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1.
Foot Ankle Surg ; 28(6): 709-713, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35738983

ABSTRACT

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.


Subject(s)
Ankle , Language , Ankle/surgery , Ankle Joint , Humans , Portugal , Reproducibility of Results , Surveys and Questionnaires
2.
Foot Ankle Surg ; 26(3): 258-264, 2020 Apr.
Article in English | MEDLINE | ID: mdl-30992182

ABSTRACT

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.


Subject(s)
Ankle Injuries/surgery , Ankle Joint/surgery , Joint Instability/surgery , Lateral Ligament, Ankle/surgery , Ankle Injuries/complications , Ankle Injuries/physiopathology , Ankle Joint/physiopathology , Cadaver , Consensus , Humans , Joint Instability/etiology , Joint Instability/physiopathology , Lateral Ligament, Ankle/injuries , Rupture , Supination , Talus
3.
Foot Ankle Surg ; 2024 Jul 13.
Article in English | MEDLINE | ID: mdl-39004584
4.
Knee Surg Sports Traumatol Arthrosc ; 26(7): 2095-2102, 2018 Jul.
Article in English | MEDLINE | ID: mdl-28439639

ABSTRACT

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.


Subject(s)
Ankle Injuries/surgery , Ankle Joint/surgery , Expert Testimony/standards , Joint Instability/surgery , Lateral Ligament, Ankle/surgery , Adult , Ankle Injuries/diagnostic imaging , Ankle Joint/diagnostic imaging , Chronic Disease , Comorbidity , Consensus , Female , Health Care Surveys , Humans , Joint Instability/diagnostic imaging , Lateral Ligament, Ankle/diagnostic imaging , Lateral Ligament, Ankle/injuries , Ligaments/diagnostic imaging , Ligaments/surgery , Magnetic Resonance Imaging , Male , Preoperative Care , Plastic Surgery Procedures/methods , Young Adult
5.
J Foot Ankle Surg ; 57(1): 123-130, 2018.
Article in English | MEDLINE | ID: mdl-28870735

ABSTRACT

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.


Subject(s)
Hallux Valgus/surgery , Osteotomy/methods , Range of Motion, Articular/physiology , Recovery of Function , Adult , Aged , Female , Humans , Length of Stay , Male , Metatarsal Bones/surgery , Middle Aged , Minimally Invasive Surgical Procedures/methods , Operative Time , Pain Measurement , Recurrence , Risk Assessment , Treatment Outcome
6.
J Foot Ankle Surg ; 57(6): 1087-1091, 2018.
Article in English | MEDLINE | ID: mdl-30146335

ABSTRACT

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."


Subject(s)
Ankle Joint/physiopathology , Joint Instability/etiology , Lateral Ligament, Ankle/physiopathology , Range of Motion, Articular/physiology , Ankle Injuries/complications , Ankle Injuries/physiopathology , Cadaver , Female , Humans , Lateral Ligament, Ankle/injuries , Male
7.
Rev Esc Enferm USP ; 51: e03281, 2017 Dec 21.
Article in Portuguese, English | MEDLINE | ID: mdl-29267733

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.


Subject(s)
Health Behavior , Sports , Students, Nursing , Adolescent , Adult , Cross-Sectional Studies , Decision Making , Female , Humans , Male , Students, Nursing/psychology , Young Adult
8.
Foot Ankle Surg ; 26(8): 837, 2020 12.
Article in English | MEDLINE | ID: mdl-33323176
10.
Foot Ankle Int ; 33(12): 1108-12, 2012 Dec.
Article in English | MEDLINE | ID: mdl-23199862

ABSTRACT

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.


Subject(s)
Arthroscopy , Tendons/surgery , Tenosynovitis/surgery , Adolescent , Adult , Ankle Injuries/complications , Female , Follow-Up Studies , Humans , Male , Middle Aged , Patient Satisfaction , Postoperative Complications , Reoperation , Retrospective Studies , Sprains and Strains/complications , Synovectomy , Tenosynovitis/etiology , Young Adult
11.
Acta Med Port ; 35(7-8): 566-577, 2022 Jul 01.
Article in Portuguese | MEDLINE | ID: mdl-35314022

ABSTRACT

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.


Subject(s)
Ankle Injuries , Joint Instability , Sprains and Strains , Humans , Infant , Child, Preschool , Ankle Injuries/diagnosis , Ankle Injuries/complications , Prospective Studies , Sprains and Strains/diagnosis , Sprains and Strains/complications , Ankle Joint , Joint Instability/diagnosis , Joint Instability/complications
12.
EFORT Open Rev ; 6(6): 420-431, 2021 Jun.
Article in English | MEDLINE | ID: mdl-34267932

ABSTRACT

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.

13.
JBJS Case Connect ; 11(2)2021 05 20.
Article in English | MEDLINE | ID: mdl-34014845

ABSTRACT

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.


Subject(s)
Neurilemmoma , Aged , Diagnosis, Differential , Foot/pathology , Humans , Male , Neurilemmoma/diagnostic imaging , Neurilemmoma/surgery
14.
Foot Ankle Int ; 30(12): 1149-53, 2009 Dec.
Article in English | MEDLINE | ID: mdl-20003872

ABSTRACT

BACKGROUND: The surgical treatment of hallux valgus with an increased distal metatarsal articular angle (DMAA) should include the correction of this angle to maintain a congruent joint. The purpose of this study was to report our results with this procedure. MATERIALS AND METHODS: From January 2000 until December 2006, 23 feet (13 patients) with an increased DMAA were operated upon by the same surgeon using a biplanar chevron osteotomy. The technique was modified making the plantar cut more horizontal and only removing a wedge from the dorsal cut. Clinical and radiographic evaluation was made after a mean followup of 56 months. The AOFAS score for the hallux was used and angular deformities were measured. The patients had a mean age of 51 years and were all female. RESULTS: A good functional result was achieved with a mean AOFAS score of 87. An improvement of the angular deformities was noted in all patients. The mean hallux valgus angle improved from 28 degrees pre-op to 14 degrees post-op, the intermetatarsal angle from 12 degrees to 7 degrees and the DMAA from 20 degrees to 7 degrees. All patients except one were satisfied with the outcome of the procedure. Minimally symptomatic AVN of the metatarsal head was observed in one foot. CONCLUSIONS: We conclude that this procedure is a good choice for the treatment of symptomatic hallux valgus with an increased DMAA, producing a good clinical and radiographic result.


Subject(s)
Hallux Valgus/surgery , Osteotomy/methods , Adult , Aged , Female , Follow-Up Studies , Hallux Valgus/diagnostic imaging , Humans , Joint Capsule/surgery , Metatarsal Bones/surgery , Metatarsophalangeal Joint/surgery , Middle Aged , Patient Satisfaction , Radiography , Retrospective Studies , Treatment Outcome
15.
Foot Ankle Int ; 30(3): 213-7, 2009 Mar.
Article in English | MEDLINE | ID: mdl-19321097

ABSTRACT

BACKGROUND: The current "gold standard'' for treatment of chronic lateral ankle instability is the Broström-Gould procedure. Most authors recommend this type of operation even after an arthroscopic inspection of the joint. We review our results with an arthroscopic method of lateral ankle ligament repair. MATERIALS AND METHODS: A method of arthroscopic lateral ligament repair with an anchor placed in the fibula is described. We used this technique on 31 consecutive patients (28 were available for followup). Twenty-one patients had work or traffic accidents, four suffered casual falls. and three had sport-related lesions. The patients were evaluated after 24.5 month average followup. RESULTS: The average postoperative AOFAS score was 85.3 (82.3 in the workers-compensation group and 94.4 in the others) and average satisfaction was 3.8 (3.5 to workers-compensation and 4.6 for the others). Complications occurred in nine patients (29%), but only three cases had ongoing problems. We had two recurrences (another sprain without instability on the stress radiograph). Three patients had some wound healing problems and three had injuries of the superficial peroneal nerve, one of which is persistent. One patient developed a deep venous thrombosis postoperatively. CONCLUSION: With this method, we achieved good clinical results. We had several complications but most of them were minor. It was a simple procedure with less morbidity to most patients. We believe it produced an anatomical repair of the lateral ligament with clinical and functional results similar to other techniques.


Subject(s)
Ankle Injuries/surgery , Arthroscopy , Collateral Ligaments/surgery , Joint Instability/surgery , Adolescent , Adult , Ankle Injuries/complications , Female , Fibula/surgery , Follow-Up Studies , Humans , Joint Instability/etiology , Male , Middle Aged , Retrospective Studies , Suture Anchors , Suture Techniques , Treatment Outcome , Young Adult
16.
Psicothema ; 28(3): 353-8, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27448272

ABSTRACT

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.


Subject(s)
Personal Satisfaction , Psychological Tests , Adolescent , Factor Analysis, Statistical , Female , Humans , Male , Portugal , Spain
17.
Arthrosc Tech ; 4(5): e411-6, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26697296

ABSTRACT

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.

18.
Cuad. psicol. deporte ; 20(2): 1-25, mayo 2020. tab, graf
Article in English | IBECS (Spain) | ID: ibc-198036

ABSTRACT

BACKGROUND: Teaching Personal and Social Responsibility (TPSR) has been studied and implemented through physical activity in different backgrounds for over three decades. However, there is no systematized review in the literature concerning the after-school context. AIM: Conducting a systematic review of literature on after-school interventions based on the TPSR model. METHODS: This study was driven by the following research questions: Which were the conclusions regarding the implementation of TPSR in after-school settings? Which research methodologies have been used to assess TPSR in after-school time settings? Which results related to TPSR were reported in after-school time settings? Cochrane protocol guidelines were followed. Papers were selected by two independent researchers, with Cohen's Kappa value of 81%. RESULTS AND DISCUSSION: Twenty-seven papers were selected, thirteen of which were reported with high scores. Most interventions were conducted in the USA on community-based after-school programs, lasting more than nine sessions, and led by school staff who prepared physical activities for youngsters from disadvantaged communities. Most of the reported studies resorted to qualitative methodologies. Some gaps were detected, such as lack of systematization of methods, lack of validity and reliability. Personal and social benefits were found. Other results were grouped into leadership, staff-youngsters relationship, values, transference, and impact on staff lives. We recommend future studies in the after-school context extend to extend to other countries, with more detailed descriptions of the specific used methods


CONTEXTO: Hace más de tres décadas, el Teaching Personal and Social Responsability(TPSR) ha sido estudiado e implementado, a través de la actividad física, en distintos contextos. No obstante, no ha ninguna revisión sistematizada en literatura en un contexto extracurricular. OBJETIVO: Llevar a una revisión sistemática de la literatura sobre intervenciones extracurriculares basadas en el modelo TPSR. MÉTODOS: Las preguntas de búsqueda que llevaron a este estudio fueron: ¿Cuáles las conclusiones relacionadas a la implementación del TPSR en contexto extracurricular? ¿Qué metodologías de investigación han sido utilizadas para examinar el TPSR en contexto extracurricular? ¿Qué resultados relacionados con el TPSR fueron presentados en contexto extracurricular? Han sido seguidas las orientaciones del protocolo de Cochrane. La selección de los artículos ha sido hecha por dos investigadores independientes, con valor de Kappa de Cohen de 81%. RESULTADOS Y DISCUSIÓN: Han sido seleccionados veintisiete artículos, trece de los cuales han sido relatados con elevada puntuación. La mayoría de las intervenciones han sido hechas en los EEUU, en programas extracurriculares para la comunidad, con una duración superior a nueve sesiones, encabezadas por staff de la escuela prepararon actividades físicas para jóvenes de comunidades desfavorecidas. Los estudios relatados apelaron, en su mayoría, a metodologías cualitativas. Algunos errores han sido detectados como la falta de sistematización de los métodos, la falta de validez y fiabilidad. Han sido encontrados beneficios personales y sociales. Otros resultados han sido agrupados en liderazgo, relaciones entre staff y jóvenes, valores, transferencia e impacto en la vida de las personas. Se recomienda que estudios futuros en el contexto extracurricular se extiendan a otros países, con descripciones más detalladas de los métodos utilizados y exactos


CONTEXTO: Há mais de três décadas, o Teaching Personal and Social Responsibility(TPSR) tem sido estudado e implementado, através da atividade física, em diferentes contextos. No entanto, não há nenhuma revisão sistematizada na literatura em contexto extracurricular. PROPÓSITO: Conduzir uma revisão sistemática da literatura sobre intervenções extracurriculares baseadas no modelo TPSR. MÉTODOS: As perguntas de pesquisa que conduziram este estudo foram: quais as conclusões relacionadas à implementação do TPSR em contextos extracurriculares? Que metodologias de investigação têm sido utilizadas para examinar o TPSR em contextos extracurriculares? Que resultados relacionados com o TPSR foram reportados em contextos extracurriculares? Foram seguidas as orientações do protocolo de Cochrane. A seleção dos artigos foi feita por dois pesquisadores independentes, com valor de Kappa de Cohen de 81%. RESULTADOS E DISCUSSÃO: Foram selecionados vinte e sete artigos, treze dos quais foram relatados com elevada pontuação. A maioria das intervenções foi realizada nos EUA, em programas extracurriculares para a comunidade, com uma duração superior a nove sessões, lideradas por staff da escola que preparou atividades físicas para jovens de comunidades desfavorecidas. Os estudos relatados recorreram, na sua maioria, a metodologias qualitativas. Algumas lacunas foram detetadas como a falta de sistematização dos métodos, a falta de validade e confiabilidade. Foram encontrados benefícios pessoais e sociais. Outros resultados foram agrupados em liderança, relacionamento entre staff e jovens, valores, transferência e impacto na vida pessoal. Recomenda-se que estudos futuros no contexto extracurricular se estendam para outros países, com descrições mais detalhadas dos métodos usados e precisos


Subject(s)
Humans , Social Responsibility , Physical Education and Training , Teaching , Program Evaluation , Students
19.
Cuad. psicol. deporte ; 19(1): 1-18, ene. 2019. tab, graf
Article in Portuguese | IBECS (Spain) | ID: ibc-183215

ABSTRACT

O objetivo do presente estudo foi o de proceder à tradução e adaptação transcultural do "Empowering and Disempowering Motivational Climate Questionnaire-Coach" (EDMCQ-C) para a língua portuguesa e analisar a invariância da sua estrutura fatorial, quando aplicado a atletas brasileiros e portugueses. A amostra foi constituída por 963 atletas do sexo masculino, praticantes de diferentes desportos (andebol, basquetebol, futebol, futsal e voleibol), com idades compreendidas entre os 11 e os 24 anos (M = 15.04 ± 1.88), sendo 553 brasileiros (M = 15.81 ± 1.91) e 410 portugueses (M = 13.94 ± 1.30). Através do recurso à Análise Fatorial Confirmatória, foi possível verificar a existência de bons índices de ajustamento ao modelo teórico examinado, com uma solução reduzida constituída por 15 itens, distribuídos pelos cinco fatores do instrumento original (χ2/df = 2.38; CFI = 0.97; TLI = 0.96; SRMR = 0.03; RMSEA = 0.04). Complementarmente, a invariância do modelo de medida, quando aplicado a atletas brasileiros e portugueses, foi avaliada através da comparação do modelo com pesos fatoriais fixos e o modelo com coeficientes estruturais livres, tendo o resultado sido de DELTACFI = 0.01. Em conformidade, os resultados encontrados suportam a sugestão de que a versão adaptada para a língua portuguesa do EDMCQ-C evidencia boas propriedades psicométricas, podendo, portanto, constituir-se como uma ferramenta útil para avaliar as perceções de atletas brasileiros e portugueses sobre o clima motivacional que lhes é proporcionado pelos seus treinadores


El objetivo de este estudio fue la adaptación transcultural de la versión en portugués del "Empowering and Disempowering Motivational Climate Questionnaire-Coach" (EDMCQ-C), que evalúa la percepción de los atletas en el clima motivacional proporcionada por el entrenador, e investigar la invariancia factorial entre brasileños y portugueses. La muestra consistía en 963 atletas hombres, practicantes de diferentes deportes (balonmano, baloncesto, fútbol, fustal y voleibol) con edades entre 11 y 24 años (M = 14,15 ± 1.88), de los cuales 553 eran brasileños (M = 15,81 ± 1,91) y 410 atletas portugueses (M = 13,94 ± 1,30). Mediante el análisis factorial confirmatorio fue posible verificar índices de ajuste aceptables al modelo teórico tanto para portugueses (χ2 / df = 1,67, CFI = 0,92, TLI = 0,91; SRMR = 0.06; RMSEA = 0:04) cuanto para brasileños (χ2 / df = 1.92, CFI = 0.90, TLI = 0.89, SRMR = 0.05, RMSEA = 0.04). Los resultados también mostraron que el modelo de medición es invariante entre atletas portuguesas y brasileñas (DELTACFI <0,01). En conclusión, el instrumento puede ser una herramienta útil para analizar la percepción de los atletas brasileños y portugueses al clima motivacional proporcionado por el entrenador


The aim of the present study was to carry out the cross-cultural adaptation of the Portuguese version of "Empowering and Disempowering Motivational Climate" (EDMCQ-C), which evaluates the athletes' perception the motivational climate provided by the coach and to examine the factorial invariance between Brazilians and Portuguese. The sample was composed by 963 male athletes from different sports (handball, basketball, soccer, futsal and volleyball), aged between 11 and 24 (M = 15.04 ± 1.88), of whom 553 were Brazilian (M = 15.81 ± 1.91) and 410 Portuguese athletes (M = 13.94 ± 1.30). The results of the confirmatory factorial analysis found satisfactory adjustment indices of the model for both portuguese (χ2/df = 1.67; CFI = 0.92; TLI = 0.91; SRMR = 0.06; RMSEA = 0.04) and brazilian (χ2/df = 1.92; CFI = 0.90; TLI = 0.89; SRMR = 0.05; RMSEA = 0.04). The results also showed that the model of measurement was invariant between Brazilian and Portuguese athletes (DELTACFI <0.01). In conclusion, the instrument used can be a useful to analyze the perception of Brazilian and Portuguese athletes for the motivational climate provided by the coach


Subject(s)
Humans , Male , Child , Adolescent , Young Adult , Psychometrics/instrumentation , Motivation/classification , Sports/psychology , Mentoring/trends , Physical Education and Training/classification , Physical Conditioning, Human/psychology , Cross-Cultural Comparison , Social Adjustment , Adaptation, Psychological
20.
Cuad. psicol. deporte ; 18(2): 214-237, mayo 2018. tab
Article in Portuguese | IBECS (Spain) | ID: ibc-173808

ABSTRACT

O desporto, embora tenha o potencial necessário para fomentar o desenvolvimento positivo dos jovens (DPJ), nem sempre é usado com este propósito. Deste modo, este estudo teve objetivo analisar componentes da filosofia de treino e as estratégias utilizadas por treinadores de jovens em risco de exclusão social, assim como os desafios encontrados por estes agentes no domínio do DPJ e do ensino de competências para a vida. Participaram em entrevistas semi-estruturadas 10 treinadores de jovens em risco de exclusão social. Contudo, referiram um conjunto limitado de competências para a vida que podiam ser desenvolvidas através do desporto, centrando-se nas necessidades imediatas dos jovens em cumprirem regras e envolver-se nas atividades promovidas pelos treinadores, o que nos permite pensar que é necessário abordar estas temáticas com profundidade nos cursos de treinadores e de professores de educação física


El deporte aunque el potencial de fomentar el desarrollo positivo de la juventud (DPJ) no siempre se utiliza para este propósito. Este estudio tuvo como objetivo analizar componentes de la filosofía de entrenamiento y las estrategias utilizadas por los entrenadores jóvenes en riesgo de exclusión social, así como los retos que se enfrentan en la enseñanza del DPJ. Participaron en entrevistas semiestructuradas 10 entrenadores de los jóvenes adolescentes en riesgo de exclusión social. Los entrenadores han argumentado la necesidad de crear un clima positivo de apoyo, relaciones significativas con sus atletas y desarrollar el esfuerzo y respeto. Sin embargo, indicaron un conjunto limitado de habilidades que podrían desarrollarse a través del deporte, centrándose en las necesidades inmediatas de los jóvenes en el seguimiento de las reglas y participar en las actividades promovidas por los entrenadores, lo que nos permite pensar que es necesario abordar estas cuestiones en profundidad en los cursos de entrenadores. Palabras clave: entrenador; el desarrollo positivo de la juventud; fútbol; habilidades para la vida


It seems that sport has the potential to foster positive youth development (PYD) if it is used with this purpose. This study aimed to analyze the strategies used by coaches who work with at risk youth and their coaching philosophies as well as the challenges faced while promoting PYD and life skills development. Semi-structured interviews were conducted with 10 coaches who worked with at risk youth. Coaches argued the need to foster a positive environment, establish meaningful relationships and develop only respect and effort. However, coaches articulated few competencies that could be developed through sport and focused only on the competencies needed to participate in sport activities like for example respecting rules which allows us to think that it is necessary to address these issues in depth in coach education courses


Subject(s)
Humans , Adolescent , Sports/psychology , Soccer/psychology , Faculty/psychology , Physical Education and Training/trends , Adolescent Behavior/psychology , Social Skills , Adolescent Development
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