RESUMEN
Described here is the implementation of a lung ultrasound course for physiotherapists focused on the acquisition and retention of knowledge and skills. Initially, we provided online lectures in a virtual learning environment (VLE), in which we taught the semiquantification of edema through a lung ultrasound score (LUS). Afterward, the physiotherapists participated in face-to-face lectures (which resumed the online lectures), followed by hands-on training and simulation with ultrasound. We assessed knowledge acquisition through a multiple-choice test with 30 questions (totaling 10 points). The test was applied before accessing the VLE (pre-VLE), before the face-to-face course and at its end (pre- and post-course). Physiotherapists collected actual patients' ultrasound scans, which were uploaded to the VLE and assessed by three supervisors, who performed a consensus LUS calculation and gave virtual written feedback. Thirteen physiotherapists collected 59 exams. The test results were 3.60 ± 1.58 (pre-VLE), 5.94 ± 1.45 (pre-course) and 8.50 ± 0.71 (post-course), with p < 0.001 for all. The intraclass correlation coefficient for LUS between physiotherapists and supervisors was 0.814 (p < 0.001), with moderate-to-weak agreement for LUS of the lung apical, median and basal zones, with κ = 0.455.334, and 0.417 (p < 0.001 for all). Trainees were found to have increased short-term acquisition and retention of knowledge and skills, with a good intraclass correlation coefficient between them and the consensus of supervisors for the LUS of actual patients.
Asunto(s)
Enfermedades Pulmonares , Fisioterapeutas , Curriculum , Humanos , Pulmón , UltrasonografíaRESUMEN
O objetivo desse estudo foi coletar na literatura estudos que comprovem a importância e eficácia do fortalecimento e avaliação da musculatura abdutora do quadril, principalmente o músculo glúteo médio, o principal abdutor, onde irá atuar principalmente durante a fase de apoio da marcha, dando estabilidade articular e auxiliando na sustentação de peso corpóreo. Sua deficiência poderá desencadear síndromes de uso excessivo, sobrecargas em tecidos moles e dor articular em resposta a sobrecargas anormais contínuas, pois os músculos funcionam através do hábito. Uma má mecânica devido a um comprimento inadequado ou excessivo e desequilíbrio de forças provocam dores no quadril, joelho ou coluna, causando intensa limitação funcional e altos custos para o sistema de saúde. Realizou-se uma ampla pesquisa na base de dados PubMed, Scielo, Google Acadêmico, Lilacs, periódicos e livros específicos e observou-se a escassez de estudos recentes relacionados ao fortalecimento do músculo glúteo médio, necessitando de mais estudos para determinar métodos de atuação mais adequados ao tratamento do mesmo. Estudos que possam revelar estratégias capazes de reabilitar ou até prevenir tais lesões devem ser incentivadas.
The aim of this study was to collect in literature studies which show the importance and effectiveness of strengthening and evaluation of the hip abductor muscles, especially the medium gluteal muscle, the main abductor, which will serve mainly during the support of the gait, giving joint stability and assisting in the support of body weight. Its deficiency syndromes may lead to excessive use, overload soft tissue and joint pain in response to abnormal continuous overload, because the muscles work through the habit. A bad mechanics due to an inadequate or excessive length and imbalance of forces causes hip, knee or spine pain, causing significant functional limitation and high costs for the Health System. It was done a wide search in the databases: PubMed, Scielo, Google Scholar, Lilacs, periodicals and specific books and it was observed the dearth of recent studies related to the strengthening of the medium gluteal muscle, being necessary additional studies to determine more appropriate methods of work to treat it. Studies that may prove capable strategies to rehabilitate or prevent such injuries should be encouraged.
