Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 186
Filter
2.
San Salvador; MINSAL; ago. 26, 2021. 22 p.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1353244

ABSTRACT

La presente norma técnica tiene por objeto establecer las disposiciones técnicas y administrativas para regular la promoción, prevención, diagnóstico y tratamiento en los servicios de habilitación y rehabilitación. Están sujetos al cumplimiento de la presente norma, el personal que proporciona dichos servicios en los establecimientos públicos y privados del Sistema Nacional Integrado de Salud (SNIS). El Ministerio de Salud a través de la Oficina de Habilitación y Rehabilitación, debe gestionar y dar seguimiento al cumplimiento de los procesos en materia de habilitación y rehabilitación, facilitando la inclusión, para la atención integral en salud de la persona en el curso de vida


The purpose of this technical standard is to establish the technical and administrative provisions to regulate the promotion, prevention, diagnosis and treatment in rehabilitation and rehabilitation services. The personnel who provide such services in public and private establishments of the National Integrated Health System (SNIS) are subject to compliance with this regulation. The Ministry of Health, through the Office of Rehabilitation and Rehabilitation, must manage and monitor compliance with the processes in terms of habilitation and rehabilitation, facilitating inclusion, for the comprehensive health care of the person in the course of life


Subject(s)
Physical and Rehabilitation Medicine , Rehabilitation , Health , Rehabilitation Services , Therapeutics , Health Services
3.
Cambios rev. méd ; 20(1): 67-73, 30 junio 2021. ilus.^eVIDEO: https://youtu.be/_ryPtLM9koM
Article in Spanish | LILACS | ID: biblio-1292873

ABSTRACT

INTRODUCCIÓN. Los trastornos músculo esqueléticos son problemas de salud en el trabajo y causa de ausentismo laboral a nivel mundial, por lo que la valoración de los factores de riesgo laboral es necesaria para lograr prevención. OBJETIVO. Evaluar el nivel de riesgo ergonómico por posturas forzadas en los fisioterapeutas. MATERIALES Y MÉTODOS. Estudio descriptivo transversal. Población de 35 y muestra de 31 fisioterapeutas del Área de Medicina Física y Rehabilitación del Hospital de Especialidades Carlos Andrade Marín, agosto de 2020. Se aplicó el cuestionario nór-dico para conocer la percepción de la sintomatología osteomuscular; una lista de verificación rápida de condiciones de riesgo (ISO TR 12295); y, para medir el nivel de riesgo de posturas forzadas se aplicó los métodos OWAS REBA. RESULTADOS. El 96,77% (30; 31) tuvo sintomatología osteomuscular en los últimos 12 meses. Las zonas corporales con mayor afectación fueron: cuello 77,42% (24; 31), espalda alta 64,52% (20; 31), y espalda baja 58,06% (18; 31). REBA mujer: puntaje de 11; nivel de acción 4, riesgo muy alto; y, hombre: nivel de acción 3, riesgo alto. OWAS mujer: nivel 3; y, hombre: nivel 2. CONCLUSIÓN. Se evaluó el nivel de riesgo ergonómico por posturas forzadas en los fisioterapeutas. Existieron factores predisponentes para el desarrollo de trastornos músculo esqueléticos que han repercutido en el normal desarrollo de sus actividades. Las metodologías REBA y OCRA, evidenciaron que las actividades laborales presentaron un nivel de riesgo alto a muy alto, por lo que es necesaria la actuación en el mejoramiento del puesto de trabajo.


INTRODUCTION. Musculoskeletal disorders are occupational health problems and a cause of absenteeism worldwide, so occupational risk assessment is necessary to achieve prevention. OBJECTIVE. To evaluate the level of ergonomic risk due to forced postures in physical therapists. MATERIALS AND METHODS. Cross-sectional descriptive study. Population of 35 and sample of 31 physical therapists of the Phy-sical Medicine and Rehabilitation Area of the Carlos Andrade Marín Specialties Hos-pital, august 2020. The nordic questionnaire was applied to know the perception of musculoskeletal symptomatology; a quick checklist of risk conditions (ISO TR 12295); and, to measure the level of risk of forced postures the OWAS REBA methods were applied. RESULTS. The 96,77% (30; 31) had musculoskeletal symptomatology in the last 12 months. The most affected body areas were: neck 77,42% (24; 31), upper back 64,52% (20; 31), and lower back 58,06% (18; 31). REBA female: score of 11; performance level 4, very high risk; and, male: performance level 3, high risk. OWAS woman: level 3; and, man: level 2. CONCLUSION. The level of ergonomic risk due to forced postures of physiotherapists was evaluated. There were predisposing factors for the development of musculoskeletal disorders that have impacted on the normal development of their activities. The REBA and OCRA methodologies showed that the work activities presented a high to very high level of risk, which is why it is necessary to revise the activities assigned to this job position.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Occupational Risks , Musculoskeletal Diseases , Postural Balance , Ergonomics , Occupational Medicine , Physical and Rehabilitation Medicine , Surveys and Questionnaires , Occupational Health , Physical Therapy Modalities
4.
Medisan ; 25(3)2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1287295

ABSTRACT

RESUMEN Introducción: Se denomina trastorno temporomandibular al conjunto de condiciones musculoesqueléticas que afectan la articulación temporomandibular, los músculos de la masticación y las estructuras anatómicas adyacentes. Objetivo: Evaluar la efectividad de las terapias físicas en pacientes con trastornos de la articulación temporomandibular. Métodos: Se efectuó una intervención terapéutica en la Clínica Estomatológica Provincial Docente Mártires del Moncada de Santiago de Cuba, desde junio de 2016 hasta febrero de 2020. La muestra quedó conformada por 264 pacientes distribuidos en 4 grupos con 66 integrantes cada uno, a quienes se les aplicaron diferentes terapias físicas, tales como ultrasonido, laserterapia, magnetoterapia y técnica de estimulación eléctrica transcutánea, respectivamente. Se analizaron las siguientes variables: edad, grado de trastorno de la articulación temporomandibular y efectividad terapéutica. Se empleó el porcentaje como medida de resumen y el estadígrafo de Ji al cuadrado con un nivel de significación de 0,05. Resultados: Predominó el sexo femenino en todas las terapias aplicadas con más de 75,0 % y el grupo etario de 40 - 49 años. Al finalizar el tratamiento se observó que en los grupos donde se empleó ultrasonido, láser y magneto, la respuesta fue efectiva en más de 90,0 % de los pacientes, con primacía del primero (96,6 %); sin embargo, en el grupo donde se utilizó la técnica de estimulación eléctrica transcutánea solo se logró en 89,4 % de los afectados. Conclusiones: La ultrasonoterapia fue más efectiva en pacientes con trastornos de la articulación temporomandibular.


ABSTRACT Introduction: A temporomandibular disorder is a group of musculoskeletal conditions that affect the temporomandibular joint, the mastication muscles and the adjacent anatomical structures. Objective: To evaluate the effectiveness of the physical therapies in patients with temporomandibular joint disorders. Methods: A therapeutic intervention was carried out in Mártires del Moncada Teaching Provincial Stomatological Clinic from Santiago de Cuba, from June, 2016 to February, 2020. The sample was formed by 264 patients distributed in 4 groups with 66 members each one, to whom different physical therapies were applied, such as ultrasound, laser therapy, magnetotherapy and technique of transcutaneous electric stimulation, respectively. The following variables were analyzed: age, grade of dysfunction of the temporomandibular joint and therapeutic effectiveness. The percentage as summary measure and the chi-squared test were used with a significance level of 0.05. Results: There was a prevalence of the female sex in all the therapies applied with more than 75.0 % and the 40 - 49 age group. When concluding the treatment it was observed that in the groups where ultrasound, laser and magneto was used, the response was effective in more than 90.0 % of the patients, with primacy of the first one (96.6 %); however, in the group where the technique of transcutaneous electric stimulation was used it was just achieved in 89.4 % of the affected patients. Conclusions: The ultrasonotherapy was more effective in patients with temporomandibular joint disorders.


Subject(s)
Physical and Rehabilitation Medicine , Temporomandibular Joint/abnormalities , Transcutaneous Electric Nerve Stimulation/methods , Rehabilitation Services , Magnetic Field Therapy
5.
Dolor ; 31(73): 10-14, ene. 2021. graf, tab
Article in Spanish | LILACS | ID: biblio-1362741

ABSTRACT

Introducción: El dolor crónico no oncológico (DCNO) es un tema de salud pública con alta prevalencia en Chile. Existe evidencia sobre la necesidad de abordaje multidisciplinario por profesionales capacitados. El año 2013 se crea el policlínico de DCNO por la especialidad de fisiatría, coordinando atención con anestesista para intervencionismo. El Objetivo de este trabajo es conocer las características clínicas de los usuarios en control en policlínico de DCNO. Material y Método: Estudio retrospectivo, descriptivo, observacional. Desde la base de datos de usuarios atendidos entre inicios del 2013 y mayo 2018 de policlínico DCNO del Servicio de Medicina Física y Rehabilitación del HHHA; se recogen variables como: sexo, edad, etnia, previsión, ruralidad, diagnóstico ingreso, intensidad dolor (según NRS), tratamiento farmacológico, entre otras. Para manejo estadístico se utiliza planilla Excel, con pruebas paramétricas (promedio, mínimo, máximo), tablas y gráficos. Resultados: Los usuarios en control en el periodo fueron 125, con un 67,2% de mujeres y una mediana de edad de 55,5 años (mínimo 12, máximo 88). El 58,4% tenía como previsión Fonasa B, 83.2% presenta domicilio urbano, 16% etnia mapuche. El mayor número de ingresos ocurrió el año 2017. Las derivaciones provienen de especialidades médicas (25,6%), quirúrgicas (29,6%), fisiatría (24,8%). Según tipo de dolor, el 49,6% es nociceptivo, 32% neuropático y 18,4% mixto. Al ingreso, la intensidad fue 90% severa y 10% moderada (según NRS). Los principales diagnósticos de ingreso fueron 44,8% patología de columna, 27,2% patología neurológica, 12,8% fibromialgia y 15,2% otras. Al ingreso mayoría de los usuarios usaba paracetamol, tramadol gotas o comprimidos; actualmente 23% recibe metadona, 8% parches buprenorfina, 20% paracetamol, 27,2% tramadol en gotas/comprimidos y 23,2% pregabalina/ gabapentina. En el 51,2% se requirió cambio de terapia; en el 79,7% por analgesia insuficiente y 20,3% por reacción adversa a medicamentos. Se realizó derivación a intervencionismo en 21 usuarios. 15 usuarios fueron dados de alta de policlínico DCNO (12%). Conclusiones: Estos datos servirán para futuras investigaciones y medir impacto de nuestras intervenciones. Se presenta como desafío aumentar recursos de la unidad, demostrar beneficio de atención interdisciplinaria y bajar costos para la institución.


Introduction: Non-oncological chronic pain (NOCP) is a public health issue with high prevalence in Chile. There is evidence of the need for a multidisciplinary approach by trained professionals. In 2013, the NOCP polyclinic was created for the specialty of physiatry, coordinating care with anesthesiologist for interventionism. The objective of this work is to know the clinical characteristics of users in control in NOCP polyclinic. Material and Methods: Retrospective, descriptive, observational study. From the database of users attended between the beginning of 2013 and May 2018, from the NOCP polyclinic of the Physical Medicine and Rehabilitation Service of the HHHA; variables such as: sex, age, ethnicity, foresight, rurality, income diagnosis, pain intensity (according to NRS), and pharmacological treatment, among others are collected. For statistical management Excel spreadsheet isused, with parametric tests (average, minimum, maximum), tables and graphs. Results: The users in control in the period were 125, with 67.2% of women, a median age of 55.5 years (minimum 12, maximum 88). 58.4% had Fonasa B as a forecast, 83.2% have an urban address, 16% Mapuche ethnicity. The highest number of admissions occurred in 2017. The referrals come from medical specialties (25.6%), surgical specialties (29.6%), and physiatry (24.8%). According to type of pain, 49.6% is nociceptive, 32% neuropathic and 18.4% mixed. At admission, the intensity was 90% severe and 10% moderate (according to NRS). The main diagnoses of admission were 44.8% spinal pathology, 27.2% neurological pathology, 12.8% fibromyalgia and 15.2% others. On admission, most users used paracetamol, tramadol drops or tablets; currently 23% receive methadone, 8% patches buprenorphine, 20% paracetamol, 27.2% tramadol in drops / tablets and 23.2% pregabalin / gabapentin. In 51.2%, therapy change was required; in 79.7% due to insufficient analgesia and 20.3% due to adverse drug reaction. A derivation to interventionism was carried out in 21 users. 15 users were discharged from polyclinic DCNO (12%). Conclusions: These data will serve for future research and measure the impact of our interventions. It is a challenge to increase the resources of the unit, demonstrate the benefit of interdisciplinary attention and lower costs for the institution.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Chronic Pain/epidemiology , Patient Discharge/statistics & numerical data , Physical and Rehabilitation Medicine , Referral and Consultation/statistics & numerical data , Chile , Public Health , Prevalence , Retrospective Studies , Age and Sex Distribution , Chronic Pain/drug therapy , Health Services Research
6.
Clinics ; 76: e2804, 2021. tab, graf
Article in English | LILACS | ID: biblio-1278938

ABSTRACT

OBJECTIVES: As patients recovering from the novel coronavirus disease 2019 (COVID-19) present with physical, respiratory, cognitive, nutritional, and swallowing-related impairments and mental health complications, their rehabilitation needs are complex. This study aimed to describe the demographic, clinical, and functional status after the discharge of COVID-19 survivors who underwent intensive multidisciplinary inpatient rehabilitation at the Physical and Rehabilitation Medicine Institute of the University of Sao Paulo Medical School General Hospital and Lucy Montoro Rehabilitation Institute. We determined the most important factors related to the length of inpatient rehabilitation treatment and present the functional outcomes. METHODS: This was a retrospective study based on electronic medical records. In addition to the severity of COVID-19 and length of hospital stay for the management of COVID-19 and comorbidities, we collected sociodemographic data including age, sex, height, and weight. Functional assessments were performed using the Functional Independence Measure (FIM); Short Physical Performance Battery; Montreal Cognitive Assessment; Depression, Anxiety and Stress Scale; Revised Impact of Events Scale; bioelectrical impedance; Functional Oral Intake Scale; oropharyngeal dysphagia classification; and nutritional assessment. RESULTS: There was a significant improvement in FIM before and after inpatient rehabilitation treatment (p<0.0001). Muscle strength and walking capacity were significantly improved (p<0.01). The most important factors related to the length of inpatient rehabilitation treatment were improvement in FIM scores (Spearman's r=0.71) and gain in lean mass (Spearman's r=0.79). CONCLUSIONS: Rehabilitation of patients after COVID-19 recovery improves their functional status and should be considered in the post-acute phase for selected patients with COVID-19.


Subject(s)
Humans , Physical and Rehabilitation Medicine , COVID-19 , Retrospective Studies , Treatment Outcome , Recovery of Function , SARS-CoV-2 , Length of Stay
7.
Buenos Aires; IECS; mayo 2020.
Non-conventional in Spanish | LILACS, BRISA | ID: biblio-1100160

ABSTRACT

CONTEXTO CLÍNICO: La enfermedad por el Coronavirus 2019 (COVID­19, por su sigla en inglés Coronavirus Disease 2019) es una enfermedad respiratoria de humanos producida por un nuevo coronavirus identificado con la sigla SARS-CoV-2.1 El 11 de marzo de 2020 la Organización Mundial de la Salud (OMS) declaro la COVID-19 como una pandemia, y en Argentina se registraron hasta el momento 6.034 casos y 305 fallecidos (6,7 fallecidos/millón de habitantes). En Argentina, el 31 de marzo comenzó el aislamiento social, preventivo y obligatorio, con aislamiento estricto hasta el 13 de abril, aislamiento administrado desde el 13 al 26 de abril y con segmentación geográfica desde el 26 de abril hasta la actualidad. Durante todo este período se han restringido las consultas y procedimientos médicos no urgentes con el objetivo de evitar el contagio de la población y del personal sanitario, así como también de aumentar la capacidad de respuesta del sistema de salud ante la pandemia. Uno de los efectos adversos del aislamiento y de la restricción de procedimientos electivos es la potencial discontinuación de tratamientos crónicos, dentro de los cuales se encuentra la rehabilitación física. Esto ha generado un impulso a la tele-asistencia para la atención y seguimiento de los pacientes, particularmente de aquellos con patologías crónicas. Se postula el uso de tele-asistencia kinesiológica de patologías durante la pandemia COVID-19 como alternativa durante las restricciones vigentes y para disminuir el riesgo de exposición de los pacientes y el personal de salud. TECNOLOGÍA: La telemedicina, que se incluye dentro de un concepto más amplio denominado telesalud, se define como "la prestación de servicios de atención de salud, por todos los profesionales de salud que utilizan tecnologías de la información y comunicación para el intercambio de información válida para el diagnóstico, tratamiento y prevención de las enfermedades y lesiones, la investigación y la evaluación, y para la educación continua de proveedores de atención de salud, para la promoción de la salud de los individuos y sus comunidades." A su vez, la teleconsulta se define como la comunicación a distancia entre dos o más integrantes del equipo de salud (a menudo entre médicos de atención primaria y especialistas), o entre un proveedor de salud y el paciente, utilizando las tecnologías de la información y comunicación. La teleconsulta sincrónica hace referencia a la forma de comunicación que sucede en tiempo real, habitualmente con transmisión de audio y video de manera simultánea (ej. videoconferencia). OBJETIVO: El objetivo del presente informe es evaluar la evidencia disponible acerca de la eficacia, seguridad y aspectos relacionados a las políticas de cobertura del uso de rehabilitación física con telemedicina para distintas patologías. MÉTODOS: Se realizó una búsqueda en las principales bases de datos bibliográficas, en buscadores genéricos de internet, y financiadores de salud. Se priorizó la inclusión de revisiones sistemáticas (RS), ensayos clínicos controlados aleatorizados (ECAs), evaluaciones de tecnologías sanitarias (ETS), evaluaciones económicas, guías de práctica clínica (GPC) y políticas de cobertura de diferentes sistemas de salud. RESULTADOS: Se incluyeron, seis RS, dos ECAs con evaluaciones económicas, cinco recomendaciones y cuatro políticas de cobertura. CONCLUSIONES: Evidencia de baja calidad sugiere que la rehabilitación física con telemedicina no sería menos efectiva que la rehabilitación presencial o los cuidados usuales sin rehabilitación. Existe gran variabilidad en las técnicas de tele-rehabilitación empleadas, incluyendo al teléfono, la videoconferencia, realidad virtual y programas de internet. Las sociedades científicas sobre rehabilitación física de Estados Unidos, Canadá, Australia y Reino Unido recomiendan el uso de tele-rehabilitación durante el aislamiento por COVID-19. La Superintendencia de Servicios de Salud de Argentina recomienda que, durante el "aislamiento social, preventivo y obligatorio" por la pandemia COVID-19, los financiadores de la seguridad social y privados deberán implementar y fomentar el uso de teleasistencia y/o teleconsulta, a fin de garantizar las prestaciones de demanda esencial. Los financiadores públicos y privados de Estados Unidos cubren la tele-rehabilitación, mientras que el sistema de salud público de Australia no lo hace.(AU)


Subject(s)
Physical and Rehabilitation Medicine/methods , Telemedicine/instrumentation , Coronavirus Infections/diagnosis , Coronavirus Infections/prevention & control , Coronavirus Infections/therapy , Remote Consultation/instrumentation , Argentina , Technology Assessment, Biomedical
8.
Ludovica pediátr ; 22(3): 18-19, sept. 2019.
Article in Spanish | LILACS, BDNPAR, ARGMSAL | ID: biblio-1046958

ABSTRACT

La Residencia de Medicina Física y Rehabilitación del HIAEP Sor Maria Ludovica surge en el año 1985 siendo la primera residencia de la especialidad a nivel provincial. Nuestro servicio data del año 1973 comenzando como Sala de Rehabilitación, encabezada por la Dra. Graciela Giglio de Guerrini, referente de la especialidad. En 1983 toma su categoría de Servicio.Es una residencia médica básica con formación pediátrica, en adultos y gerontes, de tres años de duración, con un ingreso de dos profesionales por año. Contamos con Instructor y Jefe de Residentes. Hasta el presente año, se han formado un total de 79 médicos especialistas.Como médicos especialistas en Medicina Física y Rehabilitación, actuamos en la prevención del deterioro físico y mental, identificando de manera oportuna los procesos invalidantes de todo tipo, realizando diagnóstico y certificación de discapacidad, prescripción, coordinación y supervisión de programas terapéuticos integrales de rehabilitación e investigación que aporte a la especialidad,promoviendo la inclusión o reinserción social del paciente.Nuestra formación contempla intervención en los tres niveles de atención de la salud. Realizamos el seguimiento ambulatorio de pacientes pediátricos por consultorio externo, asistimos como médicos interconsultores en las salas de internación en periodo agudo, subagudo y crónico, concurrimos a Centro de Atención Temprana del Desarrollo Infantil, formamos parte de actividades multidisciplinarias como Ateneo de Neuroortopedia, Comité de Mielomeningocele,Grupo de Nervio Periférico, Comité de Espasticidad, Grupo de Hemofilia, entre otros. Realizamos rotaciones curriculares y extracurriculares en otras instituciones de diferentes niveles de complejidad.La actividad diaria en rehabilitación nos brinda la experiencia del trabajo en equipo, manteniendo un contacto permanente con el equipo de trabajo, desde las diferentes áreas que conforman el servicio, siendo de vital importancia para el abordaje integral del paciente, conciliando objetivos terapéuticos que enriquecen nuestra formación, contando con el apoyo de médicos de planta, jefe de sala, jefe de servicio y equipo terapéutico.Durante los años transcurridos de residencia, coincidimos en que se nos han otorgado herramientas desde lo académico y profesional, así como también desde el punto de vista humano, que contribuyen a mejorar la calidad de atención de nuestros pacientes


Subject(s)
Physical and Rehabilitation Medicine , Residence Characteristics
9.
Acta fisiátrica ; 26(3): 130-133, set. 2019.
Article in English | LILACS | ID: biblio-1122752

ABSTRACT

Restaurar a capacidade de andar é um dos objetivos da reabilitação na lesão medular incompleta (LMI). O treino orientado a tarefa abrange os princípios do aprendizado motor, envolvendo mecanismos de neuroplasticidade central e, consequentemente, reorganização cortical. O treinamento da marcha robótica G-EO System (GS) atua como um reforço da prática repetitiva e específica das fases da marcha. Objetivo: Investigar os efeitos combinados da fisioterapia e da terapia robótica na funcionalidade da marcha em relação ao equilíbrio e velocidade da marcha em pacientes com LMI. Métodos: Estudo de coorte retrospectivo com 14 pacientes na fase crônica da doença, que realizaram 20 sessões de GS associado à fisioterapia convencional (FC). Utilizamos o Teste de Caminhada de 10 Metros (TC10) e a Escala de Equilíbrio de Berg (EEB). Valores de p <0,05 foram considerados estatisticamente significativos pelo teste de Wilcoxon ao início da fisioterapia convencional e pré e pós intervenção. Resultados: Observou-se que no TC10, a velocidade inicial média variou de 2,60 m/s ± 1,72 no início da FC a 1,57 m/s ± 0,80 no final das 20 sessões de GS com p = 0,0424. Para a EEB no início da FC, a média foi de 31,85 pontos ± 12,50 e 42,35 ± 14,25 ao final da intervenção, com p = 0,0096. Conclusão: A terapia robótica da marcha associada à FC mostrou-se eficaz na promoção do equilíbrio e da melhora da velocidade da marcha em indivíduos na fase crônica da LMI.


Restoring the ability to walk, especially independently, is one of the goals in the rehabilitation of patients with incomplete spinal cord injury (ISCI). The G-EO System (GS) robotic gait training acts as a reinforcer of the repetitive and specific practice of the gait phases. Objective: Investigate the combined effects of physiotherapy and robotic therapy on gait functionality in relation to balance and gait speed in patients with ISCI. Methods: Retrospective cohort study with 14 patients in the chronic phase of the disease, using the GS as a robotic intervention for gait and stairs, consisting of a 20-session protocol associated with conventional physical therapy. We used the 10-meter Walk Test (10WT) and the Berg Balance Scale (BBS). P values <0.05 were considered statistically significant using the Wilcoxon test at the beginning of conventional physical therapy and before and after intervention. Results: At the 10WT, the mean initial velocity ranged from 2.60 m/s ± 1.72 at the beginning of conventional physical therapy to 1.57 m/s ± 0.80 at the end of the 20 GS sessions with p = 0.0424. For BBS at the beginning of conventional physical therapy, the average was 31.85 points ± 12.50, and 42.35 ± 14.25 at the end of the 20 GS sessions, with p = 0.0096. Conclusions: Robotic gait therapy associated with conventional physiotherapy has been shown to be effective in promoting balance and gait speed improvement in individuals in the chronic phase after involvement of incomplete spinal cord injury.


Subject(s)
Physical and Rehabilitation Medicine , Spinal Cord Injuries , Robotics , Neurological Rehabilitation , Gait
10.
Rev. Eugenio Espejo ; 13(1): 45-52, Ene-Jul. 2019.
Article in Spanish | LILACS | ID: biblio-1006780

ABSTRACT

La forma en que se manejan los problemas biomecánicos en niños constituye un tema contro-versial en el campo de la rehabilitación física. Se desarrolló un proceso investigativo con el objetivo de: describir la evolución de un grupo de pacientes pediátricos mayores de dos años diagnosticados con pie plano atendidos en consulta de fisioterapia en la ciudad de Riobamba; la que fue de tipo observacional descriptivo, de corte longitudinal, cuya población de estudio estuvo constituida por las fichas de control, evaluación y valoración de 30 niños mayores de 2 años que acudieron a consulta de fisioterapia acompañados de un tutor legal por presentar signos de alteraciones de la huella plantar (pie plano). Se observó un predominio de los pacien-tes con edades comprendidas entre cuatro y cinco años, para un 33 y 27% respectivamente. El 93% de los participantes presentó alteraciones de la huella plantar comprobada mediante medi-ción utilizando el plantígrafo, pero el 53% tuvo pie plano fisiológico. Luego de aplicados los ejercicios de Risser, los datos reflejaron una elevación de la cifra de huella plantar normal hasta el 33% y una disminución en el grado de afectación en el 35% de los niños diagnosticados. Los resultados de la recuperación fueron ratificados mediante el análisis del desgaste del calzado en los pacientes pediátricos en cuestión.


The way how biomechanical problems are handled is a controversial topic in the field of physi-cal rehabilitation. This is a research was carried out in order to describe the evolution of a group of pediatric patients over two years of age diagnosed with flat feet treated in a physiotherapy consultation in the city of Riobamba. This research was of observational descriptive type and longitudinal-cut. The study population consisted of the control, evaluation and assessment cards of 30 children over 2 years of age who attended a physiotherapy consultation accompanied by a legal guardian to show signs of alterations in the footprint (flat foot). A predominance of patients between four and five years of age with 33% and 27% respectively was observed. 93% of the participants presented alterations of the footprint checked by the means of a machine for measu-ring foot plant, but 53% had physiological flat feet. After applying the Risser exercises, the data was reflected in the figure of normal footprint up to 33%, and a decrease of affectation in 35% of the children diagnosed. The results of the recovery were confirmed through the analysis of footwear wear in the pediatric patients in question.


Subject(s)
Male , Female , Child, Preschool , Foot Deformities , Flatfoot , Musculoskeletal Diseases , Orthopedics , Physical and Rehabilitation Medicine , Child
11.
Fisioter. Bras ; 20(3): 369-375, Junho 11, 2019.
Article in Portuguese | LILACS | ID: biblio-1281271

ABSTRACT

Introdução: Estudos indicam que acadêmicos de vários semestres da fisioterapia apresentam limitações no conhecimento relacionado à dor e suas terapêuticas. Contudo, essa temática ainda é pouco explorada em acadêmicos no último ano da graduação em fisioterapia. Objetivo: Descrever o conhecimento sobre dor por parte dos acadêmicos do último ano de uma instituição privada de ensino superior. Métodos: Estudo descritivo transversal com 59 acadêmicos de ambos os sexos, matriculados no estágio curricular supervisionado, do último ano do curso de fisioterapia de uma instituição privada de ensino superior. Todos os participantes foram submetidos a um questionário validado contendo questões relacionadas à fisiopatologia, subjetividade, avaliação e terapêuticas não farmacológicas da dor. Resultados: Cinquenta e seis voluntários compuseram a amostra final deste estudo. 88% deles indicaram não existir uma disciplina ou um professor especialista sobre dor. 58% dos acadêmicos não reconhecem a dor como um sinal vital. Houve conhecimento satisfatório sobre conceitos básicos relacionados à fisiopatologia, avaliação e tratamento da dor. Contudo, falhas que comprometem o manejo da dor foram detectadas. Conclusão: Existe inconsistência no conhecimento de acadêmicos do último ano do curso de fisioterapia sobre aspectos ligados a avaliação e tratamento de pacientes com dor. (AU)


Introduction: Studies indicate that academics from several semesters of physical therapy have limitations in knowledge related to pain and its therapeutics. However, this subject is still little explored in academics in the last year of graduation in physical therapy. Objective: To describe the knowledge about pain on the part of the academics of the last year of a private institution of higher education. Methods: Descriptive cross-sectional study with 59 male and female students, enrolled in the supervised curricular traineeship, of the last year of the physical therapy course of a private institution of higher education. All participants were submitted to a validated questionnaire containing questions related to pathophysiology, subjectivity, evaluation and nonpharmacological pain therapy. Results: Fifty-six volunteers composed the final sample of this study. 88% of them indicate that there is no discipline or specialist pain teacher. 58% of academics do not recognize pain as a vital sign. There was satisfactory knowledge about basic concepts related to pathophysiology, evaluation and treatment of pain. However, failures that compromise the management of pain were detected. Conclusion: There is inconsistency in the knowledge of academics of the last year of the physical therapy course on aspects related to the evaluation and treatment of patients with pain. (AU)


Subject(s)
Humans , Pain , Physical and Rehabilitation Medicine , Students, Medical , Knowledge , Physical Therapy Modalities
12.
Rev. habanera cienc. méd ; 18(2): 346-356, mar.-abr. 2019. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1014174

ABSTRACT

Introducción: La rehabilitación física puede verse beneficiada con el uso de dispositivos, los cuales en su mayoría suelen ser patentados. La oficina de patentes y marcas de los Estados Unidos (USPTO) es una de las oficinas de patentes y marcas más grandes y reconocidas. Resulta de interés evaluar las características y la evolución de las patentes para la rehabilitación física; sin embargo, existen pocos estudios al respecto. Objetivo: Identificar las características de las patentes de dispositivos de rehabilitación física de extremidades, registradas en la oficina de patentes y marcas de los Estados Unidos. Material y métodos: Estudio descriptivo transversal. Se realizó una búsqueda en UPSTO usando una lista de palabras clave relacionadas con la rehabilitación. Se eligieron 10 grupos de patentes relacionados con la rehabilitación. Las variables estudiadas fueron: número de la patente, fecha de publicación, país, titular, área de la patente, extremidades para las cuales es útil la patente y portabilidad. Se realizó un análisis descriptivo usando STATA v.14. Resultados: Se analizaron 1971 patentes, de las cuales 16,2 por ciento fueron incluidas en los grupos de rehabilitación y 83,8 por ciento en ejercicio físico. El 36,6 por ciento de todas las patentes fueron patentadas por un titular corporativo, el 29,9 por ciento fueron portables, y el 46,3 por ciento tenían utilidad para ambas extremidades. Conclusiones: De las patentes encontradas las enfocadas para ejercicio físico fueron las predominantes. Existe una mayor cantidad de patentes útiles para ambas extremidades. Además, existe una tendencia ascendente en el tiempo, en el número de patentes del área de rehabilitación y de las invenciones portables(AU)


ABSTRACT Introduction: Physical rehabilitation can be benefitted from the use of devices, which are usually patented. The United States Patent and Trademark Office (USPTO) is one of the largest and most recognized patent and trademark offices. The characteristics and evolution of patents for physical rehabilitation is of great interest; however, there are few studies in this respect. Objective: To identify the characteristics of patents of physical rehabilitation devices for the physical rehabilitation of damaged limbs registered the United States Patent and Trademark Office. Material and methods: A cross-sectional descriptive study was conducted. A search was made at UPSTO using a list of keywords related to rehabilitation. Ten groups of patents related to rehabilitation were chosen. The variables studied were: patent number, publication date, country, holder, patent area, limbs for which the patent is useful, and portability. A descriptive analysis was performed by using STATA v.14. Results: A total of 1971 patents were analyzed, of which 16.2 percent were included in the rehabilitation groups and 83.8 percent in the physical exercise groups. The 36.6 percent of them were corporate-owned patents, 29.9 percent were portable, and 46.3 percent had usability which demonstrated to be useful for both extremities. Conclusions: Of the patents found, those focused on physical exercise were predominant. There is a greater number of useful patents for both extremities. In addition, there is an upward trend over time, the number of patents in the area of ​​rehabilitation, and portable inventions(AU)


Subject(s)
Humans , Male , Female , Patents as Topic/ethics , Rehabilitation , Equipment Design , Physical and Rehabilitation Medicine , United States , Epidemiology, Descriptive , Cross-Sectional Studies
13.
Article in English | WPRIM | ID: wpr-762641

ABSTRACT

OBJECTIVE: To study factors associated to the quality of life in a North African sample of lower limbs amputees. METHODS: We conducted a prospective study in the Department Physical Medicine and Rehabilitation, University Hospital of Monastit, Tunisia. A consecutive sample of patients with amputations of the lower limbs was included. The evaluated parameters were quality of life using the Short-Form quality-of-life questionnaire (SF-36), pain using a visual analog scale, function using, the perimeter of walking (PW), the Special Interest Group of the Amputee Medicine (SIGAM) and the Locomotion Capacities Index of the Prosthetic Profile of the Amputee (LCI), and psychological status thanks to the Hospital Anxiety and Depression scale. In the study, the patients were evaluated at the first consultation (T0) and again at 12 months (T1). RESULTS: We included 85 patients (age, 59.3±16.7 years) with a sex ratio of 3. The patient quality of life was positively correlated to distal type of amputation, traumatic origin, better LCI (p≤0.001, r=0.349), SIGAM (p=0.046) and PW. A negative correlation was noted with age (p=0.012, r=−0.483) and higher psychological scores (p=0.002, r=−0.321). CONCLUSION: In our sample of North African lower limbs amputees the age and the functional status were the most important predictors of the quality of life.


Subject(s)
Amputation , Amputation, Traumatic , Amputees , Anxiety , Depression , Humans , Locomotion , Lower Extremity , Physical and Rehabilitation Medicine , Prospective Studies , Prostheses and Implants , Public Opinion , Quality of Life , Sex Ratio , Tunisia , Visual Analog Scale , Walking
14.
Article in English | WPRIM | ID: wpr-762624

ABSTRACT

OBJECTIVE: To determine effects of copy number variations (CNV) on developmental aspects of children suspected of having delayed development. METHODS: A retrospective chart review was done for 65 children who underwent array-comparative genomic hybridization after visiting physical medicine & rehabilitation department of outpatient clinic with delayed development as chief complaints. Children were evaluated with Denver Developmental Screening Test II (DDST-II), Sequenced Language Scale for Infants (SELSI), or Preschool Receptive-Expressive Language Scale (PRES). A Mann-Whitney U test was conducted to determine statistical differences of developmental quotient (DQ), receptive language quotient (RLQ), and expressive language quotient (ELQ) between children with CNV (CNV(+) group, n=16) and children without CNV (CNV(–) group, n=37). RESULTS: Of these subjects, the average age was 35.1 months (mean age, 35.1±24.2 months). Sixteen (30.2%) patients had copy number variations. In the CNV(+) group, 14 children underwent DDST-II. In the CNV(–) group, 29 children underwent DDST-II. Among variables, gross motor scale was significantly (p=0.038) lower in the CNV(+) group compared with the CNV(–) group. In the CNV(+) group, 5 children underwent either SELSI or PRES. In the CNV(–) group, 27 children underwent above language assessment examination. Both RLQ and ELQ were similar between the two groups. CONCLUSION: The gross motor domain in DQ was significantly lower in children with CNV compared to that in children without CNV. This result suggests that additional genetic factors contribute to this variability. Active detection of genomic imbalance could play a vital role when prominent gross motor delay is presented in children with delayed development.


Subject(s)
Ambulatory Care Facilities , Child , Comparative Genomic Hybridization , Developmental Disabilities , DNA Copy Number Variations , Humans , Infant , Mass Screening , Motor Skills , Muscle Hypotonia , Nucleic Acid Hybridization , Physical and Rehabilitation Medicine , Rehabilitation , Retrospective Studies
15.
Clinical Pain ; (2): 36-39, 2019.
Article in Korean | WPRIM | ID: wpr-785682

ABSTRACT

Chronic postoperative inguinal pain (CPIP) is a major complication after inguinal herniorrhaphy. We report the treatment of CPIP using ultrasonography-combined with nerve stimulator for injection of the genitofemoral nerve (GFN). A 59-year-old man underwent laparoscopic herniorrhaphy and presented with numbness from the inguinal region to the scrotum after operation. In the pain clinic, ultrasonography-guided GFN block and pharmacological treatments had little effect. Six month after operation, patient was referred to the Department of Physical Medicine and Rehabilitation, and ultrasonography-combined with nerve stimulator for GFN injection underwent to enhance the accuracy of neural approach. The induction of scrotal contraction and paresthesia on the GFN distribution was monitored by nerve stimulator and local anesthetic was injected. After the block, pain relief lasted for 6 months without analgesic use. Ultrasonography-combined with nerve stimulator is an effective approach to treat CPIP as it enhances precise localization and injection of small peripheral nerve like GFN.


Subject(s)
Herniorrhaphy , Humans , Hypesthesia , Middle Aged , Pain Clinics , Paresthesia , Peripheral Nerves , Physical and Rehabilitation Medicine , Scrotum
16.
Clinics ; 74: e722, 2019. tab, graf
Article in English | LILACS | ID: biblio-1001822

ABSTRACT

OBJECTIVES: This study aimed to provide evidence for understanding how to treat osteoarthritis (OA) in our country. Therefore, it was necessary to match information and investigations related to the treatment of the disease from the three main types of specialists involved: physiatrists, orthopedists and rheumatologists. METHODS: The authors acted as a scientific advisory committee. From the initial discussions, a structured questionnaire was developed for use with a group of specialists on OA using the Delphi technique. The questionnaire was sent to 21 experts appointed by the authors, and the results obtained were critically analyzed and validated. RESULTS: The prevalence of OA was 33% in Brazil, corresponding to one-third of the individuals in the reference population, which included individuals over 25 years of age. Another significant finding was that most patients did not receive any form of treatment in the early stages of OA. CONCLUSION: The committee pointed to the need for early intervention and that the available medicinal resources can fulfil this important role, as is the case with SYSADOA treatments. Glucosamine-based medicinal products with or without chondroitin could also fulfill this need for early treatment. The other generated evidence and included investigations were then grouped together and are the subject of this publication.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Osteoarthritis/therapy , Delphi Technique , Clinical Competence/standards , Evidence-Based Medicine/standards , Orthopedics/standards , Osteoarthritis/drug therapy , Physical and Rehabilitation Medicine/standards , Severity of Illness Index , Brazil , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Chondroitin Sulfates/therapeutic use , Treatment Outcome , Osteoarthritis, Knee/therapy , Consensus , Drug Therapy, Combination , Glucosamine/therapeutic use
18.
Rev. bras. cineantropom. desempenho hum ; 20(2): 229-233, Mar.-Apr. 2018. ilus
Article in English | LILACS | ID: biblio-958351

ABSTRACT

Abstract The International Classification of Functioning, Disability and Health (ICF) is a classification of the World Health Organization (WHO). It is a reference document for the description of phenomena related to functioning and disability. The aim of the present study is to assess the relationship between the theoretical assumptions of ICF and the field of Health Promotion. The dissemination of ICF has been widely documented in literature over the last few years, however, there is a large gap between enthusiasm with the paradigm change that the classification proposes and its effective incorporation in the different environments of health care. This study presents an example of ICF operation-alization. The biopsychosocial evaluation model of ICF presented is a strategy of light technology in health that advances towards the proposals of the field of Health Promotion.


Resumo A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) é uma classificação da Organização Mundial de Saúde (OMS). É um documento de referência para a descrição de fenômenos relacionados a funcionalidade e incapacidade. O objetivo do presente trabalho é traçar uma relação entre os pressupostos teóricos da CIF com o campo da Promoção da Saúde. A disseminação da CIF tem sido amplamente documentada na literatura ao longo dos últimos anos, no entanto, há uma grande lacuna entre o entusiasmo com a mudança de paradigma que a classificação propõe e sua efetiva incorporação nos diferentes ambientes do cuidado em saúde. O presente ponto de vista apresenta um exemplo de operacionalização da CIF. O modelo de avaliação biopsicossocial da CIF apresentado é uma estratégia de tecnologia leve em saúde que caminha para o avanço das propostas do campo da Promoção da Saúde.


Subject(s)
Physical and Rehabilitation Medicine/standards , Practice Patterns, Physicians' , Disabled Persons/classification , World Health Organization
19.
Acta fisiátrica ; 25(1): 46-48, mar. 2018.
Article in English | LILACS | ID: biblio-998498

ABSTRACT

Elastofibroma are rare, slow-growing, soft tissue benign tumors that originate from mesenchymal tissue. We report an 85-year-old male patient with the diagnosis of bilateral elastofibroma dorsi whose symptoms were bilateral chronic pain in the thoracic spine and limitation of shoulder range of motion. The proposed treatment consisted of a rehabilitation program in our department mainly focused on pain management and postural reeducation of the scapulohumeral rhythm, with great improvements namely on the anterior extension and abduction of the shoulder and with no pain at the 6-month post-treatment reevaluation. This shows an important role of Physical Medicine and Rehabilitation in the management of patients with these rare tumors.


Os elastofibromas são tumores raros benignos de tecidos moles, de crescimento lento, que se originam do tecido mesenquimatoso. Relatamos o caso de um paciente, do género masculino, 85 anos com diagnóstico de elastofibroma dorsi bilateral cujos sintomas apresentados eram dor crônica bilateral na coluna torácica e limitação da amplitude de movimento dos ombros. O tratamento proposto consistiu num programa de reabilitação no departamento de Medicina Física e de Reabilitação, focado principalmente no controlo da dor e na reeducação postural do ritmo escapuloumeral, com grandes melhorias, principalmente na extensão anterior e abdução do ombro e sem dor na reavaliação aos 6 meses após o tratamento. Pretendemos demonstrar o importante papel da Medicina Física e Reabilitação no manejo dos doentes acometidos por estes raros tumores.


Subject(s)
Humans , Male , Aged, 80 and over , Physical and Rehabilitation Medicine/instrumentation , Physical Therapy Modalities/instrumentation , Rehabilitation Services , Neoplasms/rehabilitation
20.
Article in English | WPRIM | ID: wpr-716983

ABSTRACT

The objective of this study is to investigate the short-term effects of intensive inpatient rehabilitation in patients with brain tumor. Retrospective data from September 2015 to May 2017 was obtained in 65 patients with brain tumor who were transferred to the department of physical and rehabilitation medicine for comprehensive intensive inpatient rehabilitation. For comparison, data from 140 patients with subacute stroke were also obtained. To measure functional status, we collected data from the following tests: the Korean version of the Modified Barthel Index, the Motricity Index, the Korean Mini-Mental Status Examination, and the Functional Ambulatory Category. Functional efficiency of each assessment was calculated as the gain divided by the inpatient rehabilitation length of stay. Independent t-test was performed to compare functional outcomes between the brain tumor group and the subacute stroke group. There were significant improvements in all functional assessments in both the brain tumor group and the subacute stroke group (p < 0.05). In addition, there was no significant difference in the functional gain and efficiency in all assessments between the 2 groups. The results of the present study revealed that intensive inpatient rehabilitation could have potential to improve the functional levels in patients with brain tumor.


Subject(s)
Brain Neoplasms , Brain , Humans , Inpatients , Length of Stay , Physical and Rehabilitation Medicine , Rehabilitation , Retrospective Studies , Stroke
SELECTION OF CITATIONS
SEARCH DETAIL