Manual Therapy, Posturology & Rehabilitation Journal <p><em>Manual Therapy, Posturology &amp; Rehabilitation Journal</em> is an international open access, peer-reviewed online journal publishing Ahead of Print original research articles, case reports, technical advance articles, study protocols, reviews, proceedings and, letters to editor.</p> en-US (Luis Vicente Franco Oliveira) (Editorial Assistance MTPRehab Journal) Wed, 23 Mar 2022 16:02:25 -0300 OJS 60 Effect of the pilates method on people with osteoporosis: a systematic review <p><strong>Background: </strong>Aging process is a risk factor for the development of several diseases, including osteoporosis. Osteoporosis is a systemic skeletal disorder characterized by an increase in bone fragility that can result in fractures and considerably impact the lives of patients. As a means of preventing the onset of this disease or even reducing the impact of symptoms in cases where already exists, one can choose to practice physical exercises. The Pilates method was developed by Joseph Pilates with the aim of working mind, body awareness, postural control and movements through a single approach. <strong>Objectives: </strong>The aim of this study was to review in the available literature the effects of the Pilates method on people with osteoporosis. <strong>Methods: </strong>This is a systematic review of literature carried out through a comprehensive strategy in the databases PubMed, Cochrane, SciELO, Web of Science, Cinahl and Embase in August 2020. <strong>Results: </strong>Five studies, three clinical trials and 2 studies Observational studies, published between 2012 and 2020, were included in the review. Of a total of 210 participants, all were female and an average age of 61 years. The main factors evaluated in the studies were bone mineral density, pain, functionality and quality of life. <strong>Conclusion: </strong>The Pilates method was associated with pain relief, improved functionality and quality of life, and obtaining bone mineral density in women with osteoporosis.</p> Valéria da Silva Rocha, Dr, Letícia de Barros Rocha, Dr, Larissa Salgado de Oliveira Rocha, Katiane da Costa Cunha, Rodrigo Santiago Barbosa Rocha, Marianne Lucena da Silva, Dr Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Mon, 04 Jul 2022 00:00:00 -0300 Effects of hospitalization on functional status and health-related quality of life of patients with COVID-19 complications: a literature review <p><strong>Background:</strong> Due to the clinical situations faced, patients with COVID-19 who survive the intensive care unit (ICU) are at greater risk of developing post-intensive care syndrome (PICS), characterized by typical physical, psychological and cognitive consequences in the post hospital discharge. Given this situation, it is important to assess these patients for the presence of musculoskeletal and psychosocial changes, so that they are referred to an outpatient and/or home rehabilitation program. <strong>Objective: </strong>to identify in the scientific literature the effects of hospitalization on the functional status and health-related quality of life of patients with complications from COVID-19. <strong>Methods:</strong> Searches were performed for scientific articles indexed in the MEDLINE database (accessed by Pubmed), between the years 2019 to 2022. Articles that met the inclusion and exclusion criteria determined to compose this study were included. <strong>Results</strong>: from a total of 524 articles found in the literature, only 15 met the inclusion criteria and were included in the study. The sample was represented by eight cross-sectional studies and seven cohort studies, and the main outcomes found to assess functional status were the six minute walking test the Post-COVID-19 Functional Status scale and for quality of life the EuroQol visual analogue scale and the Short form-36. <strong>Conclusion:</strong> With this literature review, it can be concluded that patients hospitalized for complications of COVID-19 showed a significant decline in functional status and health-related quality of life.However, updates are necessary to characterize the symptoms and persistent sequelae in the post-COVID-19.</p> Miriã Cândida Oliveira, Marilúcia M. Carrijo, João Pedro R. Afonso, Ricardo S. Moura, Luís Filipe R. J. Oliveira, Adriano L. Fonseca, Vinicio V. C. B. Melo, Maria Eduarda M. Lino, Beatriz N. Sousa, Elisângela R. P. Póvoa, Shayra K. A. Souza, Thays L. Guedes, Larissa R. Alves, Rodolfo P. Vieira, Luis V. F. Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Tue, 05 Apr 2022 00:00:00 -0300 Post-traumatic stress disorder, anxiety and depression in post-COVID19 patients: integrative review <p><strong>Background</strong>: Global estimates point to high prevalence of neuropsychiatric disorders in individuals hospitalized for COVID-19. In Brazil, anxiety and depression rates resulting from SARS-CoV-2 infection range from 29.7% to 68%, respectively, being more prevalent in young women, with lower educational level, with comorbidities and psychological problems. previous. <strong>Objective:</strong> Identify possible causes, verify prevalence and identify risk factors for anxiety, depression and post-traumatic stress disorder (PTSD) in patients hospitalized for COVID-19. <strong>Methods:</strong> An integrative literature review was carried out involving retrospective and/or prospective cohort studies and population-based clinical trials published in the last three years. The main evidence on the relationship between neuropsychiatric disorders and intrinsic changes in neuroimmunomodulation parameters was also raised. <strong>Results:</strong> Twenty-one studies were included that addressed the presence of symptoms of PTSD, anxiety, depression, fatigue in sleep disorders in COVID19 survivors. <strong>Conclusion:</strong> With this literature review, it can be concluded that PTSD, anxiety, depression, fatigue and sleep disturbances are highly prevalent symptoms in COVID-19 survivors, being persistent for up to one-year post-infection.</p> Marilúcia Carrijo, Miriã Cãndida Oliveira, Aline C. Oliveira, Maria Eduarda Moreira Lino, Shayra K. A. Souza, João Pedro R. Afonso, Ricardo S. Moura, Daniela R. P. Fonseca, Adriano L. Fonseca, Renata S. R. Tomaz, Renata K. da Palma, Rodolfo P. Vieira, Sara S. Faria, Luís Vicente F. de Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Mon, 04 Jul 2022 00:00:00 -0300 The Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study <p>The aging process is associated with changes in hemodynamic control, such as <br>reduced sensitivity of baroreceptors. Advanced evidence that some manual therapies, <br>expanded physiotherapy specialty in the treatment of basic musculoskeletal disorders, <br>be complementary to physical exercises performed in cardiovascular rehabilitation, <br>studies that are very scarce in this area in Brazil. Objective: to evaluate the effect of a <br>pomping protocol on hemodynamic behavior during isometric exercise in the elderly. <br>Methodology: A prospective randomized controlled interventional study was carried <br>out. 503 elderly people were initially screened, of which 70 elderly were selected to <br>participate in two randomized sessions held on different days: one with a pomping <br>protocol based on Bienfait (1999) and another with a placebo protocol, totaling 140 <br>transactions. The behavior of blood pressure (BP) and heart rate (HR) at rest for 5 <br>minutes and then during three minutes of isometric exercise with handgrip (EH101, <br>Camry) at 30% of the maximum voluntary contraction were adopted. Afterwards, the <br>pompage protocol or randomized placebo was treated for that specific session for 30 <br>minutes and immediately after intervention/placebo they were repeated as calculated <br>grouping. Results: The elderly had a mean age of 69 ± 1.0 years. Regarding BP values <br>(SBP,131±1.4 mmHg; DBP=83±1.6 mmHg), it is possible to observe that most of the <br>elderly were classified as pre-hypertensive, according to the Brazilian Guidelines on <br>Arterial Hypertension. (2020). We emphasize that there was a reduction in SBP only <br>in the pompage group (p &lt; 0.001), a reduction in DBP only in the pompage group in <br>the first minute (p=0.03) and in the third minute (p=0.04) and a reduction in HR in both <br>groups (p &lt; 0.001 and p = 0.02). Conclusion: The pompagens protocol reduced the <br>SBP of the elderly during isometric exercise with the handgrip and the DBP in the <br>recovery from isometric exercise, while there was no change in SBP in the placebo <br>group during isometrics and no change in DBP in the placebo group during recovery <br>from isometric exercise.</p> Gabrielle Varejano Dezani, Stephanny Nascimento Teles, Beatriz Pinheiro Ribeiro, Leila Dal Poggetto Moreira, Luciana Gonzales Auad Viscardi, Edmara AP Reis Martins, Adriana Sarmento de Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Wed, 15 Jun 2022 00:00:00 -0300 The Analysis of plantar pressure during dynamic squat movement in asymptomatic volleyball athletes before and after fatigue protocol <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">ABSTRATO</span></span></strong></p> <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Introdução:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> A fadiga é uma condição comum durante a atividade física, resultando em redução da força muscular, controle motor, equilíbrio e coordenação. </span><span style="vertical-align: inherit;">Mudanças na pressão plantar muitas vezes estão relacionadas à fadiga também podem aumentar o risco de lesão. </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Hipótese/Objetivo:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Avaliar as alterações na baropodometria durante o movimento de agachamento. </span><span style="vertical-align: inherit;">A hipótese é que a pressão e a carga serão maiores na perna não dominante pós-fadiga </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Metodologia:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Foram recrutados 28 voluntários de ambos os sexos, todos participantes ativos da equipe universitária de vôlei. </span><span style="vertical-align: inherit;">A distribuição da pressão plantar foi medida durante três movimentos de agachamento. </span><span style="vertical-align: inherit;">A avaliação foi realizada antes e após o protocolo de fadiga, que consistiu em quatro séries de quinze segundos de salto com dez segundos de descanso entre as séries. </span><span style="vertical-align: inherit;">A análise estatística foi realizada por meio do pacote estatístico PASW 19.0 (SPSS inc.) com nível de significância adotado de 5% (p ≤ 0,05). </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Resultados:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Para o sexo feminino, houve redução significativa de 12% na pressão média do membro dominante. </span><span style="vertical-align: inherit;">Para o sexo masculino, reduções significativas na pressão média do membro dominante (7,1%) e membro não dominante (9,5%) e pico de pressão do membro dominante (13,8%) e não dominante (10,1%) . </span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Conclusões:</span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Os processos de fadiga reduziram a pressão plantar durante o movimento de agachamento, apresentando diferentes repercussões entre os sexos, mas ambos capazes de predispor a lesões.</span></span><span class="Apple-converted-space"> </span></p> <p> </p> <p><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Palavras-chave: Kinects; </span><span style="vertical-align: inherit;">Pressão; </span><span style="vertical-align: inherit;">Fadiga; </span><span style="vertical-align: inherit;">Esportes; </span><span style="vertical-align: inherit;">Biomecânica</span></span><span class="Apple-converted-space"> </span></p> Jose Alfredo Ordenes Mora, Ricardo José Serrão, Gabriel Garcia, Leonardo Oliveira, Eduardo Federighi Baisi Chagas Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Tue, 29 Mar 2022 00:00:00 -0300 Physiotherapy and functionality in MECP2 duplication syndrome: A case study <p><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Introdução: A síndrome de duplicação MECP2 é uma doença rara geralmente causada pela duplicação de DNA na região Xq28. </span><span style="vertical-align: inherit;">Essa condição causa atraso </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">no desenvolvimento motor e/ou deficiência intelectual e espasticidade nos pacientes. </span><span style="vertical-align: inherit;">O conceito Bobath aplicado a patologias com manifestações semelhantes mostrou bons </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">resultados no processo de reabilitação apesar das complicações da síndrome. </span><span style="vertical-align: inherit;">No entanto, ainda faltam estudos que comprovem os benefícios do Bobath, </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">especificamente na síndrome de duplicação MECP2. </span><span style="vertical-align: inherit;">Objetivo: Quantificar as alterações motoras em uma criança com síndrome de duplicação MECP2 após </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">tratamento fisioterapêutico baseado no conceito Bobath. </span><span style="vertical-align: inherit;">Métodos: Trata-se de um estudo de caso realizado com uma criança do sexo masculino de seis anos de idade com diagnóstico médico confirmado de </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Síndrome de duplicação MECP2. </span><span style="vertical-align: inherit;">Inicialmente, a criança foi submetida a quatro avaliações: anamnese, avaliação neurofuncional, aplicação das </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">escalas do sistema de classificação da função motora grossa (GMFCS) e medida da função motora grossa (GMFM-88). </span><span style="vertical-align: inherit;">Posteriormente, a criança participou de 12 semanas de tratamento </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">por meio de técnicas utilizando o conceito Bobath, sendo reavaliada ao final do protocolo utilizando as escalas GMFCS e GMFM-88 para quantificar possíveis </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">alterações motoras. </span><span style="vertical-align: inherit;">Resultados: Houve melhora nas dimensões A (deitado e rolando), B (sentado), C (engatinhando e ajoelhado) e D (em pé) na escala GMFM-88 </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">após 12 semanas de tratamento. </span><span style="vertical-align: inherit;">Por outro lado, o resultado permaneceu inalterado na escala GMFCS. </span><span style="vertical-align: inherit;">Conclusão: A intervenção baseada na </span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">O conceito Bobath pode melhorar as funções de deitar, rolar, engatinhar, ajoelhar e ficar em pé em um paciente com síndrome de duplicação MECP2. </span></span><br /><br /></p> Carla Rafaela da Silva de Paula, Giovana Duarte Eltz, Rafaela Stefany dos Santos, Roberta Silva Zuttin, Kelly Cristina da Silva Oliveira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Mon, 27 Jun 2022 00:00:00 -0300 Prevalence of exercise-induced bronchoconstriction in younger swimmers’ asthmatics and non-asthmatics in a 200 meters front crawl swimming <p><strong>Background</strong>: Exercise-induced bronchospasm (EIB) present a very high prevalence among asthmatics and an increased prevalence in athletes, particularly swimmers. EIB prevalence is even higher in children. However, whether a swimming competition of 200 meters front crawl could lead to EIB in preadolescents and adolescent’s asthmatic and non-asthmatic is unknown. <strong>Objectives</strong>: Test whether a swimming competition of 200 meters front crawl could lead or detect EIB in preadolescents and adolescent’s asthmatic and non-asthmatic. <strong>Methods</strong>: Nineteen preadolescents and adolescents agreed to participate in the study, which occurred during the swimming championship of the state of Goiás. Lung function was evaluated by spirometry (FVC, FEV1, FEV1/FVC, FEF25-75%) using the Koko PFT spirometer, before and after the 200 meters front crawl. <strong>Results</strong>: The results demonstrated that for male and females, independent if there were asthmatics or not, did not present any signal of EIB or even any alteration in the lung function parameters, such as FVC, FEV1, FEV1/FVC, and FEF25-75%. <strong>Conclusions</strong>: The 200 meters front crawl, which is performed in around 2,3 minutes, did not result in exercise-induced bronchospasm in asthmatic and non-asthmatic preadolescents and adolescents.</p> André Garcia Santos, Giovana Lima-Silva, Alcione Patrícia da Silva Batista-Oliveira, Amanda Karoline Rodrigues-Tosta, Rodrigo Álvaro Brandão Lopes-Martins, Iransé Oliveira Silva, Rodolfo P Vieira Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Thu, 30 Jun 2022 00:00:00 -0300 Prognostic value of handgrip strength and functional indicators in elderly patients in a southern brazilian hospital <p><em>Background: </em>the handgrip strength (HGS) is an important functional indicator in the elderly. The aim of this work was to evaluate the prognostic value of HGS, sociodemographic and functional indicators in elderly patients in a hospital in southern Brazil.<em> Methods</em>: prospective cohort observational study in individuals aged 60 years or older who were admitted to the clinical sectors in a tertiary Hospital of a southern Brazil<em>.&nbsp;Results: </em>a total of 218 participants were evaluated, of which 55% were men, with median age (p25-p75) of 72 years (65.7-78.0). The most prevalent hospitalization diagnoses were respiratory (19.7%) and vascular (19.3%) disorders. The median values (p25-p75) of HGS for men and women were, respectively, 50.00 (25.0-65.0) and 30.0 (20.0-40.0) kgf. As to the outcome, 44 (20.2%) individuals eventually died. The study showed that there was higher chance of mortality in aged patients (OR = 1.063; CI 95% 1.021-1.108) with higher Charlson Comorbidity Index&nbsp;scores (OR = 1.293; CI 95% 1.149-1.256), Glasgow Coma Scale Index scores &lt;15 (OR = 15.656; CI 95% 7.161-34.228), Katz Index scores &lt;6 (OR = 15.617; CI 95% 6.496-37.545), laboratory tests indicating leukocytosis (OR = 4.118; CI 95% 1.984-8.546) and anemia (OR = 3.104; CI 95% 1.307-7.369), lower HGS values (Men: OR = 0.901; CI 95% 0.862-0.941; Women: OR = 0.926; CI 95% 0.896-0.956), and longer length of stay in hospital (OR = 1.088; CI 95% 1.042-1.136). <em>Conclusion:</em> HGS and other epidemiological indicators are highly relevant in the prognostic evaluation of elderly people in hospital admission.</p> <p><strong>&nbsp;</strong></p> Kelser de Souza Kock, Halen D’Aquino Claudio Santos Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Tue, 28 Jun 2022 00:00:00 -0300 Analysis of heart rate variability as identifier of signs of occupational stress: cross-sectional descriptive observational study <p><strong>Background</strong>: There is great concern in the world about worker stress and quality of life, since a significant number of companies show that physical and mental suffering are one of the main causes of absenteeism, generating high business costs due to low productivity. Stress at work ends up affecting not only the professional income but also your health. <strong>Objective:</strong> To investigate the correlation between stress level and heart rate variability (HRV). This is a cross-sectional observational survey of 20 workers from the administrative, maintenance and concierge sectors of a condominium management company. Cardiac biofeedback equipment (BFC) was used, which evaluates the activity of the Autonomic Nervous System (ANS), as well as the influence exerted by the limbic system (system of emotions). A LIPP questionnaire was level of cortisol. <strong>Results:</strong> It can be observed that there is a correlation between the coherence note (BFC) and the working time, a moderate correlation between the consistency score, coherence and evening cortisol, it is also observed that there is an association between the coherence state and the LIPP questionnaire. <strong>Conclusion:</strong> In general, there was an association between the numerical variables and the heart rate variability, but what was shown to be a greater association was the interaction of the questionnaire with the coherence state at the cortisol level.</p> Jouse Marri Palmeira de Oliveira Bittencourt, Luara Lee Pereira de Lima, Nathália Julie Tavares, Rodrigo Marcel Valentim da Silva Copyright (c) 2022 Manual Therapy, Posturology & Rehabilitation Journal Tue, 05 Jul 2022 00:00:00 -0300