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Deep burns damage the reticular dermis and may lead to the formation of hypertrophic scars. Compression therapy reduces local vascularity and realigns collagen fibers, resulting in esthetic and functional improvements. This study evaluated the effect of Kinesio tape compression with maximum mechanical tension on vascularity, pliability and the height of hypertrophic scars following deep burns. A single blind, randomized pilot clinical trial was carried out. The elastic compression of Kinesio tape was applied at maximum stretch in the intervention group (n=11) and no stretch in the sham group (n=11). Vascularity, pliability and height (the primary outcomes) were evaluated at 0, 45 and 90 days using the Vancouver Scar Scale (VSS). The association between the VSS scores, the intervention and the evaluation moment were analyzed using linear mixed-effects regression models, while comparisons of means between the groups were performed using the t Student test was. Significance was set at 5%. The mean VSS scores were similar between the groups. Significant improvement occurred in both groups when post-treatment and baseline scores were compared. No further improvement was found in the vascularity, pliability or height of hypertrophic scars resulting from deep burns when an elastic compression of Kinesio tape was used at maximum tension compared to lesser mechanical tension.
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BACKGROUND: Chronic lymphedema is a progressive and inflammatory disease caused by impaired lymphatic transport. PURPOSE: This study evaluates the effects of complex decongestive therapy (CDT) and aquatic physiotherapy on markers of the inflammatory process and lower limb volumes in individuals with lymphedema. METHODS: A randomized controlled clinical trial was carried out with three groups: patients with lymphedema submitted to CDT, patients with lymphedema submitted to aquatic physiotherapy, and control group of individuals without lymphedema. The evaluation was performed through blood count, CRP measurements, C3, C4 complement, measurement of serum levels of cytokines interferon-gamma (IFN-γ), tumor necrosis factor-alpha (TNF-α), interleukins 4 (IL-4), 6 (IL-6), and 10 (IL-10), and the volume of a lower limb using the volume formula of a truncated cone. The study was registered with the Brazilian Clinical Trials Registry (RBR-4tpkszn). RESULTS: Our work showed a reduction in the TNF-α levels of patients in the CDT group (p = .028). Significant differences were found between the control group and the CDT group for IL-10 (p = .049) and Monocytes (p = .039). No significant reduction in limb volume was found. CONCLUSION: Our results show that CDT was able to significantly reduce the inflammatory marker TNF-α in patients with lymphedema, suggesting an anti-inflammatory effect of the therapy.
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This is a quasi-randomised clinical trial, with 62 low-risk pregnant women in the second stage of labour. They were randomly allocated in control (CG) (n = 31) and intervention (IG) (n = 31) groups. The IG performed spontaneous pushing with pursed lips breathing while the CG was oriented to perform directed pushing associated with Valsalva Manoeuvre (VM). There was no difference between the groups regarding the occurrence of episiotomy (RR 1,1; 95%IC 1,0 to 1,2). However, there was a decrease in the duration of the maternal pushing by 3.2 min (MD 3,2; 95%CI 1,4 to 5,1) and a difference in maternal anxiety (Md (IQR) IG 46 (35-52), CG 51 (44-56) p:0,049), both favouring the IG. Spontaneous pushing was effective in reducing the duration of the pushing and showed a difference in maternal anxiety but did not decrease the maternal and neonatal outcomes. Brazilian Clinical Trials Registry (ReBEC) under the identifier: RBR-556d22IMPACT STATEMENTWhat is already known on the subject? Spontaneous pushing reduces the duration of pushing time when compared to directed pushing with VM but has no effect on other maternal and neonatal outcomes, based on a low quality of evidence.What do the results of this study add? No subject has been published on the subject. Our results suggest that the use spontaneous pushing with pursed lips breathing reduces the duration of the pushing by 3.2 min, also showing a difference in maternal anxiety. This result may indicate its use for emotional control when compared to the directed pushing.What are the implications of these findings for clinical practice and/or further research? These findings may signal an attitude in decision-making about guiding the breathing pattern in the expulsive stage.
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Parto Obstétrico , Segundo Periodo del Trabajo de Parto , Parto Obstétrico/métodos , Episiotomía , Femenino , Humanos , Recién Nacido , Labio , Embarazo , Maniobra de ValsalvaRESUMEN
BACKGROUND: Low back pain during pregnancy is very common and thermography seems to be a promising method of evaluation for pregnant women, because it is painless and safe. The aim of the present study was to evaluate low back pain, during pregnancy, using thermography together with artificial intelligence. METHODS: A cross-sectional study was carried out with pregnant women recruited from a university hospital. The following data were collected: (a) clinical data; (b) physical assessment with mobility and low back pain provocation tests; and (c) thermograms acquisitions, in a controlled environment. Artificial intelligence and the statistical tests were used to compare the groups' mean: with low back pain (LBP) and without low back pain (WLBP). RESULTS: Thirty pregnant women took part, with fifteen in each group. The mean ± Standard Deviation temperature of the lumbar region in both groups were 32.7 ± 1.05 °C and 32.6 ± 1.01 °C for LBP and WLBP, respectively. There was not any difference in temperature between the groups; however, the artificial intelligence software found thermogram differences between groups; furthermore, the correlation between pain intensity and functionality was found. CONCLUSION: Thermography associated with artificial intelligence analyses demonstrated to be a promising method as an adjunct to clinical evaluation.
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Dolor de la Región Lumbar , Complicaciones del Embarazo , Inteligencia Artificial , Estudios Transversales , Femenino , Humanos , Dolor de la Región Lumbar/diagnóstico , Embarazo , Complicaciones del Embarazo/diagnóstico , Mujeres Embarazadas , TermografíaRESUMEN
RESUMO Objetivou-se avaliar alterações imunes, entre obesidade e exercício (natação). Ratas Wistar foram alocadas, conforme regime dietético: Grupo Labina (GL) e Grupo Hiperlipídico (GH); e, aos 60 dias, segundo o exercício. Após protocolo de exercício, avaliaram-se parâmetros murinométricos, gordura visceral, série branca do sangue e cultura de macrófagos. Observamos aumento nos parâmetros murinométricos, na gordura visceral do GH sedentário e nos linfócitos, neutrófilos e basófilos do GH exercitado. A taxa de fagocitose e a produção de óxido nítrico estimulado com lipopolissacarídeos aumentaram nos ratos exercitados. A natação parece reverter o fenótipo de sobrepeso, promovido pela dieta hiperlipídica, atenuou os efeitos dessa no sistema imune e melhorou sua resposta.
ABSTRACT The aim was to evaluate immune changes between obesity and swimming. Wistar rats were allocated according to dietary regimen: Labina Group (LG) and Hyperlipid Group (HG); and at 60 days, according to the exercise. After exercise protocol, murinometric parameters, visceral fat, white blood series and macrophage culture were evaluated. We observed an increase in the murinometric parameters and visceral fat of the sedentary HG, and in the lymphocytes, neutrophils and basophils of the exercised HG. The rate of phagocytosis and the production of nitric oxide stimulated with lipopolysaccharides increased in the exercised rats. Swimming seems to reverse the overweight phenotype promoted by the hyperlipid diet and attenuated the effects it on the immune system, improving its response.
RESUMEN El objetivo de este artículo fue evaluar cambios inmunológicos entre obesidad y ejercicio (natación). Se distribuyó a ratas Wistar según el régimen dietético: grupo labina (GL) y grupo hiperlipídico (GH). Y a los 60 días, según el ejercicio. Después del protocolo de ejercicio, se evaluaron los parámetros murinométricos, grasa visceral, serie blanca de la sangre y cultivo de macrófagos. Se observó un aumento de los parámetros murinométricos y de la grasa visceral del GH sedentario, así como en los linfocitos, neutrófilos y basófilos del GH ejercitado. La tasa de fagocitosis y la producción de óxido nítrico estimulado con lipopolisacárido aumentaron en las ratas ejercitadas. Parece que la natación revierte el fenotipo de sobrepeso promovido por la dieta hiperlipídica y atenúa los efectos de esta en el sistema inmunitario, por lo que mejora su respuesta.
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OBJETIVO: Avaliar a sensibilidade de áreas que receberam enxerto de pele nos membros superiores de pacientes queimados e sua percepção de como a sensibilidade está relacionada à sua qualidade de vida. MÉTODO: Foram avaliados 30 indivíduos, com queimadura em membro superior, tratados com enxertia. Foram obtidos dados pessoais e histórico da lesão. Aplicava-se a escala de Vancouver para avaliar a sensibilidade da área enxertada e a mesma era medida. A sensibilidade tátil foi avaliada por meio de um estesiômetro, já a sensibilidade térmica foi avaliada por meio de um tubo de ensaio com água a 40°C, com água temperatura ambiente e aplicava-se gelo. Por meio da utilização do TENS, no modo convencional e com variação de intensidade e frequência (VIF), avaliou-se a sensação de prurido e sensibilidade nociceptiva, respectivamente. A qualidade de vida foi avaliada através do BSHS-R. RESULTADOS E CONCLUSÃO: Queimaduras nos membros superiores tratadas com enxerto de pele precisam de estímulos de intensidades maiores para despertar sensação nas áreas queimadas quando comparadas às sadias. A sensibilidade térmica tende a retornar mais rápido. As alterações da sensibilidade na área do enxerto interferem na qualidade de vida do paciente.
OBJECTIVE: To evaluate the sensitivity of areas that received skin grafts on the upper limbs of burned patients and their perception of how the sensitivity is related to their quality of life. METHODS: Thirty individuals with burns on the upper limbs, treated with grafting, were evaluated. Personal data and history of the injury were obtained. The Vancouver scale was applied to assess the sensitivity of the grafted area and it was measured. The tactile sensitivity was assessed by means of a stoichiometer, whereas the thermal sensitivity was assessed by means of a test tube with water at 40°C, with water at room temperature and ice was applied. Through the use of TENS, in the conventional way and with varying intensity and frequency (VIF), itching sensation and nociceptive sensitivity were evaluated, respectively. Quality of life was assessed using the BSHS-R. RESULTS AND CONCLUSION: Burns in the upper limbs treated with a skin graft need stimuli of greater intensity to arouse sensations when compared to healthy areas. Thermal sensitivity tends to return faster. Sensitivity changes in the graft area interfere with patients quality of life.
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Humanos , Calidad de Vida , Quemaduras/rehabilitación , Trasplante de Piel/instrumentación , Trastornos de la Sensación , Especialidad de Fisioterapia/instrumentación , Estudios Transversales/instrumentaciónRESUMEN
BACKGROUND: Lymphedema of the lower limbs is a chronic disease caused by damage to the lymphatic system that influences people's mobility, functionality, and quality of life. Questionnaires and physical test are very practical, easy to apply, and low cost methods that provide important data for evaluation of these patients. OBJECTIVES: To evaluate the influence of unilateral lower limb lymphedema on functionality and quality of life, correlating 3 assessment tools. METHODS: This was a descriptive study investigating 25 patients of both sexes with unilateral lymphedema in a lower limb. Limb volume was assessed using circumferential tape measurements, the Medical Outcomes Study Short Form-36 Health Survey (SF-36) was used to assess quality of life, the Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema (Lymph-ICF-LL) was used to assess physical, mental, and social skills related to lymphedema, and the Timed Up and Go (TUG) test was used for functional assessment. RESULTS: Lymphedema was present throughout the affected lower limb of participants. The domains most affected by lymphedema were physical aspects (25.0 ± 31.4) and emotional aspects (36.0 ± 42.9) from the SF-36 and the mobility domain (6.0 ± 2.6) from the Lymph -ICF-LL. Patients performed the TUG in 9.88 ± 1.98 seconds. The TUG was correlated with the questionnaires and the questionnaires were correlated with each other. CONCLUSIONS: People with unilateral lower limb lymphedema exhibited negative impacts on quality of life and functionality, as evaluated by questionnaires, which were correlated with each other. TUG performance was within normal limits, but results correlated with the questionnaires used.
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OBJECTIVE: To evaluate the impact of lipoabdominoplasty on diaphragmatic mobility (DM) and lung function in healthy women. METHODS: This was a prospective cohort study using high-resolution ultrasound and forced spirometry to assess DM and lung function, respectively, prior to lipoabdominoplasty, as well as on postoperative day (POD) 10 and POD 30. DM was measured under two conditions: during tidal volume breathing and during a VC maneuver. RESULTS: The sample consisted of 20 women, with a mean age of 39.85 ± 7.52 years and a mean body mass index of 26.21 ± 2.0 kg/m2. Comparing the preoperative and postoperative periods, we found that DM and lung function values were significantly lower after lipoabdominoplasty, the mean DM on POD 10 being 17% and 15% lower during tidal volume breathing and during the VC maneuver, respectively, in comparison with the preoperative mean (p = 0.009 and p < 0.001, respectively). In addition, FEV1, FVC, and PEF were significantly lower on POD 10 than in the preoperative period (p = 0.046, p = 0.002, and p < 0.001, respectively), returning to preoperative values by POD 30. CONCLUSIONS: Lipoabdominoplasty appears to have negative short-term repercussions for DM and lung function in healthy women. However, lung function and DM are both apparently restored to preoperative conditions by POD 30. (ClinicalTrials.gov identifier: NCT02762526 [http://www.clinicaltrials.gov/]).
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Diafragma/fisiología , Lipoabdominoplastía , Pulmón/fisiología , Adulto , Diafragma/diagnóstico por imagen , Disnea/fisiopatología , Femenino , Humanos , Persona de Mediana Edad , Dimensión del Dolor , Periodo Posoperatorio , Periodo Preoperatorio , Estudios Prospectivos , Espirometría , UltrasonografíaRESUMEN
ABSTRACT Objectives: To qualitatively and quantitatively analyze the interaction of Russian and Aussie currents in isometric contraction of the quadriceps femoris muscle in the sensory, motor and pain tolerance spectra in healthy young women. Methods: The subjects were studied at a single point in time. A lower limb was selected at random to receive each current, and the electrodes were placed simultaneously on both legs, respecting 10 minutes between individual stimulation. Sensory, motor and pain-tolerance thresholds were assessed in quantitative (current density in mA/cm²) and qualitative (VAS) terms. Results: Subjects were 19 volunteers, aged 22.31 (1.29), with a BMI of 21.79 (1.78). The Aussie current reached the sensory threshold with significantly lower current density when compared with the Russian current for the same threshold. The results were significant in the overall group (treatment) for the two currents studied in terms of current density needed to reach the three thresholds. However, in the blocks (individually), there was significance only for the sensory threshold (p = 0.0126). Analysis of the perception of discomfort, assessed by VAS, was significant at the three time points for both currents, but in the comparison between these there was no significant difference. Conclusion: The Russian and Aussie currents are adequate in terms of the current density required to reach each threshold studied, and present differences between one another during interaction with the biological system, with the Aussie current necessitating less energy. However, in terms of perception of discomfort there are no significant differences between the two currents. Level of evidence III; Therapeutic studies - Investigating the results of treatment.
RESUMO Objetivos: Analisar qualitativa e quantitativamente a interação das correntes Russa e Aussie na contração isométrica do músculo quadríceps femoral, nos no âmbito sensitivo, motor e de desconforto em mulheres jovens saudáveis. Métodos: As voluntárias foram analisadas em um único momento. Sorteou-se qual membro inferior receberia cada corrente e os eletrodos foram posicionados simultaneamente nos dois membros inferiores, respeitando-se 10 minutos entre a estimulação de cada um. Foram avaliados os limiares sensitivo, motor e de desconforto em termos quantitativos (densidade de corrente em mA/cm²) e qualitativos (EVA). Resultados: Participaram 19 voluntárias, na faixa etária de 22,31 (1,29) e IMC de 21,79 (1,78). A corrente Aussie alcançou o limiar sensitivo com menor densidade de corrente de forma significativa com relação à Russa para o mesmo limiar. Os resultados foram significativos no grupo geral (tratamento) para as duas correntes estudadas quanto à densidade de corrente necessária para atingir os três limiares. Já nos blocos (individualmente), houve significância apenas para o limiar sensitivo (p=0,0126). A análise da percepção de desconforto, avaliada através da EVA, foi significativa nos três momentos para ambas as correntes, mas na comparação entre elas não houve diferença significativa. Conclusão: As correntes Russa e Aussie são adequadas quanto à densidade de corrente necessária para atingir cada limiar estudado e apresentam diferenças entre si durante a interação com o sistema biológico, necessitando a Aussie de menos energia. No entanto, em termos de percepção de desconforto não há diferenças significativas entre as duas correntes. Nível de evidência III; Estudos terapêuticos-Investigação dos resultados do tratamento.
RESUMEN Objetivos: Analizar cualitativa y cuantitativamente la interacción de las corrientes Rusa y Aussie, en la contracción isométrica del músculo cuádriceps femoral, en el ámbito sensitivo, motor y de incomodidad en mujeres jóvenes sanas. Métodos: Las voluntarias se analizaron en un solo momento. Se sorteó cuál miembro inferior recibiría cada corriente y los electrodos fueron colocados simultáneamente en los dos miembros inferiores, respetándose 10 minutos entre la estimulación de cada uno. Se evaluaron los umbrales sensitivo, motor y de incomodidad en términos cuantitativos (densidad de corriente en mA/cm²) y cualitativos (EVA). Resultados: Participaron 19 voluntarias, en el grupo de edad de 22,31 (1,29) e IMC de 21,79 (1,78). La corriente Aussie alcanzó el umbral sensitivo con menor densidad de corriente de forma significativa con respecto a la rusa para el mismo umbral. Los resultados fueron significativos en el grupo general (tratamiento) para las dos corrientes estudiadas en cuanto a la densidad de corriente necesaria para alcanzar los tres umbrales. En los bloques (individualmente), hubo significancia sólo para el umbral sensitivo (p = 0,0126). El análisis de la percepción de incomodidad, evaluada a través de la EVA, fue significativo en los tres momentos para ambas corrientes, pero en la comparación entre ellas no hubo diferencia significativa. Conclusión: Las corrientes Rusa y Aussie son adecuadas en cuanto a la densidad de corriente necesaria para alcanzar cada umbral estudiado y presentan diferencias entre sí durante la interacción con el sistema biológico, necesitando la Aussie de menos energía. Sin embargo, en términos de percepción de incomodidad no hay diferencias significativas entre las dos corrientes. Nivel de evidencia III; Estudios terapéuticos-Investigación de los resultados del tratamiento.
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O linfedema de membros inferiores é uma doença crônica decorrente de dano no sistema linfático que influencia a mobilidade, a funcionalidade e a qualidade de vida dos indivíduos. Questionários e o teste físico são métodos bastante práticos, de fácil aplicação e baixo custo, que fornecem dados importantes para a avaliação desses pacientes. Objetivos Avaliar a influência do linfedema unilateral de membro inferior na funcionalidade e na qualidade de vida, correlacionando três ferramentas de avaliação. Métodos Estudo descritivo com 25 indivíduos com linfedema unilateral em membro inferior, de ambos os sexos. Foi avaliada a perimetria e foram aplicados The Medical Outcome Study Short Form-36 Health Survey (SF-36) para avaliação da qualidade de vida, Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema (Lymph-ICF-LL) para estudo das habilidades físicas, mentais e sociais relacionadas ao linfedema e o Timed Up and Go (TUG) para avaliação da funcionalidade. Resultados Houve a presença de linfedema em todo o membro inferior dos participantes. Os domínios mais prejudicados pelo linfedema foram os aspectos físicos (25,0 ± 31,4) e emocionais (36,0 ± 42,9) no SF-36 e o domínio mobilidade (6,0 ± 2,6) no Lymph-ICF-LL. O TUG foi realizado em 9,88 ± 1,98 s. Houve correlação entre o TUG e os questionários e entre os dois questionários utilizados. Conclusões Indivíduos com linfedema unilateral em membro inferior apresentam um impacto negativo na qualidade de vida e na funcionalidade avaliadas através de questionários, que correlacionam entre si. Não foi encontrada alteração no TUG, mas houve correlação entre ele e os questionários utilizados
Lymphedema of the lower limbs is a chronic disease caused by damage to the lymphatic system that influences people's mobility, functionality, and quality of life. Questionnaires and physical test are very practical, easy to apply, and low cost methods that provide important data for evaluation of these patients. Objectives To evaluate the influence of unilateral lower limb lymphedema on functionality and quality of life, correlating 3 assessment tools. Methods This was a descriptive study investigating 25 patients of both sexes with unilateral lymphedema in a lower limb. Limb volume was assessed using circumferential tape measurements, the Medical Outcomes Study Short Form-36 Health Survey (SF-36) was used to assess quality of life, the Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema (Lymph-ICF-LL) was used to assess physical, mental, and social skills related to lymphedema, and the Timed Up and Go (TUG) test was used for functional assessment. Results Lymphedema was present throughout the affected lower limb of participants. The domains most affected by lymphedema were physical aspects (25.0 ± 31.4) and emotional aspects (36.0 ± 42.9) from the SF-36 and the mobility domain (6.0 ± 2.6) from the Lymph -ICF-LL. Patients performed the TUG in 9.88 ± 1.98 seconds. The TUG was correlated with the questionnaires and the questionnaires were correlated with each other. Conclusions People with unilateral lower limb lymphedema exhibited negative impacts on quality of life and functionality, as evaluated by questionnaires, which were correlated with each other. TUG performance was within normal limits, but results correlated with the questionnaires used
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Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Calidad de Vida , Extremidad Inferior , Linfedema/complicaciones , Linfedema/diagnóstico , Comorbilidad , Factores Sexuales , Enfermedad Crónica , Epidemiología Descriptiva , Encuestas y Cuestionarios , Factores de Edad , Especialidad de Fisioterapia/métodos , Diabetes Mellitus , Hipertensión , Sistema Linfático , ObesidadRESUMEN
ABSTRACT Objective: To evaluate the impact of lipoabdominoplasty on diaphragmatic mobility (DM) and lung function in healthy women. Methods: This was a prospective cohort study using high-resolution ultrasound and forced spirometry to assess DM and lung function, respectively, prior to lipoabdominoplasty, as well as on postoperative day (POD) 10 and POD 30. DM was measured under two conditions: during tidal volume breathing and during a VC maneuver. Results: The sample consisted of 20 women, with a mean age of 39.85 ± 7.52 years and a mean body mass index of 26.21 ± 2.0 kg/m2. Comparing the preoperative and postoperative periods, we found that DM and lung function values were significantly lower after lipoabdominoplasty, the mean DM on POD 10 being 17% and 15% lower during tidal volume breathing and during the VC maneuver, respectively, in comparison with the preoperative mean (p = 0.009 and p < 0.001, respectively). In addition, FEV1, FVC, and PEF were significantly lower on POD 10 than in the preoperative period (p = 0.046, p = 0.002, and p < 0.001, respectively), returning to preoperative values by POD 30. Conclusions: Lipoabdominoplasty appears to have negative short-term repercussions for DM and lung function in healthy women. However, lung function and DM are both apparently restored to preoperative conditions by POD 30. (ClinicalTrials.gov identifier: NCT02762526 [http://www.clinicaltrials.gov/])
RESUMO Objetivo: Avaliar o impacto da lipoabdominoplastia na mobilidade diafragmática (MD) e na função pulmonar de mulheres saudáveis. Métodos: Estudo prospectivo de coorte com ultrassonografia de alta resolução e espirometria forçada para a avaliação da MD e da função pulmonar, respectivamente, antes da lipoabdominoplastia, no 10º dia do pós-operatório e no 30º dia do pós-operatório. A MD foi medida durante a respiração em volume corrente e durante uma manobra de CV. Resultados: A amostra foi composta por 20 mulheres, com média de idade de 39,85 ± 7,52 anos e média de índice de massa corporal de 26,21 ± 2,0 kg/m2. Ao compararmos os períodos pré e pós-operatório, observamos que a MD e a função pulmonar foram significativamente menores após a lipoabdominoplastia; a média de MD no 10º dia do pós-operatório foi 17% menor durante a respiração em volume corrente e 15% menor durante a manobra de CV do que a média pré-operatória (p = 0,009 e p < 0,001, respectivamente). Além disso, o VEF1, a CVF e o PFE foram significativamente menores no 10º dia do pós-operatório que no pré-operatório (p = 0,046, p = 0,002 e p < 0,001, respectivamente), retornando aos valores pré-operatórios até o 30º dia do pós-operatório. Conclusões: A lipoabdominoplastia parece ter repercussões negativas em curto prazo na MD e função pulmonar de mulheres saudáveis. No entanto, tanto a função pulmonar como a MD aparentemente retornam ao estado pré-operatório até o 30º dia do pós-operatório. (ClinicalTrials.gov identifier: NCT02762526 [http://www.clinicaltrials.gov/])
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Humanos , Femenino , Adulto , Persona de Mediana Edad , Diafragma/fisiología , Lipoabdominoplastía , Pulmón/fisiología , Periodo Posoperatorio , Espirometría , Dimensión del Dolor , Diafragma/diagnóstico por imagen , Estudios Prospectivos , Ultrasonografía , Disnea/fisiopatología , Periodo PreoperatorioRESUMEN
O método mãe canguru (MMC) propõe que o contato pele a pele da mãe com o bebê ajude no desenvolvimento do recém-nascido de baixo peso (RNBP). No entanto estas mães podem apresentar queixas musculoesqueléticas. Assim este trabalho teve como objetivo mensurar através da escala visual analógica (EVA) as principais queixas dolorosas em participantes do MMC e verificar a correlação entre estas queixas com idade e peso do RNBP. Estudo realizado com 26 mulheres com RNBP internadas no alojamento canguru. Aplicou-se uma ficha de avaliação em dois momentos, primeiro na admissão e depois no sétimo dia de internamento. A puérpera era questionada sobre desconforto musculoesquelético, e quantificava através da EVA. Observou-se que 46,16% relataram alguma queixa álgica no momento da admissão e, no sétimo dia, este percentual foi de 50%. O local mais acometido foi a região lombar com 66,7% e 61,3% nos dois momentos da análise sendo classificada como uma dor moderada para 100% e 84,6% respectivamente, houve correlação entre aumento da dor e ganho do peso do recém nascido. O MMC parece não interferir no surgimento e agravamento da dor musculoesquelética. Porém puérperas apresentam desconforto muscular importante que pode aumentar de acordo com o ganho de peso do RNBP, sendo o MMC benéfico para o recém-nascido. Um acompanhamento adequado destas mulheres pode ajudar na adesão ao método. (AU)
Objective: To measure the main pain complaints in participants of the Kangaroo-mother care method (KMCM) using the visual anolog scale (VAS). Methods: This study was conducted in a public hospital located in Recife. The sample consisted of 26 mothers who had low weight newborn hospitalized in the Kangaroo accommodation. It was applied an evaluation form at two different times, the first evaluation was conducted in the day of admission; the second evaluation was conducted on the seventh day of hospitalization. During the evaluation the mothers were questioned about their musculoskeletal discomfort, quantified by the VAS method, and then they pointed at a figure to show their pain location. Results: 46.16% reported some pain complaint at the admission's day, on the seventh day this percentage was 50%. The most commonly affected area was the lumbar region with 66.7% and 61.3% in both time of the analysis. That pain was classified as moderate pain in 100% and 84.6% of the cases, respectively. Another finding was the correlation between the pain increase of the mother and the newborn gain of weight. Conclusion: The KMCM does not seem to interfere in the emergence and worsening of musculoskeletal pain. However women in the postpartum period have muscular discomfort that should be observed, considering that KMCM implies in great benefits to the newborn and that an appropriate monitoring of these women can help in adherence to the method. (AU)
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Humanos , Femenino , Embarazo , Adulto , Método Madre-Canguro , Recién Nacido de Bajo Peso , Dolor Musculoesquelético , Dolor , Periodo PospartoRESUMEN
Introdução: A lombalgia é um sintoma frequente durante a gestação. As dores aumentam principalmente se a mulher já apresentava queixas mesmo antes de engravidar. Além disso, esse sintoma pode perdurar depois da gestação interferindo em suas atividades diárias e consequentemente em sua qualidade de vida. Objetivo: Avaliar a classificação do nível de incapacidade da lombalgia em gestantes primigestas e multíparas. Métodos: Trata-se de um estudo descritivo de corte transversal. Participaram 50 gestantes no terceiro trimestre de gestação, na faixa etária de 18 a 30 anos, com queixas de dor lombar. As voluntárias responderam ao Questionário de Oswestry de Desabilidade de Dor Lombar. Para a análise estatística foi utilizado o Programa estatístico Epi Info versão 7.1. Resultados: A prevalência de lombalgia gestacional foi de 82%, sendo a frequência maior nas multíparas (96%) quando comparadas as primíparas (68%). Em relação à incapacidade provocada pela dor, as primíparas apresentaram uma incapacidade intensa (82,4%) para a realização das atividades de vida diária e dentre as multíparas apresentavam dor ao ponto da incapacidade ser considerada aleijada (45,8%). Conclusão: O grau de incapacidade chegou a ser intenso nas primíparas, e nas multíparas o desconforto provocou na maioria limitações para a realização das atividades de vida diária. (AU)
Background: Low back pain is a common symptom during pregnancy. The pains mainly increase if the woman already had the same complaints before becoming pregnant. Additionally, this symptom may persist after pregnancy interfering with daily activities and therefore in their quality of life. Objective: To evaluate the classification of disability level of low back pain in pregnant and multigravidae. Methods: This is a descriptive cross-sectional study. Fifty pregnant women in the third trimester of pregnancy, aged 18-30 years, with low back pain complaints participated. The volunteers answered the Oswestry Questionnaire disability in low back pain. Statistical analysis was performed using the statistical program Epi Info version 7.1. Results: The prevalence of gestational low back pain was 82%, the more frequently in multiparous (96%) when compared to primiparous (68%). In relation to disability caused by pain, primiparous showed an intense disability (82.4%) for performing daily life activities and among multiparous had pain to the point of failure be considered crippled (45.8%). Conclusion: The degree of disability became intense in primiparous and in the multiparous discomfort caused most limitations to perform activities of daily living. (AU)
Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Dolor de la Región Lumbar , Manejo del Dolor , Paridad , Calidad de VidaRESUMEN
A terapia por campo eletromagnético é bastante utilizada pela fisioterapia no tratamento adjuvante dos sintomas álgicos associados às desordens articulares degenerativas e musculoesqueléticas. Esse estudo teve como objetivo avaliar a ação das ondas curtas pulsada de 100Hz e intensidade de campo elétrico de 25V/m, na latência do limiar de dor e na intensidade da dor em adultos saudáveis. Vinte e quatro voluntários foram recrutados e alocados em dois grupos experimentais, o grupo intervenção (GI), com 12 voluntários de média de idade 22±2,65 anos e o índice de massa corporal (IMC) de 23,72 ±3,07 e o grupo placebo (GP), também com 12 voluntários com 22,08±2,71 anos e IMC de 23,66 ±3,36. Os grupos foram submetidos a 3 ciclos com estimulação álgica através da hipotermia. No ciclo de intervenção o grupo GI contou com a aplicação da OCP (Ondas Curtas Pulsadas) na face anterior e posterior do antebraço ipsilateral submetido à hipotermia por 20 minutos, enquanto que no GP o aparelho foi ligado, mas sem emissão. Na análise intragrupo, a latência do limiar de dor obteve um aumento significativo nos momentos durante e após a intervenção em relação ao momento de pré-intervenção no GI, enquanto que no GP o momento durante a pós-intervenção foi significativamente maior que no pré- intervenção. Quando comparados, o GI apresentou uma latência significativamente maior durante o momento de intervenção e a pós-intervenção em relação aos mesmos momentos no GP. A intensidade dolorosa não apresentou resultados significativos em nenhum dos grupos. Observou-se que as ondas curtas no modo pulsada promove o aumento na latência do limiar doloroso durante a sua aplicação em processos agudos....(AU)
The electromagnetic field therapy is frequently used by physical therapy in the adjuvant treatment of pain symptoms associated with degenerative joint and musculoskeletal disorders. This study aimed to evaluate the effects of pulsed short-wave with 100Hz and intensity of the electric field 25V/m in latency threshold of pain and pain intensity in healthy adults. Twenty-four volunteers were recruited and divided into two experimental groups, the intervention group (GI), with average age of 12 volunteers 22 ± 2.65 years and body mass index (BMI) of 23.72 ± 3.07 and the placebo group (GP), also with 12 volunteers, with 22.08 ± 2.71 years and 23.66 ± 3.36 BMI. The groups were submitted to cycles with cold induced pain, in the intervention cycle the group GI included the application of OCP in the front and back of the ipsilateral forearm subjected to cold induced pain for 20 minutes while in the GP unit remained off. In the intra-group analysis, the latency pain threshold achieved a significant increase in the time during and after the intervention relative to the time of pre-intervention in GI, while in the GP time postintervention was significantly higher than the pre-intervention. When compared, the GI has a significantly higher latency during the intervention and post-intervention compared to the same time in the GP. Pain intensity did not show significant results. It was observed that the pulsed short wave promotes an increase in pain threshold during its application in acute processes....(AU)
Asunto(s)
Humanos , Masculino , Femenino , Dolor Agudo , Analgesia , Hipotermia , Especialidad de Fisioterapia , Placebos , TerapéuticaRESUMEN
[Purpose] This study assesse the effect of low frequency transcutaneous electrical nerve stimulation (TENS) of theTE5 (waiguan) and PC6 (neiguan) acupoints on cold-induced pain. [Subjects and Methods] Forty-eight subjects were divided by convenience into three groups: TENS with electrodes of 1â cm(2) area, TENS with electrodes of area 15â cm(2) and a placebo group. The study consisted of three phases: cold-induced pain without electroanalgesia, cold-induced pain with electroanalgesia or placebo, and cold-induced pain post-electroanalgesia or placebo. [Results] Acupuncture like TENS increased the pain threshold latency during treatment (45.7 ± 11.7s) compared to pre-treatment (30.9 ± 8.9s) in the TENS group with 1â cm(2) electrodes. In the TENS group with 15â cm(2) electrodes, the pain threshold latency increased at post-treatment (36.2 ± 12.9s) compared to pre-treatment (25.5 ± 7.4s). The placebo group showed no significant changes. The group with 1â cm(2) electrodes showed a significantly higher pain threshold latency (45.7 ± 11.7s) than the other two groups. At post-treatment, the pain threshold latencies of both the 1â cm(2) (39.4 ± 11.5s) and 15â cm(2) (36.2 ± 12.9s) TENS group were higher than that of the placebo group (22.4 ± 7.4s). [Conclusion] Acupuncture like TENS applied to PC6 and TE5 acupoints increased the pain threshold latency. The pain intensity was reduced by TENS with an electrode area of 1â cm(2).
RESUMEN
PURPOSE: To investigate sensory nerve conduction of the caudal nerve in normal and diabetic rats. METHODS: Diabetes was induced in twenty 8-weeks old Wistar male rats. Twenty normal rats served as controls. Caudal nerve conduction studies were made before diabetes induction and the end of each week for six consecutive weeks. The caudal nerve was stimulated distally and nerve potentials were recorded proximally on the animal's tail using common "alligator" clips as surface electrodes. RESULTS: After induction, nerve conduction velocities (NCV) increased slower in the diabetic than in the control group. Sensory nerve action potentials (SNAP) conduction velocities increased slower in the diabetic than in the control group (slope of regression line: 0.5 vs 1.3m/s per week; NCV in the 15th week = 39±3m/s vs 44±4m/s). Tukey's tests showed differences between groups at the 11th, 13th and 15th weeks old. From the 10th week on, SNAP amplitudes increased faster in the diabetic than in the control group (slopes of the regression line: 10 vs 8µV per week; SNAP amplitudes in the 15th week: 107±23µV vs 85±13µV). Differences at the 12th, 13th and 15th weeks were significant. CONCLUSION: In diabetic rats nerve conduction velocities were slower whereas amplitudes were larger than in normal rats.
OBJETIVO: Investigar a condução nervosa sensorial do nervo caudal em ratos normais e diabéticos. MÉTODOS: O diabetes foi induzido em vinte ratos Wistar com idade de oito semanas. Vinte ratos serviram como controle. Os estudos da condução do nervo caudal foram feitos antes da indução do diabetes e ao final de cada semana, durante seis semanas consecutivas. O nervo caudal foi estimulado distalmente e potenciais foram registrados proximalmente na cauda do animal, usando clipes comuns "jacaré" como eletrodos de superfície. RESULTADOS: Após a indução, a velocidade de condução nervosa (VCN) aumentou mais lentamente no grupo diabético que no controle. Potenciais de ação dos nervos sensitivos (PANS) aumentaram a velocidade de condução mais lentamente no grupo diabético que no controle (linha de regressão: 0,5 vs 1,3m/s por semana; VCN na 15ª semana = 39±3m/s vs 44±4m/s). O teste de Tukey mostrou diferenças entre os grupos nas 11ª, 13ª e 15ª semanas de vida. A partir da semana 10, os PANS aumentaram mais rapidamente no grupo diabético que no controle (linha de regressão: 10 vs 8µV por semana; PANS na 15ª semana: 107±23µV vs 85±13µV). Diferenças na semana 12, 13 e 15 foram significativas. CONCLUSÃO: Nos ratos diabéticos a velocidade de condução nervosa foi mais lenta enquanto que as amplitudes foram maiores que em ratos normais.
Asunto(s)
Animales , Diabetes Mellitus Experimental , Ratas/clasificación , Neuronas/citologíaRESUMEN
PURPOSE: To investigate sensory nerve conduction of the caudal nerve in normal and diabetic rats. METHODS: Diabetes was induced in twenty 8-weeks old Wistar male rats. Twenty normal rats served as controls. Caudal nerve conduction studies were made before diabetes induction and the end of each week for six consecutive weeks. The caudal nerve was stimulated distally and nerve potentials were recorded proximally on the animal's tail using common "alligator" clips as surface electrodes. RESULTS: After induction, nerve conduction velocities (NCV) increased slower in the diabetic than in the control group. Sensory nerve action potentials (SNAP) conduction velocities increased slower in the diabetic than in the control group (slope of regression line: 0.5 vs 1.3m/s per week; NCV in the 15(th) week = 39±3m/s vs 44±4m/s). Tukey's tests showed differences between groups at the 11th, 13(th) and 15(th) weeks old. From the 10(th) week on, SNAP amplitudes increased faster in the diabetic than in the control group (slopes of the regression line: 10 vs 8µV per week; SNAP amplitudes in the 15(th) week: 107±23µV vs 85±13µV). Differences at the 12(th), 13(th) and 15(th) weeks were significant. CONCLUSION: In diabetic rats nerve conduction velocities were slower whereas amplitudes were larger than in normal rats.
Asunto(s)
Diabetes Mellitus Experimental/fisiopatología , Conducción Nerviosa/fisiología , Cola (estructura animal)/inervación , Animales , Masculino , Ratas , Ratas WistarRESUMEN
Purpose: To non-invasively study the sensory nerve conduction of the caudal nerve of normal developing rats. Methods: Twenty normal Wistar male rats served as subjects. Caudal nerve conduction studies were performed at 60 days from birth and weekly at end of six consecutive weeks. The caudal nerve was stimulated distally and nerve potentials were recorded proximally on the animal's tail using common "alligator" clips as surface electrodes. Results: The amplitude and the conduction velocity of the caudal nerve sensory action potential increased linearly from 29±6 µV to 85±13 µV and from 34±3 m/s to 44±4 m/s, respectively, between the 8th and the 15th week of life. The equations of linear regressions were as followed: Amplitude (µV) = 8.1 × weeks - 34 (R² = 0.99) and NCV (m/s) = 1.2 × weeks + 25 (R² = 0.86). Conclusions: It was possible to study non-invasively the sensitive conduction of the caudal nerve of normal developing rats and describe reference values. The technique and data may be used as animal model in physiological and pathological studies.
Objetivo: Estudar de forma não invasiva a condução nervosa sensitiva do nervo caudal em ratos normais em desenvolvimento. Métodos: Vinte ratos machos Wistar foram utilizados. A conducão nervosa foi realizada a partir dos 60 dias, semanal durante seis semanas consecutivas. O nervo caudal foi estimulado distalmente, os potenciais foram registrados proximalmente na cauda do animal usando garras comum do tipo "jacaré" como eletrodos de superficie. Resultados: A amplitude do potencial de ação de nervo sensitivo a velocidade de condução nervosa do nervo caudal cresceu linearmente de 29 ± 6 µV para 85 ± 13 µV e de 34 ± 3 m/s para 44 ± 4 m/s, respectivamente, entre a 8º e a 15º semana da vida do animal. As equações de regressão linear foram as seguintes: Amplitude (µV) = 8,1 × semanas - 34 (R² = 0,99) e velocidade de conducao nervosa (m/s) = 1,2 × semanas + 25 (R² = 0,86). Conclusões: Foi possível estudar de forma não invasiva a condução nervosa sensitiva do nervo caudal de ratos normais em desenvolvimento e descrever valores de referência. A técnica e os dados podem ser usados como modelo animal em estudos fisiológicos e patológicos.
Asunto(s)
Animales , Masculino , Ratas , Estimulación Eléctrica/métodos , Conducción Nerviosa/fisiología , Nervios Periféricos/fisiología , Cola (estructura animal)/inervación , Ratas Wistar , Tiempo de ReacciónRESUMEN
O pico do fluxo expiratório (PFE) avalia o grau de obstrução brônquica e pode ser um importante coadjuvante no controle e tratamento da asma gestacional, que acomete 4 por cento das gestantes. O estudo teve como objetivo identificar o PFE em primíparas no terceiro trimestre e em nulíparas, comparando-os aos valores de uma tabela...
Peak expiratory flow rate (PEFR) evaluates the degree of bronchus obstruction and may be an important tool in the control of pregnancy asthma, which affects 4 per cent of pregnant women. This study aims to assess the PEFR of nulliparas and of primiparas in the third trimester...