ABSTRACT
Este estudo teve como objetivo analisar perfil de idosos atendidos em laboratório de pesquisa em fisioterapia do Recife. Foi um estudo descritivo, longitudinal e retrospectivo que analisou prontuários de pacientes idosos ≥ 60 anos, datados entre 2009-2019. As variáveis coletadas foram sociodemográficas, clínicas e antropométricas, e a análise dos dados foi realizada no SPSS, versão 23.0, utilizando análise descritiva. As variáveis categóricas estão expressas em frequência absoluta e relativa, e as quantitativas em média e desvio padrão. Foram analisados dados de 187 idosos, com média de idade 68,88 ±6,47; 154 (82,4%) eram do sexo feminino; 80 (43%) eram casados e 122 (52%) residiam em Recife. Das cidades da região metropolitana, Jaboatão dos Guararapes apresentou grande concentração dessa população. Os desfechos apresentaram uma população que está acima do peso e cujo diagnóstico predominante foi osteoporose. Dentre as comorbidades frequentemente associadas estão a hipertensão arterial sistêmica, obesidade, artrose, dores articulares e diabetes. O perfil de idosos atendidos na Universidade Federal de Pernambuco foi importante para identificar as principais características dessa população, suas comorbidades e assim nortear abordagens clínicas de suporte ao Sistema Único de Saúde (SUS).
This study aimed to analyze the profile of elderly people seen in a physical therapy research laboratory in Recife. It was a descriptive, longitudinal, and retrospective study that analyzed medical records of elderly patients ≥ 60 years old, dated between 2009-2019. The variables collected were sociodemographic, clinical, and anthropometric and data analysis was performed in SPSS, version 23.0, using descriptive analysis. Categorical variables are expressed in absolute and relative frequency, and quantitative variables in mean and standard deviation. Data from 187 elderly people were analyzed, with a mean age of 68.88 ± 6.47; 154 (82.4%) were female; 80 (43%) were married and 122 (52%) lived in Recife. Of the cities in the metropolitan region, Jaboatão dos Guararapes showed a large concentration of this population. The outcomes presented a population that is overweight and whose predominant diagnosis was osteoporosis. Among the comorbidities frequently associated are systemic arterial hypertension, obesity, osteoarthritis, joint pain, and diabetes. The profile of elderly people attended at the Federal University of Pernambuco was important to identify the main characteristics of this population, their comorbidities and thus guide clinical approaches to support the Unified Health System (UHS).
ABSTRACT
BACKGROUND: Evaluate the effects of additional load (5% and 10% of body weight) with treadmill gait training on the motor aspects in Parkinson's disease (PD). METHODS: Randomized controlled single-blind trial with 30 individuals with PD. The volunteers were divided into three groups (treadmill with 0%, 5% or 10% load), where Unified Parkinson's Disease Rating Scale was applied. Treadmill gait training was conducted over 4 consecutive weeks, with three weekly sessions of 30 min each. RESULTS: There was a significant reduction in all groups in the time factor for motor function (F = 12.92; P = 0.001) and postural instability (F = 11.23; P = 0.002). No significant difference was observed in group × time interaction (F < 1.76; P > 0.19). CONCLUSION: The treadmill comprises an effective therapy for people with PD, for important motor aspects such as motor function and postural instability. Additional load had no influence on results.
Subject(s)
Accidental Falls/prevention & control , Exercise Therapy/methods , Gait/physiology , Parkinson Disease/rehabilitation , Weight-Bearing/physiology , Adult , Aged , Female , Humans , Male , Middle Aged , Motor Activity/physiology , Postural Balance/physiology , Severity of Illness Index , Single-Blind Method , Walking/physiologyABSTRACT
OBJECTIVE: The aim of this study was to assess the effects of 3% of body weight loads (0%, 5%, and 10%) on treadmill gait training in subjects with Parkinson disease. DESIGN: This study used a randomized controlled single-blind trial. RESULTS: Spatiotemporal variables demonstrated significant intragroup alterations in all three groups at pretraining and posttraining, with an increase in speed (m/sec; F = 4.73, P = 0.04), stride length (m; F = 12.00, P = 0.002), and step length (m; F = 16.16, P = 0.001) and a decrease in the double-stance phase (%; F = 6.59, P = 0.02) and stance phase (%; F = 4.77, P = 0.04). Intergroup pretraining and posttraining did not exhibit significant differences (F < 2.18, P > 0.14). Angular variables showed significant intragroup alterations, with an increase in knee range of motion (F = 5.18, P = 0.03), and intergroup comparison revealed no significant changes (F = 1.87, P = 0.17). CONCLUSIONS: Posttraining improvements in speed, stride length, step length, double-stance, stance phase, and knee range of motion were observed in all groups, where no load (0%, 5%, or 10%) had any significant effect, suggesting that the influence of load did not make one experimental condition better than another. All participants benefitted from treadmill gait training, irrespective of the use of load.
Subject(s)
Exercise Therapy , Gait Disorders, Neurologic/physiopathology , Gait Disorders, Neurologic/rehabilitation , Parkinson Disease/physiopathology , Parkinson Disease/rehabilitation , Adult , Aged , Female , Humans , Knee Joint/physiopathology , Male , Middle Aged , Range of Motion, Articular , Single-Blind MethodABSTRACT
O objetivo do estudo foi identificar o perfil sociodemográfico e o nível de qualidade de vida de cuidadores de pessoas com deficiência física atendidas na Fundação Centro Integrado de Apoio ao Portador de Deficiência Física (FUNAD) no município de João Pessoa (PB). Participaram do estudo 51 cuidadores de pessoas com deficiência física, na faixa etária de 19 a 63 anos (36,29±11,10). Para a avaliação foram utilizados dois instrumentos: um formulário estruturado, com questões sobre o perfil pessoal e social dos cuidadores e o World Health Organization Quality of Life (WHOQOL-bref), para a análise do nível de qualidade de vida. Os resultados apontaram que a maioria dos cuidadores eram mulheres (92,2), mães (68,6), solteiras (43,1) e haviam frequentado a escola até o Ensino Fundamental incompleto (47). Houve significância estatística (p<0,05), com correlação positiva entre idade e tempo de atuação como cuidador atual (p=0,000); e correlação negativa entre escolaridade e tempo de cuidado diário (p=0,009). Constatou-se que o estresse físico e o emocional levam os cuidadores a ficarem sobrecarregados, afetando diretamente sua qualidade de vida. Ressalta-se a importância da investigação do estilo de vida desses cuidadores no intuito de que ações sociais e de saúde sejam desenvolvidas pelas instituições que assistem pessoas com deficiência física.
The study objective was to identify the socio-demographic profile and the level of quality of life of caregivers of persons with disabilities met with the Foundation to Support Integrated Patient with Physical Disabilities (FUNAD) in the city of Joao Pessoa, in the state Paraíba, Brazil. The study had 51 participants, caregivers of people with disabilities in the age group 19-63 years (36.29±11.10). For the evaluation, we used two instruments: a structured form, with questions about personal and social profiles, and World Health Organization Quality of Life (WHOQOL-bref), to analyze the level of quality of life. The results showed that most caregivers were women (92.2), mothers (68.6), single (43.1) and had attended up to elementary school (47). Statistical significance (p<0.05), a positive correlation between age and time working as a caregiver present (p=0.000) and negative correlation between schooling and daily care time (p=0.009). It was found that the physical and emotional stress leads caregivers to encumber themselves, directly affecting the quality of life. We highlight the importance of research in lifestyle of caregivers, in order that social action and health are developed by institutions assisting people with disabilities.
