[Efficiency of therapeutically applied physical factors for vibration disease caused by exposure to local vibration (review of literature).]

Important role in treatment and prophylaxis for vibration disease due to local vibration is played by physical factors. If high frequency components prevalent in occupational vibration, treatment with electric therapy, laser, magnetic fields, lymphatic drainage, hydrotherapy provides influence on leading chains of systemic microangiopathies pathogenesis - dysbalance of regulation influences by vegetative nervous system, vasoconstriction and intravascular changes, vascular permeability and microcirculation disorders. If low frequency coomponents prevalent in occupational vibration, treatment of polyneuropathies and locomotory disorders incorporates trophic processes activation: transcranial electroanalgesia, surface application of mineral waters, manual and subwater massage, ozone therapy, local spark discharges, peloids. Complex use of physical methods also increases human adaptational resources.

[Chest physical therapy of the distal lung. Mechanical basis of a new paradigm]. / La kinésithérapie respiratoire du poumon profond. Bases mécaniques d'un nouveau paradigme.

Recent medical literature has shown that there has been renewed interest focused on the small airways deep in the lung tissue. Although there is involvement of the distal airways at an early stage in mucus secreting lung diseases, no specific chest physical therapy (CPT) manoeuver has been proposed for small airways clearance. A four-tier classification of CPT has been established with identification of its benefits at each level of a monoalveolar respiratory tract model. The usual expiratory techniques directed towards the upper and middle respiratory tract are not applicable to the small airways and new paradigm is proposed appropriate to their specific mechanical characteristics. This comprises a slow resistive inspiratory manoeuver in the lateral position. Clinical auscultation of the lung is the cornerstone of the validation and follow-up of the technique.

A percepção de idosas institucionalizadas sobre o uso do cão durante o atendimento fisioterapêutico / The perception of institutionalized elderly about physical therapy session assisted by a dog

Introdução: A Cinoterapia é uma Terapia Assistida por Animais,especificamente com cães e é utilizada em diferentes faixas etárias,incluindo idosos. Objetivo: Identificar a percepção de idosas institucionalizadas sobre o uso do cão no atendimento fisioterapêutico. Métodos: Para esta pesquisa descritiva qualitativa utilizou-se uma ficha de avaliação e entrevista narrativa individual. Durante 8 sessões(2 vezes na semana, uma com e outra sem o cão) realizou-se uma pista de exercícios com 5 idosas. Resultados: Após análise, elencou-se duas categorias: O cão como aliado a fisioterapia: percepções de idosos institucionalizados e Idoso institucionalizado: questões a considerar. A primeira trouxe como elementos os benefícios e dificuldades encontradas,como a dificuldade de conduzir o animal e o auxílio do mesmo no aprendizado dos exercícios. A segunda mostrou o caráter emocional ao cão (remetendo-as a experiências com seus animais) e contradições nas falas (pode ser explicado pelo comprometimento cognitivo destas). Conclusão: Entende-se que o cão pode ser um recurso a ser utilizado pela fisioterapia, porém requer animal treinadoe capacitação profissional. Ao ser incorporado no atendimento, as participantes trouxeram mais componentes benéficos como a vivência de relação de carinho e estímulo ao aprendizado, sugerindo que esta técnica deva ser mais utilizada para este público.

Introduction: Cinotherapy is an animal-assisted therapy, mainlywith dogs and it is used at different ages, including old people. Aim: To identify perception of institutionalized elderly about physical therapy session assisted by a dog. Methods: This is a qualitative descriptive research which used an evaluation form and personal narrative interview. During 8 sessions (twice a week, one day assisted by the dog and the other day without), we performed a circuit exercises with five old women. Results: After analysis, we determined two categories: Dog-assisted physical therapy: perception of institutionalized elderly and institutionalized elderly: questions to consider. The firs thas brought as elements the Benefits and difficulties found, such as difficulty to carry the animal and the help in learning exercises. The second showed the love and affection with the dog (they remember about experiences with their own animals) and contradictions in their speeches (can be explained by the cognitive impairment). Conclusion: We can understand that the dog is a resource to be used by the physical therapy, but the animal should be already trained and professionally qualified. It was observed that sessions with dog-assisted therapy brought more benefits to the participants such as love and affection relationship and encouragement for learning,suggesting that this technique should be more used for those clients.