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- A2.8 Effect of home exercise program in quality of life in patients with ankylosing spondylitisPublication . Mesquita, Cristina; Lopes, Sofia; Excelsa Moreira, Maria; Lopes, Patrícia; Carneiro, Ana; Silva, Daniela; Neves, Inês; Araújo, Filipa; Vitorino, AliceBackground and Objectives Ankylosing spondylitis is a chronic, rheumatic and inflammatory disease with a generally progressive course. The pain and stiffness are the main symptoms that cause the individual less mobility and changes in the sleep cycle producing fatigue, anxiety, stress and depression. This group of symptoms changes the well-being and quality of life of individuals. It is important to follow the recommendations of the physiotherapist about duration and frequency to ensure their effectiveness and improve the quality of life of individuals. The objective of this study is to evaluate the effectiveness of a home-based exercise program in quality of life of people with ankylosing spondylitis.
- A7.1 Cultural adaptation and validation of instruments the london fibromyalgia epidemiology study screening questionnaire and fibromyalgia new clinical diagnostic criteria for the portuguese population with fibromyalgiaPublication . Mesquita, Cristina; Lopes, Sofia; Araújo, Filipa; Vitorino, Alice; Neves, Inês; Silva, Daniela; Lopes, Patrícia; Moreira, Excelsa; Carneiro, AnaBackground and Objectives Fibromyalgia it is recognised as a chronic condition because of high morbidity. Usually classified as a disease by the absence of functional organic changes, the diagnosis is controversial and takes approximately 2 to 3 years to be established by a rheumatologist. To minimize this gap, as well as the negative impact on quality of life of patients and the socio-economic context of the country concerned can resort to the administration of validated questionnaires. They also facilitate the collection of reliable information and its comparison with international studies in the scientific community. The objective of this study is culturally adapt and validate the instruments The London Fibromyalgia Epidemiology Study Screening Questionnaire (LFESSQ) and Clinical New Fibromyalgia Diagnostic Criteria (NCFDC) for the Portuguese population with FM.
- A7.2 Evaluation of the influence of a program of home-based exercises in disability due to neck pain in subjects with FibromyalgiaPublication . Mesquita, Cristina; Lopes, Sofia; Neves, Inês; Silva, Daniela; Araújo, Filipa; Vitorino, Alice; Lopes, Patrícia; Moreira, Excelsa; Carneiro, AnaBackground and Objectives Patients with fibromyalgia often feel disable in daily function and admit a great impact in quality of life due to their health condition. The recommendations of an exercise program are important, because individuals with FM are often inactive and physically deconditioned, they fear that exercise exacerbates symptoms. The exercise programs for individuals with fibromyalgia have poor adhesion primarily by the need for equipment, facilities and travel, and the presence of depressive symptoms. All these factors are relevant and take into account when designing the home-based exercise program. The objective of this study was investigate the effect of a home-based exercise program in disability caused by neck pain in patients with fibromyalgia.
- A7.3 Evaluation the effect of a home-exercise program based on disability caused by back pain in individuals with fibromyalgiaPublication . Mesquita, Cristina; Lopes, Sofia; Silva, Daniela; Neves, Inês; Araújo, Filipa; Vitorino, Alice; Lopes, Patrícia; Excelsa Moreira, Maria; Carneiro, AnaBackground and Objectives Fibromyalgia (FM) is a rheumatic disease and the cause remains unknown, it’s characterised by the presence of musculoskeletal widespread pain, and the lumbar region is one of the places frequently affected. Pain presented by FM patients is usually described as the forum muscular, and one of the most referred to is the back. These painful situations can be associated to the function of the lumbar support of the upper body weight, so this region being subjected to compressive loads and lumbopelvic instability situations, which are frequently associated with low back pain, so it is important to consciousness of posture neutral in the lumbar spine, strengthening and stretching the muscles responsible for the stability of this region. The objective of this study is to evaluate the effect of an exercise program performed at home in the level of disability caused by low back pain in patients with FM.
- A7.4 Study of psychometric properties of the "medical outcomes Scale (MOS) sleep scale" in the portuguese population with fibromyalgiaPublication . Mesquita, Cristina; Lopes, Sofia; Vitorino, Alice; Araújo, Filipa; Neves, Inês; Silva, Daniela; Lopes, Patrícia; Moreira, Excelsa; Carneiro, AnaBackground and Objectives Sleep is a highly organised biological process that is an important component of functioning and well-being of human. Sleep disorders have been referred as one of the main symptoms of Fibromyalgia. However, after the pain, sleep disorder symptoms is most often referenced by these individuals, including non-restorative sleep, insomnia and poor quality sleep. Recent studies suggest a reciprocal relationship between pain and sleep. Thus, the new diagnostic criteria proposed by American College of Rheumatology (ACR) suggest that sleep should be a central aspect of Fibromyalgia clinical evaluation. The objective of this study is evaluate the psychometric properties of the MOS Sleep Scale in patients with Fibromyalgia.
- Abdominal muscle activity and pelvic motion according to active straight leg raising test results in adults with and without chronic low back painPublication . Castro, Carlos; Mesquita Montes, António; Carvalho, Paulo; Cancela Carral, JM.Active Straight Leg Raise (ASLR) is a clinical test that challenges lumbopelvic stability and have been used in low back pain patients. There are reports of positive tests in asymptomatic individuals, however, it is not clear if they are false positives or a consequence of performing the test differently.
- Abdominal muscle activity during breathing in different postural sets in healthy subjectsPublication . Mesquita Montes, António; Gouveia, Sara; Crasto, Carlos; Melo, Cristina; Carvalho, Paulo; Santos, Rita; Vilas-Boas, João PauloThis study aims to evaluate the effect of different postural sets on abdominal muscle activity during breathing in healthy subjects. Twenty-nine higher education students (20.86 ± 1.48 years; 9 males) breathed at the same rhythm (inspiration: 2 s; expiration: 4 s) in supine, standing, tripod and 4-point-kneeling positions. Surface electromyography was performed to assess the activation intensity of rectus abdominis, external oblique and transversus abdominis/internal oblique muscles during inspiration and expiration. During both breathing phases, the activation intensity of external oblique and transversus abdominis/internal oblique was significantly higher in standing when compared to supine (p ≤ 0.001). No significant differences were found between tripod position and 4-point-kneeling positions. Transversus abdominis/internal oblique activation intensity in these positions was higher than in supine and lower than in standing. Postural load and gravitational stretch are factors that should be considered in relation to the specific recruitment of abdominal muscles for breathing mechanics.
- Abdominal muscle activity during breathing in different postures in COPD “Stage 0” and healthy subjectsPublication . Mesquita Montes, António; Maia, Joana; Crasto, Carlos; Melo, Cristina; Carvalho, Paulo; Santos, Rita; Pereira, Susana; Vilas-Boas, João PauloThis study aims to evaluate the effect of different postures on the abdominal muscle activity during breathing in subjects "at risk" for the development of chronic obstructive pulmonary disease (COPD) and healthy. Twenty-nine volunteers, divided in "At Risk" for COPD (n=16; 47.38±5.08years) and Healthy (n=13; 47.54±6.65years) groups, breathed at the same rhythm in supine, standing, tripod and 4-point-kneeling positions. Surface electromyography was performed to assess the activation intensity of rectus abdominis, external oblique and transversus abdominis/internal oblique (TrA/IO) muscles, during inspiration and expiration. From supine to standing, an increased activation of all abdominal muscles was observed in "At Risk" for COPD group; however, in Healthy group, TrA/IO muscle showed an increased activation. In both groups, the TrA/IO muscle activation in tripod and 4-point kneeling positions was higher than in supine and lower than in standing. Subjects "at risk" for the development of COPD seemed to have a specific recruitment of the superficial layer of ventrolateral abdominal wall for the synchronization of postural function and mechanics of breathing.
- Abdominal muscle activity during breathing with and without inspiratory and expiratory loads in healthy subjectsPublication . Mesquita Montes, António; Baptista, João; Crasto, Carlos; Melo, Cristina; Santos, Rita; Vilas-Boas, João PauloCentral Nervous System modulates the motor activities of all trunk muscles to concurrently regulate the intra-abdominal and intra-thoracic pressures. The study aims to evaluate the effect of inspiratory and expiratory loads on abdominal muscle activity during breathing in healthy subjects. Twenty-three higher education students (21.09±1.56years; 8males) breathed at a same rhythm (inspiration: two seconds; expiration: four seconds) without load and with 10% of the maximal inspiratory or expiratory pressures, in standing. Surface electromyography was performed to assess the activation intensity of rectus abdominis, external oblique and transversus abdominis/internal oblique muscles, during inspiration and expiration. During inspiration, transversus abdominis/internal oblique activation intensity was significantly lower with inspiratory load when compared to without load (p=0.009) and expiratory load (p=0.002). During expiration, the activation intensity of all abdominal muscles was significantly higher with expiratory load when compared to without load (p<0.05). The activation intensity of external oblique (p=0.036) and transversus abdominis/internal oblique (p=0.022) was significantly higher with inspiratory load when compared to without load. Transversus abdominis/internal oblique activation intensity was significantly higher with expiratory load when compared to inspiratory load (p<0.001). Transversus abdominis/internal oblique seems to be the most relevant muscle to modulate the intra-abdominal pressure for the breathing mechanics.
- Ability of different measures of adiposity to identify high metabolic risk in adolescentsPublication . Carla Moreira, Carla; Santos, Rute; Vale, Susana; Santos, Paula Clara; Abreu, Sandra; Marques, Ana I.; Soares-Miranda, Luısa; Mota, JorgeThis study aimed to evaluate the screening performance of different measures of adiposity: body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) for high metabolic risk in a sample of adolescents. A cross sectional school-based study was conducted on 517 adolescents aged 15–18, from the Azorean Islands, Portugal. We measured fasting glucose, insulin, total cholesterol (TC), HDL-cholesterol, triglycerides, and systolic blood pressure. HOMA and TC/HDL C ratio were calculated. For each of these variables, a Z-score was computed by age and sex. A metabolic risk score (MRS) was constructed by summing the Z-scores of all individual risk factors. High risk was considered when the individual had ≥1SD of this score. Receiver-operating characteristics (ROC) were used. Linear regression analyses showed that, after adjusting for age and pubertal stage, all different measures of adiposity are positively and significantly associated with MRS in both sexes, with exception of WHtR for boys. BMI, WC, and WHtR performed well in detecting high MRS, indicated by areas under the curve (AUC), with slightly greater AUC for BMI than for WC and WHtR in both sexes. All measures of adiposity were significantly associated with metabolic risk factors in a sample of Portuguese adolescents