COMPARAÇÃO DA QUALIDADE DE VIDA DE PESSOAS IDOSAS SEGUNDO A REGIÃO GEOGRÁFICA DE MORADIA / COMPARISON OF THE QUALITY OF LIFE OF ELDERLY PEOPLE ACCORDIN REGIONG TO HOUSING GEOGRAPHICAL / COMPARACIÓN DE LA CALIDAD DE VIDA DE LOS ADULTOS MAYORES SEGÚN REGIÓN GEOGRÁFICA DE VIVIENDA

Objetivo:Avaliar comparativamente a qualidade de vida (QV) de pessoas idosas residentes nas zonas urbana e rural do município de Cuité-PB. Método:Estudo epidemiológico observacional, transversal e quantitativo, realizado com 230 idosos sorteados aleatoriamente, sendo 140 da zona urbana e 90 da zona rural. Os dados foram coletados durante os meses de janeiro e fevereiro de 2019 por meio de questionário sociodemográfico e do instrumento WHOQOL-Old. Os dados obtidos foram organizados e processados no softwareIBM SPSS e analisados conforme estatística descritiva e inferencial.Resultados: A faceta que obteve melhor avaliação foi o Funcionamento Sensório e o pior foi a Autonomia tanto para idosos da zona rural como da urbana. Na avaliação global da QV, constatou-se que àqueles que residem na zona rural demonstraram uma melhor percepção,com diferença estatística significativa para todas as facetas. Conclusões:O convívio familiar, a tranquilidade da vida no campo e as atividades habituais menos estressantes podem ser apontados como fatores de proteção para um envelhecimento saudável, confirmado pela satisfatoriedade da auto-percepção da QV. Sugere-se que pesquisas qualitativas sejam desenvolvidas nesta área, para que outros elementos elucidem a complexidade e a dinamicidade da QV em idoso

Objective:To evaluate comparatively the quality of life (QoL) of elderly people living in the urban and rural areas of the city of Cuité-PB. Method:Observational, cross-sectional and quantitative epidemiological study of 230 elderly randomly selected, 140 of the urban area and 90 of therural area. Data were collected during the months of January and February of 2019 by means of a sociodemographic questionnaire and the WHOQOL-Old instrument. The data obtained were organized and processed in the IBM SPSS software and analyzed according todescriptive and inferential statistics. Results:The facet that obtained the best evaluation was Sensory Functioning and the worst was Autonomy for both rural and urban elderly. In the overall assessment of QoL, it was found that those living in the ruralarea showed a better perception, with a statistically significant difference for all facets. Conclusions:Family life, the tranquility of rural life and less stressful habitual activities can be considered as protective factors for a healthy aging, confirmed by the satisfactory self-perception of QOL. It is suggested that qualitative research be developed in this area, so that other elements elucidate the complexity and dynamicity of QOL in the elderly

Objetivo:Evaluar comparativamente la calidad de vida (CV) de los adultos mayores residentes en áreas urbanas y rurales de la ciudad de Cuité-PB. Método:Estudio epidemiológico observacional, transversal y cuantitativo realizado con 230 adultos mayores seleccionados al azar, 140 de área urbana y 90 de área rural. Los datos fueron recolectados durante los meses de enero y febrero de 2019 a través de un cuestionario sociodemográfico y el instrumento WHOQOL-Old. Los datos obtenidos fueron organizados y procesados en el software IBM SPSS y analizados según estadística descriptiva e inferencial. Resultados:La faceta que obtuvo la mejor evaluación fue el Funcionamiento Sensorial y la peor fue la Autonomía para los adultos mayores tanto rurales como urbanos. En la evaluación global de la CV, se constató que quienes viven en el área rural presentaron una mejor percepción, con diferencia estadísticamente significativa para todas las facetas. Conclusiones:La vida familiar, la tranquilidad de la vida en el campo y las actividades habituales menos estresantes pueden identificarse como factores protectores para el envejecimiento saludable, confirmado por la autopercepción satisfactoria de la CV. Se sugiere que la investigación cualitativa sea desarrollada en esta área, para que otros elementos puedan dilucidar la complejidad y la dinámica de la CV en los ancianos

Main types of insoles described in the literature and their applicability for musculoskeletal disorders of the lower limbs: A systematic review of clinical studies.

The objective of this review was to identify the main types of insoles described in the literature that are used to treat musculoskeletal alterations of lower limbs and to analyze the existence of previous evaluation for the prescription of these insoles. To this end, two researchers, independently and blindly, searched the PubMed, SciELO, Bireme, MEDLINE, Lilacs, PEDro, Cochrane Library and Web of Science databases between June and July of 2018, from the free combination of the following descriptors: insoles, foot orthoses, foot, orthoses, musculoskeletal diseases and clinical trial. We included randomized or non-randomized clinical trials in which at least one intervention group used insoles and individuals with some type of musculoskeletal disorder had been sampled. Of the 227 documents identified in date bases, 20 were included in this review. In general, it is suggested to carry out more studies with more precise methods and that include evaluation before the prescription. This is a systematic review of clinical trials registered in PROSPERO (International Prospective Register of Systematic Reviews) under the protocol no. CRD42018099534e.

Effects of insoles adapted in flip-flop sandals in people with plantar fasciopathy: a randomized, double-blind clinical, controlled study.

OBJECTIVE: To evaluate the effects of insoles adapted into flip-flop sandals on pain and function in individuals with plantar fasciopathy (PF). DESIGN: Randomized, double-blind controlled study. SETTING: Physiotherapy clinic of the Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz, Brazil. SUBJECTS: Sixty-six patients of both genders with PF were randomized into two groups: sandal insole group (SI; n = 34), which received a pair of custom flip-flop sandals with insoles covered with smooth synthetic leather; and plain sandal group (PS; n = 32), which received an identical pair of flip-flop sandals, but without the insoles. INTERVENTIONS: Patients were instructed to wear the flip-flops for 12 weeks for at least 4 hours/day. MAIN MEASURES: Pain (visual analogue scale-VAS) in the morning and at the end of the day were considered primary outcomes. Function (Foot Function Index-FFI and Foot and Ankle Ability Measure-FAAM) and functional capacity (6-minute walk test-6MWT) were considered secondary outcomes. The outcomes were evaluated at baseline and immediately after the intervention by a blind assessor. RESULTS: Between-group differences were observed in terms of morning pain (mean difference (MD) = -1.82 cm; 95% confidence interval (CI) = -3.3 to -0.3; P = 0.016) and function (MD = -0.10; 95% CI = -0.19 to -0.01; P = 0.023) after the interventions with the SI group showing superior improvements in comparison to the PS group. CONCLUSION: The use of insoles adapted in flip-flop sandals for 12 weeks was effective at improving pain and function in individuals with PF. LEVEL OF EVIDENCE: 1b.

Avaliação do risco de quedas em idosos assistidos na Estratégia Saúde da Família / Risk assessment of falls in the elderly assisted in the Family Health Strategy

Objetivo: avaliar os riscos, as ocorrências e os fatores associados à quedas em idosos assistidos na Estratégia Saúde da Família. Métodos: estudo descritivo, observacional realizado com 132 idosos assistidos na Estratégia Saúde da Família. Os dados foram coletados por meio de questionários e analisados pela estatística exploratória univariada e inferencial. Resultados: a exposição dos idosos a fatores de risco para quedas foi significativa, sendo a tontura e a vertigem as variáveis mais evidentes entre os fatores intrínsecos, indicada por 73,3% dos participantes. Em relação aos fatores extrínsecos, os mais importantes relatados pelos idosos foram pisos irregulares (94,7%), escadas ou desnível do chão (85,6%) e banheiros sem barras de suporte (92,2%). Conclusão: os idosos são potencialmente vulneráveis a quedas, principalmente pela exposição a fatores de riscos no domicílio, por apresentarem maior evidência, quando comparados a fatores relacionados ao próprio envelhecimento. (AU)