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- Ligaduras funcionais na FisioterapiaPublication . Magalhães, Bárbara; Carvalho, PauloO texto de apoio aqui proposto têm por objetivo a criação de um auxiliar de estudo, contribuindo para uma melhor compreensão da realização de ligaduras funcionais em lesões do sistema músculo-esqueléticas. Consideramos este documento uma peça fundamental para a aquisição das competências básicas dos futuros fisioterapeutas.
- Effects of radiofrequency on adipose tissue: A systematic review with meta-analysisPublication . Vale, Ana Luísa; Pereira, Ana Sofia; Morais, Andreia; Noites, Andreia; Mendonça, Adriana Clemente; Martins Pinto, Juliana; Vilarinho, Rui; Carvalho, PauloEquipment that acts in the reduction in adipose tissue are becomingwidely investigated. One of the resources that begin to gain recognition is radiofre-quency. To verify the existence of scientific evidence and the methodological qualityof the articles on the effects of radiofrequency in the reduction in adipose tissue. Systematic review with meta‐analysis on the effects of radiofre-quency on adipose tissue. The research was carried out using several databases andincluding experimental studies only in humans. The evaluation of the methodologicalquality of the articles was done based on the PEDro Scale. Twelve articles related with adipose tissue and cellulitis were included.There was a great variability of protocols, and the methodological quality was gen-erally low and the methods most used for the evaluation of results were anthro-pometry, photography, and histopathology. Clinical results suggest a positive effectof radiofrequency on the reduction in adipose tissue, proving an increase in adipo-cyte lipolysis. After statistical analysis, it was verified that the anthropometry pre-sented questionable results. The clinical results of the studies point to the positive effects ofradiofrequency on the reduction in adipose tissue; however, the low methodologicalmake this topic still debatable, requiring more controlled studies.
- Effect of an aerobic exercise session combined with abdominal radiofrequency on lipolytic activity in women: Randomized control trialPublication . Noites, Andreia; Vale, Ana Luísa; Pereira, Ana Sofia; Morais, Andreia; Vilarinho, Rui; Carvalho, Paulo; Amorim, Manuela; Moreira, Teresa; Mendonça, AdrianaAbdominal adiposity is a cardiovascular risk factor; it is assumed that the combination of radiofrequency and physical exercise may decrease this excess of adipose tissue. To understand whether an aerobic physical exercise session associated with abdominal radiofrequency increases the level of lipolytic activity. The study analyzes the effect of a combined aerobic exercise session with radiofrequency. Participants were 30 healthy female volunteers, aged 18-28 years, randomly assigned to an experimental group and placebo group. They were characterized by a sociodemographic questionnaire, the International Physical Activity Questionnaire and the Food Frequency Questionnaire. The groups performed an abdominal radiofrequency session followed by moderate aerobic exercise, assessing glycerol concentration and lipid profile values before and after the intervention. In the experimental group, a percentage of potency was used that allowed to maintain the temperature between 40º C and 42º C to the epidermis. In the placebo group, the power of the radiofrequency was 0 Watt. To compare results, Student's t test was used for a significance level of 0.05. There were no significant changes in glycerol concentrations between groups (P > 0.05). There were no changes in the lipid profile of both groups after the intervention (P > 0.05). The association of exercise with radiofrequency did not present an increased effect on lipolytic activity when compared to the isolated exercise. The application of this technique is a safe intervention.
- Rehabilitation outcomes and parameters of blood flow restriction training in ACL injury: a scoping reviewPublication . Caetano, Daniel; Oliveira, Catarina; Correia, Cristiana; Barbosa, Pedro; Mesquita Montes, António; Carvalho, PauloTo identify the outcomes of physical function, physical fitness, training, and cuff parameters, used in BFRT in ACL rehabilitation. This scoping review was initiated on April 25th, 2020, according to the PRISMA Extension for Scoping Reviews (PRISMA-ScR). Relevant literature was identified searching three main concepts: BFRT, rehabilitation and ACL injury on MEDLINE (PubMed), CENTRAL of Cochrane Library, Web of Science and PEDro. Studies looking at adults with a primary ACL injury undergoing conservative or pre/post-surgery rehabilitation with BFR or BFRT, with physical fitness and physical function as outcomes or other physical outcomes were included. Sixty-eight articles were identified and six were included. One article was added through backward tracking. All studies used BFRT in the ACL injury surgical rehabilitation. Most studies evaluated physical fitness (muscular strength and volume) however, physical function was not considered a pri mary outcome. Training and cuff parameters were heterogeneously prescribed. The existing evidence is not enough to draw definitive conclusions due to the heterogenous reported outcomes and parameters. Future investigation with standardized outcome measures and specific protocols are needed to draw conclusions on patients’ physical function, so BFRT can be used more effectively in clinical rehabilitation practice.
- 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.
- Estudo electromiográfico do conflito sub-acromialPublication . Oliveira, Leonor; Carvalho, Paulo; Moreira, CamiloObjectivo: estudar a actividade muscular no complexo articular do ombro e tronco durante o serviço e a sua relação com o Conflito Sub-Acromial. Metodologia: estudo observacional, analítico, transversal. Amostra de 15 atletas de voleibol distribuídas em 3 grupos e avaliadas através de electromiografia de superfície em músculos do ombro e do tronco. Foi avaliada a percentagem de activação muscular nas diferentes fases do serviço. Resultados: aumento de actividade do Trapézio Superior e Infraespinhoso e diminuição do Recto Abdominal e Oblíquo Externo no grupo com Conflito Sub-Acromial. Conclusão: existem diferenças significativas nas atletas com e sem Conflito Sub-Acromial.
- The influence of upper limb lever in muscle activity of scapular stabilizers in push-up position on the wallPublication . Carvalho, Paulo; Mesquita Montes, António; Crasto, Carlos; Barbosa, Pedro; Peres, PatríciaThe push-up has been extensively studied regarding scapular stabilizers. However, certain variations of push-up position still need further study. To analyze the influence of different levers of the upper limb - hands and forearms support - in muscle activity of scapular stabilizers in push-up position on the wall, as well as to analyze the electromyographic differences between protraction and retraction phases of the scapulas.
- Effect of four sessions of aerobic exercise with abdominal radiofrequency in adipose tissue in healthy women: Randomized control trialPublication . Vale, Ana Luísa; Pereira, Ana Sofia; Morais, Andreia; Carvalho, Paulo; Vilarinho, Rui; Mendonça, Adriana; Noites, AndreiaAbdominal adiposity is a cardiovascular risk factor; it is assumed that the combination of radiofrequency and physical exercise may decrease this excess of adipose tissue. To analyze the effect of four intervention sessions on abdominal adipose tissue. The study analyzes the effect of four sessions of aerobic exercise combined with radiofrequency. Participants were 28 healthy female volunteers, aged 18-28 years, randomly assigned to an experimental group and a placebo group. They were characterized by a sociodemographic questionnaire, the International Physical Activity Questionnaire and the Food Frequency Questionnaire. The groups performed four sessions of abdominal radiofrequency followed by moderate aerobic exercise, assessing body mass, body mass index, fat mass, waist circumference, waist/height ratio, subcutaneous adipose thickness, and horizontal abdominal adipose fold at the first and fourth sessions. In the experimental group, a percentage of potency was used that allowed to maintain the temperature between 40°C and 42°C to the epidermis. In the placebo group, the power of the radiofrequency was 0 W. To compare results, Student's t test was used for a significance level of 0.05. There was a statistically significant decrease in waist circumference, abdominal subcutaneous adipose thickness, and horizontal abdominal fold in the experimental group compared to the placebo group (P < 0.05).
- Diagnostic ultrasound assessment of deep fascia sliding mobility in vivo: A scoping review – Part 1: Thoracolumbar and abdominal fasciaePublication . Soares, Hélio Rafael; Pinheiro, Ana Rita; Crasto, Carlos; Barbosa, Pedro; Dias, Nuno; Carvalho, Paulo deFailure of fascial sliding may occur in cases of excessive or inappropriate use, trauma, or surgery, resulting in local inflammation, pain, sensitization, and potential dysfunction. Therefore, the mechanical properties of fascial tissues, including their mobility, have been evaluated in vivo by ultra-sound (US) imaging. However, this seems to be a method that is not yet properly standardized nor validated. To identify, synthesize, and collate the critical methodological principles that have been described in the literature for US evaluation of deep fascia sliding mobility in vivo in humans. Methods: A systematic literature search was conducted on ScienceDirect, PubMed (Medline), Web of Science and B-On databases, according to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. The OCEBM LoE was used to evaluate the level of evidence of each study. From a total of 104 full-text articles retrieved and assessed for eligibility, 18 papers were included that evaluate the deep fasciae of the thoracolumbar (n ¼ 4), abdominal (n ¼ 7), femoral (n ¼ 4) and crural (n ¼ 3) regions. These studies addressed issues concerning either diagnosis (n ¼ 11) or treatment benefits (n ¼ 7) and presented levels of evidence ranging from II to IV. Various terms were used to describe the outcome measures representing fascial sliding. Also, different procedures to induce fascial sliding, positioning of the individuals being assessed, and features of US devices were used. The US analysis methods included the comparison of start and end frames and the use of cross-correlation software techniques through automated tracking algorithms. These methods had proven to be reliable to measure sliding between TLF, TrA muscle-fascia junctions, fascia lata, and crural fascia, and the adjacent epimysial fascia. However, the papers presented heterogeneous terminologies, research questions, populations, and methodologies. This two-part paper reviews the evidence obtained for the thoracolumbar and abdominal fasciae (Part 1) and for the femoral and crural fasciae (Part 2). The US methods used to evaluate deep fascia sliding mobility in vivo in humans include the comparison of start and end frames and the use of cross-correlation software techniques through automated tracking algorithms. These seem reliable methods to measure sliding of some fasciae, but more studies need to be systematized to confirm their reliability for others. Moreover, specific standardized protocols are needed to assess each anatomical region as well as study if age, sex-related characteristics, body composition, or specific clinical conditions influence US results.
- Muscle strength assessment of knee flexors and extensors. Comparative study between basketball, football, handball and volleyball athletesPublication . Teixeira, Jorge; Carvalho, Paulo; Moreira, Camilo; Carneiro, Ana; Santos, RubimMuscle strength of lower limbs is considered a key factor in handball, basketball, football and volleyball athletes’ performance, as support of specific motor skills and actions. One of the methods used to assess muscle strength is isokinetic dynamometry.