Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista <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> en-US editor@mtprehabjournal.com (Luis Vicente Franco Oliveira) editor@mtprehabjournal.com (Editorial Assistance MTPRehab Journal) Wed, 23 Mar 2022 16:02:25 -0300 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 Effect of the pilates method on people with osteoporosis: a systematic review https://www.mtprehabjournal.com/revista/article/view/1201 <p><strong>Background: </strong>Aging process is a risk factor for the development of several diseases, including osteoporosis. Osteoporosis is a systemic skeletal disorder characterized by an increase in bone fragility that can result in fractures and considerably impact the lives of patients. As a means of preventing the onset of this disease or even reducing the impact of symptoms in cases where already exists, one can choose to practice physical exercises. The Pilates method was developed by Joseph Pilates with the aim of working mind, body awareness, postural control and movements through a single approach. <strong>Objectives: </strong>The aim of this study was to review in the available literature the effects of the Pilates method on people with osteoporosis. <strong>Methods: </strong>This is a systematic review of literature carried out through a comprehensive strategy in the databases PubMed, Cochrane, SciELO, Web of Science, Cinahl and Embase in August 2020. <strong>Results: </strong>Five studies, three clinical trials and 2 studies Observational studies, published between 2012 and 2020, were included in the review. Of a total of 210 participants, all were female and an average age of 61 years. The main factors evaluated in the studies were bone mineral density, pain, functionality and quality of life. <strong>Conclusion: </strong>The Pilates method was associated with pain relief, improved functionality and quality of life, and obtaining bone mineral density in women with osteoporosis.</p> Valéria da Silva Rocha, Dr, Letícia de Barros Rocha, Dr, Larissa Salgado de Oliveira Rocha, Katiane da Costa Cunha, Rodrigo Santiago Barbosa Rocha, Marianne Lucena da Silva, Dr Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1201 Mon, 04 Jul 2022 00:00:00 -0300 Effects of hospitalization on functional status and health-related quality of life of patients with COVID-19 complications: a literature review https://www.mtprehabjournal.com/revista/article/view/1239 <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> Miriã Cândida Oliveira, Marilúcia M. Carrijo, João Pedro R. Afonso, Ricardo S. Moura, Luís Filipe R. J. Oliveira, Adriano L. Fonseca, Vinicio V. C. B. Melo, Maria Eduarda M. Lino, Beatriz N. Sousa, Elisângela R. P. Póvoa, Shayra K. A. Souza, Thays L. Guedes, Larissa R. Alves, Rodolfo P. Vieira, Luis V. F. Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1239 Tue, 05 Apr 2022 00:00:00 -0300 Effect of hydrolysed collagen supplementation on knee osteoarthritis: a systematic review https://www.mtprehabjournal.com/revista/article/view/1257 <p><strong>Background:</strong> Knee osteoarthritis (KOA) is a burden for the modern society. One of the most important inflammatory conditions of the muscle-skeletal system, KOA is characterized by joint pain, crepitus, local inflammation, tenderness, limitation of movement and effusion with no systemic effects. Bjordal et al. (2004) in a meta-analysis, analyzed more than 13,000 patients regarding chronic inflammatory diseases and the use of non-steroidal anti-inflammatory drugs, including coxibs. In this study, the authors demonstrated that in long-term inflammatory diseases, anti-inflammatory drugs had a slightly superior effect compared to placebo. Oral supplementation with hydrolysed collagen has been proposed as an alternative to treat symptoms. The purpose of this review was to investigate the effects or oral supplementation with hydrolysed collagen in KOA. <strong>Methods: </strong>Randomized placebo-controlled were searched in different databases, from 2001 to 2021, using the following keywords in titles and abstracts (“knee osteoarthritis” OR “knee arthrosis”) AND (“hydrolysed collagen supplementation”).<strong> Results: </strong>From 565 articles, only 4 fulfilled the eligibility criteria with variations on the number of subjects, collagen dose and origin, age, and gender of patients, blinding with variation also in the bias criteria. <strong>Conclusion</strong> The studies are very heterogeneous but reached the same conclusion that oral collagen supplementation may be slightly effective to mitigate KOA symptoms. However, the number of studies is a limitation and no evidence of any possible mechanism is provided. Further studies are needed to investigate the hypothesis.</p> Alexandre Guerreiro da Fonseca, Carly de Faria Coelho, Patricia Sardinha Leonardo Lopes Martins, Rodolfo P. Vieira, Rodrigo Alvaro Brandão Lopes-Martins Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1257 Thu, 22 Sep 2022 00:00:00 -0300 Post-traumatic stress disorder, anxiety and depression in post-COVID19 patients: integrative review https://www.mtprehabjournal.com/revista/article/view/1240 <p><strong>Background</strong>: Global estimates point to high prevalence of neuropsychiatric disorders in individuals hospitalized for COVID-19. In Brazil, anxiety and depression rates resulting from SARS-CoV-2 infection range from 29.7% to 68%, respectively, being more prevalent in young women, with lower educational level, with comorbidities and psychological problems. previous. <strong>Objective:</strong> Identify possible causes, verify prevalence and identify risk factors for anxiety, depression and post-traumatic stress disorder (PTSD) in patients hospitalized for COVID-19. <strong>Methods:</strong> An integrative literature review was carried out involving retrospective and/or prospective cohort studies and population-based clinical trials published in the last three years. The main evidence on the relationship between neuropsychiatric disorders and intrinsic changes in neuroimmunomodulation parameters was also raised. <strong>Results:</strong> Twenty-one studies were included that addressed the presence of symptoms of PTSD, anxiety, depression, fatigue in sleep disorders in COVID19 survivors. <strong>Conclusion:</strong> With this literature review, it can be concluded that PTSD, anxiety, depression, fatigue and sleep disturbances are highly prevalent symptoms in COVID-19 survivors, being persistent for up to one-year post-infection.</p> Marilúcia Carrijo, Miriã Cãndida Oliveira, Aline C. Oliveira, Maria Eduarda Moreira Lino, Shayra K. A. Souza, João Pedro R. Afonso, Ricardo S. Moura, Daniela R. P. Fonseca, Adriano L. Fonseca, Renata S. R. Tomaz, Renata K. da Palma, Rodolfo P. Vieira, Sara S. Faria, Luís Vicente F. de Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1240 Mon, 04 Jul 2022 00:00:00 -0300 Intravascular laser irradiation of blood in the treatment of fibromylagia: integrative literature review https://www.mtprehabjournal.com/revista/article/view/1248 <p><strong>Background</strong>: Low-Intensity Laser Therapy (LLLT), applied to <span style="text-decoration: line-through;">t</span>rigger points, can be used as adjuvant therapy in the treatment of Fibromyalgia. However, in Brazil, the application of intravascular technique applied transdermally on the radial artery has been widespread as a promising modality of treatment. But as far as we know, its effects are still not fully understood in the treatment of this pathology. <strong>Objective:</strong> To investigate the scientific evidence for the use of intravascular laser blood irradiation (ILIB) in the treatment of fibromyalgia. <strong>Method:</strong> this is an integrative literature review (PROSPERO registration CRD42021236744) to identify clinical studies that demonstrate the effect of ILIB on fibromyalgia, without time or language restrictions. Searches were performed and published in 4 databases (PubMed, PeDRO, EMBASE, and Scielo), by 2 independent reviewers, using the descriptors “fibromyalgia” associated with “laser” or “low-level light therapy” or “laser irradiation” ” or “photobiomodulation” or “phototherapy” or “blood irradiation” or “modified ILIB” or “intradermal ILIB”. <strong>Results:</strong> 3,050 articles were identified. Of these, only 62 met the eligibility criteria, and 32 were duplicates. Thus, 30 studies were rich, but none of them correspond to a clinical study using ILIB in fibromyalgia. However, two secondary sources and four secondary cases were found, with low methodological rigor, but which presented positive positive results, as well as antioxidant and circulatory systemic effects. No substantiated evidence of completion of IB clinical trials in fibromyalgia was identified for their clinical substantiation.</p> <p> </p> <p> </p> Flaviani Cristina Ferreira de Santana, Anna Carolina Alencar dos Santos, Caroline Pires da Luz Padinha, Stephanie Nayara Lenz, Taisy Aparecida de Melo, Raciele Ivandra Guarda Korelo Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1248 Mon, 03 Oct 2022 00:00:00 -0300 Postural balance, muscle strength and functional capacity on the severity level of chronic obstructive pulmonary disease https://www.mtprehabjournal.com/revista/article/view/1226 <p><strong>Background</strong>: Chronic obstructive pulmonary disease (COPD) is characterized by persistent and progressive airflow obstruction. It is a lung disease with systemic manifestations, which contributes to an increase in morbidity and mortality in the elderly. The greater the severity of the disease, more muscle loss occurs, especially the quadriceps muscle, leading to decreased resistance to exercise, increased fatigue, and dyspnea to small efforts. The presence of COPD is associated with an increased risk of falls, and patients with COPD have a greater imbalance when compared with subjects of the same age without the disease. To investigate whether the different degrees of severity of COPD interfere in the balance, muscle strength, and functional capacity of the patients. <strong>Methods:</strong> 25 individuals diagnosed with COPD (COPD-G) and 32 individuals without pulmonary disease (CG - Control Group) were assessed. Both groups were submitted to anamnesis, spirometry, dynamometry, manovacuometry, Incremental Shuttle WaIking Test (ISWT), load testing for one repetition maximum (1RM), balance platform assessment, Stair-Climbing Test (SCT) and 6 Minutes Walk Test (6MWT). The variables obtained were compared using the t-test. For comparison between groups, a one-way ANOVA was used. <strong>Results:</strong> The comparison between the two groups showed a difference in the result of the ISWT, 6MWT and SCT. When compared between groups in different degrees of severity, there was a difference only in SCT between CG and severe COPD-G. There was no significant difference in strength and postural balance. <strong>Conclusion:</strong> Cardiorespiratory functional capacity is impaired in individuals with COPD and is more evident in the severe stage of the disease. The balance, the strength of the respiratory muscles, upper and lower limbs are similar in the mild, moderate, and severe stages.</p> <p> </p> Fabiana Sera Kim, Karlla Aguilar Zarpellão, Marília Tadayeski Peyres, Marcos Eduardo SCheicher, Alexandre Ricardo Pepe Ambrozin Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1226 Tue, 01 Nov 2022 00:00:00 -0300 Analysis of the relationship between hamstring flexibility with muscular strength and its response to myofascial release https://www.mtprehabjournal.com/revista/article/view/1235 <p><strong>Background</strong>: Decreased flexibility can contribute to postural changes, the deficit in the ability to produce strength, and predispose to injuries. Currently, several myofascial release techniques work to improve muscle flexibility. <strong>Objective:</strong> To analyze the relationship between flexibility and muscle strength of the knee flexors and to verify the acute effect of two modalities of myofascial release on the flexibility of the hamstrings. <strong>Methods:</strong> 45 women participated in this study, divided into Manual Release Group, Instrumental Release Group, and Control Group. A sit and reach test, a third finger floor test, an assessment of the popliteal angle, and an assessment of knee flexion muscle strength were performed. Subsequently, the volunteers received a myofascial release session in the hamstring muscle group. After treatment, the volunteers were reassessed. <strong>Results:</strong> Both groups that received myofascial release performed better in flexibility tests. There was no correlation between hamstring flexibility and the ability to produce joint torque from knee flexion. <strong>Conclusion:</strong> The flexibility of the hamstring muscles did not influence the ability to produce knee flexion torque and both myofascial release techniques were effective in improving the flexibility of this musculature.</p> Deborah Hebling Spinoso, Murilo Goulart, Antonio Ferreira, Marcelo Navega Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1235 Thu, 15 Sep 2022 00:00:00 -0300 Prevalence of exercise-induced bronchoconstriction in younger swimmers’ asthmatics and non-asthmatics in a 200 meters front crawl swimming https://www.mtprehabjournal.com/revista/article/view/1253 <p><strong>Background</strong>: Exercise-induced bronchospasm (EIB) present a very high prevalence among asthmatics and an increased prevalence in athletes, particularly swimmers. EIB prevalence is even higher in children. However, whether a swimming competition of 200 meters front crawl could lead to EIB in preadolescents and adolescent’s asthmatic and non-asthmatic is unknown. <strong>Objectives</strong>: Test whether a swimming competition of 200 meters front crawl could lead or detect EIB in preadolescents and adolescent’s asthmatic and non-asthmatic. <strong>Methods</strong>: Nineteen preadolescents and adolescents agreed to participate in the study, which occurred during the swimming championship of the state of Goiás. Lung function was evaluated by spirometry (FVC, FEV1, FEV1/FVC, FEF25-75%) using the Koko PFT spirometer, before and after the 200 meters front crawl. <strong>Results</strong>: The results demonstrated that for male and females, independent if there were asthmatics or not, did not present any signal of EIB or even any alteration in the lung function parameters, such as FVC, FEV1, FEV1/FVC, and FEF25-75%. <strong>Conclusions</strong>: The 200 meters front crawl, which is performed in around 2,3 minutes, did not result in exercise-induced bronchospasm in asthmatic and non-asthmatic preadolescents and adolescents.</p> André Garcia Santos, Giovana Lima-Silva, Alcione Patrícia da Silva Batista-Oliveira, Amanda Karoline Rodrigues-Tosta, Rodrigo Álvaro Brandão Lopes-Martins, Iransé Oliveira Silva, Rodolfo P Vieira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1253 Thu, 30 Jun 2022 00:00:00 -0300 Photobiomodulation Therapy Using Infrared (808 nm) Low Level Laser Therapy Associated with Strength Training in Knee Osteoarthritis: A Randomized placebo-controlled clinical trial https://www.mtprehabjournal.com/revista/article/view/1271 <p>Mechanisms for significant clinical and statistical benefits of photobiomodulation (PBMT) in the treatment of knee osteoarthritis (KOA) include anti-inflammatory effects, optimization of tissue repair, improved muscle function and analgesia. The effectiveness of (PBMT) associated with strength training (ST), in the form of strength training, has been investigated in randomized clinical trials, but the results are not well clarified. The aim of this study was to evaluate the effects of ST associated with PBMT on joint pain intensity, range of motion, physical function and muscle strength of the quadriceps femoris and hamstrings in patients diagnosed with KOA. Twenty-eight adult patients of both genders with KOA were randomly distributed in 2 treatment groups, performed 3 times a week, for 6 weeks: ST Group (ST), submitted to stretching, self- mobilization, muscle strengthening and sensorimotor training and ST and STP Group (STP), submitted to the same program as the ST followed by infrared laser irradiation (Therapy XT, DMC, São Carlos, Brasil, l= 808 nm, P= 100mW, 5 points in the medial joint region and 4 points lateral, 3 J/point, 30 s/point). Blinded evaluators assessed pain at movent and no movement and range of motion using Analogic Visual Scale and goniometry, respectively. To assess physical function, the WOMAC questionnaire (Western Ontario and MacMaster University Osteoarthritis Index) and functional tests were used: Sit and stand test; 2 min-walk test. The muscular strength of the quadriceps and hamstrings were measured using an isometric dynamometer. The evaluations were performed in 4 moments: before (EV0), during (EV1: 3 weeks of treatment), at the end (EV2: after 6 weeks of treatment) and 30 days after the end of treatment (follow-up). The STP group showed a significant reduction in pain intensity at rest and at movement in EV1, as well as, significant improvement in relation to stiffness, total WOMAC and knee flexion amplitude, an improvement in physical function and an increase in muscle strength of quadriceps femoris when compared to ST group (p &lt;0.05). In the assessment of the strength of the hamstring muscles, there was no significant difference between the groups at any time evaluated (p&gt; 0.05). ST associated with PBMT had greater effects in reducing joint pain intensity, active knee flexion, physical function and muscle strength, especially in the quadriceps femoris, than strength training alone in patients with KOA.</p> Geovane Elias Guidini Lima, Rodrigo Alvaro Brandão Lopes-Martins, Daniel Souza Ferreira Magalhães, Ariane Martins Bovareto, Laiana Carmanini Teixeira, Mariane Silva Teixeira Rocha, Karina Oliveira Martinho, Martin Bjørn Stausholm, Patrícia Sardinha Leonardo L. Martins, Amanda Farage Frade de Barros, Silvia Cristina Nuñez, Jan Magnus Bjordal, Alessandra Baptista Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1271 Thu, 17 Nov 2022 00:00:00 -0300 Prognostic value of handgrip strength and functional indicators in elderly patients in a southern brazilian hospital https://www.mtprehabjournal.com/revista/article/view/1206 <p><em>Background: </em>the handgrip strength (HGS) is an important functional indicator in the elderly. The aim of this work was to evaluate the prognostic value of HGS, sociodemographic and functional indicators in elderly patients in a hospital in southern Brazil.<em> Methods</em>: prospective cohort observational study in individuals aged 60 years or older who were admitted to the clinical sectors in a tertiary Hospital of a southern Brazil<em>.&nbsp;Results: </em>a total of 218 participants were evaluated, of which 55% were men, with median age (p25-p75) of 72 years (65.7-78.0). The most prevalent hospitalization diagnoses were respiratory (19.7%) and vascular (19.3%) disorders. The median values (p25-p75) of HGS for men and women were, respectively, 50.00 (25.0-65.0) and 30.0 (20.0-40.0) kgf. As to the outcome, 44 (20.2%) individuals eventually died. The study showed that there was higher chance of mortality in aged patients (OR = 1.063; CI 95% 1.021-1.108) with higher Charlson Comorbidity Index&nbsp;scores (OR = 1.293; CI 95% 1.149-1.256), Glasgow Coma Scale Index scores &lt;15 (OR = 15.656; CI 95% 7.161-34.228), Katz Index scores &lt;6 (OR = 15.617; CI 95% 6.496-37.545), laboratory tests indicating leukocytosis (OR = 4.118; CI 95% 1.984-8.546) and anemia (OR = 3.104; CI 95% 1.307-7.369), lower HGS values (Men: OR = 0.901; CI 95% 0.862-0.941; Women: OR = 0.926; CI 95% 0.896-0.956), and longer length of stay in hospital (OR = 1.088; CI 95% 1.042-1.136). <em>Conclusion:</em> HGS and other epidemiological indicators are highly relevant in the prognostic evaluation of elderly people in hospital admission.</p> <p><strong>&nbsp;</strong></p> Kelser de Souza Kock, Halen D’Aquino Claudio Santos Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1206 Tue, 28 Jun 2022 00:00:00 -0300 Dry needling in triceps surae muscles and its influence on pressure pain threshold and lower limb posture in active elderly women: a randomized, blinded controlled clinical trial https://www.mtprehabjournal.com/revista/article/view/1229 <p><strong>Background</strong>: Aging leads to the loss of anatomical structures and physiological processes such as postural stability. Poor postural control leads to a shift in the center of gravity, thus overloading the musculature. Muscles overloaded due to postural changes do not show enough muscle contraction, causing the appearance of trigger points (TP). Among the PG deactivation methods, the Dry Needling (DN) has been shown to be a good response method in clinical practice. <strong>Objective:</strong> To analyze the immediate effect of DN on pressure pain threshold (PPT) of latent trigger points of the sural triceps muscles, in order to verify whether there is improvement in the posture of the lower limbs of active elderly women. <strong>Methods:</strong> A randomized, controlled and blind clinical trial (patients) was carried out. The sample consisted of physically active elderly women from the community. Divided into two groups: DN Group (DNG) and Control Group (CG). Both groups underwent an initial assessment, treatment (DNG) or sham (CG), and reassessment. The tests were: pressure algometer and biophotogrammetry. Data were analyzed from Normality using the Shapiro-Wilk test. The characterization of the sample was analyzed by multivariate analysis of variance (MANOVA) for comparison between groups. For inter and intragroup analysis, mixed Anova with post hoc Bonferroni was used. The level of significance used was p&lt;0.05. <strong>Results:</strong> The PPT showed an increase in the intragroup analysis for the right (14.03%) and left (14.92%) sides in the GDN group, as for the intergroup analysis, the results of the reassessment were higher in the DNG group compared to the GC. Regarding the posture of the lower limbs, there was no significant improvement in the intergroup and intragroup analyses. <strong>Conclusion:</strong> The present study demonstrated that the application of Dry Needling in PG in the sural triceps musculature presents an increase in the pressure pain threshold, however, only one session of the technique application was not enough to present a significant improvement in the posture of the lower limbs. of active elderly women. Search registered on the ReBEC (Brazilian Registry of Clinical Trials) platform under the number RBR-97sqsb.</p> <p> </p> <p> </p> Camila Morábito Martins, Fernando Borges Ferreira, Beatriz Mendes Tozim, Pedro Marco Kazan Barbosa Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1229 Wed, 14 Sep 2022 00:00:00 -0300 Effects of two different inspiratory muscle training devices on respiratory muscle strength, cardiopulmonary functional capacity, and quality of life of COPD patients https://www.mtprehabjournal.com/revista/article/view/1258 <p>Inspiratory muscle weakness is one of the complications of chronic obstructive pulmonary disease (COPD). This condition has been minimized by inspiratory muscle training (IMT). Still, different IMT devices need to be compared to identify the best option. <strong>Objective:</strong> To evaluate the effects of two IMT devices on respiratory muscle strength, cardiorespiratory functional capacity, and life quality of COPD patients. <strong>Method:</strong> Before and after the IMT protocol, 17 patients were submitted to manovacuometry, six-minute walk test (6MWT), and questionnaire from the Saint George Hospital in Respiratory Disease (SGRQ) for inspiratory muscle strength, cardiorespiratory functional capacity, and life quality assessments, respectively. Afterwards, they were divided into two groups to perform IMT for four weeks, one by Threshold<sup>®</sup> IMT (IMTG) and the other by POWERbreathe<sup>®</sup> Classic (PG). <strong>Results:</strong> Maximal inspiratory pressure increased significantly from -62.00±16.03 to -75.55±22.84 cmH<sub>2</sub>O in IMTG, and from -56.00±22.01 to -71.25±27.67 cmH<sub>2</sub>O in PG. The distance covered in the 6MWT clinically increased with both IMTG and PG. The SGRQ answers showed improvements in all domains evaluated for both groups. However, the intergroup results showed no statistically significant differences. <strong>Conclusion:</strong> Both IMT devices increased inspiratory muscle strength, improved life quality, and optimized cardiorespiratory functionality in COPD patients. None was superior to the other for the analyzed parameters.</p> Kelly Cristina da Silva Oliveira, Melissa do Nascimento Breda, Alexandre Ricardo Pepe Ambrozin Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1258 Thu, 22 Sep 2022 00:00:00 -0300 Analysis of heart rate variability as identifier of signs of occupational stress: cross-sectional descriptive observational study https://www.mtprehabjournal.com/revista/article/view/1221 <p><strong>Background</strong>: There is great concern in the world about worker stress and quality of life, since a significant number of companies show that physical and mental suffering are one of the main causes of absenteeism, generating high business costs due to low productivity. Stress at work ends up affecting not only the professional income but also your health. <strong>Objective:</strong> To investigate the correlation between stress level and heart rate variability (HRV). This is a cross-sectional observational survey of 20 workers from the administrative, maintenance and concierge sectors of a condominium management company. Cardiac biofeedback equipment (BFC) was used, which evaluates the activity of the Autonomic Nervous System (ANS), as well as the influence exerted by the limbic system (system of emotions). A LIPP questionnaire was level of cortisol. <strong>Results:</strong> It can be observed that there is a correlation between the coherence note (BFC) and the working time, a moderate correlation between the consistency score, coherence and evening cortisol, it is also observed that there is an association between the coherence state and the LIPP questionnaire. <strong>Conclusion:</strong> In general, there was an association between the numerical variables and the heart rate variability, but what was shown to be a greater association was the interaction of the questionnaire with the coherence state at the cortisol level.</p> Jouse Marri Palmeira de Oliveira Bittencourt, Luara Lee Pereira de Lima, Nathália Julie Tavares, Rodrigo Marcel Valentim da Silva Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1221 Tue, 05 Jul 2022 00:00:00 -0300 Physiotherapy and functionality in MECP2 duplication syndrome: A case study https://www.mtprehabjournal.com/revista/article/view/1222 <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> Carla Rafaela da Silva de Paula, Giovana Duarte Eltz, Rafaela Stefany dos Santos, Roberta Silva Zuttin, Kelly Cristina da Silva Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1222 Mon, 27 Jun 2022 00:00:00 -0300 Effects of active static stretching in a patient with COPD after complication by COVID-19, case report https://www.mtprehabjournal.com/revista/article/view/1259 <p><strong>Background</strong>: COPD, called Chronic Obstructive Non-transmitted Pulmonary Disease, is a disease that causes severe sequelae in the respiratory system, which in combination with other types of viruses such as covid-19 aggravates the disease, with major effects on the locomotor system due to saturation instabilities. The main victims of the disease are elderly smokers and ex-smokers of both sexes. In more severe cases, there is a need for continuous treatment with oxygen therapy, limiting the quality of life and physical activity of the elderly. <strong>Objective:</strong> Physical activity is an alternative non-pharmacological treatment to help the recovery of the individual with severe COPD, minimizing the complications of the disease. <strong>Method:</strong> The study aims to describe the case of a 77-year-old elderly man, ex-smoker for 17 years, with severe sequelae post COPD-19 in the respiratory system, dependent on oxygen therapy for great instability of mean saturation below 70%, with reflexes on the locomotor system, having difficulties in locomotion. In this case, to keep him active, active static stretching exercises were proposed for five consecutive days. <strong>Results:</strong> After five consecutive days of active stretching, the results were positive, increasing saturation by an average of 1.75%, reaching 89.79% without the help of oxygen therapy, which was enough to reduce dyspnea, wean him off oxygen therapy, and improve his mobility and quality of life. <strong>Conclusion:</strong> that active static stretching is beneficial for severe cases of COPD, minimizing complications and reducing the use of oxygen therapy.</p> Pablo Nascimento Folha, Reury Pereira Frank Bacurau Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1259 Fri, 18 Nov 2022 00:00:00 -0300 The Analysis of plantar pressure during dynamic squat movement in asymptomatic volleyball athletes before and after fatigue protocol https://www.mtprehabjournal.com/revista/article/view/1224 <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> Jose Alfredo Ordenes Mora, Ricardo José Serrão, Gabriel Garcia, Leonardo Oliveira, Eduardo Federighi Baisi Chagas Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1224 Tue, 29 Mar 2022 00:00:00 -0300 Cardiac resynchronization therapy adjustment during the cardiopulmonary testing: Study protocol https://www.mtprehabjournal.com/revista/article/view/1238 <p><strong>Background</strong>: Cardiac resynchronization therapy is known to promote symptom improvement, increased survival, and decreased hospitalizations for heart failure. However, one third of patients on cardiac resynchronization therapy may not achieve any clinical improvement. One of the factors for the lack of improvement is an inadequate adjustment of the cardiac device programming, because such adjustments are commonly made at rest. Cardiac resynchronization therapy optimization can be done by adjusting the cardiac resynchronizer during cardiopulmonary exercise testing, this allow the program to align with the functional class of the patient, thus maintaining atrioventricular synchronism and biventricular pacing according to the chronotropic response to effort. However, there is a lack of protocols that propose device adjustment through cardiopulmonary exercise testing and that evaluate the response to its readjustment. <strong>Objective:</strong> To develop a cardiac resynchronizer readjustment protocol using cardiopulmonary exercise testing. <strong>Methods:</strong> This was a randomized controlled clinical trial to evaluate the effectiveness of device readjustment during maximal exercise. The variables used to measure the degree of response to readjustment will be: Functional capacity by the six-minute walk test, life quality by means of the Minessota questionnaire and sleep quality by means of the pittsburg. Participants will be divided into two groups (control and intervention group), then, the six-minute walk test will be applied, followed by life quality and sleep evaluation. The cardiopulmonary test will be the last proposed activity and will not be performed on the same day as the other evaluations. After three months, they will be submitted again to the same testes mentioned previously. During the initial evaluation by cardiopulmonary testing, the components of the intervention group will undergo cardiac resynchronization readjustment by means of a protocol. <strong>Results:</strong> We hope that the intervention designed by the protocol can contribute to the improvement of functional capacity, quality of life and sleep.</p> Kelly Christine Stutz, Paulo de Tarso Jorge Medeiros, Hugo Bellotti Lopes, Marcos Vinicius de Oliveira Montesi, Carlos Alberto Cordeiro Hossri, Renata Mirelli de Melo Viana, Marilia Amorim Souza Leão Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1238 Thu, 15 Sep 2022 00:00:00 -0300 The Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study https://www.mtprehabjournal.com/revista/article/view/1234 <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> Gabrielle Varejano Dezani, Stephanny Nascimento Teles, Beatriz Pinheiro Ribeiro, Leila Dal Poggetto Moreira, Luciana Gonzales Auad Viscardi, Edmara AP Reis Martins, Adriana Sarmento de Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1234 Wed, 15 Jun 2022 00:00:00 -0300 International Severe Acute Respiratory and Emerging Infection Consortium (ISARIC). A new collaborative global platform for global clinical trials targeting post-COVID19 patients. https://www.mtprehabjournal.com/revista/article/view/1254 <p><strong>Background</strong>: In response to the pandemic caused by COVID-19, World Health Organization (WHO), together with International Severe Acute Respiratory and Emerging Infection Consortium (ISARIC), developed research protocols facilitating global collaboration and accelerating the understanding of the disease, to identify the potential symptoms and persistent sequelae in infected individuals, which can be used in different areas of health, that is, in primary care, at a hospital or outpatient level, both public and private. <strong>Objective:</strong> To describe the International Severe Acute Respiratory and Emerging Infection Consortium (ISARIC) protocol as a new global collaborative platform for global clinical trials targeting post-COVID-19 patients. <strong>Methods:</strong> The standardized forms were developed from the COVID-19 Clinical Characterization Protocol (PCC) by the ISARIC/WHO working group composed of specialist researchers with experience in clinical research in different areas of medicine and public health, especially outbreaks and infectious diseases. <strong>Conclusion:</strong> It is expected that the creation of a database composed of different populations from all over the world will help in the characterization of risk factors, in the best form of clinical intervention and in the best prevention strategies for physical, neurological and psychosocial sequelae in the medium and long term in post-COVID-19 patients.</p> <p> </p> Maria Isabel Cavalcante Siqueira, Miriã Cândida Oliveira, Maria Eduarda Moreira Lino, Shayra Kellen Arantes Souza, Guilherme Augusto Moreira Silva, Renata Silva Rosa Tomaz, Marilúcia de Morais Carrijo, Thays Lisboa Guedes, Beatriz Nascimento Souza, Elisângela Rosa Pereira Póvoa, Rubens Rodrigues Bernardes, Letícia de Souza Galvão, Bianca Mendonça Reis, Raphael Hélvetico Carvalho de Oliveira Diniz, Diogo Marques Paulino, Aline Cândido Oliveira, Rodolfo de Paula Vieira, Vinicius Zacarias Maldaner da Silva, Sara Socorro Faria, Luís Vicente Franco de Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal https://www.mtprehabjournal.com/revista/article/view/1254 Tue, 01 Nov 2022 00:00:00 -0300