Percorrer por autor "Carvalhais, Alice"
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- Association palmar grip strength with self-reported symptoms in the armPublication . Carvalhais, Alice; Babo, Tatiana; Carvalho, Raquel; Rocha, Paula; Brochado, Gabriela; Lopes, SofiaWorld Health Organization (WHO) defined work-related musculoskeletal injuries as multifactorial diseases. These injuries are the main concern of public health and individual health, and are becoming increasingly frequent, in both developed and developing countries. Workers during working hours are often exposed to repetitive movements, the lifting and carrying heavy loads, verifying an increase in demand in terms of muscle strength in the upper limbs. The palmar grip strength provides an objective index of the functional integrity for the evaluation of upper limbs. Verify that the palmar grip strength is associated with self-reported symptoms in the arm in industry worker’s electrical components.
- Efeito imediato da inibição dos suboccipitais na disfunção temporomandibular: Série de casosPublication . Lopes, Sofia; Rocha, Patrícia; Costa, João; Carvalhais, Alice; Vieira, Ágata; Brochado, Gabriela; Lopes, SofiaA Articulação Temporomandibular (ATM) é essencial para funções como mastigação e fala, podendo apresentar disfunções (DTM) de origem multifatorial, associadas a dor e limitação funcional. A sua relação estreita com a coluna cervical integra o complexo craniocervical, sendo a fisioterapia eficaz no alívio da dor e na melhoria da função. Avaliar o efeito imediato da técnica de inibição dos músculos suboccipitais na endurance dos músculos flexores profundos da cervical e no limiar de dor à pressão (LDP) em indivíduos com DTM. Estudo descritivo - série de casos, em 5 indivíduos com DTM, recrutados numa Clínica de Fisioterapia, foram excluídos indivíduos com patologia do quadrante superior. Utilizou-se um questionário de caracterização da amostra, o Diagnostic Criteria for Temporomandibular Disorders, e o Índice Anamnésico de Fonseca. Realizaram-se duas avaliações, antes e imediatamente após a aplicação da técnica de inibição dos suboccipitais (pressão suave e sustentada aplicada com os dedos do fisioterapeuta bilateralmente na musculatura da região suboccipital, promovendo o relaxamento da mesma). Avaliou-se a endurance dos flexores profundos da cervical, o LDP em dois pontos do músculo Temporal e dois do músculo masseter. Foi realizada uma análise descritiva. Dos cinco casos analisados, observou-se um caso de DTM severo, um moderado e três leves. Após a intervenção, uma participante aumentou 2mmHg no teste de flexão crânio cervical, não tendo os restantes participantes apresentado nenhuma alteração após a aplicação da técnica. Nos pontos do músculo temporal, verificou-se um aumento do LDP na maioria dos casos, com variações entre 0,18 e 1,47 kgf/cm². Nos pontos do músculo masseter, registaram-se igualmente aumentos discretos, com diferenças entre 0,82 kgf/cm² e 1,06 kgf/cm², sendo mais evidente nos indivíduos com maior gravidade de DTM. Conclusões: Na endurance dos flexores profundos da cervical somente ocorreu efeito positivo em um dos casos apresentados. A técnica de inibição dos músculos suboccipitais parece ter produzido um efeito positivo no LDP. O estudo realizado não permite a generalização de resultados pelo que se sugere a realização de estudos com maiores níveis de evidência, contribuindo para uma compreensão mais aprofundada desta temática, reforçando a sua relevância científica e clínica.
- Evidence-based physiotherapy and clinical guidelines: attitudes, knowledge and implementation among clinical educatorsPublication . Araújo, Fábio A.; Carvalhais, Alice; Stas, Hélène; Lopes, Sofia; Brochado, GabrielaEvidence-based physiotherapy (EBP) is now well established in the teaching curricula, leading to expectations that students will have opportunities to implement EBP steps during internships. However, the position of clinical educators towards EBP can act against this educational process. Our aims were to describe for the first time EBP domains in clinical Portuguese educators and to quantify associations between individual exposures with EBP-related outcomes. A cross-sectional mail survey to clinical educators from the physiotherapy course of CESPU was conducted. Two mailings were sent to 289 contacts (separately and three weeks apart). Sociodemographic and postgraduate information was collected as exposure variables and a questionnaire on EBP domains was created. There was a positive attitude towards EBP (all five questions ≥87%). Although 25% of the sample received no training in EBP, almost all of the participants reported knowing how to ‘ask’, ‘search’, and ‘critically appraise’. Only 60% of educators used clinical guidelines and less than half could integrate their recommendations into practice. Complementary training between 16h-30h/per year was positively associated with different aspects of EBP (all documented at p≤0.009), with decreasing trends in the strength of the associations after those intermediate values. Although the picture of EBP domains among clinical educators seemed quite regular in comparison with other samples, only 60% of them declared using clinical guidelines in their practice (vs. 86%). Clinical educators in physiotherapy seem to have a positive attitude towards EBP with high levels of previous training in the area. However, the use of Clinical Guidelines and how to integrate their recommendation into practice both need to be promoted. The target range for complementary training seems to be between 16-30h/per year. Out of this scenario, there appears to exist an excessive focus on the component of ‘clinical expertise’ of EBP.
- Perfil comportamental dos estudantes do ensino básico relacionado com a mochila escolarPublication . Ribeiro, Daniela; Santos, Paula Clara; Simões, Daniela; Venâncio, João; Firmino-Machado, João; Carvalhais, Alice; Ferreira, MargaridaDeterminar e analisar o perfil comportamental dos estudantes do primeiro ciclo do ensino básico sobre o uso da mochila escolar. Estudo observacional, analítico e transversal. A amostra foi constituída por 88 estudantes do 1º ciclo do ensino básico no concelho de Vila Nova de Famalicão (Portugal). Foi aplicado um questionário para avaliar o comportamento dos estudantes relativamente ao tipo, modo de transporte, organização do material escolar e peso da mochila. Todas as mochilas apresentavam duas alças e eram reguláveis. A maioria dos estudantes de todos os anos letivos transportava a mochila de alças nos dois ombros. No geral, os estudantes do 1º ciclo distribuíam o material de forma desorganizada pelos compartimentos da mochila e colocavam o material mais pesado afastado da coluna vertebral, não se verificando diferenças significativas. O índice de proporção mostrou que os estudantes transportavam as mochilas com peso inferior a 10% do peso corporal, exceto os estudantes do 1º ano de escolaridade (p<0,05). O peso transportado nas mochilas era significativamente assimétrico durante os dias da semana e entre os níveis de escolaridade (p<0,05). A maioria dos estudantes do 1º ciclo transportava a mochila com as alças nos dois ombros; porém, desconheciam as características adequadas do tipo de mochila e da distribuição uniforme do material escolar. A variação da carga da mochila durante a semana entre os níveis de escolaridade era significativamente inconsistente, mostrando que o índice de proporção de carga era mais elevado no primeiro ano de escolaridade.
- Reeducation of pelvic floor muscles in volleyball athletesPublication . Ferreira, Sílvia; Ferreira, Margarida; Carvalhais, Alice; Santos, Paula Clara; Rocha, Paula; Brochado, GabrielaTo verify the effectiveness of the pelvic floor muscles rehabilitation program (PFMRP) in female volleyball athletes, analyzing the amount and frequency of urinary leakage. Experimental study. The sample consisted of 32 female athletes from Famalicão Athletic Volleyball Club (Portugal). The athletes were selected by convenience and distributed randomly into two groups: experimental group (EG = 16 athletes) and the control group (CG = 16 athletes). The EG underwent PFMRP for three months. The PFMRP was the awareness and identification of the pelvic floor muscles (PFM), pre-timed PFM contraction prior to occasions of increased intra-abdominal pressure, and 30 daily contractions of MPP at home. The CG had only access to the pamphlet. The assessment instruments included the questionnaires, the Pad Test (amount of urinary leakage) and frequency record of urinary leakage (7-day diary) before and after PFMRP. The amount of urine leakage decreased in 45.5% of athletes under PFMRP intervention, and in 4.9% of athletes in CG, with statistical differences between the groups (p < 0.001). The reduction in the frequency of urinary leakage was 14.3% in EG, and 0.05% in CG, a statistically significant difference between the groups (p < 0.001). PFMRP in this study was effective to reduce stress urinary incontinence in female volleyball athletes. The program allowed significant improvement of symptoms of quantity and frequency of urinary leakage.
- Therapeutic physical exercise for Dysmenorrhea: A scoping reviewPublication . Rigal, Philippine; Bonnet, Salomé; Vieira, Ágata; Carvalhais, Alice; Lopes, Sofia; Lopes, Sofia; Vieira, ÁgataDysmenorrhea affects many women of reproductive age. Physical exercise has been used as an effective intervention for pain reduction and to improve well-being. Physiotherapy, involving movement and exercise, can be effective in relieving menstrual pain and provide additional benefits. The aim is to identify therapeutic physical exercise program and exercise protocols used to reduce pain among these women. A scoping review was conducted in accordance with Joanna Briggs Institute’s methodology, using the PCC acronym. Articles were sourced from: PubMed, Cochrane Library, PEDro and ScienceDirect, covering studies published between 1 January 2013 and 30 April 2023, representing the period we considered most appropriate at the time the study was initiated. Qualitative studies, books, book chapters, systematic reviews, meta-analyses and review articles were excluded. Studies were analyzed according to the PRISMA-ScR framework. 3325 studies were identified, but only 9 were included. Considerable variation was observed in the types and parameters of the exercise program across studies, including differences in duration, intensity, number of repetitions and series. The findings of this study highlight that aerobic training, particularly among women in their 20s, emerged as the most frequently utilized form of therapeutic physical exercise for alleviating menstrual pain in the studies reviewed. This suggests that aerobic exercise may hold significant promise as a non-pharmacological intervention for managing dysmenorrhea.
- Urinary incontinence in young gymnastics athletes: A scoping reviewPublication . Higounenc, Alice; Carvalhais, Alice; Vieira, Ágata; Lopes, Sofia; Vieira, ÁgataUrinary incontinence (UI) is increasingly reported among young nulliparous women, especially those engaged in high-impact sports. This may increase the risk of developing stress urinary incontinence (SUI) later in life. This scoping review aims to synthesise current evidence on UI in gymnasts, identify the gymnastics modalities with the highest prevalence of UI, and examine the outcomes measures and interventions considered for UI. Methods: A scoping review was conducted using the following databases: PubMed, Cochrane, Science Direct, Scielo, EBSCO, PEDro, and NIH. Studies published in English or Portuguese between January 2012 and May 2023 were included. Review articles, qualitative studies, and conferences abstracts were excluded. Studies were analysed according to the PRISMA-ScR framework. Results: Out of 169 identified studies, 4 were included. SUI emerged as the most prevalent type of UI, particularly in artistic and trampoline modalities. All the studies used the ICIQ-UI-SF to assess UI. Reported outcomes included prevalence of UI and SUI, impact on quality of life and athletic performance, as well as knowledge about UI and pelvic floor. No studies investigated treatments for UI. Conclusions: The prevalence of SUI is high among gymnasts (70%), especially in artistic and trampoline disciplines. Although there is outcome heterogeneity across studies, all used the ICIQ-UI-SF. There is a critical gap regarding interventions for UI in this population.