ESS - CIR - Centro de Investigação em Reabilitação
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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.
- 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 (
- Allostatic interoception in frontotemporal dementia: A scoping review protocolPublication . Carneiro, Fábio; Hazelton, Jessica L.; Campos, Carlos; Ibáñez, Agustín; Ferreira-Santos, FernandoFrontotemporal dementia (FTD) encompasses a spectrum of disorders characterized by distinct behavioral, cognitive, and motor symptoms. Deficits in interoception and allostasis have garnered attention, considering the involvement of the allostatic-interoceptive network in FTD, their contribution to canonical social cognitive and affective deficits, and the identification of whole-body biomarkers related to autonomic and allostatic processes. Traditionally, interoception has been defined as the perception of visceral signals, yet contemporary understandings broaden this to encompass both the representation and regulation of the physiological state across bodily tissues. Consequently, interoceptive deficits in FTD extend beyond classical viscerosensory paradigms to include pain, temperature, autonomic, metabolic, immune, and neuroendocrine phenomena. Allostasis involves the prospective regulation of energy balance, as well as the anticipation and adaptive response to homeostatic challenges. These repeated challenges result in physiological consequences measurable by markers of allostatic load, spanning various bodily systems. Despite emerging evidence highlighting dysfunction in interoception and allostasis in FTD, the literature remains fragmented, lacking cohesive reviews addressing the diverse mechanisms comprehensively. Thus, this scoping review examines the reciprocal interaction between brain and bodily physiology (interoception) and the physiological responses to environmental demands (allostatic load) in FTD. Following the principles outlined in the PRISMA statement, we will systematically search and screen quantitative primary research studies on patients with FTD, utilizing interoceptive or allostatic metrics. By synthesizing the existing literature, we aim to identify active research areas, delineate primary deficits across physiological systems, uncover syndrome-specific patterns of dysfunction, and identify the most promising and understudied domains in this field.
- Alterações imediatas induzidas pela electroestimulação neuromuscular de baixa e média frequência no torque e na área de secção transversal do músculo reto femoral, em adultos saudáveisPublication . Lopes, Alexandre; Silva, Diogo C. F.; Torres, Rui; Carvalho, PauloA electroestimulação neuromuscular (NMES) é um recurso terapêutico amplamente utilizado pela maioria dos fisioterapeutas com o objetivo de favorecer o fortalecimento muscular, a prevenção ou a recuperação, no entanto, ainda sem consenso científico.