychological instruments with favorable validity indicators is of utmost importance for the study and development of a theoretical construct, in particular when it is a relatively new phenomenon, such as resilience, which is understood generally as the process that allows individuals to overlap their risks and obtain positive gains from this experience. The objective of this research was to evaluate the factorial structure for Brazilian context relating to the resilience scale by Wagnild and Young (1993). To conduct the study 359 students of both sexes aged 12-20 years participated. From procedures of confirmatory factor analysis it was found that the dimensional structure that has better statistical indices for the Brazilian context was that of five factors: self-sufficiency, meaning of life, fairness, perseverance and existential uniqueness.
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Humanos , Masculino , Feminino , Adolescente , Adulto , Psicologia , Pesos e Medidas , Análise Fatorial , Resiliência PsicológicaRESUMO
Embora nos últimos anos tenha vindo a aumentar o número de pesquisas que examinam a resiliência e o suporte social no contexto do esporte de competição, são ainda necessários estudos que examinem estas variáveis em contexto não competitivo, junto de crianças e jovens. Esta pesquisa teve por objetivo estudar a prática esportiva, a resiliência e o suporte social junto de 1052 com idades entre os 12 e os 20 anos (15,53 ± 1,68), estudantes de escolas públicas brasileiras. Inicialmente, examinaram-se as relações entre o sexo e a idade com a prática esportiva, resiliência e suporte social. Em seguida, averiguou-se a existência de diferenças nos níveis de resiliência e suporte social em função de diferentes níveis de prática esportiva. Os participantes preencheram uma bateria de questionários. Os resultados revelaram que os alunos mais novos praticavam esporte com mais frequência que as moças e os mais velhos. Não foram encontradas diferenças entre sexos nos níveis de resiliência, mas as moças estavam mais satisfeitas com o suporte social do que os rapazes. Os alunos no início da adolescência eram menos resilientes e estavam menos satisfeitos com o seu suporte social do que os jovens adultos e os alunos a meio da adolescência, respetivamente. Os resultados apontam ainda para uma relação significativa entre a prática esportiva e a resiliência, bem como entre a prática esportiva e o grau de satisfação dos sujeitos com suas redes de suporte social, independentemente do número de sujeitos que compunham esta rede. (AU)
Although in recent years the number of research examining resilience and social support in competitive sports context has increased, further studies are needed to examine these variables in non-competitive contexts, with children and young people. This research aimed to study sports practice, resilience and social support in 1052 Brazilian students from public schools, aged 12 and 20 years old (15.53 ± 1.68). Initially, we examined the relationship between sex and age with sports practice, resilience and social support. Afterwards, we examined differences in resilience and social support across different levels of sports practice. Participants completed a pack of questionnaires. The results revealed that the boys and younger students practiced sport more often than girls and older students. No differences were found between sexes in resilience levels, but girls were more satisfied with their perceived social support than boys. Students in their early teens were less resilient and were less satisfied with the social support they perceived than young adults and students in their mid-teens, respectively. The results also indicated a significant relationship between sports practice and resilience, as well as between sports and the level of satisfaction with the social support network, regardless of the number of subjects that made up that network. (AU)
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Humanos , Masculino , Feminino , Adolescente , Adulto , Adulto Jovem , Adolescente , Resiliência Psicológica , Psicologia do Esporte , Apoio Social , Diagnóstico , Adulto Jovem/psicologiaRESUMO
A criação de instrumentos psicológicos com indicadores favoráveis de validade é de extrema importância para o estudo e desenvolvimento de um determinado construto teórico, em especial quando este se trata de um fenômeno relativamente novo, como é o caso da resiliência, que é compreendida de forma geral como o processo que permite aos indivíduos sobreporem-se os riscos e tirar ganhos positivos desta experiência. O objetivo desta pesquisa foi proceder à avaliação da estrutura fatorial para contexto brasileiro da escala de resiliência de Wagnild e Young (1993). Para realização do estudo participaram 359 estudantes de ambos os sexos com idade variando de 12 a 20 anos. A partir de procedimentos de análise fatorial confirmatória verificou-se que a estrutura dimensional que possui melhores índices estatísticos ao contexto brasileiro foi a de cinco fatores: autossuficiência, sentido da vida, equanimidade, perseverança e singularidade existencial.(AU)
The development of psychological instruments with favorable validity indicators is of utmost importance for the study and development of a theoretical construct, in particular when it is a relatively new phenomenon, such as resilience, which is understood generally as the process that allows individuals to overlap their risks and obtain positive gains from this experience. The objective of this research was to evaluate the factorial structure for Brazilian context relating to the resilience scale by Wagnild and Young (1993). To conduct the study 359 students of both sexes aged 12-20 years participated. From procedures of confirmatory factor analysis it was found that the dimensional structure that has better statistical indices for the Brazilian context was that of five factors: self-sufficiency, meaning of life, fairness, perseverance and existential uniqueness.(AU)
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Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Resiliência Psicológica , Análise Fatorial , Pesos e Medidas , PsicologiaRESUMO
BACKGROUND: Tenosynovitis of the flexor hallucis longus (FHL) tendon is a condition typically found in ballet dancers and sometimes in soccer players and is related to chronic overuse. A traumatic cause for this situation, such as an ankle sprain, is considered rare. In case of failure of conservative treatment, the tendon can be surgically released, which is usually done through an open procedure. This article presents the results of an arthroscopic release of the FHL. METHODS: Twenty-seven patients underwent surgery for FHL tenosynovitis over a period of 18 months. The mean age of the patients was 34 years. All patients related the onset of the condition with an ankle sprain. Eighteen patients were on worker's compensation and five had sport-related accidents. None of the patients was a professional athlete or a ballet dancer. The mean follow-up was 32 months. The outcome was measured with a satisfaction questionnaire and with the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scoring system. RESULTS: The mean postoperative AOFAS score was 89 with 70% excellent or good results. Mean satisfaction rate was 4 (range, 0 to 5); 89% of the patients would undergo the procedure again. Twenty-two patients (81%) returned to the same level of activity in work and sports. A complication rate of 18% (five patients) and reoperation rate of 4% (one patient) were found. CONCLUSION: Arthroscopic release of the FHL tendon was a valid procedure. It was a minimally invasive surgery that allowed good visualization of the involved structures and yielded good results. This condition can be related to trauma and is not an exclusive disease of ballet dancers or overuse.