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1.
Trials ; 22(1): 823, 2021 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-34801063

RESUMEN

INTRODUCTION: Pelvic floor muscle training (PFMT) exercises and neuromuscular electrical stimulation (NMES) are described as conservative interventions to prevent or treat female stress urinary incontinence (SUI). However, it has not been described yet the effect of PFMT associated to intravaginal NMES which evaluated the cost-effectiveness and cost-utility of treating. AIMS: To evaluate the effects of intravaginal NMES associated with the PFMT protocol on urinary loss and quality of life in women with SUI and to evaluate the cost-effectiveness and cost-utility and pelvic floor muscle in women with SUI. METHODS: Randomized controlled trial study with economic evaluation. Inclusion criteria are woman (biological), aged ≥ 18 years old and with a report of SUI ≥ once/week. Exclusion criteria are presence of vaginal or urinary infection, virginity, being in the gestational or puerperium period, or neurological disease. Participants will undergo physical therapy assessment and intervention: anamnesis, pelvic floor muscle assessment by vaginal palpation and manometry (PeritronTM), questionnaires (Short-Form 6 Dimensions-Brazil (SF-6D), King's Health Questionnaire (KHQ) and King´s Health Questionnaire for Scoring Algorithm), health costs, and voiding diary. Participants will be randomly allocated into 3 groups: CG (control group), IG 1 (intervention group 1, PFMT), and IG2 (intervention group 2, PFMT + NMES). The statistical analysis will be performed by intention to treat, and multivariate analysis of mixed effects will be used to compare outcomes. Effect size measurements will be calculated and will be provided by Cohen's d test. A significance level of 5% will be adopted. Additionally, the incremental cost-effectiveness and incremental cost-utility ratios will be used. DISCUSSION: This protocol can corroborate with the literature in order to identify the effect of techniques, based on the possibility of confirming the hypothesis that the NMES associated with PFMT performed concurrently will be the best treatment option; considering the effectiveness, cost-effectiveness, and cost-utility analysis, it will be used as an option for optimization of the treatment of SUI. TRIAL REGISTRATION: Brazilian Registry of Clinical Trials (ReBEC) ID: RBR-6gtzg4 . Registered on September 3, 2019.


Asunto(s)
Incontinencia Urinaria de Esfuerzo , Adolescente , Análisis Costo-Beneficio , Estimulación Eléctrica , Terapia por Ejercicio , Femenino , Humanos , Diafragma Pélvico , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Resultado del Tratamiento , Incontinencia Urinaria de Esfuerzo/diagnóstico , Incontinencia Urinaria de Esfuerzo/terapia
2.
Women Health ; 61(8): 783-790, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34433387

RESUMEN

Urinary incontinence (UI) is directly correlated with the risk of death and negatively affects the quality of life of women. During the COVID-19 pandemic, women had to adapt their lifestyles to get accustomed to the restrictive measures. The present study aimed to investigate the association between lifestyle habits, anxiety, and depression symptoms during the COVID-19 pandemic between incontinent and continent women. Seventy-seven Brazilian participants aged >18 years were assessed through semi-structured telephonic interviews from July to August 2020. The interview included a questionnaire to investigate lifestyle habit changes and two questions from the King's Health Questionnaire (KHQ) to identify the presence of UI and the Hospital Anxiety and Depression Scale (HADS). Women were allocated into two groups according to their answers to the KHQ: incontinent and continent. The chi-square test was applied, the significance level was set at 5%. Significant differences were found between groups regarding the habit to study and the time spent talking to relatives/friends (p < .05). Neither anxiety nor depression symptoms showed a significant association between the groups. It seems that women with UI changed specific lifestyle habits during the COVID-19 pandemic compared to continent women, while anxiety and depression symptoms did not differ between the groups.


Asunto(s)
COVID-19 , Pandemias , Ansiedad/epidemiología , Depresión/epidemiología , Femenino , Hábitos , Humanos , Estilo de Vida , Calidad de Vida , SARS-CoV-2 , Encuestas y Cuestionarios
3.
Int Urogynecol J ; 32(1): 203-210, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-32986147

RESUMEN

INTRODUCTION AND AIM: Physiotherapy in urogynecology faces challenges to safely continuing its work, considering the adoption of social distancing measures during the COVID-19 pandemic. Some guidelines have already been published for urogynecology; however, no specific documents have been produced on physiotherapy in urogynecology. This article aimed to offer guidance regarding physiotherapy in urogynecology during the COVID-19 pandemic. METHODS: A group of experts in physiotherapy in women's health performed a literature search in the Pubmed, PEDro, Web of Science and Embase databases and proposed a clinical guideline for physiotherapy management of urogynecological disorders during the COVID-19 pandemic. This document was reviewed by other physiotherapists and a multidisciplinary panel, which analyzed the suggested topics and reached consensus. The recommendations were grouped according to their similarities and allocated into categories. RESULTS: Four categories of recommendations (ethics and regulation issues, assessment of pelvic floor muscle function and dysfunction, health education and return to in-person care) were proposed. Telephysiotherapy and situations that need in-person care were also discussed. Regionalization is another topic that was considered. CONCLUSION: This study provides some guidance for continuity of the physiotherapist's work in urogynecology during the COVID-19 pandemic, considering the World Health Organization recommendations and the epidemiological public health situation of each region. Telephysiotherapy can also be used to provide continuity of the care in this area during the COVID-19 pandemic, opening new perspectives for physiotherapy in urogynecology.


Asunto(s)
COVID-19/rehabilitación , Consenso , Ginecología , Pandemias , Atención al Paciente/métodos , Modalidades de Fisioterapia/normas , Urología , COVID-19/epidemiología , Femenino , Humanos , SARS-CoV-2
4.
Disabil Rehabil ; 41(13): 1578-1583, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-29382234

RESUMEN

PURPOSE: To evaluate the association of results from the Rosén and Lundborg Score and the screening activity limitation and Safety Awareness scale for the assessment of hand in patients diagnosed with leprosy. METHOD: An association between the Rosén and Lundborg Score and the Screening Activity Limitation and Safety Awareness scale for hand was evaluated in a cross-section study with 25 people of a mean age of 51 years old (SD 14), undergoing drug treatment for leprosy. RESULTS: The mean quantitative score in the Screening Activity Limitation and Safety Awareness scale was 27.9 (SD 10.5). Rosén and Lundborg Score for the median nerve were 2.43 (SD 0.38) on the right hand and 2.41 (SD 0.54) on the left hand whilst for the ulnar nerve, the scores observed were 2.33 (SD 0.42) for the right hand and 2.31 (SD 0.61) for the left hand. Significant correlations between the two instruments in assessment of the median and ulnar nerves on both hands were found. CONCLUSIONS: Due to the association found between the scales, the Rosén and Lundborg Score may be used in assessment of the hand in patients diagnosed with leprosy, as a tool to assist the result evaluation after the drug treatment, surgical treatment, rehabilitation and follow-up in the hand dysfunction in leprosy. Implications for Rehabilitation The leprosy inflammatory neuropathy may cause limitations and disabilities related to hand functions of patients. Instruments with quantitative scores provide a reliable basis for therapeutic intervention prognosis. New evaluation methods promote a better monitoring of treatment and hand function evolution of people with leprosy.


Asunto(s)
Actividades Cotidianas , Evaluación de la Discapacidad , Mano/fisiopatología , Lepra , Tamizaje Masivo , Neuropatía Mediana , Concienciación , Estudios Transversales , Personas con Discapacidad/rehabilitación , Femenino , Humanos , Lepra/complicaciones , Lepra/terapia , Masculino , Tamizaje Masivo/métodos , Tamizaje Masivo/normas , Neuropatía Mediana/etiología , Neuropatía Mediana/fisiopatología , Neuropatía Mediana/psicología , Neuropatía Mediana/rehabilitación , Persona de Mediana Edad , Puntuaciones en la Disfunción de Órganos , Reproducibilidad de los Resultados , Pesos y Medidas
5.
Fisioter. Mov. (Online) ; 31: e003124, 2018. tab
Artículo en Inglés | LILACS | ID: biblio-953572

RESUMEN

Abstract Introduction: The effectiveness of pelvic floor muscle training (PFMT) depends on the correct prescription of intensity, repetition and endurance of muscle contractions, which are provided by an adequate assessment of pelvic floor muscle. Objective: Verify the techniques, resources and strategies used for clinical functional evaluation of female pelvic floor (PF) described in literature. Methods: It's an integrative review of published studies and books from 2010 until December 2015. Relevant articles with complete description of PF evaluation were found through the use of Scielo, LILACS, PubMed and Medline databases. Results: 34 articles that fulfilled all the criteria were selected. Conclusion: The most used techniques, resources and strategies were: anamnesis, physical examination, measurement of pelvic floor muscle activity using Modified Oxford Scale or perineometry, and use of questionnaires to analyze patient's perspective of their own symptoms. Thus, we could use the parameters obtained in the evaluation to plan an ideal PFMT for each patient, so the physiotherapist would have a good database to analyze the evolution and define the end of therapy.


Resumo Introdução: A eficácia do treinamento da musculatura do assoalho pélvico (TMAP) depende da correta prescrição dos exercícios em relação à intensidade, repetição e sustentação das contrações dessa musculatura, dados que são fornecidos quando realizada uma avaliação adequada. Objetivo: Verificar as técnicas, os recursos e as estratégias utilizadas para a avaliação clínico-funcional do assoalho pélvico (AP) feminino descritos na literatura. Métodos: Revisão integrativa de trabalhos publicados a partir de 2010 até dezembro de 2015, disponíveis em livros da área e nas bases de dados Scielo, LILACS, PubMed e MedLine sendo selecionados apenas os trabalhos que apresentaram a avaliação na íntegra. Resultados: Foram selecionados 34 artigos que preencheram todos os critérios de inclusão. Conclusão: Verificou-se que as técnicas, recursos e estratégias mais utilizadas foram: anamnese, exame físico, mensuração da atividade dos músculos do assoalho pélvico por meio da Escala de Oxford Modificada e/ou perineometria, além do uso de questionários para análise da perspectiva do paciente sobre seus sintomas. Desta forma, poderíamos utilizar os parâmetros obtidos na avaliação para traçar o TMAP ideal para cada paciente e o fisioterapeuta teria uma boa base de dados para analisar a evolução e definir alta do paciente.


Asunto(s)
Femenino , Salud de la Mujer , Diafragma Pélvico , Encuestas y Cuestionarios , Especialidad de Fisioterapia , Anamnesis , Contracción Muscular
6.
An Bras Dermatol ; 92(3): 335-339, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29186244

RESUMEN

BACKGROUND: In Brazil, 38,000 new cases of leprosy are discovered each year, making it a public health problem. OBJECTIVE: To identify whether or not there is an association between activity limitations and the restriction of social participation with some demographic data (age range, gender, and education) of the patients in a Basic Health Unit (BHU), diagnosed with leprosy. METHODS: The SALSA scale was used to assess activity limitations, whereas the Participation scale was used to assess the restriction of social participation. RESULTS: The assessments were conducted with 31 BHU patients diagnosed with leprosy. Males were the most affected by leprosy, the multibacillary was the most prevalent, and education proved to be an important factor when related to the disease injuries among the evaluated individuals. Regarding activity limitations and the restriction of social participation, the percentage of individuals without limitations and without restrictions was greater in both scales. STUDY LIMITATIONS: The main limitation is the small study sample. CONCLUSION: It can be concluded that, for the studied sample, no association was observed between the activity limitations, evaluated by the Salsa scale, nor the restriction of social participation, evaluated by the Participation Scale, with the analyzed demographic data.


Asunto(s)
Evaluación de la Discapacidad , Lepra Multibacilar/psicología , Lepra Paucibacilar/psicología , Calidad de Vida , Perfil de Impacto de Enfermedad , Participación Social/psicología , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Estudios Transversales , Escolaridad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales , Encuestas y Cuestionarios
7.
An. bras. dermatol ; 92(3): 335-339, May-June 2017. tab
Artículo en Inglés | LILACS | ID: biblio-886953

RESUMEN

Abstract Background: In Brazil, 38,000 new cases of leprosy are discovered each year, making it a public health problem. Objective: To identify whether or not there is an association between activity limitations and the restriction of social participation with some demographic data (age range, gender, and education) of the patients in a Basic Health Unit (BHU), diagnosed with leprosy. Methods: The SALSA scale was used to assess activity limitations, whereas the Participation scale was used to assess the restriction of social participation. Results: The assessments were conducted with 31 BHU patients diagnosed with leprosy. Males were the most affected by leprosy, the multibacillary was the most prevalent, and education proved to be an important factor when related to the disease injuries among the evaluated individuals. Regarding activity limitations and the restriction of social participation, the percentage of individuals without limitations and without restrictions was greater in both scales. Study limitations: The main limitation is the small study sample. Conclusion: It can be concluded that, for the studied sample, no association was observed between the activity limitations, evaluated by the Salsa scale, nor the restriction of social participation, evaluated by the Participation Scale, with the analyzed demographic data.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Calidad de Vida , Perfil de Impacto de Enfermedad , Evaluación de la Discapacidad , Lepra Multibacilar/psicología , Lepra Paucibacilar/psicología , Participación Social/psicología , Factores Sexuales , Estudios Transversales , Encuestas y Cuestionarios , Factores de Edad , Escolaridad
8.
Rev. dor ; 18(1): 18-22, Jan.-Mar. 2017. tab
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-845170

RESUMEN

ABSTRACT BACKGROUND AND OBJECTIVES: To identify and check the incidence of physical discomfort in third trimester pregnant women and relate it to parity, weight gain and regular practice of physical activities. METHODS: Data were collected by means of interviews made up of identification, socioeconomic data and lifestyle. In addition to pain intensity by means of the 10-cm visual analog scale, we have also calculated weight gain estimates for pregnant women as from body mass index considering the pre-gestational period. Physical discomforts were listed and answered "yes" or "no" with regard to their presence. Statistical analysis was carried out by simple frequency, percentages, Shapiro-Wilk, Chi-square and Student t tests. Statistical program was Stata 9.2 and significance level was 5%. RESULTS: Participated in the study 64 low risk pregnant women under pre-natal follow up. Most frequent symptom was fatigue, reported by 79.6%, followed by low back pain by 68.7%, uterine contraction pain and heartburn, each one reported by 60.9% of respondents, insomnia 53.1%, cramps 50%, nausea 29.6%, pain on ribs and vomiting, each with 21.8%, sciatic pain 20.3%, cervical and abdominal pain 18.7% each, chest pain 17.1%, nightmare and itching, each with 1.6% and brachial plexus pain by 3.1%. There has been no relationship with parity and weight gain. CONCLUSION: Discomforts reported had no relationship with parity, weight gain and regular practice of physical activities.


RESUMO JUSTIFICATIVA E OBJETIVOS: Identificar e verificar a incidência de incômodos físicos em gestantes, no terceiro trimestre, e relacioná-los com paridade, ganho de peso e prática regular de atividade física. MÉTODOS: A coleta de dados ocorreu com a utilização de um roteiro de entrevista composto de identificação, dados socioeconômicos, hábitos de vida. Além da intensidade de dor por meio da escala analógica visual de 10cm, calculou-se também a previsão do ganho de peso para gestantes a partir do índice de massa corporal considerando o período pré-gestacional. Os incômodos físicos foram listados e respondidos de forma afirmativa ou não quanto à presença deles. A análise estatística foi realizada por frequência simples, porcentagem, testes de Shapiro-Wilk, Qui-quadrado e t de Student. O programa estatístico utilizado foi o Stata 9.2 e o nível de significância foi de 5%. RESULTADOS: Participaram do estudo 64 gestantes de baixo risco que realizavam pré-natal. O sintoma de maior frequência apresentado foi fadiga, relatada por 79,6%, seguido de dor lombar por 68,7%, dor de contração uterina e azia queixados por 60,9% das gestantes, cada um deles, insônia 53,1%, câimbra 50%, náusea 29,6%, dor nas costelas e vômito 21,8% cada um, dor ciática 20,3%, dor cervical e dor abdominal 18,7% cada um, dor torácica 17,1%, pesadelo e prurido 15,6% cada um e dor na região do plexo braquial por 3,1%. Não houve relação com paridade ou ganho de peso. CONCLUSÃO: Os desconfortos relatados não apresentaram relação com a paridade, com ganho de peso e prática regular de atividade física.

9.
Artículo en Portugués | LILACS-Express | LILACS | ID: lil-743697

RESUMEN

Introdução: A hemodiálise, parte da terapia renal substitutiva, influencia a qualidade de vida pelas limitações que impõe às atividades rotineiras. Objetivo: Avaliar a qualidade de vida de doentes renais crônicos em hemodiálise e correlacioná-la com informações do perfil do grupo. Métodos: Usaram-se prontuários clínicos e Instrumento de Avaliação de Qualidade de Vida (WHOQOL-Bref) (domínios físico, psicológico, social e ambiental) para análise de uma amostra de 50 pessoas, 60% homens, média de idade de 52,48±5,79 anos. Resultados: Quanto à qualidade de vida, o domínio com maior média foi o social (77,5), seguido do psicológico (67,66) e do físico (63,28), e a menor pontuação para o do meio ambiente (62,37), demonstrando bom nível de relações sociais, e prejuízo nos aspectos físicos. Houve correlação significativa positiva entre escolaridade e domínio psicológico, e negativa entre idade e domínios físico e psicológico. Conclusão: Houve redução na qualidade de vida, com influência negativa da idade do sujeito.


Introduction: Hemodialysis, part of renal replacement therapy, influences the quality of life for the limitations it imposes on routine activities. Objective: To evaluate the quality of life of chronic renal failure patients on hemodialysis and correlate it with the group profile information. Methods: Medical records clinical and Quality of Life Assessment Instrument WHOQOL-Bref (physical, psychological, social and environmental domains) were used to assess a sample of 50 people, 60% men, mean age 52.48 ± 5.79 years. Results: Regarding quality of life, the area with the highest average was the social (77.5 points), followed by psychological (67.66 points), physical (63.28 points), and the lowest score for the environment (62.37 points), demonstrating good level of social relations, and prejudice in the physical aspects. There was a significant positive correlation between education and psychological domain and significant negative correlation between age and physical and psychological domains. Conclusion: There was a reduction in quality of life, with negative influence on the age of the subject.

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