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- Analysis and quantification of upper-limb movement in motor rehabilitation after strokePublication . Silva, R. Mariana; Sousa, Emanuel; Fonseca, Pedro; Pinheiro, Ana Rita; Silva, Cláudia; Correia, Miguel V.; Mouta, SandraIt is extremely difficult to reduce the relations between the several body parts that perform human motion to a simplified set of features. Therefore, the study of the upper-limb functionality is still in development, partly due to the wider range of actions and strategies for motor execution. This, in turn, leads to inconsistent upper-limb movement parameterization. We propose a methodology to assess and quantify the upper-limb motor execution. Extracting key variables from different sources, we intended to quantify healthy upper-limb movement and use these parameters to quantify motor execution during rehabilitation after stroke. In order to do so, we designed an experimental setup defining a workspace for the execution of the action recording kinematic data. Results reveal an effect of object and instruction on the timing of upper-limb movement, indicating that the spatiotemporal analysis of kinematic data can be used as a quantification parameter for motor rehabilitation stages and methods.
- Atividade Física na GravidezPublication . Santos, Paula Clara; Mota, Jorge; Félix, José Manuel SousaA atitude perante a atividade física (AF) durante a gravidez mudou radicalmente nos últimos trinta anos (Charlesworth, 2011). Os nossos antepassados tratavam a mulher grávida como se estivesse doente, sendo aconselhada a descansar e a evitar exercícios (Duncombe et al., 2009). A evidência científica suporta cada vez mais a importância da AF para a saúde individual (Duncombe et al., 2009) e comunitária (Beaglehole et al., 2011). Da pesquisa efetuada, não foram encontrados estudos que mostrassem efeitos negativos da AF de moderada intensidade durante o período gravídico (Da Costa, 2003). Atualmente, existem recomendações para a prática da AF durante a gravidez, pelos benefícios demonstrados, tanto para a mulher como para o bebé (Physical activity guidelines for Americans, 2008). O American College of Obstetricians and Gynecologists (ACOG) em 2002, emanou orientações para que as mulheres grávidas, sem complicações obstétricas, adotem as mesmas recomendações de exercício físico que as das mulheres não grávidas. Da mesma forma, o Centers for Disease Control and Prevention (CDC) e o United States Department of Health and Human Services (USDHHS), 2009 também recomendam a AF durante a gravidez. [...]
- Do shoulder motor control impairments remain in the year following the last pain episode?Publication . Pinheiro De Sousa, Andreia Sofia; Macedo, RuiThe high dependency of the shoulder complex on muscle control for mid-range stability supports the evidence demonstrating that most ab normal biomechanics and overuse injuries that occur in this region are related to alterations in the function of the scapular-stabilizing muscles (Ciubotariu et al., 2004; Kuhn et al., 1995). Changes in motor control have been claimed to be at the origin, but also in the perpetuation, of the injury/pain if the altered motor strategy or movement leads to excessive loading of tissues. On the other hand, ac cording to the pain adaptation theory, the pain experience is associated with an adaptation in motor behaviour that involves redistribution of ac tivity within and between muscles at multiple levels of the motor system with potential long-term consequences (Hodges et al., 2011). There is evi dence that pain results in gradual decrease in the motor unit discharge rate (Ervilha et al., 2005) via central mechanisms’ adaptation (Thunberg et al., 2002), both in related muscles (Graven-Nielsen et al., 1997) as well as in synergistic and antagonist muscles (Ciubotariu et al., 2004). Specifi cally, studies on shoulder pain demonstrated decreased magnitude and delayed activation of the serratus anterior (SA) (David et al., 2000) and the lower trapezius (LT) muscles (Ludewig et al., 2000) and increased 1 PhD) Escola Superior da Tecnologia de Saúde do Porto, Área Científica de Fisioterapia, Centro de Estudos de Movimento e Atividade Humana, Vila Nova de Gaia, Portugal. 2 (PhD) Escola Superior da Tecnologia de Saúde do Porto, Área Científica de Fisioterapia, Centro de Estudos de Movimento e Atividade Humana, Vila Nova de Gaia, Portugal. 268 Andreia S.P. Sousa and Rui Macedo upper trapezius’ (UT) activity (Ludewig et al., 2000). Also, a bilateral re organization in the coordination among the divisions of the trapezius muscle was demonstrated in response to induced muscle pain (Falla et al., 2007). Despite the known relation between pain and motor control, the treatment of pain is unlikely to be sufficient to restore motor control. Studies involving motor control in low back pain found that many as pects of the motor adaptation persist after the resolution of the pain (MacDonald et al., 2009). To the best of our knowledge, no study evaluat ed shoulder motor control between shoulder pain episodes in tasks in volving mainly concentric activity, but also in tasks involving mainly ex centric activity. Considering that impairments in trunk motor control be tween pain episodes (Ferreira et al., 2004; Hodges et al., 1996) can be re stored with motor relearning strategies (Tsao et al., 2007) and that these changes persist after cessation of training (Tsao et al., 2008), it is im portant to identify shoulder motor control impairments between pain ep isodes to guide effective motor relearning strategies. The purpose of the present study is to evaluate shoulder motor con trol expressed to muscle timings during raised and lowered scaption in subjects with shoulder pain episodes in the last year but currently with out pain.
- 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.
- Fisioterapia na comunidadePublication . Clara, Paula
- 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 promotion conceptual evolution and program development: a literature ReviewPublication . Félix, José; Santos, Paula Clara; Baylina, PilarThe World Health Organization defends prevention and health promotion among communities as a driver of economic and social development, where the individual level of health literacy determines health choices such as adopting healthy lifestyles, managing individual healthcare and preventing chronic diseases. Currently, health promotion is guided by a set of values, being these principles essential for identifying needs and priorities, planning, implementing, evaluating and determining the health promotion programs, that can be defined as a set of programmed, integrated and interrelated strategies and actions that aim to promote health, prevent risks, reduce years of life lost due to disability and increase quality of life. There are several models for planning health promotion programs, such as the Precede-Proceed Model, the Multivariate Approach to community Health (MATCH) Model, the Mapped Intervention Model and the Social Marketing Model. A good planning of a health promotion program can effectively reduce the health costs.
- Impact of clinical pilates on satisfaction with life of women with urinary incontinencePublication . Santos, Paula Clara; Lopes, Sofia; Teixiera, Ricardo João; Macedo, Carla; Azevedo, Rogério; Mesquita, CristinaThe high prevalence of urinary incontinence is a problem of public health due to its physical, psychological, social and economic effects. It affects predominantly all age female gender and may influence satisfaction with life. Clinical Pilates has been studied in healthy subjects and seems to have positive effects on the psychological and general well-being. However, this method lacks evidence upon its effect on women with urinary incontinence. This study aims to assess the impact of a Clinical Pilates exercise-based program on the perception of contraction of pelvic floor muscles and in satisfaction with life of women with urinary incontinence. A quasi-experimental investigation has been carried out with a 60 women sample distributed by an Experimental Group (EG; n=30) and a Control Group (CG; n=30). Participants were aged ≥ 50 years, diagnosed with stress and mixed urinary incontinence, grade ≥ 3 in the Modified Oxford Grading Scale. EG performed 60 minutes classes of Clinical Pilates based exercises twice a week for ten weeks. CG had no intervention. Pelvic floor efficacy was assessed through Broome’s Self-Efficacy Scale and satisfaction with life through Satisfaction with Life Scale. Descriptive statistics and the Inferential Statistics were used. The T-Student test, the Wilcoxon and the Mann-Whitney tests were used in case of abnormality with α = 0.05). The results showed that the Clinical Pilates exercise-based program had positive effects on the contraction of pelvic floor muscles, total score [79(10.48) vs 35.9(11.44); p < 0.001] in both Broome’s sub-scales, A [80.71(9.29) vs 35.36(18.57); p < 0.001] and B [77.6(11.06) vs 35.36(18.57); p = 0.02] and in satisfaction with life [24.00(8.00) vs 16.00 (8.00); p < 0.001]. In conclusion, Clinical Pilates has positively influenced participants’ perception of pelvic floor muscles contraction and satisfaction with life.
- Influência de um programa de exercícios na qualidade de vida de indivíduos com Espondilite AnquilosantePublication . Lopes, Sofia; Santos, Paula Clara; Fernandes, Humberto; Mesquita, CristinaA Espondilite Anquilosante (EA) pertence ao grupo das espondilartopias seronegativas das doenças reumáticas, sendo uma doença crónica, sistémica e inflamatória das articulações axiais, afetando especialmente a articulação sacroilíaca e a coluna lombar.
- International handbook for the advancement of public health policiesPublication . Missias-Moreira, Ramon; Sequeira, Carlos Alberto; Carvalho, José CarlosO conceito de qualidade de vida surge nos anos 60, com o Presidente Eisenhower, no relatório da “Commission on National Goals”, neste relatório a Qualidade de Vida é definida como um construto multidimensional e abrangente, incluindo as variações sociais e todos os seus fatores envolventes, tais como: a educação; interesses individuais; desenvolvimento económico; saúde e bem- -estar; defesa e liberdade. No domínio da saúde, este conceito começa por aplicado nos anos 70 com preocupação não só relacionada com os indivíduos doentes e com os cuidados que lhe são prestados, mas também é uma preocupação na forma como são utilizados e rentabilizados os recursos, no sentido de proporcionar a melhor Qualidade de Vida possível aos doentes.
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