Browsing by Author "Sousa, Andreia"
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- Ankle stiffness assessment in individuals with chronic ankle instability in dual-task single leg stance on an unstable surfacePublication . Dias, Nuno; Estupendo, Hugo; Valente, Isabel; Carmo, Luis; Sousa, AndreiaThe shoulder of handball players suffers from the ongoing repetition of movement that may lead to the development of joint instability and modification of proprioceptive condition. Because the articular components of the shoulder joint are considered to have extreme importance on the static and dynamic stabilisation and quality of proprioceptive information, they may compromise the athlete’s performance. The purpose of our study was to verify if shoulder strength parameters (SSP) and joint position sense (JPS) of shoulder internal and external rotation may contribute to the development of shoulder instability in handball players.
- Avaliação do timing das respostas de curta latência na instabilidade crónica do tornozeloPublication . Valente, Isabel; Pinto, Ana; Santos, Rubim; Sousa, AndreiaO controlo postural (CP) envolve um processo complexo multisegmentar para manter o duplo propósito da orientação e estabilidade. Tem sido demonstrado que a informação propriocetiva proveniente do pé e tornozelo apresenta um papel fulcral na manutenção do CP. As alterações proprioceptivas decorrente de lesão capsuloligamentar do tornozelo parecem estar na origem da disfunção neuromuscular associada à instabilidade crónica do tornozelo. Apesar de vários estudos se terem dedicado ao estudo do timing dos ajustes posturais de curta latência (SLR), a análise desta condição patológica tem sido focada numa abordagem unilateral.
- Biological signals measured by telemonitoring technologiesPublication . Félix, J.; Moreira, J.; Santos, Rubim; Kontio, E.; Pinheiro, A. R.; Sousa, AndreiaAging is one of the biggest challenges of modern society. The development of wearable technological solutions for telemonitoring biological signals has been viewed as a strategy to enhance elderly health care sustainability. This study aims to review the biological signals remote monitored by technologies in older adults. The review protocol was registered on PROSPERO under the number CRD42021282273. Pubmed, Cochrane Database of Systematic Reviews, Web of Science, and Joanna Brigs Institute Database of Systematic Reviews and Implementation Reports were systematically searched between November 2021 and May 2022. Only systematic reviews and meta-analyses of remote monitoring of older adults’ assessment were considered, with publication dates between 2016 and 2022 and written in English, Portuguese, or Spanish. Studies referring to conference proceedings, ineligible articles, or articles with abstract access only, were excluded. Eighteen studies were included, fourteen systematic reviews and four systematic reviews with meta-analysis. Nine of the reviews included older adults from the community, whereas the other studies included also hospitalized participants. Heart and respiratory rate, physical activity, electrocardiography (ECG), body temperature, blood pressure, glucose and heart rate variability were the most frequently measured variables, being physical activity and heart rate on top. Waist, wrist and ankle were the most mentioned body regions for wearable's placement and measurement. Six of the reviews presented the psychometric properties of the systems, being most of the systems valid and accurate. The need for large-scale, long-term monitoring implementation of studies with larger samples sizes is pointed by several reviews to define feasibility levels of wearable devices.
- Biomechanics of postural control in young adult and elderlyPublication . Fornari, Maria Carolina; Delmoral, Jessica C.; Sousa, Andreia; Duarte, Marcos; Tavares, João Manuel R. S.Aging on the neuromotor system conduces to alterations on postural control, which predisposes to falls and injuries. This concern causes an important social and economic problem, especially considering the progressive aging of the population and the increase in the life expectancy of the last decades. Therefore, it is extremely important to understand the functioning of the postural system and its alterations with age. The balance assessment provides a clue of the integrity of the communication between the sensory and motor systems. The most used and reliable method to evaluate postural control is the posturography, through force platform and evaluation of the center of pressure (COP). There are many studies in this area, but still no consensus on which variable calculated from the COP would best represent the functioning of the control of posture, especially if there are modifications caused by age [1]. Hence, the main objective of this work was to investigate the differences in the postural control of young and old adults through the analysis of sp
- Competências de comunicação clínica de estudantes de fisioterapia em contexto de simulaçãoPublication . Sousa, Andreia; Macedo, Rui; Salgado, AnaA literatura sugere que a comunicação deve ser considerada uma das ferramentas mais importantes na prestação de cuidados de saúde. O desenvolvimento destas competências não é espontâneo, devendo os curricula incorporar o seu treino, nomeadamente através da simulação. Neste estudo procurou-se medir, com base na avaliação realizada por pares, as dimensões ética e relacional dos estudantes.
- Controlo postural da tíbio társica: “Efeitos” da ortótese do tipo AFO em sujeitos saudáveisPublication . Cotrim, Diana; Sousa, Andreia; Santos, Rubim; Silva, AugustaAvaliar a influência do uso da ortótese AFO nos tempos de variação da atividade muscular dos músculos tibial anterior, solear e gastrocnémio medial, durante os ajustes posturais na janela temporal compreendida entre os -250 até os 50 ms relativamente ao início da marcha, sentar e levantar. Oito sujeitos voluntários com idade entre os 25-35 anos, foram avaliados com recurso à eletromiografia de superfície e à plataforma de força em dois momentos 1) sem a ortótese 2) com ortótese. Entre os dois momentos de recolha os sujeitos realizaram múltiplas tarefas funcionais básicas como marcha e sentar-levantar-sentar, com a AFO, durante o período de uma hora. Foi possível observar uma tendência para um atraso nos tempos de variação da atividade muscular dos músculos tibial anterior, solear e gastrocnémio medial nas tarefas funcionais em estudo mais pronunciada no membro homolateral à ortótese. A utilização da ortótese do tipo AFO parece induzir uma modificação dos tempos de variação da atividade muscular do tibial anterior, solear e gastrocnémio medial (homolateral e contralateral) correspondente aos ajustes posturais, nas sequências de movimento sentado para de pé, de pé para sentado e início da marcha.
- Disfunção do Movimento em Condições Neurológicas: Avaliação e Interpretação para a Intervenção em FisioterapiaPublication . Silva, Augusta; Sousa, Andreia; Cunha, Christine; Ferreira, Rosália; Pereira, Soraia; Silva, CláudiaE-book de estudo com casos clínicos
- Early postural adjustments in gait initiation in post-stroke subjectsPublication . Bento, Daniela; Sousa, Andreia; Santos, Rubim; Silva, AugustaThe success of gait initiation dependes of the ability on the central nervous system (CNS) to anticipate the perturbation related to the voluntary action through of postural adjustments: early postural adjustments (EPAs) and the antecipatory postural adjustments (APAs).
- Effectiveness of specific scapular therapeutic exercises in patients with shoulder pain: a systematic review with meta-analysisPublication . Melo, Ana; Moreira, Juliana; Afreixo, Vera; Gonçalves, Daniel Moreira; Donato, Helena; Cruz, Eduardo B.; Vilas-Boas, J. Paulo; Sousa, AndreiaTherapeutic exercise has been considered a useful tool to rehabilitate shoulder pain, namely through its influence on scapular dynamics. Accordingly, the effectiveness of scapular therapeutic exercise needs to be explored. The present study aims to evaluate the effectiveness of scapular therapeutic exercises in shoulder pain and to identify the most effective exercise type (focal or multijoint) and ways of delivering them (as dose and progression). Search was conducted at EMBASE, Cochrane Library, MEDLINE via PubMed, Web of Science, PEDro (Physiotherapy Evidence Database), and trial registration databases. The meta-analysis considered randomized controlled/crossover trials that compared the effect of scapular exercises against other types of intervention in the shoulder pain, shoulder function, scapular motion, and/or muscular activity. The risk of bias was assessed through the PEDro scale. From the 8318 records identified, 8 (high to low risk of bias– scoring from 4 to 8 on the PEDro scale) were included. The overall data, before sensitivity analysis, indicated that the scapular therapeutic exercises are: a) more effective than comparators in improving shoulder function (standardized mean difference [SMD] = 0.52 [95% Cl: 0.05, 0.99], P = .03, I2 = 76%); and b) as effective as comparators in reducing shoulder pain (SMD = 0.32 [95% Cl: −0.09, 0.73], P = .13, I2 = 70%). Subgroup analysis revealed that scapular exercises are more effective in improving shoulder function when the program duration is equal to or higher than 6 weeks (SMD = 0.43 [95% Cl: 0.09, 0.76] P = .01, I2 = 21%) and/or when the maximum number of exercise repetitions per session is lower than 30 (SMD = 0.79 [95% Cl: 0.15, 1.42], P = .01, I2 = 77%). Only 1 study considered scapular motion as an outcome measure, revealing therapeutic exercise effectiveness to improve scapular range of motion. Intervention programs involving scapular therapeutic exercises are effective in improving shoulder function, presenting benefits when performed for 6 or more weeks and/or when used up to a maximum of 30 repetitions per exercise, per session.
- Electrodermal activity wrist-based systems: A review of validity, reliability, and responsive measuresPublication . Félix, José; Moreira, Juliana; Santos, Rubim; Sousa, AndreiaElectrodermal activity (EDA) can be defined as an electrical property of the skin, measured in the palm and sole, related to the level of conductivity, influenced by the sweat level that may depend on various stimuli. Different equipments have been used to capture EDA with high levels of reliability, validity, and responsiveness, however these values vary according to the site of measurement. The increased use of EDA wrist-based systems highlights the need of characterizing the psychometric properties of these kind of systems. The aim of this chapter is to review the validity, reliability, and responsiveness of EDA measurement in the wrist. Previous studies have demonstrated that wrist measurement present low to moderate correlations, against the gold standard systems, with moderate levels of responsiveness, while no study addressed reliability. Wrist EDA measurement could be therefore an acceptable option, however, more studies are demanded not only to assess related values of reliability, as well to best characterize validity and responsiveness measures.