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1.
Rev. Pesqui. Fisioter ; 11(3): 583-592, ago.2021. tab
Article in English, Portuguese | LILACS | ID: biblio-1292125

ABSTRACT

INTRODUÇÃO: A distrofia muscular de cinturas do tipo 2B (DMC2B) é uma doença neuromuscular, degenerativa, rara, hereditária, progressiva, com consequentes prejuízos progressivos na capacidade motora e funcional. OBJETIVO: descrever e analisar os efeitos da fisioterapia aquática sobre a funcionalidade, força muscular, amplitude de movimento e qualidade de vida de uma paciente com diagnóstico DMC2B atendida em projeto de extensão universitária. MÉTODOS: Paciente do sexo feminino, 32 anos, solteira, com diagnóstico genético de Distrofia Muscular de Cinturas do Tipo 2B, nível 3 da escala Vignos (modificada por Garder-Medwin e Walton). O relato de caso apresenta a reabilitação através da Fisioterapia Aquática (hidrocinesioterapia) e seus impactos sobre a força muscular, amplitude de movimento, capacidade funcional e qualidade de vida da paciente (CAAE No. 43505321.0.0000.0018). RESULTADOS: O protocolo de fisioterapia aquática, composto por 12 sessões, 60 min/2x/semana, resultou em melhoras na capacidade funcional global e aumento de 9,52% na avaliação da função motora distal, aumentos de 100% da força de preensão manual e aumento para o limite superior (grau 5) na escala MRC para várias das musculaturas testadas, além de ganho de ADM e melhora expressiva da Qualidade de Vida. CONCLUSÃO: A melhora funcional apresentada pela paciente sugere que a reabilitação funcional fundamentada na fisioterapia aquática, em intensidade leve a moderada, é uma opção terapêutica segura e eficaz para a melhora da força muscular, amplitude de movimento, capacidade funcional e qualidade de vida na DMC2B.


INTRODUCTION: Limb-Girdle Muscular Dystrophy, Type 2B (LGMD2B), is a rare, hereditary, progressive neuromuscular degenerative disease coursing with progressive impairments in motor and functional capacity. OBJECTIVE: To describe and analyze the effects of aquatic physical therapy on the functionality, muscle strength, range of motion, and quality of life of a patient diagnosed with LGMD2B attended on an outreach program. METHODS: A female patient, 32 years old, single, with genetic diagnosis of LGMD2B, level 5 at Vignos scale (modified by Garder-Medwin e Walton). The case reports the Aquatic Physical Therapy rehabilitation protocol (hydrokinesiotherapy) and its impacts on muscle strength, range of motion, functional capacity, and patient quality of life (CAAE No. 43505321.0.0000.0018). RESULTS: The aquatic physical therapy protocol, composed of 12 sessions, 60 minutes/2x/week, resulted in improvements in overall functional capacity and a 9.52% increase of distal motor function, 100% increase in handgrip strength, and increase up to the upper limit (grade 5) on the MRC scale for several of the muscles tested, in addition to increased range of motion and expressive improvement in Quality of Life. CONCLUSION: The patient' functional improvement suggests that water-based physical therapy rehabilitation, at mild to moderate exercise intensity, is a safe and effective therapeutic option for improvement muscle strength, range of motion, functional capacity, and quality of life in LGMD2B patients.


Subject(s)
Hydrotherapy , Rehabilitation , Muscular Dystrophies
2.
Complement Ther Clin Pract ; 44: 101429, 2021 Aug.
Article in English | MEDLINE | ID: mdl-34167042

ABSTRACT

OBJECTIVE: To systematically evaluate the effectiveness of balneotherapy and/or aquatic exercise on bone metabolism. DESIGN: A systematic literature search was conducted from inception to January 4, 2021. Standardized mean differences (SMDs) and 95% confidence intervals (CIs) were calculated using a fixed-effect model according to study heterogeneity. RESULTS: Seven articles involving 467 participants were selected. Three balneotherapy studies were qualitatively integrated. The results showed that bone resorption slowed down with or without stimulation of bone formation. A pooled meta-analysis of four studies on aquatic exercise showed significant evidence for a reduction in parathyroid hormone (PTH; SMD = -0.71; 95% CI, -1.04 to -0.38; P < 0.001), and a significant increase in osteocalcin (OC; SMD = 0.60; 95% CI, 0.16 to 1.03; P = 0.007) after aquatic exercise. CONCLUSION: Balneotherapy and aquatic exercise had significant effects on bone metabolism, reducing bone resorption and/or increasing bone formation. This study highlights the importance of balneotherapy and aquatic exercise for bone health.


Subject(s)
Balneology , Hydrotherapy , Exercise , Exercise Therapy , Humans
3.
An Sist Sanit Navar ; 44(2): 225-241, 2021 Aug 20.
Article in Spanish | MEDLINE | ID: mdl-34165447

ABSTRACT

BACKGROUND: Physiotherapy is postulated as an effective treatment after total knee arthroplasty (TKA). The objective of the study was to assess the efficacy of hydrotherapy versus gym kinesitherapy during the second phase of treatment in TKA patients, with regard to the improved gait test, pain, stiffness, joint balance, muscle strength and inflammation. METHODS: A controlled and randomized trial was carried out. TKA patients received a first rehabilitative phase (15 60-minutes sessions) at the gym. In the second phase (15 40-minute sessions), one group performed physiotherapy in a gym and another in a swimming pool. Different variables were assessed (basal, after 15 and after 30 ses-sions): functional capacity, pain and stiffness with WOMAC index, joint balance with goniometer; muscle strength with Lovett scale, and result of 6-minute gait test. RESULTS: A total of 115 patients participated, 59 (51.3%) in the gym group and 56 (48.7?%) in the pool group. After the second phase of re-habilitation, higher clinical improvements were observed in the pool group, with statistically significant differences in pain (p?=?0.005), stiffness (p?=?0.010), joint balance (p?=?0.027) and muscle strength (p?=?0.049) in the operated knee, and in the result of the 6-minute gait test (p?=?0.002). CONCLUSIONS: In TKA patients, hydrotherapy during the second phase of rehabilitative treatment was more effective than gym physiother-apy in terms of improved pain, stiffness, joint balance, muscle strength and gait testing.


Subject(s)
Arthroplasty, Replacement, Knee , Hydrotherapy , Knee Prosthesis , Osteoarthritis, Knee , Exercise , Humans , Osteoarthritis, Knee/surgery , Treatment Outcome
5.
Acta Neurol Scand ; 144(2): 115-131, 2021 Aug.
Article in English | MEDLINE | ID: mdl-33982803

ABSTRACT

Among the various non-motor symptoms of Parkinson's disease (PD), pain is often cited as the most common and debilitating feature. Currently, the literature contains gaps in knowledge with respect to the various forms of treatment available, particularly non-pharmacological therapies. Thus, the purpose of this systematic review is to provide an examination of the literature on non-pharmacological therapies for pain in PD. We compared the findings of research articles indexed within various literature databases related to non-pharmacological treatments of pain in PD patients. Our review identified five major non-pharmacological methods of pain therapy in PD: acupuncture, hydrotherapy, massage therapy, neuromodulation, and exercise. Treatments such as exercise therapy found a reduction in pain perception due to various factors, including the analgesic effects of neurotransmitter release during exercise and increased activity leading to a decrease in musculoskeletal rigidity and stiffness. By the same token, hydrotherapy has been shown to reduce pain perception within PD patients, with authors often citing a combined treatment of exercise and hydrotherapy as an effective treatment for pain management. Multiple methods of neurostimulation were also observed, including deep brain stimulation and spinal cord stimulation. Deep brain stimulation showed efficacy in alleviating certain pain types (dystonic and central), while not others (musculoskeletal). Hence, patients may consider deep brain stimulation as an additive procedure for their current treatment protocol. On the other hand, spinal cord stimulation showed significant improvement in reducing VAS scores for pain. Finally, although the literature on massage therapy and acupuncture effectiveness on pain management is limited, both have demonstrated a reduction in pain perception, with common reasons such as tactile stimulation and release of anti-nociceptive molecules in the body. Although literature pertaining to non-pharmacological treatments of pain in PD is sparse, there is copious support for these treatments as beneficial to pain management. Further exploration in the form of clinical trials is warranted to assess the efficacy of such therapies.


Subject(s)
Pain Management/methods , Pain/etiology , Parkinson Disease/complications , Acupuncture Analgesia/methods , Exercise Therapy/methods , Humans , Hydrotherapy/methods , Massage/methods , Transcutaneous Electric Nerve Stimulation/methods
6.
Article in English | MEDLINE | ID: mdl-33804430

ABSTRACT

Peripheral artery disease (PAD) is characterized by the development of atherosclerotic plaques in the lower-body conduit arteries. PAD is commonly accompanied by microvascular disease, which may result in poor wound healing, plantar ulcer development, and subsequent limb amputation. Understanding the mechanisms underlying the development of plantar ulcers is a critical step in the development of adequate treatment options for patients with PAD. Skin is classified into two major components: glabrous and non-glabrous. These skin types have unique microcirculation characteristics, making it important to differentiate between the two when investigating mechanisms for plantar ulcer development in PAD. There is evidence for a microcirculation compensatory mechanism in PAD. This is evident by the maintenance of basal microcirculation perfusion and capillary filling pressure despite a reduced pressure differential beyond an occlusion in non-critical limb ischemia PAD. The major mechanism for this compensatory system seems to be progressive vasodilation of the arterial network below an occlusion. Recently, heat therapies have emerged as novel treatment options for attenuating the progression of PAD. Heat therapies are capable of stimulating the cardiovascular system, which may lead to beneficial adaptations that may ultimately reduce fatigue during walking in PAD. Early work in this area has shown that full-body heating is capable of generating an acute cardiovascular response, similar to exercise, which has been suggested as the most efficient treatment modality and may generate adaptations with chronic exposure. Heat therapies may emerge as a conservative treatment option capable of attenuating the progression of PAD and ultimately impeding the development of plantar ulcers.


Subject(s)
Hydrotherapy , Peripheral Arterial Disease , Amputation , Hot Temperature , Humans , Microcirculation , Peripheral Arterial Disease/therapy
7.
J Appl Physiol (1985) ; 130(6): 1684-1704, 2021 06 01.
Article in English | MEDLINE | ID: mdl-33792402

ABSTRACT

Cardiovascular diseases (CVD) are the leading cause of death worldwide, and novel therapies are drastically needed to prevent or delay the onset of CVD to reduce the societal and healthcare burdens associated with these chronic diseases. One such therapy is "heat therapy," or chronic, repeated use of hot baths or saunas. Although using heat exposure to improve health is not a new concept, it has received renewed attention in recent years as a growing number of studies have demonstrated robust and widespread beneficial effects of heat therapy on cardiovascular health. Here, we review the existing literature, with particular focus on the molecular mechanisms that underscore the cardiovascular benefits of this practice.


Subject(s)
Cardiovascular Diseases , Cardiovascular System , Hydrotherapy , Hyperthermia, Induced , Steam Bath , Cardiovascular Diseases/therapy , Hot Temperature , Humans
8.
Int J Sports Med ; 42(11): 979-984, 2021 Oct.
Article in English | MEDLINE | ID: mdl-33735918

ABSTRACT

High-intensity training sessions are known to alter cardiac autonomic modulation. The purpose of this study was to compare the effects of whole-body cryotherapy, contrast water therapy and passive recovery on the time course of cardiac autonomic markers following a standardized HIT session. Eleven runners completed a high intensity session followed by one of the following recovery interventions: whole-body cryotherapy, contrast water therapy or passive recovery. Changes in cardiac autonomic modulation were assessed in supine and standing positions during an active tilt test at pre-, post-14 h and post-38 h. In supine, high-frequency power increased from pre- to post-14 h following whole-body cryotherapy (1661.1±914.5 vs. 2799.0±948.4 ms2, respectively; p=0.023) and contrast water therapy (1906.1±1327.9 vs. 4174.3±2762.9 ms2, respectively; p=0.004) whereas high frequency power decreased in response to passive recovery (p=0.009). In standing, low-frequency power increased from pre-to post-38 h (1784.3 ± 953.7 vs. 3339.8±1862.7 ms2, respectively; p=0.017) leading to an increase in total power from pre- to post-38 h (1990.8 ± 1089.4 vs. 3606.1±1992.0 ms2, respectively; p=0.017). Spectral analysis revealed that contrast water therapy appears to be a more efficient recovery strategy than whole-body cryotherapy in restoring cardiac autonomic homeostasis.


Subject(s)
Cryotherapy , Exercise/physiology , Heart Rate , Hydrotherapy , Humans , Running , Young Adult
10.
Arch. med. deporte ; 38(201): 8-14, ene.-feb. 2021. tab, graf
Article in Spanish | IBECS | ID: ibc-201638

ABSTRACT

La fibromialgia es una enfermedad caracterizada por presentar un dolor cónico asociada a una desregulación autonómica de quien la padece, sin muchas alternativas de tratamiento. Este estudio tuvo como objetivo, conocer la relación existente entre el ejercicio físico en medio acuático, la percepción del dolor y el control autonómico cardiovascular en mujeres adultas que padecen fibromialgia. La muestra se compuso por 15 mujeres diagnosticadas con fibromialgia quienes participaron en 24 sesiones de ejercicio en medio acuático de 40 minutos. Se evaluaron medidas antropométricas, variabilidad de frecuencia cardiaca (VFC) y percepción de dolor (PCS) en cuatro tiempos experimentales (t1, basal; t2, sesión 8; t3, sesión 16; t4, sesión 24). Además, se evaluó la percepción al dolor en cada sesión a través de EVA. Los resultados muestran, que la percepción del dolor a través de EVA disminuyó al comparar todas las medias evaluadas antes y después de cada sesión (p < 0.05). En la aplicación de PCS, un menor Dolor Total y Rumiación se obtuvo al comparar t1 con t4. Los valores de VFC mostraron que SDNN y RMSSD fueron mayores después de la sesión, cuando se comparó t4 con t1 (p < 0.05). La frecuencia cardiaca media disminuyó al finalizar las sesiones, mostrando una mejor adaptación al ejercicio. La relación entre dolor y medidas cardiacas, estuvo dada por una correlación positiva en los dominios de dolor registrados antes de las sesiones y los valores de RMSSD y SDNN. En conclusión, la práctica de ejercicio físico en medio acuático, indicaría una menor percepción de dolor y una mejor respuesta autonómica cardiaca en mujeres con fibromialgia


Fibromyalgia is a disease characterized by conical pain associated with autonomic dysregulation of the sufferer, without many treatment alternatives. The objective of this study was to find out the relationship between physical exercise in an aquatic environment, pain perception and cardiovascular autonomic control in adult women suffering from fibromyalgia. The sample consisted of 15 women diagnosed with fibromyalgia who participated in 24 40-minute exercise sessions in a water environment. Anthropometric measures, heart rate variability (HRV ) and pain perception (PCS) were evaluated in four experimental times (t1, baseline; t2, session 8; t3, session 16; t4, session 24). In addition, the perception of pain was evaluated in each session through VAS. The results show that the perception of pain through VAS decreased when comparing all the means evaluated before and after each session (p < 0.05). In the PCS application, a lower Total Pain and Rumination was obtained when comparing t1 with t4. HRV values showed that SDNN and RMSSD were higher after the session, when t4 was compared with t1 (p < 0.05). The mean heart rate decreased at the end of the sessions, showing a better adaptation to exercise. The relationship between pain and cardiac measurements was given by a positive correlation in the pain domains recorded before the sessions and the RMSSD and SDNN values. In conclusion, the practice of physical exercise in an aquatic environment would indicate a lower perception of pain and a better cardiac autonomic response in women with fibromyalgia


Subject(s)
Humans , Female , Adult , Middle Aged , Fibromyalgia/therapy , Exercise/physiology , Exercise Therapy/methods , Hydrotherapy/methods , Heart Rate/physiology , Pain Perception/physiology , Fibromyalgia/physiopathology , Pain Measurement , Chronic Pain/physiopathology , Chronic Pain/therapy , Body Mass Index , Treatment Outcome , Reference Values , Time Factors
11.
Arch. med. deporte ; 38(201): 28-35, ene.-feb. 2021. tab, graf
Article in English | IBECS | ID: ibc-201641

ABSTRACT

OBJECTIVE: The present study aimed to verify the influence of training intensity in the aquatic environment on pain, disability, physical capacity, and quality of life in patients with chronic low back pain. Design/SETTING: A randomized clinical trial. Subjects: Twenty-two patients with chronic low back pain of both sexes (13 women and 9 men) participated in the study. MATERIAL AND METHOD: One group performed deep-water walking/running training at moderate intensity (MIT ) and a second group performed deep-water walking/running training at high intensity (HIT ). Pain, disability, peak oxygen uptake (VO2peak), and quality of life were assessed before and after an intervention. RESULTS: Decreases in pain and disability were observed within both groups, without differences in these parameters between training groups. VO2peak did not change in either group after the training intervention. The results of the HIT group showed more significant improvements in quality of life than that of the MIT group, highlighting the social domain, psychological domain, and general quality of life. Both groups presented significant improvements in the physical and environmental domains of quality of life. CONCLUSIONS: Deep-water aerobic exercise training seems to be effective for improving pain symptoms and reducing the disability of people with chronic low back pain. These improvements seem to be independent of the intensity at which the training is performed. In addition, improving pain and disability does not directly reflect all areas of quality of life. In this case, the group that performed the intervention at high intensity achieved more significant improvements in quality of life


OBJETIVO: El presente estudio tuvo como objetivo verificar la influencia de la intensidad del entrenamiento en el ambiente acuático sobre el dolor, la discapacidad, la capacidad física y la calidad de vida en pacientes con dolor lumbar crónico. Diseño/entorno: un ensayo clínico aleatorizado. Sujetos: Veintidós pacientes con dolor lumbar crónico de ambos sexos (13 mujeres y 9 hombres) participaron en el estudio. MATERIAL Y MÉTODO: Un grupo realizó entrenamiento de caminar/correr en aguas profundas a intensidad moderada (MIT ) y un segundo grupo realizó entrenamiento de caminar/correr en aguas profundas a alta intensidad (HIT ). El dolor, la discapacidad, el consumo máximo de oxígeno (VO2pico) y la calidad de vida se evaluaron antes y después de una intervención. RESULTADOS: Se observaron disminuciones en el dolor y la discapacidad en ambos grupos, sin diferencias en estos parámetros entre los grupos de entrenamiento. VO2peak no cambió en ninguno de los grupos después de la intervención de entrenamiento. Los resultados del grupo HIT mostraron mejoras más significativas en la calidad de vida que la del grupo MIT, destacando el dominio social, el dominio psicológico y la calidad de vida general. Ambos grupos presentaron mejoras significativas en los dominios físicos y ambientales de la calidad de vida. CONCLUSIONES: El entrenamiento de ejercicio aeróbico en aguas profundas parece ser efectivo para mejorar los síntomas del dolor y reducir la discapacidad de las personas con dolor lumbar crónico. Estas mejoras parecen ser independientes de la intensidad a la que se realiza el entrenamiento. Además, mejorar el dolor y la discapacidad no refleja directamente todas las áreas de calidad de vida. En este caso, el grupo que realizó la intervención a alta intensidad logró mejoras más significativas en la calidad de vida


Subject(s)
Humans , Male , Female , Young Adult , Adult , Middle Aged , Low Back Pain/therapy , Disabled Persons/rehabilitation , Resistance Training/methods , Running/physiology , Hydrotherapy/methods , Quality of Life , Water/physiology , Oxygen Consumption/physiology , Time Factors , Treatment Outcome , Oxygen/metabolism , Walking/physiology , Chronic Pain/therapy
12.
Ir J Med Sci ; 190(4): 1413-1421, 2021 Nov.
Article in English | MEDLINE | ID: mdl-33409843

ABSTRACT

AIMS: The study investigated the influence of hydrotherapy method-based McKenzie and Williams among patients with non-specific low back pain (NSLBP). METHODS: Semi-experimental pretest-posttest with a control group design trial was conducted at Health Service Center, Qazvin, Iran. Twenty-eight NSLBP patients (16 men and 12 women, age: 42.5 ± 7 years) were recruited. Hydrotherapy program developed based on McKenzie and Williams therapy was performed individually 3 days per week for 20 sessions. Therefore, the study compared a hydrotherapy group (based on McKenzie and Williams therapy) to a control group. Participants attended a hydrotherapy program under the supervision of a hydrotherapist. The Numeric Pain Rating Scale (NPRS), Roland-Morris Disability Questionnaire (RMDQ), and Straight Leg Raise Test (SLRT) were measured at the beginning, middle, and at the end of the 20 sessions to determine pain and functionality of the patient's improvement. RESULTS: Overall, NPRS, RMDQ, and SLRT scores were improved in hydrotherapy group in the 10th session and 20th session compared with baseline (p ≤ 0.001) and control group (p ≤ 0.001). No difference in the treatment variables between the 10th session and the 20th session was observed (p > 0.05). CONCLUSIONS: The results indicated that the NSLBP symptom was improved after 10 sessions of hydrotherapy program developed based on McKenzie and Williams therapy.


Subject(s)
Chronic Pain , Hydrotherapy , Low Back Pain , Adult , Chronic Pain/therapy , Disability Evaluation , Female , Humans , Iran , Low Back Pain/therapy , Male , Middle Aged , Pain Measurement , Treatment Outcome
13.
J Therm Biol ; 95: 102805, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33454037

ABSTRACT

Hydrogen-rich water bath devices are commercially available, but have been scarcely clarified for heat-retention effects. In this study, heat-retention effects of hydrogen-rich water bath were assessed by thermographic clinical trials, which employed twenty-four healthy subjects. The thermograms indicated that, under the same conditions (41 °C, 10-min bathing), hydrogen-rich water bath (hydrogen concentrations: 185-548 µg/L; oxidation-reduction potentials: -167 to -91 mV, versus 0.8 µg/L and +479 mV for normal bath, respectively) brought about the heat-retention being more marked than those of normal water bath for several body-parts in the order as follows: abdomen > upper legs > arms > hands > feet, for 30- and 60-min post-bathing, being in contrast to scarce heat-retention for head, armpits and lower legs. Then, as reflection to promotive effects on blood stream, we also examined the thickness of fingertip-capillary in hands. The thickness was expanded in the hydrogen-rich water bath more markedly than that in the normal water bath, suggesting that the hydrogen-rich water bath may have the hydrogen-based promotive effect, exceeding over mere heat retention-based effects, on blood circulation of the whole body. Meanwhile, the heat-retention in hydrogen-rich water bath weakly or moderately correlated with contents of the subcutaneous fat, whole body fat and body mass index, and inversely correlated with skeletal muscle rates, although their correlation degrees did not obviously exceed over normal water bath, with a poor relation with the basal metabolism rate. Thus, the hydrogen-rich water bath was suggested to exert heat-retention effects exceeding over normal water bath, in diverse body-parts such as abdomen, upper legs, arms and hands, via promotion to blood flow which was reflected by expanding the thickness of capillary. The heat-retention after bathing can be noted as effects of the hydrogen-rich water bath, which is applicable for most of people widespread regardless of their body composition index.


Subject(s)
Baths/methods , Body Temperature , Hydrotherapy/methods , Adult , Body Composition , Female , Humans , Hydrogen/analysis , Male , Middle Aged , Oxidation-Reduction , Thermography , Water/chemistry
14.
Top Stroke Rehabil ; 28(1): 19-32, 2021 01.
Article in English | MEDLINE | ID: mdl-32340581

ABSTRACT

Objective: The purpose of this study was to evaluate the literature reports of qualitative and quantitative results of physical therapy treatments in the alternative aquatic setting for individuals affected by strokes. Method: PRISMA guidelines were used to carry out the systematic review and meta-analysis. Three bibliographic databases were searched: MEDLINE, PEDro, and the Cochrane Library. Papers included in the study were required to: (a) have a randomized controlled trial (RCT) design of research; and (b) be published in English; (c) be published during the last 10 years (2008-2018). Only randomized controlled trials were employed in the study. The quality of the clinical trials to be included was evaluated according to the Jadad scale. The internal validity was assessed according to the PEDro scale. Results: Eleven RCTs were initially identified in the systematic review. Eight of these were involved in the meta-analysis comparing outcomes and follow-up. Eight studies received a Jadad score of three, indicating a high level of quality. The remaining three studies achieved a lower score which indicated lower qualitative level. Nearly all of the results of the quantitative analysis were statistically significant (P < 0,05) and most of them favored of the experimental group subject to aquatic treatment. Conclusion: Aquatic physical therapy may be a valid means for the rehabilitation of people affected by stroke. The integration of this methodological approach with conventional physical therapy should be considered. However, more studies; a larger number of participants; and varying lengths of follow-up times are necessary.


Subject(s)
Exercise Therapy/methods , Hydrotherapy/methods , Stroke/therapy , Swimming , Humans
15.
Enferm Clin ; 31 Suppl 1: S49-S54, 2021 Feb.
Article in English, Spanish | MEDLINE | ID: mdl-32732015

ABSTRACT

Since the SARS-CoV-2 was announced on March 11 in 2020, most of people, professional healthcare, scientists, technical personnel and managers included, have been developing protocols, procedures, guides, technical reports to orient an adequate attention in this health emergency due to the COVID-19. The shortage bibliography about nursing care in this pandemic is the reason to develop a useful clinical protocol to attend to the higher number of adult patients who were admitted at Hospitalization Units adapted to patient with COVID-19. For that reason, the aim of this document is to provide recommendations to the clinical practice and that way, helping to protocolize the care in adult patients admitted in COVID-19 Hospitalization Units, based in standards of the literature or the most current experience in front of this new pandemic.


Subject(s)
COVID-19/nursing , Clinical Protocols , Hospital Units/organization & administration , Hospitalization , SARS-CoV-2 , Adult , COVID-19/drug therapy , COVID-19/epidemiology , COVID-19/transmission , Clinical Deterioration , Family , Humans , Hydrotherapy/methods , Hydrotherapy/nursing , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Oxygen Inhalation Therapy/methods , Oxygen Inhalation Therapy/nursing , Palliative Care , Pandemics , Patient Discharge , Patient Isolation/organization & administration , Personal Protective Equipment , Rest , Social Support , Symptom Assessment/methods , Symptom Assessment/nursing
16.
Med Hypotheses ; 146: 110363, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33303302

ABSTRACT

COVID-19 is a new contagious disease caused by a new coronavirus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 is a disease that has reached every continent in the world; it has overloaded the medical system worldwide and it has been declared a pandemic by the World Health Organization. Currently there is no definite treatment for COVID-19. We realize that host immunity is a critical factor in the outcome of coronavirus 2 infection. Here, however, we review the pathophysiology of the disease with a focus on searching for what we can do to combat this new disease. From this, we find that coronavirus is sensitive to heat. We have thus focused on this area of vulnerability of the virus. The emphasis of this hypothesis is on the action of body heat-internal (fever) and external (heat treatment)-in activating the immune system and its antiviral activities, and specifically related to the coronavirus. We hypothesize from this review that heat treatments has the potential to prevent COVID-19 and to decrease the severity of mild and moderate cases of Coronavirus. We propose heat treatments for this uncontrolled worldwide coronavirus pandemic while studies are being done to test the effectiveness of heat treatments in the prevention and treatment of COVID-19.


Subject(s)
COVID-19/prevention & control , COVID-19/therapy , Hydrotherapy/methods , Hyperthermia, Induced/methods , Models, Biological , Pandemics , SARS-CoV-2 , COVID-19/virology , Combined Modality Therapy , Host Microbial Interactions/physiology , Humans , Pandemics/prevention & control , SARS-CoV-2/pathogenicity , SARS-CoV-2/physiology , Severity of Illness Index
17.
Complement Med Res ; 28(2): 146-159, 2021.
Article in German | MEDLINE | ID: mdl-33049739

ABSTRACT

Einleitung: Ziel dieser systematischen Übersicht war die Bewertung der verfügbaren Evidenz zur Wirkung der Kneipp-Therapie. Methoden: MEDLINE, Embase, Web of Science, Cochrane-Library und CAMbase wurden nach relevanten Artikeln, veröffentlicht zwischen 2000 und 2019, durchsucht. Graue Literatur wurde über Google Scholar und andere Tools bezogen. Studien mit jeglicher Art von Studiendesign, die die Effekte der Kneipp-Therapie untersuchten, wurden eingeschlossen. Die Qualitätsbewertung erfolgte mittels EPHPP-QAT. Ergebnisse: 25 Quellen, darunter 14 kontrol-lierte Studien, wurden eingeschlossen. Gemäß EPHPP-QAT wurden 3 Studien "stark", 13 "moderat" und 9 "schwach" bewertet. Neun (64%) der kontrollierten Studien berichteten signifikante Verbesserungen nach Kneipp-Therapie im Gruppenvergleich bei chronisch-venöser Insuffizienz, Hypertonie, leichter Herzinsuffizienz, menopausalen Be-schwerden und Schlafstörungen in verschiedenen Patientenkollektiven sowie verbesserte Immunparameter bei gesunden Probanden. Im Hinblick auf Depression und Angst bei Mammakarzinom-Patientinnen mit klimakterischen Beschwerden, Lebensqualität bei Post-Polio-Syndrom, krankheitsbedingten polyneuropathischen Beschwerden und Inzidenz von Erkältungsepisoden bei Kindern konnten keine signifikanten Gruppenunterschiede festgestellt werden. Elf unkontrollierte Studien berichteten Verbesse-rungen bei allergischen Symptomen, Dyspepsie, Lebens-qualität, Herzratenvariabilität, Infekten, Hypertonie, Wohlbefinden, Schmerz und polyneuropathischen Beschwerden. Diskussion/Schlussfolgerung: Die Kneipp-Therapie scheint bei zahlreichen Beschwerdebildern in verschiedenen Patientenkollektiven positive Effekte zu bewirken. Zukünftige Studien sollten noch stärker auf eine methodisch sorgfältige Studienplanung achten (Kontrollgruppen, Randomisierung, adäquate Fallzahlen, Verblindung), um Verzerrungen entgegenzuwirken. INTRODUCTION: The aim of this systematic review was to evaluate the available evidence on the effect of Kneipp therapy. METHODS: MEDLINE, Embase, Web of Science, Cochrane Library and CAMbase were searched for relevant articles published between 2000 and 2019. Grey literature was obtained through Google Scholar and other tools. Studies with any kind of study design that examined the effects of Kneipp therapy were included. The quality assessment was carried out using EPHPP-QAT. RESULTS: 25 sources, including 14 controlled studies, were included. According to EPHPP-QAT, 3 studies were rated as "strong," 13 as "moderate" and 9 as "weak." Nine (64%) of the controlled studies reported significant improvements after Kneipp therapy in a between-group comparison in chronic venous insufficiency, hypertension, mild heart failure, menopausal complaints, and sleep disorders in different patient collectives as well as improved immune parameters in healthy subjects. Regarding depression and anxiety in breast cancer patients with climacteric complaints, quality of life in post-polio syndrome, disease-related polyneuropathic complaints and incidence of cold episodes in children, no significant group differences were found. Eleven uncontrolled studies reported improvements in allergic symptoms, dyspepsia, quality of life, heart rate variability, infections, hypertension, well-being, pain and polyneuropathic complaints. DISCUSSION/CONCLUSION: Kneipp therapy seems to be beneficial for numerous symptoms in different patient groups. Future studies should pay even more attention to methodologically careful study planning (control groups, randomisation, adequate case numbers, blinding) to counteract bias.


Subject(s)
Hydrotherapy , Phytotherapy , Quality of Life , Humans
18.
Article in Portuguese | LILACS, Coleciona SUS, CONASS, SES-GO | ID: biblio-1150660

ABSTRACT

Objetivo: Observar e relatar aspectos relacionados à segurança em um serviço de hidroterapia do município de Goiânia, Goiás. Casuística e Métodos: Trata-se de um estudo observacional realizado entre agosto e dezembro de 2017, no período matutino, em um serviço de Fisioterapia de Goiânia, Goiás. Primeiramente, realizou-se uma revisão da literatura buscando artigos científicos no Google Acadêmico, Scielo, PubMed, Medline e literatura especializada (normas técnicas, portarias e resoluções). O levantamento abrangeu a literatura nacional e internacional, artigos originais gratuitos e disponíveis na íntegra, sendo utilizados como descritores: acessibilidade, padrões da hidroterapia, risco, contraindicações, perigo e precauções. Em seguida, tomando como referência as normas e recomendações para serviços de hidroterapia encontradas na literatura, foi construída uma tabela constando os aspectos de segurança observados. Resultados: De 31 itens elencados e observados neste estudo, quatro (12,9%) não puderam ser avaliados, 14 (45,2%) atenderam aos padrões e recomendações e 13 (41,9%) apresentaram necessidade de reflexão e melhoria, uma vez que não atenderam às exigências apresentadas nas normas vigentes. Conclusão: O serviço de hidroterapia observado requer a adoção de algumas medidas de segurança, recomendando-se um olhar mais cuidadoso frente ao assunto e um esforço coletivo no sentido de ampliar a discussão sobre segurança nesta área, a fim de tornar os profissionais conscientes de seus atos e do pleno atendimento às normas técnicas vigentes


Objective: Observe and report safety-related aspects in a hydrotherapy service in the city of Goiânia, Goiás. Casuistry and Methods: This is an observational study carried out between August and December of 2017, in the morning period, in a Physiotherapy service in the city of Goiânia, Goiás. Initially, a literature review was carried out searching for scientific articles on Google Scholar, Scielo, PubMed, Medline and specialized literature (technical standards, ordinances and resolutions). The survey covered national and international literature, original articles were free and available in full, being used as descriptors: accessibility, hydrotherapy standards, risk, contraindications, danger and precautions. Then, with the rules/recommendations for a hydrotherapy service taken from the literature review, a table was built and during the internship, the safety aspects contained in the table were observed by that service. Results: Of 31 items listed and observed in this study, four (12.9%) could not be evaluated, 14 (45.2%) met the standards and recommendations and 13 (41.9%) generated energy for reflection and improvement, since they did not meet the requirements of current regulations. Conclusion: The observed hydrotherapy service requires the adoption of some safety measures, recommending a more careful look at the subject and a collective effort to expand the discussion on safety in this area, in order to make professionals aware of their acts and full compliance with current technical standards.


Subject(s)
Safety , Hydrotherapy/instrumentation , Swimming Pools/organization & administration
19.
Med Glas (Zenica) ; 18(1): 1-6, 2021 02 01.
Article in English | MEDLINE | ID: mdl-33219638

ABSTRACT

Balneo-gynaecological treatment methods include external bath hydrotherapy, sedentary baths and topical dressings/cataplasm, and internal (intravaginal or intrarectal use of peloids and mineral water). Hyperosmolar thermal spas have been very popular in the treatment of infertility due to the improvement of symptoms of chronic pelvic pain, endometriosis, chronic vascular and inflammatory pelvic diseases. Acute pelvic inflammatory syndrome is a contraindication for balneo-hydrotherapy while hyperthermal hydrotherapy is contraindicated in endometriosis and neurovegetative dystonia due to the stimulation of hyperemia, which worsens the clinical picture. Balneo-hydrotherapy is not recommended in metrorrhagia and malignancies. Balneogynaecological treatment certainly has its own primary but also complementary role in the treatment of chronic gynaecological diseases and is increasingly recommended today.


Subject(s)
Hydrotherapy , Female , Humans
20.
Res Sports Med ; 29(6): 517-525, 2021.
Article in English | MEDLINE | ID: mdl-33356580

ABSTRACT

We analysed the effects of an experimental novel protocol of intensive hydrotherapy with hydrogen-rich water (HRW) on injury recovery in athletic men who suffered an acute ankle sprain (AAS) and compared it with a RICE protocol (rest, ice, compression, elevation). Professional athletes (age 23.7 ± 4.0 years; weight 78.6 ± 5.7 kg, height 182.5 ± 4.3 cm; professional experience 5.9 ± 3.9 years) who incurred AAS during a sport-related activity were randomly assigned immediately after the injury to either hydrogen group (n = 9) or a conventional RICE treatment group (n = 9). Hydrogen group received six 30-min ankle baths with HRW throughout the first 24 h post-injury, with hydrotherapy administered every 4 hours during the intervention period. RICE group stood off the injured leg, with ice packs administered for 20 min every 3 hours, with the injured ankle compressed with an elastic bandage for 24 hours and elevated at all possible times above the level of the heart. HRW was equivalent to RICE protocol to reduce ankle swelling (2.1 ± 0.9% vs. 1.6 ± 0.8%; P = 0.26), range of motion (2.4 ± 1.3 cm vs. 2.7 ± 0.8 cm; P = 0.60), and single-leg balance with eyes opened (18.4 ± 8.2 sec vs. 10.7 ± 8.0 sec; P = 0.06) and closed (5.6 ± 8.4 sec vs. 3.9 ± 4.2 sec; P = 0.59). This non-inferiority pilot trial supports the use of HRW as an effective choice in AAS management. However, more studies are needed to corroborate these findings in other soft tissue injuries.


Subject(s)
Ankle Injuries/therapy , Athletic Injuries/therapy , Compression Bandages , Cryotherapy/methods , Hydrogen/therapeutic use , Hydrotherapy/methods , Sprains and Strains/therapy , Adult , Biomarkers/blood , Humans , Male , Pain Measurement , Pilot Projects , Postural Balance , Range of Motion, Articular , Young Adult
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