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- Fall risk prediction model for older men and women based on ambulatory physical activity level – A cross-sectional population-based study from the Oporto RegionPublication . Carmo, Paulo Jorge Quintela Cardoso do; Pontes, Adjane Maria; Manuel, César; Santos, Rubim; Carvalho, Maria Joana Mesquita Barbosa deFalls among the elderly are an important community health problem due to its high incidence, functional and social repercussion. Dissimilar results arose in recent studies con cerning fall risk and physical activity levels. This study measures the association between physical activity (PA) levels, and fall risk (FR), investigates which levels of PA are influential in FR and pre sents a fall risk prediction models for the elderly. One hundred and seventy elderly adults (72.34 ± 6.70 years old, 124 female), completed Performance-Orientated-Mobility-As sessment; PA was assessed by accelerometry. Pearson’s correlation verified the association between FR, Age, and PA. Multiple linear regression (MLR) was used to investigate the influence of variables on FR. PA, age are predictors of FR, with PA (moderate, negative) age (moderate, positive). MLR analysis showed FR variability explained by PA (42.0%) and by age (37.0%), and by gender, female FR explained by light PA (47.0%), while in male, FR explained by sedentary behaviour (44.1%) and age (22.7%) independently. Individuals with higher physical activity have lower fall risk. Older are prone to fall. Older women with light physical activity are less likely to fall. Older men with more sedentary behaviour are prone to fall.
- Sound exposure of garage rock bands musiciansPublication . Almeida, João; Silva, Daniel; Carmo, Paulo; Neves, Paula; Rodrigues, Matilde A.Previous studies have been shown that musicians are exposed to high sound levels in the course of rehearsals and performances (Rodrigues et al .,2014), which can be the source of hearing damages (Jansen et al ., 2009). However, other musical groups can also be exposed to high sound levels, as is the case of the garage rock bands musicians. This particular group of musicians, due to the style of the music played, can be exposed to dangerous sound levels. This situation can be even worse if considered the conditions of the rooms where the rehearsals and performances are being done. In fact, in most of cases, rock musicians play in rooms with small dimensions and with poor acoustic conditions. Despite the importance of this issue, few studies analyzed this issue, particularly integrating two important issues, the sound exposure and to hearing damages.
- Association between physical activity, functional fitness and fall risk in the elderly: a cross-sectional population-based study from the Oporto regionPublication . Carmo, Paulo Jorge Quintela Cardoso do; César, Adjane P.; Santos, Rubim; Carvalho, Joana M.Falls among the elderly are important clinical and health problems being one of the major causes of morbidity and mortality worldwide. Its high incidence and functional and social repercussions cause a significant financial burden on older adults, health systems and communities. According to different methodologies, the relationship between fall risk, physical activity and physical fitness found some inconsistent results. This study aims to examine the association between objective physical activity (PA) levels, fall risk (FR) and different components of functional fitness (FF) creating an appropriate model to explain variability in fall risk. Methods: One hundred and seventy elderly adults (72.34±6.70 years old, 124 female), completed a Functional-Fitness-Test (FFT) and a Performance-Orientated-Mobility-Assessment (POMA). Ambulatory-PA was assessed by 7-day accelerometry. Pearson’s correlation was used to verify association between FR, PA and FF. Analyses were adjusted either for gender, age, or both. Inferential stepwise multiple linear regression (MLR) was used to investigate the impact of PA and components of FF on FR. RESULTS: MLR Showed that FR variability was mainly explained by motor agility (46.0%) and also by lower-body strength (14.1%) independently, and 49% when associated. Physical activity and also age were excluded from the models. MLR analysis by gender, only motor agility explains fall risk variability, more in female (45.0%) than in male (23.6%). The authors concluded that low motor agility and lower-body strength may increase fall risk. However, further evidence from a prospective study is required to establish directions of causality between physical activity behavior and risk of falls.
- New techniques on vestibular diagnosis and interventionPublication . Carmo, Paulo Jorge QuintelaEvaluation of balance complaints in vestibular patients is done with nystagmus measuring tools like videonystagmography (VNG) and functional Computerized Dynamic Posturography (CDP). More recently, evoked potentials, like Vestibular Evoked Myogenic Potentials (VEMPs), are a promising technique, and allow some topo-diagnostics in differentiating lesions from the saccule and utricle and respective afferences, as shown by cervical Vestibular Evoked Myogenic Potentials (cVEMPs) and ocular Vestibular Evoked Myogenic Potentials (oVEMPs). Now patients with vertigo complaints can undergo a video Head Impulse Test (vHIT), a new clinical test of dynamic semicircular canal (SCC) function that uses a high-speed digital video camera to record head and eye movement during and immediately after passive head rotations (while performing the Halmagyi test). Similarly, the angular vestibulo-ocular reflex (aVOR) is a teaching, training, and test tool for the vestibulo-ocular reflex.
- Imbalance and fall—risk improvements in the elderly: effects of combined strength and aerobic trainingPublication . Carmo, Paulo Jorge Quintela Cardoso do; Carvalho, Joana; Santos, Rubim; Cesar, AdjaneFalls among the elderly are an important clinical and health problem due to their high incidence and their functional and social repercussions. The aim of this study was to examine the effects of a combined strength and aerobic exercise program (EP) on the fall risk (FR) in older adults by use of a measure of postural stability.
- Early auditory functionPublication . Leitão, Nelson; Lopes, Paula; Carmo, Paulo Jorge Quintela Cardoso doHearing loss can be diagnosed through a battery of quantitative tests, electrophysiologic, acumetric and audiometric exams, which allow a quantitative evaluation and topodiagnosis. Quantitative assessment uses tools such as the Early Listening Function questionnaire, developed by Anderson. Unlike quantitative tests, it is not intended to be a diagnostic tool but an affordable, simple way to be used by caregivers of children from 4 months to 3 years of age, making it possible to obtain information about how the child hears in their daily lives. ELF is based on 12 auditory activities with different intensities, in both silence and noise.
- 7th Portuguese audiology conference and 11th workshop of the ESS-P.PORTOPublication . Tomé, David; Pinto, Ana Isabel; Lopes, Paula; Oliveira, Vasco; Carmo, Paulo do; Marques, AntónioLast year’s 7th Portuguese Audiology Conference and 11th Workshop, held at the School of Health, Polytechnic of Porto, Portugal, was entitled “Audiology in the Digital Era”, reflecting the boom in the application of technology and software in clinical and daily life.
- A qualidade de vida no indivíduo com perda auditivaPublication . Carmo, Paulo Quintela; Pimenta, Rui; Ferreira, Pedro L.A audição é um sentido essencial para o desenvolvimento das capacidades de comunicação com os pares podendo comprometer seriamente a qualidade de vida dos indivíduos. O presente estudo pretendeu medir a qualidade de vida, nos seus diferentes domínios, e identificar eventuais diferenças face aos valores de referência apresentados por Ferreira e Santana (2003).
- Adaptation to european portuguese of the questionnaire Early Listening Function (ELF) – Função Auditiva Precoce (FAP)Publication . Carmo, Paulo Jorge Quintela Cardoso do; Lopes, PaulaIn children, hearing loss has adverse effects on the development of communication, in vocabulary, syntax, and expressive language, in speech production, and social and emotional development. Assessment of hearing loss can be performed quantitatively with psychoacoustic audiometric testing, such as pure tone audiometry, or physiological tests, such as otoacoustic emissions, and electrophysiological tests like auditory evoked potentials of the brainstem that allow quantitative assessment and topographic diagnosis. Qualitative assessment of hearing loss can use specific scales, such as Early Listening Function (ELF) developed by Anderson (2002), which is used by parents or caregivers of infants and children from 4 months to 3 years old.