https://www.mtprehabjournal.com/revista/issue/feed Manual Therapy, Posturology & Rehabilitation Journal 2022-03-30T17:15:45-03:00 Luis Vicente Franco Oliveira editor@mtprehabjournal.com Open Journal Systems <p><em>Manual Therapy, Posturology &amp; Rehabilitation Journal</em> is an international open access, peer-reviewed online journal publishing Ahead of Print original research articles, case reports, technical advance articles, study protocols, reviews, proceedings and, letters to editor.</p> https://www.mtprehabjournal.com/revista/article/view/1222 Physiotherapy and functionality in MECP2 duplication syndrome: A case study 2021-11-18T15:36:59-03:00 Carla Rafaela da Silva de Paula oliveira.lvf@gmail.com Giovana Duarte Eltz oliveira.lvf@gmail.com Rafaela Stefany dos Santos oliveira.lvf@gmail.com Roberta Silva Zuttin oliveira.lvf@gmail.com Kelly Cristina da Silva Oliveira kel_sp_fisio@hotmail.com <p><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Introdução: A síndrome de duplicação MECP2 é uma doença rara geralmente causada pela duplicação de DNA na região Xq28. </span><span style="vertical-align: inherit;">Essa condição causa atraso </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">no desenvolvimento motor e/ou deficiência intelectual e espasticidade nos pacientes. </span><span style="vertical-align: inherit;">O conceito Bobath aplicado a patologias com manifestações semelhantes mostrou bons </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">resultados no processo de reabilitação apesar das complicações da síndrome. </span><span style="vertical-align: inherit;">No entanto, ainda faltam estudos que comprovem os benefícios do Bobath, </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">especificamente na síndrome de duplicação MECP2. </span><span style="vertical-align: inherit;">Objetivo: Quantificar as alterações motoras em uma criança com síndrome de duplicação MECP2 após </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">tratamento fisioterapêutico baseado no conceito Bobath. </span><span style="vertical-align: inherit;">Métodos: Trata-se de um estudo de caso realizado com uma criança do sexo masculino de seis anos de idade com diagnóstico médico confirmado de </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Síndrome de duplicação MECP2. </span><span style="vertical-align: inherit;">Inicialmente, a criança foi submetida a quatro avaliações: anamnese, avaliação neurofuncional, aplicação das </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">escalas do sistema de classificação da função motora grossa (GMFCS) e medida da função motora grossa (GMFM-88). </span><span style="vertical-align: inherit;">Posteriormente, a criança participou de 12 semanas de tratamento </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">por meio de técnicas utilizando o conceito Bobath, sendo reavaliada ao final do protocolo utilizando as escalas GMFCS e GMFM-88 para quantificar possíveis </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">alterações motoras. </span><span style="vertical-align: inherit;">Resultados: Houve melhora nas dimensões A (deitado e rolando), B (sentado), C (engatinhando e ajoelhado) e D (em pé) na escala GMFM-88 </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">após 12 semanas de tratamento. </span><span style="vertical-align: inherit;">Por outro lado, o resultado permaneceu inalterado na escala GMFCS. </span><span style="vertical-align: inherit;">Conclusão: A intervenção baseada na </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">O conceito Bobath pode melhorar as funções de deitar, rolar, engatinhar, ajoelhar e ficar em pé em um paciente com síndrome de duplicação MECP2. </span></span><br /><br /></p> 2022-06-27T00:00:00-03:00 Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1239 Effects of hospitalization on functional status and health-related quality of life of patients with COVID-19 complications: a literature review 2022-03-30T17:15:45-03:00 Miriã Cândida Oliveira miriacandidaoliveira@gmail.com Marilúcia M. Carrijo mariluciacarrijo@hotmail.com João Pedro R. Afonso joaopedro180599@gmail.com Ricardo S. Moura ricardos_moura@hotmail.com Luís Filipe R. J. Oliveira luisrjo@hotmail.com Adriano L. Fonseca fonseca.luis.adriano@gmail.com Vinicio V. C. B. Melo vilela43863@gmail.com Maria Eduarda M. Lino maria.eduardamlino@hotmail.com Beatriz N. Sousa bn2330345@gmail.com Elisângela R. P. Póvoa elisangela.povoa@gmail.com Shayra K. A. Souza shayra437@gmail.com Thays L. Guedes thayslisboa18@gmail.com Larissa R. Alves lari.ralves@gmail.com Rodolfo P. Vieira rodrelena@yahoo.com.br Luis V. F. Oliveira oliveira.lvf@gmail.com <p><strong>Background:</strong> Due to the clinical situations faced, patients with COVID-19 who survive the intensive care unit (ICU) are at greater risk of developing post-intensive care syndrome (PICS), characterized by typical physical, psychological and cognitive consequences in the post hospital discharge. Given this situation, it is important to assess these patients for the presence of musculoskeletal and psychosocial changes, so that they are referred to an outpatient and/or home rehabilitation program. <strong>Objective: </strong>to identify in the scientific literature the effects of hospitalization on the functional status and health-related quality of life of patients with complications from COVID-19. <strong>Methods:</strong> Searches were performed for scientific articles indexed in the MEDLINE database (accessed by Pubmed), between the years 2019 to 2022. Articles that met the inclusion and exclusion criteria determined to compose this study were included. <strong>Results</strong>: from a total of 524 articles found in the literature, only 15 met the inclusion criteria and were included in the study. The sample was represented by eight cross-sectional studies and seven cohort studies, and the main outcomes found to assess functional status were the six minute walking test the Post-COVID-19 Functional Status scale and for quality of life the EuroQol visual analogue scale and the Short form-36. <strong>Conclusion:</strong> With this literature review, it can be concluded that patients hospitalized for complications of COVID-19 showed a significant decline in functional status and health-related quality of life.However, updates are necessary to characterize the symptoms and persistent sequelae in the post-COVID-19.</p> 2022-04-05T00:00:00-03:00 Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1224 The Analysis of plantar pressure during dynamic squat movement in asymptomatic volleyball athletes before and after fatigue protocol 2021-11-18T15:34:15-03:00 Jose Alfredo Ordenes Mora jordenesmora@gmail.com Ricardo José Serrão ricardojtserrao@gmail.com Gabriel Garcia gabriegarcia@gmail.com Leonardo Oliveira leonardooliveirajr12@gmail.com Eduardo Federighi Baisi Chagas oliveira.lvf@gmail.com <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">ABSTRATO</span></span></strong></p> <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Introdução:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> A fadiga é uma condição comum durante a atividade física, resultando em redução da força muscular, controle motor, equilíbrio e coordenação. </span><span style="vertical-align: inherit;">Mudanças na pressão plantar muitas vezes estão relacionadas à fadiga também podem aumentar o risco de lesão. </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Hipótese/Objetivo:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Avaliar as alterações na baropodometria durante o movimento de agachamento. </span><span style="vertical-align: inherit;">A hipótese é que a pressão e a carga serão maiores na perna não dominante pós-fadiga </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Metodologia:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Foram recrutados 28 voluntários de ambos os sexos, todos participantes ativos da equipe universitária de vôlei. </span><span style="vertical-align: inherit;">A distribuição da pressão plantar foi medida durante três movimentos de agachamento. </span><span style="vertical-align: inherit;">A avaliação foi realizada antes e após o protocolo de fadiga, que consistiu em quatro séries de quinze segundos de salto com dez segundos de descanso entre as séries. </span><span style="vertical-align: inherit;">A análise estatística foi realizada por meio do pacote estatístico PASW 19.0 (SPSS inc.) com nível de significância adotado de 5% (p ≤ 0,05). </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Resultados:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Para o sexo feminino, houve redução significativa de 12% na pressão média do membro dominante. </span><span style="vertical-align: inherit;">Para o sexo masculino, reduções significativas na pressão média do membro dominante (7,1%) e membro não dominante (9,5%) e pico de pressão do membro dominante (13,8%) e não dominante (10,1%) . </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Conclusões:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Os processos de fadiga reduziram a pressão plantar durante o movimento de agachamento, apresentando diferentes repercussões entre os sexos, mas ambos capazes de predispor a lesões.</span></span><span class="Apple-converted-space"> </span></p> <p> </p> <p><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Palavras-chave: Kinects; </span><span style="vertical-align: inherit;">Pressão; </span><span style="vertical-align: inherit;">Fadiga; </span><span style="vertical-align: inherit;">Esportes; </span><span style="vertical-align: inherit;">Biomecânica</span></span><span class="Apple-converted-space"> </span></p> 2022-03-29T00:00:00-03:00 Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1234 The Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study 2021-11-29T12:23:19-03:00 Gabrielle Varejano Dezani gabrielledezani@gmail.com Stephanny Nascimento Teles stephanny.vasiliou@gmail.com Beatriz Pinheiro Ribeiro beatrizpinheiro.ribeiro@gmail.com Leila Dal Poggetto Moreira leiladpmoreira@gmail.com Luciana Gonzales Auad Viscardi lu.auad@gmail.com Edmara AP Reis Martins eamartins@ecossistemaanima.com.br Adriana Sarmento de Oliveira adriana.sarmento@alumni.usp.br <p>The aging process is associated with changes in hemodynamic control, such as <br>reduced sensitivity of baroreceptors. Advanced evidence that some manual therapies, <br>expanded physiotherapy specialty in the treatment of basic musculoskeletal disorders, <br>be complementary to physical exercises performed in cardiovascular rehabilitation, <br>studies that are very scarce in this area in Brazil. Objective: to evaluate the effect of a <br>pomping protocol on hemodynamic behavior during isometric exercise in the elderly. <br>Methodology: A prospective randomized controlled interventional study was carried <br>out. 503 elderly people were initially screened, of which 70 elderly were selected to <br>participate in two randomized sessions held on different days: one with a pomping <br>protocol based on Bienfait (1999) and another with a placebo protocol, totaling 140 <br>transactions. The behavior of blood pressure (BP) and heart rate (HR) at rest for 5 <br>minutes and then during three minutes of isometric exercise with handgrip (EH101, <br>Camry) at 30% of the maximum voluntary contraction were adopted. Afterwards, the <br>pompage protocol or randomized placebo was treated for that specific session for 30 <br>minutes and immediately after intervention/placebo they were repeated as calculated <br>grouping. Results: The elderly had a mean age of 69 ± 1.0 years. Regarding BP values <br>(SBP,131±1.4 mmHg; DBP=83±1.6 mmHg), it is possible to observe that most of the <br>elderly were classified as pre-hypertensive, according to the Brazilian Guidelines on <br>Arterial Hypertension. (2020). We emphasize that there was a reduction in SBP only <br>in the pompage group (p &lt; 0.001), a reduction in DBP only in the pompage group in <br>the first minute (p=0.03) and in the third minute (p=0.04) and a reduction in HR in both <br>groups (p &lt; 0.001 and p = 0.02). Conclusion: The pompagens protocol reduced the <br>SBP of the elderly during isometric exercise with the handgrip and the DBP in the <br>recovery from isometric exercise, while there was no change in SBP in the placebo <br>group during isometrics and no change in DBP in the placebo group during recovery <br>from isometric exercise.</p> 2022-06-15T00:00:00-03:00 Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal