ABSTRACT
SUMMARY OBJECTIVE: The main objective of this study was to evaluate intra- and inter-rater reliability in the analysis of digital images of donor areas for skin in burn patients using the CaPAS plugin in the ImageJ®. METHODS: Donor sites were reviewed by two independent reviewers in duplicate. The capture of images was standardized on the same device and distance (with a millimeter ruler), without a flash. The evaluators were trained to capture the images and use the plugin. RESULTS: We selected 70 images from donor areas, from men and women between 18 and 60 years old. In the analysis of intra-examiner reliability, eight of the nine variables exhibited excellent reliability (0.985-0.998) and one (entropy) exhibited good reliability (0.525). The same was true for the inter-examiner analysis: excellent reliability for eight variables (0.824-0.993) and good reliability for entropy (0.501). CONCLUSIONS: The CaPAS plugin has proven to be a reliable tool for use in research in skin donor areas in burns, as demonstrated by its excellent intra- and inter-examiner reliability values. This is a pioneering study in the quantitative assessment of skin donor areas in burn patients using the CaPAS plugin.
ABSTRACT
A microcefalia é uma doença de origem multifatorial podendo ser desenvolvida de forma congênita ou por causas ambientais. Ela atinge os ossos da calota craniana, causando o fechamento prematuro das fontanelas, no qual restringe o espaço interno do crânio, que em consequência afeta o crescimento e desenvolvimento normal do encéfalo, levando a disfunções neuropsicomotoras leves, moderadas ou graves. Desta forma, este estudo tem como objetivo avaliar o desenvolvimento neuropsicomotor de uma criança com microcefalia, antes e após um protocolo fisioterapêutico intensivo. Trata-se de relato de caso no qual foram avaliados os marcos motores e os níveis de função apresentados pelo paciente, antes e após um protocolo fisioterapêutico intensivo, realizado por um período de 30 dias consecutivos. Foram obtidos importantes resultados no controle de cervical, alinhamento de cabeça em linha média, manuseio de objetos, elevação das mãos à boca e alinhamento postural. Desta forma, conclui-se que o protocolo fisioterapêutico intensivo é uma alternativa eficaz que auxilia e potencializa o desenvolvimento neuropsicomotor da criança
Microcephaly is a multifactorial disease that can be developed congenitally or due to environmental causes. It affects the skullcap bones, causing premature fontanelles closure, in which it restricts the internal skull space, which consequently affects the growth and normal development of the brain, leading to mild, moderate or severe neuropsychomotor disorders. Thus, this study aims to evaluate the neuropsychomotor development of a child with microcephaly, before and after an intensive physical therapy protocol. This is a case report in which the motor milestones and function levels were evaluated before and after an intensive physical therapy protocol performed for a consecutive 30 days period. Important results were obtained in cervical control, midline head alignment, object handling, lifting hands to mouth and postural alignment. Thus, it is concluded that the intensive physical therapy protocol is an effective alternative that helps and enhances the child's neuropsychomotor development