Strength deficits of the shoulder complex during isokinetic testing in people with chronic stroke
CONCLUSIONS: The findings suggest that people after stroke might benefit from strengthening exercises directed at the paretic scapulothoracic muscles in addition to exercises of arm elevation. Clinicians should also prescribe different exercises to improve the ability to generate force and the ability to sustain the torque during a specific range of motion. (Source: Revista Brasileira de Fisioterapia)
Source: Revista Brasileira de Fisioterapia - July 8, 2014 Category: Physiotherapy Source Type: research

Brazilian version of the instrument of environmental assessment Craig Hospital Inventory of Environmental Factors (CHIEF): translation, cross-cultural adaptation and reliability
Conclusion : The Brazilian version of the CHIEF was reproducible and applicable to the study sample. It may serve as an instrument to characterize the environmental barriers as well as a way to document the effects of interventions aimed at minimizing the impact of such barriers on the participation of children and adolescents with CP. Contextualização: Fatores ambientais são essenciais para a caracterização dos processos de funcionalidade e incapacidade, no entanto a escassez de instrumentação padronizada sobre tais elementos restringe a investigação científica de barreiras e facilitadores associados à partici...
Source: Revista Brasileira de Fisioterapia - July 8, 2014 Category: Physiotherapy Source Type: research

Thorax, pelvis and hip pattern in the frontal plane during walking in unilateral transtibial amputees: biomechanical analysis
Conclusions: The joint internal moment at the hip in the frontal plane was lower on the prosthetic side than on the sound side or the control side. Thorax and pelvis kinematics were altered during the stance phase on the prosthetic side, presumably because there are mechanisms which affect postural control during walking. (Source: Revista Brasileira de Fisioterapia)
Source: Revista Brasileira de Fisioterapia - July 8, 2014 Category: Physiotherapy Source Type: research

Longitudinal assessment of grip strength using bulb dynamometer in Duchenne Muscular Dystrophy
CONCLUSIONS: The amplitude of weakness increased with age in the DG. The bulb dynamometer detected the progression of muscular weakness. Functional performance remained virtually unchanged in spite of the increase in weakness. (Source: Revista Brasileira de Fisioterapia)
Source: Revista Brasileira de Fisioterapia - July 8, 2014 Category: Physiotherapy Source Type: research

Influence of additional weight on the frequency of kicks in infants with Down syndrome and infants with typical development
CONCLUSIONS: The weight acted as an important stimulus for both groups, directing the kicks toward the target and improving the infants' performance in the task through repetition, however, the infants with Down syndrome had lower frequencies of kicks. (Source: Revista Brasileira de Fisioterapia)
Source: Revista Brasileira de Fisioterapia - July 8, 2014 Category: Physiotherapy Source Type: research

Validity of the six-minute step test of free cadence in patients with chronic obstructive pulmonary disease
Conclusion: The number of steps on the 6MST was valid to verify exercise capacity in COPD patients and the cut-off point of 78 steps was able to identify patients with poor exercise tolerance. Values under this cut-off point are considered to identify patients with a poorer prognosis. Objetivos: Avaliar a validade concorrente do desempenho no teste de degrau de seis minutos (TD6) em analisar a capacidade física da DPOC, relacionando-o com o teste de caminhada de seis minutos (TC6), bem como verificar a presença de validade de critério preditiva do TD6, determinando um valor de corte para identificar baixa capacidade ...
Source: Revista Brasileira de Fisioterapia - July 8, 2014 Category: Physiotherapy Source Type: research

Impact of CPAP on physical exercise tolerance and sympathetic-vagal balance in patients with chronic heart failure
Conclusion: These data suggest that CPAP appears to be a useful strategy to improve functional capacity in patients with CHF. However, the positive impact of CPAP did not generate significant changes in the HRV during physical exercises. Contextualização: A insuficiência cardíaca (IC) crônica cursa com intolerância ao exercício físico. A ventilação não invasiva (VNI) tem se mostrado benéfica para a melhora da performance desses pacientes. Objetivos: Avaliar a eficiência da pressão positiva contínua nas vias aéreas (CPAP) sobre a tolerância ao exercício físico e a variabilidade da frequência cardÃ...
Source: Revista Brasileira de Fisioterapia - July 8, 2014 Category: Physiotherapy Source Type: research

Translation, cross-cultural adaptation to Brazilian- Portuguese and reliability analysis of the instrument Rapid Entire Body Assessment-REBA
Conclusions: The processes of translation and cross-cultural adaptation were conducted on the REBA instrument and the Brazilian version of the instrument was obtained. However, despite the reliability of the tests used to correct the translated and adapted version, the reliability values are unacceptable according to the guidelines standard, indicating that the reliability must be re-evaluated. Therefore, caution in the interpretation of the biomechanical risks measured by this instrument should be taken. Contextualização: Instrumentos observacionais como o Rapid Entire Body Assessment avaliam de forma rápida os risco...
Source: Revista Brasileira de Fisioterapia - July 8, 2014 Category: Physiotherapy Source Type: research

Influence of mental practice and movement observation on motor memory, cognitive function and motor performance in the elderly
CONCLUSIONS: For the elderly, mental practice can advantage motor performance. Also, there is a significant relationship between cognitive function, learning and the execution of new motor skills. CONTEXTUALIZAÇÃO: Com o envelhecimento, é importante a manutenção da função motora e cognitiva para garantir autonomia e qualidade de vida. Durante a aquisição de habilidades motoras é necessário que o idoso seja capaz de compreender o objetivo das atividades propostas e, para isso, a prática física e mental, assim como a demonstração, são estratégias usadas para o indivíduo aprender os movimentos. OBJETIV...
Source: Revista Brasileira de Fisioterapia - May 16, 2014 Category: Physiotherapy Source Type: research

Assessment of muscular strength with the modified sphygmomanometer test: what is the best method and source of outcome values?
CONCLUSIONS: All MST methods showed adequate results for the assessment of strength in healthy individuals, and after familiarization, only one trial was sufficient to provide reliable measures. The sphygmomanometer without adaptation is not time consuming, compared to the other adaptations, and showed the capability of measuring higher values of strength. The bag method was easily trained to be used and stabilized. CONTEXTUALIZAÇÃO: Testes comumente utilizados para a avaliação clínica da força muscular apresentam importantes desvantagens. O Teste do Esfigmomanômetro Modificado (TEM) é promissor para esse fim, po...
Source: Revista Brasileira de Fisioterapia - May 16, 2014 Category: Physiotherapy Source Type: research

Influence of aging on isometric muscle strength, fat-free mass and electromyographic signal power of the upper and lower limbs in women
Conclusions : The results of this study demonstrate that changes in isometric muscle strength in MLG and electromyographic activity of the lower limbs are more pronounced with the aging process of the upper limb. Contextualização: O envelhecimento é um processo multifatorial que provoca mudanças na quantidade e na qualidade da musculatura esquelética, ambas contribuindo para a diminuição dos níveis de força muscular. Objetivo: Investigar se a força muscular isométrica, a massa livre de gordura (MLG) e a potência do sinal eletromiográfico dos membros superiores e inferiores de mulheres são afetadas na me...
Source: Revista Brasileira de Fisioterapia - May 16, 2014 Category: Physiotherapy Source Type: research

Evaluation of properties of the Vestibular Disorders Activities of Daily Living Scale (Brazilian version) in an elderly population
Conclusions: This study provided more data about the psychometric properties and usefulness of the VADL-Brazil. The use of such a reliable and valid instrument increases the knowledge about disability in patients with vestibular disorders. (Source: Revista Brasileira de Fisioterapia)
Source: Revista Brasileira de Fisioterapia - May 16, 2014 Category: Physiotherapy Source Type: research

Costs and benefits of Pulmonary Rehabilitation in Chronic Obstructive Pulmonary Disease: a randomized controlled trial
Conclusion: Aerobic walking demonstrated significant clinical benefits in a cost-efficient manner in patients with COPD. (Source: Revista Brasileira de Fisioterapia)
Source: Revista Brasileira de Fisioterapia - May 16, 2014 Category: Physiotherapy Source Type: research

Comparing the effects of minimal handling protocols on the physiological parameters of preterm infants receiving exogenous surfactant therapy
CONCLUSION: The practice of minimal handling among very low birth weight infants did not alter their physiological stability when performed either 12 or 72 hours after surfactant therapy. CONTEXTUALIZAÇÃO: A prática de manuseio mínimo é recomendada a recém-nascidos pré-termo. Contudo, há escassez de estudos, na literatura, sobre os efeitos da utilização dessa prática nesses recém-nascidos e sobre o tempo necessário para garantir maior estabilidade fisiológica a eles, principalmente após terapia com surfactante exógeno. OBJETIVO: Comparar o efeito de dois protocolos de manuseio mínimo em variáveis f...
Source: Revista Brasileira de Fisioterapia - May 16, 2014 Category: Physiotherapy Source Type: research

Differences in muscle strength after ACL reconstruction do not influence cardiorespiratory responses to isometabolic exercise
Conclusions: Our findings indicate that, four months after ACL surgery, there is a significant deficit in isokinetic strength in the involved limb, but these differences in muscle strength requirement do not produce differences in the cardiorespiratory adjustments to exercise. Based on the hypotheses from the literature which explain the differences in the physiological responses to exercise for different muscle masses, we can deduce that, after 4 months of a rehabilitation program after an ACL reconstruction, individuals probably do not present differences in muscle oxidative and peripheral perfusion capacities that could...
Source: Revista Brasileira de Fisioterapia - May 16, 2014 Category: Physiotherapy Source Type: research