ABSTRACT
Abstract Objective To validate the low-cost model for arthroscopy training and analyze the acceptance and usefulness of the developed simulator in medical teaching and training. Method Ten medical students, ten third-year orthopedic residents, and ten shoulder surgeons performed predetermined tasks on a shoulder simulator twice. The parameters used were time to complete the tasks, number of looks at the hands, GOALS score (Global Operative Assessment of Laparoscopic Skills) and comparison between groups and within groups. An adapted Likert scale was applied addressing the individuals' impressions about the simulator and its applicability. Results In the intergroup comparison, the shoulder surgeons had better scores and times than the other groups. When the tasks were repeated, the group of surgeons had a 59% improvement in time (p < 0.05), as did the group of medical students. In the GOALS score, shoulder surgeons had consistently better scores than the other groups. And when we evaluated the evolution from the first to the second test, the group of surgeons and the group of academics had a statistically significant improvement (p < 0.05). In terms of lookdowns, there was a decrease in all groups. There was consensus that the simulator is useful in training. Conclusion The simulator developed allowed the differentiation between individuals with different levels of training in arthroscopic surgery. It was accepted by 100% of the participants as a useful tool in arthroscopic shoulder surgical training.
Resumo Objetivo Validar o modelo de baixo custo para treinamento em artroscopia e analisar a aceitação e utilidade do simulador desenvolvido no ensino e treinamento médico. Método Dez acadêmicos do curso de medicina, dez residentes do terceiro ano em ortopedia e dez cirurgiões de ombro realizaram tarefas pré determinadas em um simulador de ombro duas vezes. Os parâmetros utilizados foram o tempo para completar as tarefas, quantidade de olhares para as mãos, escore de GOALS (Global Operative Assessment of Laparoscopic Skills) e comparados entre os grupos e intragrupos. Uma escala de Likert adaptada foi aplicada abordando as impressões dos indivíduos acerca do simulador e de sua aplicabilidade. Resultados Na comparação intergrupos, os cirurgiões de ombro tiveram melhores escores e tempos que os demais grupos. Quando as tarefas foram repetidas, o grupo de cirurgiões, teve uma melhora de 59% no tempo (p < 0,05), assim como no grupo de acadêmicos. No escore de GOALS os cirurgiões de ombro apresentaram escores consistentemente melhores que os demais grupos. E quando avaliamos a evolução do primeiro para o segundo teste, o grupo de cirurgiões e o grupo de acadêmicos tiveram melhora estatisticamente significante (p < 0,05). No quesito de lookdowns houve diminuição em todos os grupos. Houve consenso em que o simulador é útil no treinamento. Conclusão O simulador desenvolvido permitiu a diferenciação entre indivíduos com diferentes níveis de treinamento em cirurgia artroscópica. Foi aceito por 100% dos participantes como uma ferramenta útil no treinamento cirúrgico artroscópico do ombro.
Subject(s)
Arthroscopy , Shoulder/surgery , Teaching , Simulation TrainingABSTRACT
Introducción: La electroestimulación neuromuscular puede dar un valor agregado a los programas de ejercicio físico de rehabilitación, siempre y cuando se contemplen aspectos como los objetivos propios de cada persona, la tolerancia a la intensidad y las necesidades de recuperación y descanso. Así mismo, puede ser un elemento interesante a agregar en la planificación deportiva con miras a mejorar la recuperación, así como en el aumento del rendimiento físico. Objetivo: El objetivo principal de la presente investigación fue determinar los efectos del ejercicio combinado de electroestimulación neuromuscular y ejercicios de alta intensidad y corta duración en hombres sanos y físicamente activos sobre el índice de fatiga. Metodología: 34 hombres sanos, físicamente activos y estudiantes de educación física (19,4 ± 2,60 años) fueron aleatorizados y organizados en cuatro grupos: G1, programa de electroestimulación neuromuscular; G2, entrenamiento de alta intensidad y corta duración: G3, ejercicio combinado de alta intensidad y corta duración y, electroestimulación neuromuscular; y G4, grupo control. Se aplicó un test de Wingate antes y después del periodo de entrenamiento. Resultados: En el grupo G3 se evidencian aumentos en el rendimiento anaeróbico con diferencias significativas en la potencia promedio relativa al peso (p=0,027), con un aumento de 7,36% y con una disminución de 12,2% en el índice de fatiga (p=0,048). En el grupo G4 se evidencian disminuciones en el rendimiento, evidenciado a través de las diferencias significativas en la potencia media (p=0,030), con una disminución en el rendimiento de 6,32% y una disminución en el rendimiento en la potencia media relativa al peso con diferencia significativa (p=0,010) de 3,92%. Conclusiones: Un programa combinado de electroestimulación neuromuscular y ejercicio intervalico de alta intensidad mejora el rendimiento anaeróbico en la potencia media y relativa al peso, evidenciado a través de un test de Wingate. Así mismo, disminuye el porcentaje de caída del rendimiento anaeróbico, mostrando mejores resultados frente a un entrenamiento de solo ejercicio intervalico de alta intensidad
Introduction: Neuromuscular electrostimulation can add value to rehabilitation physical exercise programs, as long as aspects such as the objectives of each person, tolerance to intensity, and the needs for recovery and rest are considered. Likewise, it can be an interesting element to add in sports planning with a view to improving recovery, as well as increasing physical performance. Objective: The main objective of this research was to determine the effects of combined neuromuscular electrostimulation exercise and high intensity and short duration exercises in healthy and physically active men on the fatigue index. Methodology: 34 healthy, physically active, and physical education male students (19.4 ± 2.60 years) were randomized and organized into four groups: G1, neuromuscular electrostimulation program; G2, high intensity and short duration training; G3, combined exercise of high intensity and short duration, and neuromuscular electrostimulation; and G4, control group, A Wingate test was applied before and after the training period. Results: In the G3 group, there are increases in anaerobic performance with significant differences in the average power relative to weight (p=0.027), with an increase of 7.36%, and a decrease of 12.2% in the fatigue index (p=0.048). In the G4 group there are decreases in performance, evidenced through the significant differences in the average power (p = 0.030), with a decrease in performance of 6.32% and a decrease in the performance in mean power relative to weight with a significant difference (p=0.010) of 3.92%. Conclusions: A combined program of neuromuscular electrostimulation and high-intensity interval exercise improves anaerobic performance in mean power and relative to weight, evidenced through a Wingate test. Likewise, it decreases the percentage of drop in anaerobic performance, showing better results in comparison to training with only high-intensity interval training
Subject(s)
Physical Education and Training , Exercise , Transcutaneous Electric Nerve Stimulation , Rest , Sports , Fatigue , High-Intensity Interval Training , Physical Functional PerformanceABSTRACT
@#ObjectiveTo explore the effectiveness and practicability of training technique in hemiplegia.Methods313 stroke patients with hemiplegia were divided randomly into the control group and training group, and treated with integrative training technique for hemiplegia impairment during 3 months. Locomotor recovery and the performance of activities of daily living (ADL) of patients in two groups were assessed before and after one, two and three months training respectively, using Fugl-Meyer Assessment (FMA), Functional Independence Measure (FIM) and the scale of impairment in community rehabilitation.ResultsAfter treatment, FMA, FIM and the scale of impairment in community rehabilitation of the patients in the training group improved significantly ( P<0.001), the effectiveness was better than that of the control group ( P<0.05～0.001).The scales of FMA and FIM were proportional to the scale of impairment in community rehabilitation.ConclusionThe training technique for hemiplegia has ideal rehabilitation effectiveness.