Efeito da caminhada em esteira na acuidade proprioceptiva do tornozelo em mulheres jovens saudáveis: ensaio clínico randomizado / Effect of treadmill walking on ankle proprioceptive acuity in healthy young women: a randomized clinical trial

OBJETIVOS: Avaliar o efeito da caminhada em esteira na acuidade proprioceptiva do tornozelo de mulheres jovens saudáveis. MÉTODOS: Para este ensaio clínico randomizado foram selecionadas 20 mulheres entre 18 e 30 anos com um nível baixo de atividade física segundo a classificação IPAQ (Questionário Internacional de Nível de Atividade Física). As participantes foram divididas em dois grupos de 10 componentes, o Grupo Exercício, que realizou 10 sessões de caminhada em esteira, e o Grupo Controle, que não foi submetido a nenhuma intervenção. A acuidade proprioceptiva do tornozelo foi avaliada pré e pós-intervenção por meio do Star Excursion Balance Test. Após ser confirmada a normalidade dos dados, foi utilizada a análise de variância com delineamento misto para comparação entre os grupos e entre as avaliações pré e pós-intervenção. RESULTADOS: Não foram encontradas diferenças significativas na execução do Star Excursion Balance Test comparando as avaliações pré e pós-intervanção em ambos os grupos. Também não foram encontradas diferenças entre os dois grupos comparando as variações percentuais entre as duas avaliações. CONCLUSÕES: Nas condições testadas, um programa de 10 sessões de caminhada em esteira não foi capaz de promover adaptações na acuidade proprioceptiva do tornozelo em mulheres jovens saudáveis.

AIMS: To evaluate the effect of treadmill walking on ankle proprioceptive acuity in healthy young women. METHODS: This randomized clinical trial included 20 women aged 18 to 30 years with a low level of physical activity according to the International Physical Activity Questionnaire classification. The participants were assigned to two groups with 10 components: the exercise group, which performed 10 treadmill walking sessions, and the control group, which was not submitted to any kind of intervention. Ankle proprioceptive acuity was assessed before and after the Star Excursion Balance Test. After confirming the normality of data, a mixed analysis of variance was used to compare the groups and the assessments before and after the intervention. RESULTS: There were no significant differences in the Star Excursion Balance Test between groups either before or after the intervention. In addition, intergroup differences were not found when percentage variations were compared in both groups. CONCLUSIONS: Under the tested conditions, 10 treadmill walking sessions were not able to produce proprioceptive adaptations in healthy young women.

Effects of a labor gym program in mental workload of workers from rectory of UNIOESTE.

The present work is a quality-quantitative study of cause-effect type. The objective of this study was to investigate the effect of a Labor Gym (LG) program in mental workload of workers from rectory of the Universidade Estadual do Oeste do Paraná (Unioeste) Cascavel. The sample consisted of 35 employees. For data collection, it was used the NASA-TLX questionnaire to evaluate the mental workload of employees. Then, the participants performed sessions of LG, totaling 20 classes. After this period the employess were re-evaluated. To characterize the sample, data were tabulated and a descriptive analysis was performed using the SPSS 15.0. The interpretation of the NASA-TLX questionnaire was based on its own methodology. Before the LG sessions, the total average dimensions analyzed was 79 (sd: 11,05), representing a high rate of mental workload. After the period of LG, the total average of final mental workload decreased, but it remained with a high rate (x:75, sd: 13.42). In relation to the comparative analysis of the initial and final averages of mental workload, by t test (bipolar), there was no significant difference (p = 0.071668).

Analysis of the compensatory postures adopted by day caregivers through OWAS-Ovako Working Posture Analysing System.

The Ergonomic Work Analysis reports that there are many activities performed by the professional caregivers and that they are exposed to physical and psychological overload. This situation favors the emergence of pain which influences the quality of life in the work place. In this way, the objective of this study was to verify the main postural constraints adopted by caregivers in public day cares. Visits were conducted in 28 day cares aiming at performing an interview to 126 caregivers who have been working for more than 4 years. From the questionnaire it was found that 80% of the participants refer some sort of pain, being 42% in the trunk, 33% in the shoulder and 25% in the lower limbs. The data from OWAS method showed that from the total of 30 postures performed during the work One could see that the main postures adopted by the caregivers were: flexion, lateral inclination and rotation of the trunk and most of the time they are standing. These movements, when bad performed, can lead to injuries in the lower limbs, upper limbs and trunk. It's necessary more attention to these workers.Thought preventive ergonomic actions to reduce pain symptoms and promote a work in health and safety.

Identification of the mental workload of public employees in the administrative sector at a public university.

In the workplace there are risk factors that can overwhelm the health of the worker causing physical and psychological disorders. Among these disorders, is occupational stress. Thus, this research proposes to measure the mental workload of job stress from the identification of demand, control and social support. It is an observational cross-sectional epidemiological character, performed with the Rectory office workers at the State University of West Paraná (Unioeste). Data collection was due to the application of the "Job Stress Scale" (JSS) and in its reduced version adapted to Portuguese. The survey sample consisted of 44 individuals. Statistical analysis was correlated inversely with medium intensity (r = -0.404) between age and social support. For males was found between control and age (r = 0.603). According to the data obtained, we conclude that most workers are exposed to passive work, leading to loss of skills or disinterest in the job. This study highlights the importance of research in the area and the need for new actions that change the conditions of stress at work.

The actuation of physiotherapy in the certifications of occupational quality, health and safety.

UNLABELLED: To be distinguished from other companies, organizations are searching norms of certifications, such as ISO 9001, OHSAS 18001 and BS 8.800 to become more competitive in the work market, offering health and safety to the worker and quality to the customer. This extends the performance field of the Physiotherapist, who can use their knowledge to favor the processes of implementation of these certifications. The present work aims to identify the performance of the Physiotherapist in such processes of certification, as well as to verify their knowledge concerning the norms of certification and the performance in the occupational environment. METHODOLOGY: The population was constituted by the physiotherapists who had participated at the 4° FISIOTRAB, the sample was composed by 30 physiotherapists, a questionnaire with pertinent questions to the study was applied. RESULTS: 34% of the interviewed did not know what OHSAS 18001 and ISO 14001 were, 66% did not know about the BS 8,800 certification. 76% of the interviewed had never participated in the implementation of certification norms; among those who had participated 28% were present during the implementation of ISO 9001, 57% at the implementation of OHSAS 18001 and 15% at that of both OHSAS and ISO 14001 together. Given that, from the 24% that had already acted in such implementations, 70% possess a specific formation in Occupational Physiotherapy. CONCLUSION: It was verified that the least part of physiotherapists have acted during the implementation of certification norms, and that even when they work in the Occupational Physiotherapy field many do not possess a deep knowledge on the different practical performances.

Ação da estimulação elétrica nervosa transcutânea sobre o limiar de dor induzido por pressão / Transcutaneous electrical nerve stimulation action on pressure-induced pain threshold

JUSTIFICATIVA E OBJETIVOS: A estimulação elétrica nervosa transcutânea (TENS) é uma correntede baixa frequência, utilizada para tratamento de dor, contudo há lacunas com respeito aos parâmetros de uso, bem como do modo de ação. O objetivo deste estudo foi investigar os efeitos da TENS, na forma burst, sobre ador induzida por pressão.MÉTODO: Estudo duplamente encoberto e cruzado, com 23 indivíduos, de ambos os sexos, alocados em grupo TENS (GT) e grupo placebo (GP). A TENS burst, com duração de fase de 200 µs e com intensidade regulada até o limiar motor foi aplicada em duas regiões dos nervos mediano e ulnar, ambos na região supracondiliana, por 15 minutos. Para avaliação do limiar doloroso foi aplicado um dolorímetro de pressão sobre as regiões tenar e hipotenar nos seguintes períodos:antes e imediatamente após a estimulação, 20 minutos e 1 hora após o término da eletroestimulação.RESULTADOS: Por meio da avaliação do limiar doloroso da região tenar e hipotenar, observou-se que não houve diferença significativa quando comparados intragrupo e entre os grupos, para todos os momentos da avaliação.CONCLUSÃO: O uso de TENS na forma burst não foi eficaz para elevar o limiar na dor induzida por pressão.

BACKGROUND AND OBJECTIVES: Transcutaneous electrical nerve stimulation (TENS) is a low frequency current used to manage pain, however, there are gaps with regard to its usage parameters and way of action. This study aimed at investigating burst TENS effects on pressure-induced pain.METHOD: Double blind crossed study with 23 individuals of both genders, divided into TENS (GT) and placebo (GP) groups. Burst TENS, with 200 µs phaseduration and intensity regulated until motor threshold, was applied in two median and ulnar nerves regions,both in the supracondilar region, for 15 minutes. Pressure dolorimeter was applied to tenar and hypotenar regions to evaluate pain threshold in the following periods: before and immediately after stimulation, 20 minutes and one hour after electrical stimulation.RESULTS: Evaluating the pain threshold of the tenar and hypotenar region, there has been no significant difference when compared intragroup and between groups, for all evaluated moments.CONCLUSION: Burst TENS was not effective to increase pressure-induced pain threshold.

Prevalência da sintomatologia da síndrome do túnel do carpo em acadêmicos do curso de Sistemas de Informação: uma análise através do método rula / Prevalence of the carpal syndrome symptomatology in academics of the course of information system: an analysis based on the rule method

Devido ao uso repetitivo das estruturas do punho e dedos, como os tendões e músculos, os digitadores apresentam maior suscetibilidade a desenvolver doenças ocupacionais, conhecidas como Lesões por Esforços Repetitivos, como a Síndrome do Túnel do Carpo (STC) que é uma neuropatia periférica compressiva do nervo mediano causada principalmente pelos movimentos repetitivos de alta velocidade de punho e dedos e pela posição estática de flexão e extensão do punho. Considerando a repetitividade da tarefa e as inadequações posturais o presente estudo procura identificar a existência da sintomatologia da STC nos acadêmicos do curso de sistema de Informação, de Instituição Universitária do Noroeste do Paraná, e estabelecer relação entre o aumento das queixas e o desenvolvimento do curso, identificando posturas de risco que favoreçam o aparecimento da patologia, e sugerir possíveis intervenções da Fisioterapia Preventiva no processo de instalação da mesma. Para esta pesquisa, houve a participação de 72 alunos que cursam o primeiro e o último ano, de ambos os sexos, com faixa etária de 18 a 39 anos. Através da aplicação de um questionário, constatou-se que, 68 por cento dos acadêmicos relataram sentir algum dos sintomas da STC, e que estes aumentam com o desenvolvimento do curso. Através da aplicação do Método Rula, verificou-se que as posturas de risco estão presentes durante a prática com digitação, necessitando de intervenção breve. Esses resultados indicam que os sintomas da STC já estão presentes em acadêmicos e acredita-se que esteja relacionado a dupla jornada de trabalho e a falta de orientações quanto a prevenção da patologia

Parâmetros para estabelecimento do tratamento fisioterápico em pacientes com lesäo medular cervical: relato de caso / Parameters for establishment of physical therapy treatment of patient with cervical spinal cord lesion: case report

O presente estudo refere-se ao relato de caso de um paciente com lesäo medular cervical, tipo contusäo em nívelC5. O tratamento fisioterápico é enfocado comparando a evoluçäo esperada, de acordo com as tabelas de prognóstico motor, com as respostas do paciente, sendo estas propostas observadas através de contínuas avaliaçöes, havendo concomitantemente mudanças do protocolo de tratamento fisioterápico de acordo com a evoluçäo observada.