Psychological factors show limited association with the severity of Achilles tendinopathy.

BACKGROUND: This study aimed to investigate the association between psychosocial factors and the severity of Achilles tendinopathy, along with exploring their potential link to the pain's duration. METHODS: A cross-sectional study involving 111 individuals with Achilles tendon pain was conducted. METHODS: A cross-sectional study involving 111 individuals with Achilles tendon pain was conducted. Various psychological factors were assessed using the Pain Catastrophizing Scale, Chronic Pain Self-Efficacy Scale (CPSS), Tampa Scale for Kinesiophobia, and Hospital Anxiety and Depression Scale (HAD). Additionally, the severity of Achilles tendon pain was evaluated using the Victorian Institute of Sport Assessment-Achilles questionnaire (VISA-A-Br). Regression analyses were employed to determine the association of these psychosocial factors with pain severity and duration. RESULTS: Self-efficacy for chronic pain showed a slight association with Achilles tendon pain severity (ß = 0.42 [95% CI: 0.06 to 0.16], p = 0.001), explaining only 19% of the dependent variable. The other variables, including anxiety, depression, pain catastrophizing, and fear of movement, did not exhibit significant associations. CONCLUSION: The study suggests that psychological factors demonstrate limited association with the severity of Achilles tendinopathy. While self-efficacy for chronic pain was weakly associated, its clinical relevance remains uncertain. Future research, particularly longitudinal studies, should explore the influence of psychosocial factors on treatment adherence and response to enhance management strategies for Achilles tendon pain.

Development and Predictive Validation of the Brazilian Adductor Performance Test for Estimating the Chance of Hip Adductor Injuries in Elite Soccer Athletes.

PURPOSE: To develop and validate the Brazilian Adductor Performance Test (BAPT) for predicting hip adductor muscle injuries in elite soccer athletes. METHODS: A total of 108 soccer athletes were assessed, followed up for 3 months, and evaluated for a history of adductor injury 6 months before BAPT evaluation. The Shapiro-Wilk test was used as the normality test. The Mann-Whitney U test was used to compare BAPT scores between injured and uninjured athletes. Binary logistic regression was performed to identify the athletes' chances of injury based on their BAPT scores. A receiver operating characteristic curve was used to determine the cutoff point for the number of repetitions in the BAPT and Spearman bivariate correlation and identify factors potentially related to the test score. Furthermore, the intraclass correlation coefficient was used to determine interexaminer agreement. The level of significance was set at 95%. RESULTS: The BAPT scores for hip adductor injury history did not differ significantly (P = .08). A significant deficit was identified in the BAPT scores of the injured athletes at the 3-month follow-up (P = .001). The cutoff point identified was 33 repetitions. Low BAPT scores increased the chance of injury by 20% (odds ratio, 1.20%; P = .001). The interexaminer agreement was .96 (P = .001). CONCLUSION: BAPT can be used to identify athletes most likely to sustain hip adductor muscle injuries, indirectly reducing the rate of this injury in soccer clubs.

Biopsychosocial Model Domains in Clinical Practice Guidelines for Return to Sport After ACL Injury: Systematic Review Using the AGREE II Checklist.

CONTEXT: The current status of return-to-sport (RTS) criteria can be understood from the International Classification of Functioning, Disability, and Health (ICF), which emphasizes an individual-centered approach and inclusion of all domains of human functioning, and ensures the multifactorial and biopsychosocial nature of decision-making. OBJECTIVE: To analyze the inclusion of biopsychosocial model domains in clinical practice guidelines (CPGs) for RTS after anterior cruciate ligament (ACL) injury, as well as the quality of these CPGs. STUDY DESIGN: Systematic review of CPGs. LEVEL OF EVIDENCE: Level 1. SEARCH STRATEGY: Two independent reviewers developed the search strategy, and a third reviewer corrected and compiled the developed strategies used. DATA SOURCES: Ovid/Medline, Embase, and PEDro without restriction dates. STUDY SELECTION: CPGs for RTS after ACL injury at any age or sport level, and published in English. DATA EXTRACTION: Two independent reviewers codified the RTS criteria recommended in the CPGs according to the ICF domains, and the Appraisal of Guidelines for Research and Evaluation II (AGREE II Checklist) was used for critical appraisal. RESULTS: A total of 715 records were identified, and 7 CPGs were included. Frequency distribution of the biopsychosocial model domains was as follows: body functions (37.77%), activity and participation (20.00%), body structure (13.33%), environmental factors (11.11%), and personal factors (8.88%). In the AGREE II Checklist, the lowest mean domain scores were for rigor of development (37.86 ± 36.35) and applicability (49.29 ± 22.30), and 71.42% were of low or moderate quality. CONCLUSION: The CPGs cannot address the biopsychosocial model domains satisfactorily and some do not address all the ICF conceptual model components, emphasizing body functions and activity and participation domains. Therefore, the functioning model advocated by the World Health Organization has not yet been adequately incorporated into the recommendations for RTS after ACL injury. Moreover, most CPGs are of limited quality.

Exercise for rotator cuff tendinopathy.

Rotator cuff tendinopathy is among the main causes of shoulder pain. It is characterized by lesions without rupture caused by overload, work-related repetitive strain injury, or metabolic changes such as diabetes affecting one or more tendons, which cause pain, morphological alterations, and disability. This study aimed to evaluate the effects of exercise-based therapy on shoulder pain reduction and functioning improvement in patients with rotator cuff tendinopathy. This was a systematic review. Data were collected from randomized controlled trials retrieved from PubMed, Biblioteca Virtual em Saúde, PEDro, Web of Science, Scopus, and CENTRAL metasearch engines. The PEDro scale was used to evaluate the methodological quality of the selected studies. Eccentric exercise, conventional exercise, scapular and rotator cuff muscle strengthening, rotator cuff strengthening plus pectoralis major strengthening, high-load training, and low-load training were effective for the outcomes investigated in this study. Furthermore, goniometry, visual analogue scales, the Constant Murley score, the Disabilities of the Arm, Shoulder and Hand questionnaire, and the Shoulder Pain and Disability Index were constantly used to measure pain and functioning. Therapeutic exercises should be performed in this population, and new randomized controlled trials should be conducted with the goal of achieving the same outcome. The International Classification of Functioning, Disability and Health should be increasingly used in studies addressing patient functioning.

Entre as causas de dor no ombro, as tendinopatias do manguito rotador são as mais comuns. São conceituadas como lesões sem ruptura causadas por sobrecarga, esforço repetitivo em atividades laborais ou alterações metabólicas, como o diabetes, que afetam um ou mais tendões, causando dor, alteração morfológica e incapacidade. Objetiva-se avaliar os efeitos do tratamento baseado em exercícios para a redução da dor no ombro e melhora da funcionalidade de pacientes com tendinopatia do manguito rotador. Trata-se de uma revisão sistemática. Os dados foram coletados a partir de ensaios controlados aleatorizados encontrados nos metabuscadores PubMed, Biblioteca Virtual em Saúde, PEDro, Web of Science, Scopus e CENTRAL. A escala PEDro foi utilizada para avaliar a qualidade metodológica dos estudos. Exercício excêntrico, exercício convencional, fortalecimento dos músculos escapulares e do manguito rotador, fortalecimento do manguito rotador com adição de fortalecimento de peitoral maior, treino de alta intensidade e treino de baixa intensidade foram eficazes para os desfechos investigados neste estudo. Ademais, percebeu-se que a goniometria, a escala visual analógica e os questionários Constant Murley, Disabilities of the Arm, Shoulder and Hand e Índice de Dor e Incapacidade no Ombro são ferramentas constantemente utilizadas para mensurar a dor e funcionalidade desses pacientes. Sugere-se que o exercício terapêutico seja realizado nessa população e que novos ensaios controlados aleatorizados sejam realizados visando a esse mesmo desfecho. Além disso, sugere-se uma maior utilização da Classificação Internacional de Funcionalidade, Incapacidade e Saúde nos estudos que abordam a funcionalidade desses pacientes.

Alterações posturais: a caracterização de discentes de Fisioterapia em uma instituição do ensino superior em Fortaleza/CE / Postural changes: the characterization of Physiotherapy students in a higher education institution in Fortaleza/CE

Na postura padrão, a coluna apresenta curvaturas normais e os ossos dos membros inferiores ficam em alinhamento. Quando o componente estrutural é alterado, o corpo humano modifica-se para desempenhar tal situação da melhor forma possível, o que pode ocasionar em um desvio postural. O objetivo desta pesquisa é avaliar a postura e seus comprometimentos em discentes de um curso de Fisioterapia, traçando o perfil clínico socioeconômico, conhecendo os comprometimentos posturais dos participantes da pesquisa. Tratou-se de um estudo transversal, descritivo e quantitativo realizado entre os meses de agosto de 2015 a junho de 2016, no Centro Universitário Estácio do Ceará com 32 discentes do curso de Fisioterapia. Os dados foram coletados através de uma ficha de avaliação postural desenvolvida para o inquérito e analisada no programa Excel® 2013 e confrontados com a literatura vigente sobre o assunto. O gênero feminino foi predominante em 75% da amostra. Em relação ao estado civil dos participantes, 87,5% eram solteiros. A média de idade foi de 24,4 anos. Em relação ao Índice de Massa Corpórea, foi evidenciado que 28 participantes (87,5%) apresentaram um peso normal, de acordo com sua altura e peso. Para verificar a presença de escoliose, foi realizado o Teste de Adams. Evidenciou-se que 72% dos participantes apresentaram gibosidade, 12,50% apresentaram gibosidade lombar, 43,75% apresentaram gibosidade torácica e 15,63% apresentaram gibosidade toracolombar. A maioria dos estudantes apresentou escoliose. No entanto, estudos com uma amostra maior devem ser realizados, a fim de que resultados mais abrangentes possam ser obtidos. (AU)

In the standard posture, the spine has normal curvatures and the bones of the lower limbs are in alignment. When the structural component is changed, the human body changes to perform this situation in the best possible way, which can cause a postural deviation. The objective of this study was to evaluate the posture and its commitments in students of a Physical therapy course, tracing the socioeconomic clinical profile, knowing the postural impairments of the participants. This was a cross-sectional, descriptive and quantitative study carried out between August 2015 and June 2016, at the Estácio do Ceará University Center with 32 students. The data were collected through a postural assessment form developed for the survey and analyzed using the Excel® program and compared with the current literature. The female gender was predominant in 75% of the sample. Regarding the participants' marital status, 87.5% were single. The average age was 24.4 years. Regarding the Body Mass Index, it was evidenced that 28 participants (87.5%) had a normal weight, according to their height. To test for the presence of scoliosis, the Adams Test was performed. 72% of the participants presented gibosity, 12.50% lumbar gibosity, 43.75% thoracic gibosity and 15.63% thoraco-lumbar gibosity. Most of the students had scoliosis. However, studies with a larger sample should be carried out to obtain more accurate results. (AU)

Crianças vítimas de queimaduras hospitalizadas em centro de referência de Fortaleza-Ceará em 2017 / Children victims of burns hospitalized in Fortaleza-Ceará reference center in 2017 / Niños víctimas de quemaduras hospitalizadas en el centro de referencia en Fortaleza-Ceará en 2017

Objetivo: Este estudo tem por objetivo determinar o perfil das crianças na faixa etária entre 1 e 12 anos hospitalizadas no centro de referência para tratamento de queimados em Fortaleza-Ceará no período de janeiro a dezembro de 2017. Método: Estudo observacional, de caráter descritivo e retrospectivo, com ênfase em uma abordagem quantitativa, realizado no Centro de Tratamento de Queimados (CTQ) do Hospital Instituto Doutor José Frota (IJF) em Fortaleza/ CE. Resultados: Foram identificados 333 pacientes acometidos por queimaduras. No entanto, 159 foram excluídos por não apresentarem registro médico completo. Assim, 174 prontuários foram selecionados para compor a amostra. Houve predomínio da faixa etária de 0 e 6 anos, do gênero masculino e queimaduras do 2° grau. No tocante ao agente etiológico, líquido quente foi o principal causador de queimadura. A área mais afetada foi tronco e membros superiores. Conclusões: Os dados obtidos nesta pesquisa corroboram com informações na literatura disponíveis sobre o tema. Apesar do progresso no tratamento de pacientes queimados, acentua-se a necessidade de promoção de estratégias preventivas junto à sociedade que contribuam para a diminuição da incidência dessa injúria.

Objective: This study aims to determine the profile of children aged 1 to 12 years hospitalized in the reference center for burn treatment in Fortaleza-Ceará from January to December 2017. Methods: Observational, descriptive and retrospective study with emphasis on a quantitative approach carried out at the Burn Treatment Center (CTQ) of the Doctor José Frota Institute Hospital (IJF) in Fortaleza/CE, Brazil. Results: 333 patients with burns were identified. However, 159 were excluded for not having a complete medical record. Thus, 174 medical records were selected to compose the sample. There was a predominance between the age group of 0 and 6 years, male and with burns of 2nd degree. Regarding the etiological agent, hot liquids were the main cause of burns. The most affected area was the trunk and upper limbs. Conclusions: The data obtained in this research corroborate with information in the literature available on the subject. Despite the progress in the treatment of burn patients, the need to promote preventive strategies in society that contributes to reducing the incidence of this injury is emphasized.

Objetivo: Este estudio tiene como objetivo determinar el perfil de los niños de 1 a 12 años hospitalizados en el centro de referencia para el tratamiento de quemaduras en Fortaleza-Ceará, Brasil, de enero a diciembre de 2017. Método: Estudio observacional, descriptivo y retrospectivo con énfasis en un enfoque cuantitativo realizado en el Centro de Tratamiento de Quemaduras (CTQ) del Hospital del Instituto Doctor José Frota (IJF) en Fortaleza/CE. Resultados: Se identificaron 333 pacientes con quemaduras. Sin embargo, 159 fueron excluidos por no tener un historial médico completo. Por lo tanto, se seleccionaron 174 registros médicos para componer la muestra. Hubo un predominio entre el grupo de edad de 0 y 6 años, quemaduras en pacientes de sexo masculino y de 2º grado. En cuanto al agente etiológico, los líquidos calientes fueron la principal causa de quemaduras. El área más afectada fue el tronco y las extremidades superiores. Conclusiones: Los datos obtenidos en esta investigación corroboran con la información en la literatura disponible sobre el tema. A pesar del progreso en el tratamiento de pacientes con quemaduras, se enfatiza la necesidad de promover estrategias preventivas en la sociedad que contribuyan a reducir la incidencia de esta lesión.