RESUMEN
Introdução: A osteoartrite de joelho é altamente prevalente na população idosa e está associada à perda da função, comprometendo a mobilidade e, consequentemente, a capacidade aeróbia dos indivíduos. As propriedades físicas da água, como densidade, pressão hidrostática e empuxo, permitem que vários exercícios terapêuticos sejam realizados em uma condição de baixo impacto articular. Objetivo: Avaliar a efetividade de um programa de fisioterapia aquática na capacidade aeróbia, dor, rigidez, equilíbrio e função física de idosos com OA de joelho. Métodos: Foi conduzido um estudo intervencionista, incluindo 10 idosos (≥ 60 anos), com diagnóstico clínico e radiológico de OA no joelho. O programa de fisioterapia aquática, com ênfase em exercícios aeróbios, de fortalecimento e alongamento muscular, foi realizado por um período de 9 semanas. Resultados: Após o período de intervenção, os idosos apresentaram melhora significativa na capacidade aeróbia, na dor e na capacidade funcional. Houve associação entre a melhora na dor e a melhora na capacidade funcional. Conclusão: Nossos resultados demonstraram que a fisioterapia aquática é um importante recurso para melhora da dor, da capacidade funcional e da capacidade aeróbia de idosos com OA de joelho. (AU)
Introduction: Knee osteoarthritis is highly prevalent in the older adult population. It is associated with poor physical function, compromising mobility, and, therefore, the aerobic fitness of these individuals. The physical proprieties of water, such as density, hydrostatic pressure and buoyancy, enable a wide range of therapeutic exercises to be performed without joint impact. Objective: To assess the effectiveness of an aquatic physical therapy program on aerobic fitness, pain, stiffness, balance, and physical function of older adults with knee osteoarthritis. Methods: An interventional study was conducted, including ten older adults (≥ 60 years), with clinical and radiological diagnosis of knee osteoarthritis. The aquatic physical therapy program, with emphasis on aerobic, muscle strengthening and stretching exercises, was carried out for a period of 9 weeks. Results: After the intervention period, the older adults showed a significant improvement on aerobic fitness, pain, and physical function. The improvements on pain and on physical function were associated. Conclusion: Our results showed that aquatic physical therapy is an important tool to improve pain, physical function and aerobic fitness in older adults with knee osteoarthritis.(AU)
Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Anciano , Osteoartritis , Marcha , Rodilla , Dolor , Especialidad de FisioterapiaRESUMEN
Objective To translate the Water Orientation Test of Alyn 1 (WOTA1) into Chinese and investigate the test-retest reliability, inter-rater reliability and validity of this Chinese Version. Methods The Water Orientation Test of Alyn 1 was translated from English into Chinese. 25 children with cerebral palsy were tested with Chinese Version of WOTA1 by 2 raters. One of the raters accessed the same chil-dren again after 2 days. While the children were assessed with Brief Assessment of Motor Function (BAMF). The scores from both raters, twice of one rater, and of WOTA1 and of BAMF were analyzed with Pearson correlation coefficient. Results The correlation coefficient of test-retest of WOTA1 total score is 0.992 (95%CI:0.982-0.996), and it was 0.887 to 1.000 of the scores of items. The correlation coefficient of inter-rater of total score is 0.992 (95%CI:0.980-0.998), and it was 0.748 to 1.000 of the scores of items. The correlation coefficient be-tween scores of WOTA1 and BAMF was 0.926 (P<0.01). Conclusion The Chinese Version of WOTA1 is good reliable and valid to assess the motor function in hydrotherapy pool.
RESUMEN
@#Objective To translate the Water Orientation Test of Alyn 1 (WOTA1) into Chinese and investigate the test-retest reliability, inter-rater reliability and validity of this Chinese Version. Methods The Water Orientation Test of Alyn 1 was translated from English into Chinese. 25 children with cerebral palsy were tested with Chinese Version of WOTA1 by 2 raters. One of the raters accessed the same children again after 2 days. While the children were assessed with Brief Assessment of Motor Function (BAMF). The scores from both raters, twice of one rater, and of WOTA1 and of BAMF were analyzed with Pearson correlation coefficient. Results The correlation coefficient of test-retest of WOTA1 total score is 0.992 (95% CI: 0.982-0.996), and it was 0.887 to 1.000 of the scores of items. The correlation coefficient of inter-rater of total score is 0.992 (95% CI: 0.980-0.998), and it was 0.748 to 1.000 of the scores of items. The correlation coefficient between scores of WOTA1 and BAMF was 0.926 (P<0.01). Conclusion The Chinese Version of WOTA1 is good reliable and valid to assess the motor function in hydrotherapy pool.
RESUMEN
OBJETIVOS: Avaliar os efeitos da fisioterapia aquática na dor e no ciclo de sono e vigília de bebês prematuros estáveis hospitalizados. MÉTODOS: A pesquisa caracterizou-se como ensaio clínico não controlado de séries temporais. Foram incluídos 12 recém-nascidos clinicamente estáveis com idade gestacional inferior a 36 semanas internados em unidade de terapia intensiva neonatal. Após serem selecionados, os recém-nascidos foram colocados no meio líquido, onde foi iniciada a fisioterapia aquática, com duração de 10 minutos, na qual foram realizados movimentos que estimulam as posturas flexoras e a organização postural. Foram avaliados os ciclos sono e vigília por meio da escala de avaliação do ciclo de sono e vigília adaptada de Brazelton (1973)*, a presença de sinais de dor por meio da escala Sistema de Codificação da Atividade Facial Neonatal (NFCS), além de parâmetros fisiológicos. RESULTADOS: Em relação aos estados de sono e vigília, antes da fisioterapia, os recém-nascidos apresentaram comportamentos que variaram entre totalmente acordados, com movimentos corporais vigorosos e choro. Após a fisioterapia, os estados de sono variaram entre sono leve com olhos fechados e algum movimento corporal. Esses valores apresentaram diferenças estatisticamente significativas (p<0,001). O escore da escala de avaliação de dor também diminuiu de 5,38±0,91 para 0,25±0,46 com p<0,001 após a intervenção. Os sinais vitais mantiveram-se estáveis. CONCLUSÕES: Sugere-se que a fisioterapia aquática pode ser um método simples e efetivo na redução da dor e na melhora da qualidade do sono de bebês prematuros em UTI Neonatal. Tornam-se necessários estudos controlados e com maior número de indivíduos para a generalização dos resultados.
OBJECTIVES: To evaluate the effects of aquatic physical therapy on pain and on the cycle of sleep and wakefulness among stable hospitalized premature infants. METHODS: This study was characterized as an uncontrolled clinical trial on a time series and included 12 clinically stable newborns of gestational age less than 36 weeks who were hospitalized in a neonatal intensive care unit (NICU). After selection, the newborns were placed in a liquid medium for aquatic physical therapy lasting 10 minutes. Movements to stimulate flexor posture and postural organization were performed. The sleep-wakefulness cycle was assessed using the adapted Brazelton (1973)* scale and pain was assessed by the occurrence of signs of pain according to the Neonatal Facial Coding System (NFCS) scale; and physiological parameters. RESULTS: In relation to states of sleep and wakefulness, before the physical therapy, the newborns' behavior varied from fully awake with vigorous body movements to crying. After the physical therapy, the states of sleep ranged from light sleep with closed eyes to some body movement. These values presented statistically significant differences (p<0.001). The score on the pain assessment scale also decreased from 5.38±0.91 to 0.25±0.46, with p<0.001 after the intervention. The vital signs remained stable. CONCLUSIONS: It is suggested that aquatic physical therapy can be a simple and effective method for reducing pain and improving sleep quality among preterm infants in NICUs. Controlled studies with larger numbers of subjects are needed in order to generalize the results.