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- Impact of caregivers’ education regarding respiratory infections on the health status of day-care children: a randomized trialPublication . Alexandrino, Ana Silva; Santos, Rita; Melo, Cristina; Bastos, José MAcute respiratory infections are the most common illness in childhood, and caregivers often make an excessive use of medication and medical consultations. It is vital to design and implement educational interventions in order to minimize the burden of the disease.
- Risk factors for respiratory infections among children attending day care centresPublication . Alexandrino, Ana Silva; Santos, Rita; Melo, Cristina; Bastos, José MUpper respiratory tract infection (URTI), lower respiratory tract infection (LRTI) and acute otitis media (AOM) are common in children attending day care centres.
- Adequação de ferramentas e ambientes virtuais a uma carga de memória de trabalho efetiva para o processo de aprendizagemPublication . Silva, Augusta; Alexandrino, Ana S.; Silva, CláudiaPara a aprendizagem de tarefas complexas, como o raciocínio clínico em fisioterapia, é necessária uma gestão ponderada da carga da memória de trabalho, especialmente em Unidades curriculares (UCs) como a Educação Clínica (EC).
- Intervenção do Fisioterapeuta na (dis)função respiratória em Pediatria - da comunidade à agudizaçãoPublication . Tomé, David; Carvalho, Isabel; Ferraz, Catarina; Abreu, Paulo; Almeida, Sandrine; Ferreira, João José Pinto; Alexandrino, Ana Silva; Costa, Daniel; Santos, Rita; Vieira, Olga; Parreira, Verônica; Lopes, Alfredo; Moreira, Ana; Tavares, Lourdes; Garcia-Lopes, Milagros; Pinto, Frederico; Costa, Daniel; Silva, Vânia; Vieira, DanielleEste seminário pretendeu actualizar o estado da arte na abordagem da (dis)função respiratória da criança, uma vez que, nesta área, o fisioterapeuta amplificou os limites de actuação, para além do modelo biomédico. Num dos extremos encontra-se a intervenção comunitária, cujo modelo propicia a educação e promoção de saúde, privilegiando estratégias que capacitem o cuidador; no outro extremo inclui-se a intervenção do fisioterapeuta nos cuidados intensivos e na agudização da doença. A intervenção do fisioterapeuta centra-se cada vez mais numa abordagem holística, tendo como objectivo não só o tratamento da afecção do sistema que está na base da (dis)função mas também das repercussões fisiológicas, funcionais e sociais para a criança e cuidadores, sendo também responsável pela actuação sobre os factores ambientais. Desta forma, este seminário tornou-se pertinente não só para fisioterapeutas que trabalhem directamente com crianças com patologia cárdio-respiratória, mas também àqueles cujo âmbito de intervenção seja mais direccionado para outras áreas ou condições de saúde, de forma a potenciar o modelo de transporte de O2. De facto, a abordagem da (dis) função respiratória da criança deve estar implícita em qualquer processo de (re)educação, sendo fundamental em casos como a paralisia cerebral, doenças neuromusculares, alterações posturais, doenças auto-imunes, entre outras. Pelas suas importantes repercussões no sistema cárdiorespiratório da criança, torna-se fundamental alertar o fisioterapeuta para um conjunto de estratégias que potenciem a sua intervenção. O seminário pretendeu também ter um carácter multidisciplinar, contando com a presença de preletores nacionais e internacionais, referências nas várias áreas das profissões de saúde.
- Characterization of middle-ear condition of Oporto daycare children up-to 3 years-old: A cross sectional studyPublication . Tomé, David; Alexandrino, Ana Silva; Santos, Rita; Melo, Cristina; Costa, Daniel; Ferreira, JoãoObjective The aim of this study was to determine tympanometric values of children who attend Oporto daycare centers and further analyze any relations with host and environmental factors. Methods Cross sectional study in a randomly selected sample of 117 daycare children up-to 3-years old from Oporto. Tympanometric measures were collected. Results Children presented in left ear (LE) a mean peak pressure (PP) of −156.53 daPa and a mean compliance of 0.16 cm3. Right ear (RE) revealed a PP of −145.61 daPa and a compliance of 0.19 cm3. Normal tympanograms (type A) had a lower frequency than abnormal tympanograms (type B and type C). There was a positive association between age and compliance (LE: p = 0.016; RE: p = 0.013) and between the presence of rhinorrhea and PP (LE: p = 0.002; RE: p < 0.05). Abnormal tympanograms were more frequent in Spring (RE: p = 0.009), in younger children (LE: p = 0.03) and in children that had rhinorrhea (LE: p = 0.002; RE: p = 0.044). Healthy children had a mean PP of −125.19 daPa and a mean compliance of 0.21 cm3 in LE and a mean PP of −144.27 daPa and a mean compliance of 0.22 cm3 in RE. Conclusion Tympanometric measures presented in this paper may be applicable to Oporto daycare children up-to 3 years-old. Most of daycare children revealed abnormal tympanograms. Age, rhinorrhea and season influenced children's middle-ear condition.
- Aprendizagem gamificada da auscultação pulmonar no 1.º ano do curso de fisioterapia – ESS-P.PORTOPublication . Alexandrino, Ana; Noites, AndreiaA auscultação pulmonar (AP) é fundamental para a fisioterapia respiratória, porém os resultados dependem da experiência e capacidade do examinador para distinguir e interpretar sons respiratórios.
- Risk factors characterization for respiratory and ear infections on children younger than 36 monthsPublication . Teles, Sofia; Santos, Rita; Silva, AnaIn Portugal, respiratory and ear infections are the main reason for hospital visits in pediatric age and several risk factors have been pointed. The physiotherapist familiarity with these factors is crucial to act in health promotion. To characterize the risk factors for upper and lower respiratory and ear infections in children younger than 36 months attending daycare in Oporto.
- Influence of an education session about respiratory infections in children’s health and quality of lifePublication . Fiúza, Carolina; Alexandrino, Ana Silva; Santos, RitaAcute Respiratory Infections (ARI) are the major cause of infant morbidity and mortality. They may decrease children’s Quality of Life (QoL). Therefore, Health Education Programs are needed particularly during teachable moments such as pregnancy, in order to promote correct behaviors towards ARI prevention. To evaluate the influence of an education session about respiratory infections in health indicators of children under one year old and on the mother´s perception of their children’s QoL.
- Characterization of the Portuguese pediatric population with Cystic Fibrosis and their parents: cross-sectional studyPublication . Guimarães, Catarina; Alexandrino, Ana Silva; Sarmento, João Antunes; Azevedo, InêsCystic fibrosis is a chronic disease with multiple associated challenges, not only for the children/adolescents but also for their parents/caregivers. To the best of the authors knowledge, to this date there are no published studies characterizing the portuguese pediatric population with cystic fibrosis. To characterize children/adolescents with Cystic Fibrosis in terms of: physiotherapy, hospitalizations in 2018, as well as medication taken in the previous two weeks. We also aimed to characterize the parents/caregivers in terms of sociodemographic data, caregivers’ role (sleep habits, service and work activities) and equipment sterilization habits for medication administration. Cross-sectional study with a total sample of 28 parents/caregivers and 28 children/adolescents (n=28) - 14 were female with an average age of 12,14 ± 3,99 years old. The online question forms – Sample Selection and Characterization Questionnaire and CarerQol - were sent to the parents/caregivers, through the Portuguese Association of Cystic Fibrosis database. Results: 69.23% (n=18) children/adolescents had physiotherapy once or twice a week. Most parents/caregivers sterilized the equipment used for medication admission (53.57%) but 33.33% considered that soap and water washing was an effective sterilization. We found that children/adolescents with Cystic Fibrosis do not undergo physiotherapy at the recommended frequency. Also, most parents/caregivers have appropriate sterilization habits, although some of them do not have the correct information on how to perform effective sterilization.
- What is the relationship between inspiratory muscle training and performance and respiratory biomechanics in athletes?Publication . Santos, José; Viana, Rui; Alexandrino, AnaInspiratory muscle training has an important role in sports performance. Scientific evidence suggests the coadjuvation of sports performance competition training with association of training of the inspiratory muscles alongside the use of a threshold. The purpose of this review is to summarize and assess the scientific evidence about optimizing respiratory biomechanics in specific sports.
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