Percorrer por autor "Martins, Anabela Correia"
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- Cultural adaptation and validation of the Pelvic Floor Distress Inventory Short Form (PFDI-20) and Pelvic Floor Impact Questionnaire Short Form (PFIQ-7) portuguese versionsPublication . Branco, Inês; Ferreira, Mariana; Pacheco, Ana; Ferreira, Clara; Dias, Vera Baldaia; Martins, Anabela CorreiaThroughout life, the characteristics of a woman’s pelvic floor change due to physiological changes, including pregnancy, childbirth and menopause. These changes can predispose them to pelvic floor dysfunction. To develop a linguistically and psychometrically adapted Portuguese (European) version of the Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7), for assessing symptoms and quality of life in women with pelvic floor dysfunction. This cross-cultural study used a translation method, followed by an assessment of the validity and reliability of the instruments. The Portuguese versions of the PFDI-20 and PFIQ-7 were completed by 287 women (33.47 ± 8.2 years). To assess reliability, internal consistency was evaluated using Cronbach’s alpha (CA). Descriptive statistical analysis was applied for sociodemographic and clinical characterization, as well as questionnaire scoring. Spearman’s correlation (r) and Student’s t-test were used to analyze criterion and construct validity. The Portuguese versions of PFDI-20 and PFIQ-7 were effectively translated and adjusted, revealing excellent internal consistency, as reflected in Cronbach’s alpha values of 0.853 for PFDI-20 and 0.937 for PFIQ-7. No Ceiling Effect was observed, while a Floor Effect was identified in both Portuguese versions of the PFDI-20 (5.2%) and PFIQ-7 (41.5%). Significant correlations were established between the instruments and five questions. The Portuguese versions of the PFDI-20 and PFIQ-7 showed adequate psychometric characteristics and are valid for use in the Portuguese population.
- The effectiveness of Virtual Reality in improving balance and gait in people with Parkinson’s Disease: A Systematic ReviewPublication . Fernandes, Sofia; Oliveira, Bruna; Sacadura, Sofia; Rakasi, Cristina; Furtado, Isabel; Figueiredo, João Paulo; Gonçalves, Rui Soles; Martins, Anabela CorreiaVirtual reality (VR), often used with motion sensors, provides interactive tools for physiotherapy aimed at enhancing motor functions. This systematic review examined the effects of VR-based interventions, alone or combined with conventional physiotherapy (PT), on balance and gait in individuals with Parkinson’s disease (PD). Following PRISMA guidelines, eight randomized controlled trials (RCTs) published between January 2019 and April 2025 were included. Interventions lasted between 5 and 12 weeks and were grouped as VR alone or VR combined with PT. Methodological quality was assessed using the PEDro Scale. Of the 31 comparisons for balance and gait, 30 were favored by the experimental group, with 12 reaching statistical significance. Secondary outcomes (function, cognition, and quality of life) showed mixed results, with 6 comparisons favoring the experimental group (3 statistically significant) and 4 favoring the control group (1 statistically significant). Overall, the studies showed fair to good quality and a moderate risk of bias. VR-based interventions, particularly when combined with PT, show promise for improving balance and gait in PD. However, the evidence is limited by the small number of studies, heterogeneity of protocols, and methodological constraints. More rigorous, long-term trials are needed to clarify their therapeutic potential.
- Fisioterapia na prevenção de quedas do adulto mais velho: Proposta de Modelo de Intervenção nos Cuidados de Saúde PrimáriosPublication . Casaca, Ana Catarina; Silva, Ana Luís; Silva, Ana Rita; Martins, Anabela Correia; Pinto, Bernardo; Melo, Cristina; Silva, Madalena Gomes da; Conde, Monserrat; Santos, Paula Clara; Barbosa, Pedro Maciel; Pereira, Paulo; Moniz, Rubina
- Health and functioning of community-dwelling older adults in urban and rural areas of Portugal—What are the implications for physiotherapy care?Publication . Reis, Magda; Ferreira, Sara; Conde, Monserrat; Martins, Anabela CorreiaAgeing leads to physical, cognitive, and social changes that affect people’s functioning and social participation. Health literacy, sociodemographic, and environmental factors influence health outcomes and access to care. This study aimed to characterize the health and functioning of Portuguese adults aged 65 and over, focusing on sociodemographic factors, health status, lifestyle, fall risk, functional capacity, and social participation, and on comparing rural and urban populations. An exploratory, cross-sectional study was conducted using data from older adults who completed the FallSensing screening protocol. Participants were classified by residence type (rural vs. urban), and group comparisons were made. The sample (n = 474) was predominantly female (66.5%) with a mean age of 74.62 (±6.49) years. Rural participants were older (76.87 ± 6.89 vs. 73.50 ± 5.87) and had higher body mass index (BMI) (28.32 ± 4.31 vs. 27.51 ± 4.12), lower educational attainment—for example, 22.9% had no formal education compared to 7.0% of urban participants—and a higher prevalence of hypertension (72.6% vs. 55.4%), whereas urban participants experienced higher rates of osteoporosis (24.4% vs. 14.3%), hearing loss (41.9% vs. 26.9%), and alcohol consumption (12.7% vs. 2.3%) (p ≤ 0.05). Rural residents also demonstrated significantly poorer results for grip strength (21.03 ± 7.36 vs. 23.73 ± 8.61), gait speed (1.17 ± 0.44 vs. 1.45 ± 0.39), and the Timed Up and Go (TUG) test (13.4 ± 10.40 vs. 9.62 ± 4.43), as well as lower exercise self-efficacy (12.83 ± 4.97 vs. 14.28 ± 4.40) (p < 0.001), and more pronounced moderate-to-severe restrictions in social participation (28.0% vs. 15.7%) (p = 0.013). They reported greater use of assistive devices and more severe limitations in social participation. Although falls were reported more often in urban areas, rural residents experienced greater fall frequency. These findings suggest that rural living is associated with lower functional capacity and poorer health, underscoring the need for targeted physiotherapy and primary care strategies in rural settings.
- Otago exercise program plus cognitive dual-task can reduce fall risk, improve cognition and functioning in older adultsPublication . Santos, Paula Clara; Machado, Dalmo Roberto Lopes; Abdalla, Pedro Pugliesi; Santos, Claúdia Vanessa; Lopes, Sofia; Martins, Anabela Correia; Mota, Jorge; Mesquita, CristinaThe risk of falling increases with neuromusculoskeletal and cognitive changes resulting from aging. Physical exercise shows beneficial effects on the risk of falling, but the results are unknown when associated with cognitive activity dual-task (DT). 36 older adults (83.5 ± 5.7 years) participated in a quasi-experimental study, distributed in two experimental groups and a control group: 1) OEP (OEPG; n=12), 2) OEP plus DT (OEPDTG; n = 12), and a control group (CG; n=12). Older adults were evaluated at pre- and post- 12 weeks of intervention. The thresholds for the risk of falling were considered as multiparameter scores of the 10 Meter Walking Test (10MWT), evocative 10MWT, Timed Up and Go (TUG), Sit to Stand Test (STS), and The Four-Stage Balance Test (Four-Stage), and the Montreal Cognitive Assessment (MoCA), to test the cognitive impairment. At baseline, all groups were homogeneous. Post-intervention, the experimental groups presented significant functional differences, in comparison to the CG, for 10MWT (OEPDTG: p= 0.002; OEPG: p= 0.002); evocative 10MWT (OEPDTG: p=0.001; OEPG: p=0.001); TUG (OEPDTG: p=0.034); STS (OEPDTG: p<0.001; OEPG: p<0.001) and cognitive for MoCA (OEPDTG: p<0.019). Significant intra-group differences (pre-post) were observed in all intervention groups, but none in CG. The risk of falling (Four-Stage) in experimental groups (OEPDTG: 33.3%; OEPG: 41.7%) was considerably lower than CG (83.3%). Otago Exercise Program alone can reduce the risk of falling due to improved functionality, but adding the dual task also improves cognitive capacity in older adults. The clinical significance of these interventions goes beyond statistics.
- Predicting the occurrence of falls among portuguese community-dwelling adults aged 50 or older using the timed up and go testPublication . Martins, Anabela Correia; Moreira, Juliana; Silva, Catarina; Tonelo, Cláudia; Rocha, Clara; Santos Moreira, JulianaFalls are a major cause of morbidity and mortality among older adults. While the Timed Up and Go (TUG) test has recently been identified as the best predictor of falls, it should not be used in isolation to identify individuals at risk. This study aims to develop a predictive model by combining the TUG test with fall risk factors that involve intrinsic and extrinsic elements to predict future falls in Portuguese community-dwelling adults aged 50–60, 60–70, and 70 years or older. A total of 403 participants aged 50 or older completed a questionnaire on demographic information and fall risk factors, underwent the TUG test, and were monitored for 12 months to record falls. ROC curve analysis demonstrated that the TUG test alone effectively distinguished fallers from non-fallers exclusively among adults aged 50–60, with a cut-off time of 6.9 s. Multivariate logistic regression defined three predictive models based on age groups, with ROC curve results as follows: 50–60 (AUC = 0.825, cut-off = 18.1), 60–70 (AUC = 0.754, cut-off = 17.8), and 70 or older (AUC = 0.708, cut-off = 24.8). These findings are clinically significant, demonstrating that the TUG test combined with a few self-reported questions can efficiently identify individuals at risk of falling in just a few minutes, without requiring specialized equipment.