ESS - CIR - Centro de Investigação em Reabilitação
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Criado em 2018, o CIR é composto por 38 investigadores integrados com doutoramento e 69 colaboradores (34 com doutoramento e 17 estudantes de doutoramento) dedicados à área das Ciências da Reabilitação, numa perspetiva motora, cognitiva e psicossocial, ao longo do ciclo de vida e às suas implicações e inter-relações com as atividades e a participação. A Unidade engloba duas áreas principais: uma dedicada ao estudo da (Re)abilitação do Sistema de Movimento Humano e outra dedicada ao estudo da Reabilitação Psicossocial.
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- A-Frame as a tool to create artistic collective installations in virtual realityPublication . Azevedo, João; Gomes, Paulo Sérgio Machado Veloso; Donga, João; Marques, António da SilvaVirtual Reality, due to its complexity and technological requirements, has a set of frictions that hinder its dissemination. The main ones can be summarized in the requirement to learn complex developing environments, like game engines, then we need to install applications, specific to each operating system and according to the means through which they can be accessed.
- Activities of Daily Living Inventory (ADLI): Proposal of a new instrument and preliminary dataPublication . Pinto, Joana O.; Pontes, Diogo; Dores, Artemisa R; Peixoto, Bruno; Barbosa, FernandoThe evaluation of Activities of Daily Living (ADL) has become a critical issue in neuropsychology, but existing instruments for evaluating ADL have some limitations. This work aims to propose a new instrument to evaluate ADL, the ADL Inventory (ADLI), for which we present preliminary data. The ADLI was developed based on a comprehensive model of the stages of test development and following a combined framework of the World Health Organization’s International Classification of Functioning, Disability, and Health and the American Occupational Therapy Association models. Besides sociodemographic information, ADLI includes 144 items, organized into four sections: (a) basic ADL; (b) IADL; (c) advanced ADL; and (d) factors influencing functionality. The main characteristics of ADLI are: having self- and informant-report forms; including items focused on different sensory and neurocognitive functions; individualizing the progression along items considering the person’s functionality; considering the impact of several factors on functionality; and using a large response scale. Preliminary data of predictive and convergent validity for ADLI are presented. The preliminary study comprised 15 older adults. The Addenbrooke’s Cognitive Examination – III, the Barthel Index, and the Instrumental Activities of Daily Living (IADL) Scale were applied to determine the predictive and convergent validity of ADLI.
- Acupuntura no tratamento de acufenosPublication . Maciel, Diana; Oliveira, VascoO acufeno é uma sensação auditiva de som sem estimulação externa. Sendo este sintoma muito comum na nossa população, e não tendo uma cura objetiva e concreta, mas sim diversas alternativas e terapias que fazem diminuir os acufenos percebidos pelo indivíduo, procurando melhorar a sua qualidade de vida. A Acupuntura é uma arte medicinal chinesa, onde através da inserção de agulhas em pontos específicos do nosso corpo se consegue obter um tratamento completamente natural e desprovido de contraindicações. O objetivo é avaliar o efeito da Acupuntura no tratamento de indivíduos com acufenos, através da administração da versão portuguesa do questionário Tinnitus Handicap Inventory (THI).
- Acute effect of neuromuscular electrostimulation in the torque and cross-sectional area of the Extensor Digitorum Communis muscle. Real-time ultrasound imagingPublication . Lopes, Alexandre; Faria, Susana; Quadrado, Pedro; Silva, Diogo C. F.Neuromuscular electrostimulation (NMES) is a therapeutic resource widely used by most physiotherapists with the objective of favoring muscle strengthening, prevention or recovery from atrophy due to disuse, however there is still no scientific consensus on which is the most effective current for this purpose. This study aims to evaluate the acute effect induced by low and medium frequency electrostimulation in an isometric contraction of wrist extension and compare them with the maximum voluntary isometric contraction (MVIC) (1) in the force production capacity and (2) in the vertical and horizontal values of the cross-sectional area of the Extensor Digitorum Communis muscle (EDC). There are no differences between the mean values for height or width between the TENS and Kotz currents, nor between the two NMES currents and the MVIC. No differences were found in the capacity for power generation of the administration of NMES currents and the MVIC. No differences were found in the height or width values between the TENS and Kotz currents, nor between the two NMES currents and the MVIC. No differences were found in the capacity for power generation of the exclusive administration of NMES currents and the MVIC, in a population of healthy adults.
- Adaptação cultural, tradução e avaliação psicométrica do questionário de estigma sobre a perturbação de hiperatividade e défice de atenção para países de língua portuguesaPublication . Couto, Beatriz; Trigueiro, Maria João; Simões-Silva, Vítor; Almeida, Raquel Simões de; Trigueiro, Maria João; Simões-Silva, Vitor; Simões de Almeida, RaquelApesar do crescente conhecimento sobre a Perturbação de Hiperatividade e Défice de Atenção (PHDA), estas pessoas ainda enfrentam estigmas da sociedade. A pesquisa sobre o estigma associado à PHDA é limitada pela falta de instrumentos válidos e fiáveis. Este estudo teve como objetivo validar o Questionário de Estigma sobre a PHDA (ASQ) para a população portuguesa e perceber os níveis de estigma numa amostra comunitária. A amostra consistiu em 762 indivíduos, com idades entre 11 e 64 anos (média = 32,41 ±14,59 anos). A validação incluiu a tradução e adaptação cultural da versão original e a análise das propriedades psicométricas: fiabilidade (teste-reteste e consistência interna), validade de conteúdo e de construto. A consistência interna do ASQ foi excelente (α = 0,93) e os valores de teste-reteste (r = 0,86) suportam a fiabilidade do instrumento. Na validade de construto, a análise fatorial explicou 50,25% da variância e indicou uma nova distribuição dos itens 2, 3, 9 e 15 no instrumento. As mulheres (p<0,001) e os residentes em áreas costeiras (p=0,015) apresentaram níveis mais elevados de estigma. A utilização do ASQ para a pesquisa e prática clínica em Portugal é adequadamente suportada pelas suas propriedades psicométricas. Campanhas direcionadas de literacia e estigma da PHDA podem ser uma via importante para melhorar as atitudes da comunidade em geral em relação à PHDA
- Adapted chester step test can have maximal response characteristics for the assessment of exercise capacity in young womenPublication . Vilarinho, Rui; Mendes, Ana Rita; Gomes, Mariana; Ferreira, Rui; Costa, Fabiola; Machado, Marcela; Neves, Márcia; Caneiras, Cátia; Mesquita Montes, AntónioChester step test (CST) estimates the exercise capacity through a submaximal response, which can limit its application in the prescription of exercise. This study aimed to assess whether an adaptation of the CST (with a progressive profile) can have maximal response characteristics in young women and compare it to the incremental shuttle walk test (ISWT). Another aim was to determine its within-day test–retest reliability. A cross-sectional study was conducted with 25 women (20.3 ± 1.5 years) who performed the field tests twice on two different days (48 h apart).
- Adaptive model for biofeedback data flows management in the design of interactive immersive environmentsPublication . Gomes, Paulo Veloso; Marques, António; Donga, João; Sá, Catarina; Correia, António; Pereira, JavierThe interactivity of an immersive environment comes up from the relationship that is established between the user and the system. This relationship results in a set of data exchanges between human and technological actors. The real-time biofeedback devices allow to collect in real time the biodata generated by the user during the exhibition. The analysis, processing and conversion of these biodata into multimodal data allows to relate the stimuli with the emotions they trigger. This work describes an adaptive model for biofeedback data flows management used in the design of interactive immersive systems. The use of an affective algorithm allows to identify the types of emotions felt by the user and the respective intensities. The mapping between stimuli and emotions creates a set of biodata that can be used as elements of interaction that will readjust the stimuli generated by the system. The real-time interaction generated by the evolution of the user’s emotional state and the stimuli generated by the system allows him to adapt attitudes and behaviors to the situations he faces.
- Afasia em Portugal: o que sabem os profissionais de saúde?Publication . Moreira, Inês; Patrício, Brígida; Oliveira, Alexandra; Patrício, Brígida; Oliveira, AlexandraA afasia é uma perturbação que afeta a funcionalidade comunicativa e social da pessoa com afasia (Papathanasiou & Coppens, 2017). As pessoas com afasia necessitam de apoio especializado de vários grupos de profissionais de saúde, sendo crucial que estes tenham conhecimento sobre a patologia e utilizem estratégias comunicativas adequadas (Van Rijssen et al., 2021). Caracterizar o conhecimento sobre afasia dos profissionais de saúde por grupo profissional; comparar o conhecimento e as estratégias comunicativas utilizadas/importantes em função dos grupos profissionais; averiguar associações entre conhecimento e estratégias comunicativas com: (1) grupos profissionais e (2) género. Estudo descritivo, comparativo-correlacional transversal com 237 profissionais de saúde de Portugal (32,9% auxiliares de saúde; 21,9% enfermeiros; 12,7% psicólogos; 11,8% médicos; 9,3% terapeutas ocupacionais; 8,4% fisioterapeutas; 1,8% assistentes sociais e 1,3% psicomotricistas). Para a recolha de dados, utilizou-se um questionário adaptado de Santos & Patrício (2024), divulgado online. Utilizou-se estatística descritiva e correlacional para a análise de dados. A maioria dos profissionais (86,5%) ouviu falar sobre afasia. Todos os grupos têm baixo conhecimento sobre a maioria dos tipos de afasia. Os terapeutas ocupacionais são os que melhor sabem acerca da etiologia da afasia. Os auxiliares de saúde são o grupo com o nível mais baixo de conhecimento sobre afasia. Verificado bom conhecimento sobre estratégias importantes por todos os grupos. Como seria expectável, enfermagem utilizou mais adequadamente estratégias comunicativas. O género masculino sabe mais sobre afasia. Importante promover a literacia em saúde, em especial sobre as patologias da comunicação (e.g. afasia). Essencial aumentar a perícia na utilização das estratégias comunicativas. O tamanho amostral dos grupos profissionais e a falha de dados por necessidade de recodificação de formatos de resposta são limitações desta investigação. Propõe-se a elaboração de um estudo longitudinal acerca da associação entre conhecimento sobre afasia de profissionais de saúde e estudantes da área da saúde com a participação em programa de treino de parceiros comunicativos de formação contínua.
- Age-related influence on reliability and learning effect in the assessment of lower limb strength using sit-to-stand tests: A cross-sectional studyPublication . Vilarinho, Rui; Montes, António Mesquita; Melo, Cristina; Mesquita Montes, AntónioDecreased muscle strength, especially in the muscles of lower limbs, is an important risk factor for early age‐related decline in physical function, morbidity, hospitalization, and mortality.1 This evidence should be a stimulus for healthcare professionals to include the assessment of muscular strength as a priority in the community due to its substantial value in predicting future health status.2 For this purpose, sit‐to‐stand tests represent one of the simple and valid options to quantify lower limb strength,3 and two of the most used are the 1‐min sit‐to‐stand (1MSTS)4 and the 5 times sit‐to‐stand (5TSTS).5 To standardize the use of 1MSTS and 5TSTS, it is important to explore whether a similar reliability and learning effect exist between adults and older adults in community settings. Since aging may cause a significant reduction in motor skill acquisition,6 it is important to carefully consider whether performances on these tests are the same for repeated measurement over time (test‐retest) and if a practice test is needed according to age. Another reason to establish the reliability and learning effect, before recommending the use of the sit‐to‐stand tests for adults and older adults, is because significantly different performances have been found between these populations.7,8 With this research, we aimed to determine the within‐day test‐ retest reliability and the learning effect of the 1MSTS and 5TSTS in adults (
- The agreement between a transducer and a microphone in the analysis of a synthesized vowel—Using a laboratory model as a preliminary experimentPublication . Pestana, Pedro; Byrne, Allison; Alegria, Rita; Araújo, André; Melo, Celso; Brasil, Christina César Praça; Manso, Maria Conceição; Guerreiro Martins Araújo, Pedro AndréThe objective of this study was to assess the agreement between the acoustic parameters of synthesized vowels, as measured by a piezoelectric transducer and a microphone. The central hypothesis posited that there would be a substantial degree of concordance between the acoustic parameters obtained by these two methods. A laboratory experiment was conducted using synthesized vowels. Acoustic parameters were recorded simultaneously using a microphone and a piezoelectric transducer. Vowels were synthesized using Madde software, with variations in fundamental frequency (fo) and amplitude level. Acoustic signals were captured by a Shure MX153 T microphone and a Shadow SH712 piezoelectric transducer. Signals were recorded using a Behringer FCA1616 audio interface and analyzed using Sopran and VOXplot software. Bland–Altman plots were used for statistical comparison of acoustic parameters. The degree of agreement between the microphone and the transducer varied according to acoustic parameters. Excellent agreement was observed for jitter, mean fo, fo standard deviation, and fo range. Good agreement was found for tilt, equivalent continuous sound level, harmonics-to-noise ratio from Dejonckere, high frequency noise, minimum fo, and maximum fo. Moderate agreement was observed for slope, amplitude difference H1–H2, shimmer, harmonics-to-noise ratio, smoothed cepstral peak prominence, and period standard deviation. While there was moderate to high agreement between the two methods for several acoustic parameters, discrepancies were noted. The microphone exhibited a tendency to record slightly higher values for the majority of the parameters; however, the transducer did demonstrate heightened sensitivity for certain parameters. The findings indicate that neither method can be universally interchanged with the other, and the selection of a method should be contingent on the particular requirements of the analysis.
