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1.
Interv. psicosoc. (Internet) ; 29(2): 83-91, mayo 2020. graf, tab
Artigo em Inglês | IBECS | ID: ibc-190388

RESUMO

Parental involvement in their children's education, including activities undertaken by parents at home and through strong links with their children's schools, contributes to children's academic attainment. This study examined whether it was feasible for school-based staff to deliver the Incredible Years® School Readiness parent programme (IY-SR) in schools, its acceptability to parents and teachers, its impact on home-school relationships, and preliminary programme impact. Thirty-two parents with a child in a nursery or reception class were recruited from eight schools. Group leaders and parents gave positive feedback about the programme and parental attendance on the programme was high. There were also significant increases in parents' use of praise and children's positive responses. This is the first study to demonstrate the feasibility of engaging schools to deliver the IY-SR programme as a means of promoting home-school relationships and providing parents with the skills to coach their children's school readiness skills


La implicación de las figuras parentales en la educación de sus hijos e hijas, incluyendo las actividades llevadas a cabo en el hogar, y una buena relación familia-escuela, contribuye al rendimiento académico de los niños y las niñas. Este estudio evalúa la viabilidad de la implementación del programa Incredible Years® School Readiness (IY-SR), su aceptación por parte de las familias y de los maestros y las maestras, su impacto en la relación familia-escuela y los resultados preliminares de su efectividad. Treinta y dos figuras parentales con hijos e hijas en guardería o en escuela infantil fueron captadas en ocho centros. Los dinamizadores y las figuras parentales mostraron una respuesta positiva hacia el programa y la asistencia de las familias a este fue alta. Además, se incrementó el uso de elogios por parte de las figuras parentales y las respuestas positivas de sus hijos e hijas. Este es el primer estudio que demuestra la viabilidad de involucrar a los centros educativos en la implementación del programa IY-SR como medio para promover la relación familia-escuela y capacitar a las figuras parentales para fomentar las competencias de sus hijos e hijas en su preparación para la escuela


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Adulto , Pais/psicologia , Estudos de Viabilidade , Aptidão , Inquéritos e Questionários , Relações Pai-Filho , Professores Escolares/psicologia , Biorretroalimentação Psicológica
2.
J Oral Rehabil ; 47(7): 827-833, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32329089

RESUMO

BACKGROUND: Electromyography (EMG) biofeedback (BF) training is potentially an effective cognitive-behavioural approach to regulate bruxism. OBJECTIVE: This study examined sleep bruxism regulation by daytime clenching control using a single-channel auditory EMG BF device. METHODS: Seventeen male subjects (mean age, 24.4 ± 3.1 years; mean ± SD) with self-reported awake/sleep bruxism were recruited and divided into a BF (n = 10) and a control (CO) group (n = 7). All subjects underwent four EMG recording sessions during both daytime and sleep over 3 weeks. During the daytime, in week 2, the BF group received feedback alert signals when excessive EMG activity with certain burst duration was detected while the subjects performed regular daily activities. The CO group underwent EMG recording sessions without receiving any alerts of parafunctional activity. The number of phasic burst events during sleep was compared between the BF and CO groups. RESULTS: While the number of phasic EMG events was not significantly different between the BF and CO groups at baseline, significantly smaller phasic events were observed in the BF compared to the CO group at the follow-up session (week 3) (P = .006, Tukey's HSD). Since daytime BF training is aimed at raising awareness of awake bruxism, it does not interrupt the sleep sequence or involve associated side effects. CONCLUSION: The present results suggest that EMG BF targeting for tonic EMG events during the daytime can be an effective method to regulate phasic EMG events during sleep.


Assuntos
Bruxismo , Bruxismo do Sono , Adulto , Biorretroalimentação Psicológica , Eletromiografia , Humanos , Masculino , Músculos da Mastigação , Sono , Adulto Jovem
4.
PLoS One ; 15(4): e0226789, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32240174

RESUMO

Exploration in reward-based motor learning is observable in experimental data as increased variability. In order to quantify exploration, we compare three methods for estimating other sources of variability: sensorimotor noise. We use a task in which participants could receive stochastic binary reward feedback following a target-directed weight shift. Participants first performed six baseline blocks without feedback, and next twenty blocks alternating with and without feedback. Variability was assessed based on trial-to-trial changes in movement endpoint. We estimated sensorimotor noise by the median squared trial-to-trial change in movement endpoint for trials in which no exploration is expected. We identified three types of such trials: trials in baseline blocks, trials in the blocks without feedback, and rewarded trials in the blocks with feedback. We estimated exploration by the median squared trial-to-trial change following non-rewarded trials minus sensorimotor noise. As expected, variability was larger following non-rewarded trials than following rewarded trials. This indicates that our reward-based weight-shifting task successfully induced exploration. Most importantly, our three estimates of sensorimotor noise differed: the estimate based on rewarded trials was significantly lower than the estimates based on the two types of trials without feedback. Consequently, the estimates of exploration also differed. We conclude that the quantification of exploration depends critically on the type of trials used to estimate sensorimotor noise. We recommend the use of variability following rewarded trials.


Assuntos
Aprendizagem/fisiologia , Atividade Motora/fisiologia , Desempenho Psicomotor/fisiologia , Adolescente , Adulto , Comportamento/fisiologia , Biorretroalimentação Psicológica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fenômenos Fisiológicos Musculoesqueléticos , Tempo de Reação/fisiologia , Projetos de Pesquisa , Recompensa , Distribuições Estatísticas , Adulto Jovem
5.
Zh Nevrol Psikhiatr Im S S Korsakova ; 120(3. Vyp. 2): 16-22, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32307425

RESUMO

Cognitive impairment is common in poststroke patients. Today in rehabilitation programs the specialists use the vestibular stimulation including biological feedback to supporting reaction for treatment poststroke cognitive impairment. These studies show the relationship of vestibular function with memory, attention, spatial orientation, navigation, mental representation of three-dimensional space and other cognitive functions. It makes possible to build rehabilitation programs for patients with stroke.


Assuntos
Biorretroalimentação Psicológica , Disfunção Cognitiva/complicações , Disfunção Cognitiva/terapia , Reabilitação do Acidente Vascular Cerebral/métodos , Acidente Vascular Cerebral/complicações , Testes de Função Vestibular , Atenção , Cognição , Humanos , Memória , Percepção Espacial , Navegação Espacial
6.
Adv Exp Med Biol ; 1191: 265-289, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32002934

RESUMO

Biofeedback refers to the operant training of physiological responding. Variants include electromyography (EMG), electrodermal activity (EDA), skin temperature, heart rate (HR) and heart rate variability (HRV), respiratory biofeedback of end-tidal CO2 (ETCO2), electroencephalography (EEG) signal, and blood oxygen-level dependent signal using functional magnetic resonance imaging (fMRI). This chapter presents a qualitative and quantitative systematic review of randomized controlled trials of biofeedback for anxiety disorders as defined by the 3rd through 5th editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Meta-analytic results indicated that biofeedback (broadly defined) is superior to wait list, but has not been shown to be superior to active treatment conditions or to conditions in which patients are trained to change their physiological responding in a countertherapeutic direction. Thus, although biofeedback appears generally efficacious for anxiety disorders, the specific effects of biofeedback cannot be distinguished from nonspecific effects of treatment. Further, significant limitations were identified in the existing literature, with the majority receiving a "weak" rating according to Effective Public Health Practice Project (EPHPP) rating system guidelines. Future directions for research are discussed.


Assuntos
Transtornos de Ansiedade/terapia , Biorretroalimentação Psicológica , Neurorretroalimentação , Eletroencefalografia , Eletromiografia , Frequência Cardíaca , Humanos , Temperatura Cutânea
7.
Am J Gastroenterol ; 115(1): 115-127, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31895722

RESUMO

OBJECTIVE: To identify baseline clinical and demographic characteristics associated with clinically important treatment responses in a randomized trial of nonsurgical therapies for fecal incontinence (FI). METHODS: Women (N = 296) with FI were randomized to loperamide or placebo- and manometry-assisted biofeedback exercises or educational pamphlet in a 2 × 2 factorial design. Treatment response was defined in 3 ways from baseline to 24 weeks: minimal clinically important difference (MID) of -5 points in St. Mark's score, ≥50% reduction in FI episodes, and combined St. Mark's MID and ≥50% reduction FI episodes. Multivariable logistic regression models included baseline characteristics and treatment groups with and without controlling for drug and exercise adherence. RESULTS: Treatment response defined by St. Mark's MID was associated with higher symptom severity (adjusted odds ratio [aOR] 1.20, 95% confidence interval [CI] 1.11-1.28) and being overweight vs normal/underweight (aOR 2.15, 95% CI 1.07-4.34); these predictors remained controlling for adherence. Fifty percent reduction in FI episodes was associated with the combined loperamide/biofeedback group compared with placebo/pamphlet (aOR 4.04, 95% CI 1.36-11.98), St. Mark's score in the placebo/pamphlet group (aOR 1.29, 95% CI 1.01-1.65), FI subtype of urge vs urge plus passive FI (aOR 2.39, 95% CI 1.09-5.25), and passive vs urge plus passive FI (aOR 3.26, 95% CI 1.48-7.17). Controlling for adherence, associations remained, except St. Mark's score. DISCUSSION: Higher severity of FI symptoms, being overweight, drug adherence, FI subtype, and combined biofeedback and medication treatment were associated with clinically important treatment responses. This information may assist in counseling patients, regarding efficacy and expectations of nonsurgical treatments of FI.


Assuntos
Antidiarreicos/uso terapêutico , Terapia por Exercício/métodos , Incontinência Fecal/terapia , Loperamida/uso terapêutico , Educação de Pacientes como Assunto , Idoso , Biorretroalimentação Psicológica , Terapia Combinada , Incontinência Fecal/complicações , Feminino , Humanos , Manometria , Adesão à Medicação , Pessoa de Meia-Idade , Diferença Mínima Clinicamente Importante , Sobrepeso/complicações , Índice de Gravidade de Doença , Magreza/complicações , Resultado do Tratamento
8.
Arch Phys Med Rehabil ; 101(5): 770-780, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31954696

RESUMO

OBJECTIVE: To determine the differences between clinical effects of electroacupuncture and biofeedback therapy in addition to conventional treatment in patients with cervical myofascial pain syndrome (MPS). DESIGN: Randomized clinical trial. SETTING: Physical medicine and rehabilitation clinic of a university hospital. PARTICIPANTS: Fifty patients (N=50) aged 25-55 years of both sexes with chronic neck pain diagnosed with MPS (characterized by trigger points within taut bands) were randomly assigned to 2 equal groups of 25 individuals. INTERVENTIONS: The patients in electroacupuncture group were treated with standard acupuncture and concomitant electrical stimulation; those in biofeedback group received visual electromyography biofeedback therapy for muscle activity and relaxation. Both groups received the intervention 2 times a week for a total of 6 sessions. Basic exercise training and medicines were administered for all the patients. MAIN OUTCOME MEASURES: Pain severity based on the visual analog scale (VAS), functional status using Neck Disability Index (NDI), cervical range of motion (ROM) using and inclinometer, and pressure pain threshold (PPT) using an algometer were evaluated before and at 3 and 12 weeks after the treatment. Primary outcome was defined as 20% reduction in the 3-month neck pain and dysfunction compared to baseline, assessed through the NDI. RESULTS: Fifty patients (39 women, 11 men) with a mean age (years) ± SD of 39.0±5.5 and neck pain duration (weeks) of 6.0±2.2 were analyzed. All parameters, except for PPT of the lower trapezius and paravertebral muscles were improved significantly in both groups, while baseline values were controlled. The primary outcome was achieved more significantly in the acupuncture group than in the biofeedback group: 20 (80.0%) vs 10 (40.0%); rate ratio=2 with 95% confidence interval (CI), 1.19-3.36; number needed to treat (NNT)=2.5 with 95% CI, 1.54-6.58. Advantages of acupuncture over biofeedback were observed according to values obtained from the NDI, VAS, extension and left lateral-bending ROM, and PPT on the left upper trapezius after the last session of intervention until 3 months (P<.05). CONCLUSIONS: Both electroacupuncture and biofeedback therapies were found to be effective in management of MPS when integrated with conventional treatment. However, intergroup differences showed priority of acupuncture in some parameters vs biofeedback. Thus, electroacupuncture seems to be a better complementary modality for treatment of MPS in the neck and upper back area.


Assuntos
Dor nas Costas/reabilitação , Biorretroalimentação Psicológica , Eletroacupuntura , Síndromes da Dor Miofascial/reabilitação , Cervicalgia/reabilitação , Adulto , Avaliação da Deficiência , Eletromiografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Método Simples-Cego , Escala Visual Analógica
9.
J Altern Complement Med ; 26(3): 212-218, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31971811

RESUMO

Objectives: Although biofeedback has been considered an effective treatment component for pediatric chronic pain, little research has examined the generalizability to activities outside of the treatment setting. The current study aimed to examine the effects of a biofeedback intervention involving individual and group sessions to facilitate increased self-regulatory skills for chronic pain management and to translate these skills to meaningful activities promoting functional restoration. Methods: Participants included 104 adolescents (ages 12-18) attending an intensive interdisciplinary pain rehabilitation program for chronic pain/symptoms and completed biofeedback training as part of the program. The biofeedback protocol consisted of six sessions, including an assessment of baseline physiologic states, diaphragmatic breath training, and various biofeedback screens to reinforce self-regulatory skills within individual- and group-based formats. Results: As expected, patients showed significant reductions in respiration rates and muscle tension from admission to discharge. Ratings of perceived confidence also increased from admission to post-treatment, suggesting greater self-efficacy in patients using self-regulatory skills during their daily functional activities. Conclusions: An individual- and group-based biofeedback protocol with a focus on training skills in activities relevant to adolescents' lives has the potential to improve self-regulation skills and generalize these skills to real-world settings. Future randomized controlled trials are necessary to examine the efficacy of biofeedback interventions to improve physiologic regulation and enhance treatment outcomes for pediatric chronic pain.


Assuntos
Biorretroalimentação Psicológica/métodos , Dor Crônica/terapia , Adolescente , Criança , Eletromiografia , Feminino , Humanos , Masculino , Projetos Piloto , Taxa Respiratória/fisiologia , Autocuidado/métodos
10.
PLoS One ; 15(1): e0226431, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31961904

RESUMO

INTRODUCTION: Accumulating evidence shows that acute resistance exercises and long-term resistance training positively influence cognitive functions, but the underlying mechanisms have been rarely investigated. One explanatory approach assumes that the execution of resistance exercises requires higher cognitive processes which, in turn, lead to an 'indirect' training of higher cognitive functions. However, current knowledge on the engagement of higher cognitive functions during the execution of resistance exercises is relatively sparse. Hence, the purpose of this study was to examine to what extent cognitive resources are needed to perform a resistance exercise in the form of barbell back squatting. METHODS: Twenty-four young adults performed a cognitive task (serial subtraction of 7's) during standing and during barbell back squatting on a Smith machine. The total number and the number of correct responses were analyzed and taken as indicators of the cognitive load imposed by the experimental condition (squatting) and the control condition (standing). Additionally, participants' perceived exertion, mean heart rate, and the number of squats they were able to perform were assessed. RESULTS: While accuracy scores were found not to be significantly different between conditions, the numbers of total and of correct responses were significantly lower during squatting than during standing. Additionally, during squatting a higher number of total answers was given in the fifth set compared to the first set. We attribute this phenomenon to a learning effect. Furthermore, there was no statistically significant correlation between cognitive measures and perceived exertion. CONCLUSION: Results suggest that perceived exertion cannot explain the higher dual-task costs observed during squatting. They rather reflect that more cognitive resources are needed to perform low-load barbell back squats than during standing. However, further research is necessary to confirm and generalize these findings.


Assuntos
Biorretroalimentação Psicológica , Cognição/fisiologia , Exercício Físico , Músculo Esquelético/fisiologia , Postura/fisiologia , Treinamento de Resistência/métodos , Adulto , Atenção , Feminino , Humanos , Masculino , Adulto Jovem
11.
Nat Rev Gastroenterol Hepatol ; 17(1): 21-39, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31690829

RESUMO

Functional constipation is common in children and adults worldwide. Functional constipation shows similarities in children and adults, but important differences also exist regarding epidemiology, symptomatology, pathophysiology, diagnostic workup and therapeutic management. In children, the approach focuses on the behavioural nature of the disorder and the initial therapeutic steps involve toilet training and laxatives. In adults, management focuses on excluding an underlying cause and differentiating between different subtypes of functional constipation - normal transit, slow transit or an evacuation disorder - which has important therapeutic consequences. Treatment of adult functional constipation involves lifestyle interventions, pelvic floor interventions (in the presence of a rectal evacuation disorder) and pharmacological therapy. When conventional treatments fail, children and adults are considered to have intractable functional constipation, a troublesome and distressing condition. Intractable constipation is managed with a stepwise approach and in rare cases requires surgical interventions such as antegrade continence enemas in children or colectomy procedures for adults. New drugs, including prokinetic and prosecretory agents, and surgical strategies, such as sacral nerve stimulation, have the potential to improve the management of children and adults with intractable functional constipation.


Assuntos
Constipação Intestinal/terapia , Fármacos Gastrointestinais/uso terapêutico , Laxantes/uso terapêutico , Agonistas do Receptor 5-HT4 de Serotonina/uso terapêutico , Adulto , Ácidos e Sais Biliares/uso terapêutico , Biorretroalimentação Psicológica , Criança , Agonistas dos Canais de Cloreto/uso terapêutico , Inibidores da Colinesterase/uso terapêutico , Constipação Intestinal/diagnóstico , Constipação Intestinal/fisiopatologia , Dietoterapia , Fibras na Dieta , Gerenciamento Clínico , Terapia por Estimulação Elétrica , Enema , Microbioma Gastrointestinal , Trânsito Gastrointestinal , Agonistas da Guanilil Ciclase C/uso terapêutico , Humanos , Manometria , Educação de Pacientes como Assunto , Prebióticos , Probióticos , Treinamento no Uso de Toaletes
12.
Schmerz ; 34(1): 79-83, 2020 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-31741064

RESUMO

This article describes the case of a female patient with symptoms of complex regional pain syndrome (CRPS) of the right wrist and forearm. Ergotherapy of the affected hand (unilateral desensitization) showed little success and became impossible with increasing environmental temperature due to excessive pain. A physiological feedback via simultaneous treatment of the unaffected healthy arm (bilateral treatment approach) ultimately led to a clear decline of all CRPS symptoms.


Assuntos
Biorretroalimentação Psicológica , Síndromes da Dor Regional Complexa , Hiperalgesia , Síndromes da Dor Regional Complexa/terapia , Feminino , Mãos , Humanos , Hiperalgesia/terapia , Dor
13.
Cranio ; 38(3): 180-186, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-30099938

RESUMO

Objective: To evaluate the improvement in reducing the pain of patients diagnosed with masticatory myofascial pain and bruxism when undergoing treatment with a partial posterior interocclusal device for the management and control of awake bruxism through biofeedback. Methods: Sixty patients were evaluated during the following periods: pretreatment, 7, 30, and 90 days. The evaluation was carried out by measuring the reduction in pain using clinical and numerical scales. Results: The majority of the patients who complained of masticatory myofascial pain, TMJ, and neck pain experienced a significant reduction in pain between t0 and t30 (p < 0.0001). After 30 days of using the device, the improvement remained at the same level, without any recurrence of pain up to t90. Conclusion: The utilization of a posterior interocclusal device for the management and control of awake bruxism through biofeedback contributed to the reduction of pain in the majority of patients.


Assuntos
Bruxismo , Mialgia , Biorretroalimentação Psicológica , Humanos , Músculo Masseter , Vigília
14.
PLoS One ; 14(12): e0225647, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31790463

RESUMO

The aim of this study was to compare the effect of pelvic floor muscle training with surface electromyographic (sEMG) biofeedback (BF group) and Pilates exercises (P group) on the bioelectrical activity of pelvic floor muscles in women with stress urinary incontinence. The other aim aim was to compare changes in voiding diaries and scores on quality of life questionnaire against baseline values and between the groups. Women in the BF group (n = 18) participated in pelvic floor muscle training with sEMG biofeedback; the P group (n = 13) participated in basic level Pilates workouts. Both protocols were continued for eight weeks. Voiding diary, quality of life and electromyographic characteristics of the pelvic floor muscles were assessed at the three-time points: at baseline, after eight weeks' training, and at month six post-training. The sEMG activity of the pelvic floor muscles was tested during five trials in two positions. There was no marked improvement in bioelectrical activity of the pelvic floor muscles during contraction following training with sEMG biofeedback or Pilates exercises. Following eight weeks of sEMG biofeedback training, a decrease was noted in resting bioelectrical activity of pelvic floor muscles and during relaxation after sustained contraction but only in supine-lying. No such effect was observed in the Pilates group. In the BF group, the number of incontinence episodes after end of treatment (timpepoints: 1vs. 2) and at six month follow-up (timpepoints: 1vs. 3) decreased by 68.5% and 89.3%, respectively. The respective values in the P group were 78.6%, and 86.4%. The intergroup differences did not reach the level of statistical significance. As regards the quality of life, the questionnaire demonstrated that Pilates exercises had significantly better effects compared to biofeedback training both at the end of the eight-week exercise program and (p = 0.003) and at six month follow-up (p = 0.0009). The International Consultation on Incontinence Questionnaire-Short Form (ICIQ- SF) showed comparable efficacy of Pilates exercises and training with sEMG biofeedback. Intragroup improvements in micturition frequency, incontinence (leakage) episodes, and nocturia frequency were comparable. Alleviation of urinary incontinence symptoms was comparable in both groups, whereas the improvement in the quality of life was more notable in the Pilates group. The obtained results failed to demonstrate the superiority of any of the two methods regarding the bioelectrical activity of pelvic floor muscles in patients with stress urinary incontinence.


Assuntos
Biorretroalimentação Psicológica/métodos , Eletromiografia , Técnicas de Exercício e de Movimento , Diafragma da Pelve/fisiopatologia , Incontinência Urinária por Estresse/fisiopatologia , Impedância Elétrica , Feminino , Humanos , Pessoa de Meia-Idade , Qualidade de Vida , Resultado do Tratamento , Incontinência Urinária por Estresse/reabilitação
15.
NeuroRehabilitation ; 45(3): 379-384, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31796700

RESUMO

BACKGROUND: Balance impairment is a major clinical concern in patients with parkinsonism. Balance training with tetra-ataxiometric posturography (Tetrax) is known to improve balance function through visual biofeedback effects. OBJECTIVE: In this study, we evaluated the effects of balance training with Tetrax in patients with parkinsonism. METHODS: Patients with parkinsonism (idiopathic Parkinson's disease, multiple systemic atrophy, and multiple systemic atrophy) who were able to stand with or without an assistive device were recruited for the study. Twenty patients with parkinsonism were randomly assigned to one of the following two groups: (1) the Tetrax group, in which patients received Tetrax biofeedback balance training for 30 min/day for 2 weeks (10 sessions); and (2) the control group, in which patients received conventional balance training for 30 min/day for 2 weeks (10 sessions). One day before and after training, we measured patients' balance parameters using the Berg balance scale (BBS) and fall index (FI). RESULTS: The BBS and FI scores of the Tetrax group showed significant improvements after compared to before training. However, the scores in the control group were not significantly changed after vs. before conventional balance training. CONCLUSIONS: For patients with parkinsonism, Tetrax biofeedback balance training had a positive effect on balance function.


Assuntos
Biorretroalimentação Psicológica/métodos , Biorretroalimentação Psicológica/fisiologia , Exercício Físico/fisiologia , Transtornos Parkinsonianos/fisiopatologia , Transtornos Parkinsonianos/reabilitação , Equilíbrio Postural/fisiologia , Acidentes por Quedas/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
16.
Sensors (Basel) ; 20(1)2019 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-31877845

RESUMO

Bruxism is a masticatory muscle activity characterized by high prevalence, widespread complications, and serious consequences but without specific guidelines for its diagnosis and treatment. Although occlusal force-based biofeedback therapy is proven to be safe, effective, and with few side effects in improving bruxism, its mechanism and key technologies remain unclear. The purpose of this study was to research a real-time, quantitative, intelligent, and precise force-based biofeedback detection device based on artificial intelligence (AI) algorithms for the diagnosis and treatment of bruxism. Stress sensors were integrated and embedded into a resin-based occlusion stabilization splint by using a layering technique (sandwich method). The sensor system mainly consisted of a pressure signal acquisition module, a main control module, and a server terminal. A machine learning algorithm was leveraged for occlusal force data processing and parameter configuration. This study implemented a sensor prototype system from scratch to fully evaluate each component of the intelligent splint. Experiment results showed reasonable parameter metrics for the sensors system and demonstrated the feasibility of the proposed scheme for bruxism treatment. The intelligent occlusion stabilization splint with a stress sensor system is a promising approach to bruxism diagnosis and treatment.


Assuntos
Inteligência Artificial , Bruxismo/diagnóstico , Biorretroalimentação Psicológica , Força de Mordida , Bruxismo/terapia , Humanos , Redes Neurais de Computação , Placas Oclusais , Tecnologia sem Fio
20.
BMC Urol ; 19(1): 109, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31703581

RESUMO

BACKGROUND: The prevalence of overactive bladder syndrome (OAB) increases with age. Sleep disturbances in elderly individuals with OAB is a common problem. The purpose of this study was to examine the effects of a biofeedback-based sleep improvement (BBSI) program on urinary symptoms and sleep patterns in elderly Korean women with OAB. METHODS: A non-equivalent control group pre-/post-test design was used. Elderly women with OAB were assigned to an intervention group (n = 20) or a control group (n = 18). The BBSI program was implemented in the intervention group for 12 weeks, while two educational sessions of general sleep hygiene and lifestyle modification were provided to the control group. Using SPSS 23.0, the data were analyzed by descriptive analysis using the chi-square test, Fisher's exact test, Mann-Whitney test, and Wilcoxon test. RESULTS: After the 12-week BBSI program, significant improvements were found in the intervention group's the square root of the mean squared differences of successive R-R intervals (p = 0.025), low frequency/high frequency ratio (p = 0.006), and epinephrine (p = 0.039). We also observed a significant difference in urinary symptoms, sleep efficiency, wake after sleep onset, number of awakenings, and number of awakenings within 3 h after sleep onset (p < 0.001, p = 0.004, p = 0.001, p = 0.001, and p = 0.048, respectively). However, no significant changes were found in these variables in the control group. CONCLUSIONS: The BBSI program effectively improved urinary symptoms and sleep patterns of elderly Korean women with OAB. Further longitudinal research is required to investigate the sustainability and effects of the BBSI program. TRIAL REGISTRATION: KCT0003882. Date of registration: 02/05/2019. Retrospectively registered.


Assuntos
Biorretroalimentação Psicológica , Transtornos do Sono-Vigília/terapia , Bexiga Urinária Hiperativa/terapia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , República da Coreia , Transtornos do Sono-Vigília/etiologia , Bexiga Urinária Hiperativa/complicações
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