Protocols Used by Occupational Therapists on Shoulder Pain after Stroke: Systematic Review and Meta-Analysis.

INTRODUCTION: Shoulder pain as a consequence after a stroke has multifactorial causes and can prevent the functional return of the upper limb. In addition, the effectiveness of clinical protocols applied by occupational therapists remains uncertain. OBJECTIVE: To identify the main treatments currently used by occupational therapists for pain in the shoulder after a stroke. METHOD: Articles in English published between 2015 and 2019, of the randomized clinical trial type, with populations that stroke survivors a stroke and sequelae of shoulder pain were selected. The terms and combinations used were "shoulder pain and stroke and occupational therapy," in the electronic databases, Directory of Open Access Journals (DOAJ), Occupational Therapy Systematic Evaluation of Evidence (OTseeker), and PubMed. Statistical Review Manager (version 5.3) established the significance level P ≤ 0.05. RESULTS: Thirty-nine articles were found, but only four met the inclusion criteria. Electrical stimulation, therapeutic bandaging, and dry needling were eventually employed. For the meta-analysis, pain was the primary outcome, and range of motion (ROM) and upper limb function were secondary. Pain, ROM (external rotation, abduction, and flexion), and manual function were compared, and the meta-analysis showed improvement in the treatment group in clinical trials: pain (MD -2.08; 95% CI -3.23, -0.93; P = 0.0004), ROM (MD 4.67; 95% CI 1.54, 7.79; P = 0.0003), and manual function (MD 1.84; 95% CI 0.52, 3.16; P = 0.006). CONCLUSION: Dry needling, California tripull taping (CTPT), and functional electrical stimulation controlled by brain-machine interface (BCI-FES) are proved effective in shoulder pain and functionality.

Effects of Resistance Training and Bowdichia virgilioides Hydroethanolic Extract on Oxidative Stress Markers in Rats Submitted to Peripheral Nerve Injury.

The objective of this study was to analyze the effects of the combination of resistance training (RT) and the hydroethanolic extract (EHE) of Bowdichia virgilioides as markers of oxidative stress (OS) in rats with peripheral nerve injury (PNI). Rats were allocated into six groups (n = 10): animals without interventions (C), animals with an exposed nerve but without injury, injured animals, trained and injured animals, injured animals that received EHE, and animals that received a combination of RT and EHE. RT comprised the climbing of stairs. EHE was orally administered (200 mg/kg) for 21 days after PNI induction. RT reduced the amount of lipoperoxidation in plasma (14.11%). EHE reduced lipoperoxidation in the plasma (20.72%) and the brain (41.36). RT associated with the extract simultaneously reduced lipoperoxidation in the plasma (34.23%), muscle (25.13%), and brain (43.98%). There was an increase in total sulhydrilyl levels (a) in the brain (33.33%) via RT; (b) in the brain (44.44%) and muscle (44.51%) using EHE; and (c) in the plasma (54.02%), brain (54.25%), and muscle using the combination of RT + EHE. These results suggest that RT associated with oral EHE results in a decrease in OS.

Can Creatine Supplementation Interfere with Muscle Strength and Fatigue in Brazilian National Level Paralympic Powerlifting?

The aim of the present study was to analyze the effect of creatine (Cr) supplementation on peak torque (PT) and fatigue rate in Paralympic weightlifting athletes. Eight Paralympic powerlifting athletes participated in the study, with 25.40 ± 3.30 years and 70.30 ± 12.15 kg. The measurements of muscle strength, fatigue index (FI), peak torque (PT), force (kgf), force (N), rate of force development (RFD), and time to maximum isometric force (time) were determined by a Musclelab load cell. The study was performed in a single-blind manner, with subjects conducting the experiments first with placebo supplementation and then, following a 7-day washout period, beginning the same protocol with creatine supplementation for 7 days. This sequence was chosen because of the lengthy washout of creatine. Regarding the comparison between conditions, Cr supplementation did not show effects on the variables of muscle force, peak torque, RFD, and time to maximum isometric force (p > 0.05). However, when comparing the results of the moments with the use of Cr and placebo, a difference was observed for the FI after seven days (U3: 1.12; 95% CI: (0.03, 2.27); p = 0.02); therefore, the FI was higher for placebo. Creatine supplementation has a positive effect on the performance of Paralympic powerlifting athletes, reducing fatigue index, and keeping the force levels as well as PT.

Onde estão os melhores corredores do Brasil? / Where are the best road runners in Brazil?

A análise do desempenho esportivo deve ser feita através de uma perspectiva que contemple a influência de diversos fatores. Neste contexto, fatores socioeconômicos e demográficos do estado apresentam-se, também, como preditores no desempenho esportivo, sobretudo em esportes que aparentemente são considerados "baratos e de fácil acesso" como é o caso da corrida de rua. Sendo assim, o propósito do trabalho é apresentar uma descrição da distribuição dos melhores corredores de rua a nível nacional, e verificar a relação entre a representatividade no ranking e variáveis relacionadas ao estado, sendo elas: índice de desenvolvimento humano, tamanho da população, rendimento mensal e produto interno bruto. Para verificação da distribuição dos corredores no país, foi verificada a frequência de atletas no ranking, conforme estado. A correlação de Sperman foi utilizada para verificar a relação existente entre as variáveis relacionadas ao estado e a presença dos corredores no ranking, sendo considerado p<0,05. Foi observada uma maior representatividade das regiões Sudeste e Sul, comparativamente às demais regiões do Brasil, para além do fato de que houve correlação positiva e significativa entre as variáveis "tamanho da população" e "produto interno bruto" com os estados representados no ranking. Deste modo, conclui-se que àquelas regiões que possuem melhores valores desses indicadores são mais propensas a obterem uma maior quantidade de atletas no ranking por fatores como: maior número de atletas praticantes da modalidade e fatores econômicos que sustentam os seus praticantes durante a dedicação ao esporte e que culminam em uma maior representatividade relativamente às demais regiões. (AU)

The analysis of sport performance should be performed through different predictors. Taking this into account, socioeconomic and demographic factors from the state where the person lives can be seeing as relevant determinants of the sport performance, especially in sports considered as "cheap and accessible", such as road running race. The purpose of the present study is to describe the distribution of the best road runners in Brazil, and to verify the relationship between the representativeness in the national ranking with variables related to the state, namely: human development index, state population size, monthly income, and gross domestic product. To determine the road runners' distribution across the country, the frequency of the runners presented in the ranking was reported according to Brazilian states. The Sperman correlation (r) was computed to verify the relationship between state predictors and the presence of runners in the ranking, with the significance level of p<0.05. It was observed a higher representativeness of the South and Southeast regions, compared with the other Brazilian geographical regions; in addition, a positive and significant correlation was observed between the variables "state population size" and "gross domestic product" with the states presented in the ranking. In conclusion, those regions with higher values in these indicators are more prone to have more runners in the ranking, given the highest number of subjects enrolled in this sport as well as socioeconomic factors that support the athletes during their practice, leading to a higher representativeness of this regions in relation to the other ones. (AU)

Does pre-competitive anxiety interfere in the performance of boxing athletes in brazil? a pilot study / A ansiedade pré-competitiva interfere no rendimento dos atletas de boxe no brasil? estudo piloto / ¿la ansiedad precompetitiva interfiere en el rendimiento de los atletas de boxeo en brasil? estudio piloto

ABSTRACT Introduction: Pre-competitive anxiety is one of the psychological factors that can greatly influence athletes' performance, especially when it comes to individual sport like boxing. Objective: To analyze the level of pre-competitive anxiety in male athletes in the adult and young adult categories, and their correlation with the final results of the last Brazilian National Championship. Methods: A total of 60 young adult athletes participated in the study: 38 non-medalists (17.17±0.54 years and 66.38±13.21 kg) and 22 medalists (17.48±0.54 years and 66.21±12.96 kg). The "adults" group consisted of 35 athletes: 11 non-medalists (22.60±4.65 years and 68.33±14.08 kg) and 24 medalists (22.60±4.82 years and 67.33 ±13.13 kg). Results: The levels of cognitive anxiety in the young adult athletes group presented significant differences: medalists presented lower scores than non-medalists (12.77±2.62 and 15.92±5.20, respectively). In the adults group, medalists presented higher scores than non-medalists (15.23±4.42 and 12.00±4.11). Significant differences were observed in somatic anxiety levels between the young adult medalists and the other groups (p = 0.038). In addition, levels of self-confidence were high in all groups (young adult non-medalists = 29.42±4.82; adult non-medalists = 26.14±4.94, young adult medalists = 31.59±4.24 and adult medalists = 28.91±4.88). Conclusion: We conclude that self-confidence may interfere with anxiety levels, considering that medal-winning boxers are less prone to cognitive anxiety than non-medalists, and that both groups have high levels of self-confidence. Level of evidence I; High quality randomized trial with statistically significant difference or no statistically significant difference but narrow confidence intervals.

RESUMO Introdução: A ansiedade pré-competitiva é um dos fatores psicológicos que pode exercer grande influência sobre o rendimento dos atletas, principalmente, quando se trata de esporte individual como o boxe. Objetivo: Analisar o nível de ansiedade pré-competitiva em atletas do sexo masculino nas categorias adulto e juvenil e sua correlação com os resultados finais do último Campeonato Brasileiro. Métodos: Participaram do estudo 60 atletas juvenis: 38 não medalhistas (17,17 ± 0,54 anos e 66,38 ± 13,21 kg) e 22 medalhistas (17,48 ± 0,54 anos e 66,21 ± 12,96 kg). O grupo "adultos" foi composto por 35 atletas: 11 não medalhistas (22,60 ± 4,65 anos e 68,33 ± 14,08 kg) e 24 medalhistas (22,60 ± 4,82 anos e 67,33 ± 13,13 kg). Resultados: Os níveis de ansiedade cognitiva no grupo de atletas juvenis apresentaram diferenças significativas: os medalhistas apresentaram escores mais baixos do que os não medalhistas (12,77 ± 2,62 e 15,92 ± 5,20, respectivamente). No grupo de adultos, os medalhistas apresentaram maiores escores do que os não medalhistas (15,23 ± 4,42 e 12,00 ± 4,11). Diferenças significativas foram observadas nos níveis de ansiedade somática entre os medalhistas juvenis e os outros grupos (p = 0,038). Além disso, os níveis de autoconfiança apresentaram-se altos em todos os grupos (não-medalhistas juvenis = 29,42 ± 4,82; não-medalhistas adultos = 26,14 ± 4,94, medalhistas juvenis = 31,59 ± 4,24 e medalhistas adultos = 28,91 ± 4,88). Conclusão: Concluiu-se que a autoconfiança pode interferir nos níveis de ansiedade, considerando que boxeadores medalhistas são menos propensos a ansiedade cognitiva do que os não-medalhistas e que ambos os grupos apresentam altos níveis de autoconfiança. Nível de evidência I; Estudo clínico randomizado de alta qualidade com ou sem diferença estatisticamente significante, mas com intervalos de confiança estreitos.

RESUMEN Introducción: La ansiedad precompetitiva es uno de los factores psicológicos que puede ejercer gran influencia sobre el rendimiento de los atletas, principalmente, cuando se trata de deportes individuales como el boxeo. Objetivo: Analizar el nivel de ansiedad precompetitiva en atletas del sexo masculino en las categorías adulto y juvenil, y su correlación con los resultados finales del último Campeonato Brasileño. Métodos: Participaron en el estudio 60 atletas juveniles: 38 no medallistas (17,17 ± 0,54 años y 66,38 ± 13,21 kg) y 22 medallistas (17,48 ± 0,54 años y 66,21 ± 12,96 kg). El grupo "adultos" fue compuesto por 35 atletas: 11 no medallistas (22,60 ± 4,65 años y 68,33 ± 14,08 kg) y 24 medallistas (22,60 ± 4,82 años y 67,33 ± 13,13 kg). Resultados: Los niveles de ansiedad cognitiva en el grupo de atletas jóvenes presentaron diferencias significativas: los medallistas presentaron puntuaciones más bajas que los no medallistas (12,77 ± 2,62 y 15,92 ± 5,20 respectivamente). En el grupo de adultos, los medallistas presentaron puntuaciones más altas que los no medallistas (15,23 ± 4,42 y 12,00 ± 4,11). Se observaron diferencias significativas en los niveles de ansiedad somática entre medallistas juveniles y los otros grupos (p = 0,038). Además, los niveles de autoconfianza se presentaron altos en todos los grupos (juveniles no medallistas = 29,42 ± 4,82; adultos no medallistas = 26,14 ± 4,94, medallistas juveniles = 31,59 ± 4,24 y medallistas adultos = 28,91 ± 4,88). Conclusión: Se concluyó que la autoconfianza puede interferir en los niveles de ansiedad, considerando que los boxeadores medallistas son menos propensos a la ansiedad cognitiva que los no medallistas y que ambos grupos tienen altos niveles de autoconfianza. Nivel de evidencia I; Estudio clínico aleatorio de alta calidad con o sin diferencia estadísticamente significativa, pero con intervalos de confianza estrechos.