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Introdução: os últimos censos demográficos realizados no Brasil vêm mostrando o aumento expressivo da parcela de pessoas com deficiência na cidade de Belo Horizonte, Minas Gerais. Objetivo: descrever o perfil demográfico, socioeconômico e de emprego de pessoas com deficiência na cidade de Belo Horizonte, Minas Gerais. Métodos: realizou-se estudo descritivo no qual foi utilizada a base de dados de pessoas com deficiência de Belo Horizonte, Minas Gerais, a partir do Censo Demográfico de 2000, do Instituto Brasileiro de Geografia e Estatística. As variáveis analisadas foram: sexo, idade, cor ou raça, estado civil, alfabetização, nível de instrução, tipos de trabalho, aposentadoria e distribuição pelos tipos de deficiência visual, auditiva, física, motora e mental. Resultado: de acordo com o levantamento de dados do Censo Demográfico 2000, realizado pelo IBGE, 298.976 pessoas na cidade de Belo Horizonte, Minas Gerais, declararam ter algum tipo de deficiência. Dessas, 54% são do sexo feminino; 41% encontravam-se na faixa etária de 41 a 65 anos; 51% declararam ser brancos; 49% são casados; 71% sabem saber ler e escrever, sendo que 51% concluíram o antigo primário. Em relação às deficiências, 64% afirmaram ter deficiência visual; 25% deficiência auditiva; 41% possuem deficiência motora e 13% deficiência mental permanente. Do total de pessoas com deficiência, 68% afirmaram não serem aposentadas, sendo que pouco mais da metade está empregada. Considerações finais: diante do aumento do número de deficientes em Belo Horizonte, Minas Gerais, e do alto número de deficientes em idade produtiva, é importante investir em programas de treinamento e capacitação profissional das pessoas com deficiência para seu progressivo ingresso no mercado de trabalho.

Introduction: The Census 2000 showed a significant proportion of people with disabilities in the city of Belo Horizonte, Minas Gerais. Objective: To describe the demographic, socio-economic profile and employment of disabled people in Belo Horizonte, Minas Gerais. Methods: We conducted a descriptive study in which we used the database of disabled people in Belo Horizonte, Minas Gerais, from Census 2000, the Brazilian Institute of Geography and Statistics. The above variables were: gender distribution, age, color or race, marital status, literacy, education level, type of work, retirement distribution and the types of visual, hearing, physical, mental and motor. Result: According to survey data from Census 2000, conducted by IBGE, 298,976 people in Belo Horizonte, Minas Gerais, reported having some type of disability. Of these 54% are female, 41% were aged 41 to 65 years, 51% reported being white, 49% married, 71% know how to read and write, with 51% completed the old primary. According to the deficiencies addressed, 64% reported pervisual impairment, 25% hearing impairment, 41% have physical disabilities, 13% permanent mental disability. Of the total persons with disabilities, 68% reported not being retired, being little more than half are employed. Conclusion: It is important to invest in training programs and training of persons with disabilities for their gradual entry into the labor market.

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Chronic pain contributes towards less diversified participation centred on household activities, fewer social relationships and smaller number of recreational activities. The aim of the study was to further investigate the effects of chronic pain on participation, focusing on how workers deal with the experienced restrictions. Ten workers with chronic pain participated in the survey, which was conducted with qualitative interviews. Analyses of thematic units revealed that chronic pain has consequences for participation, leading to work restrictions and loss of social roles. Social relationships tend to be limited to family, and workers become isolated from other social groups. The rebuilding of participants' lives was a counterpoint to the identified social rupture. The narratives revealed strategies for dealing with pain, attempts at reorganizing their daily activities and formulating new plans. Understanding what resources individuals use to cope with their difficulties allow occupational therapists to plan client-centred treatment goals. A limitation of the study was to involve employees of very similar socio-economic classes. Studies directed to understanding the relationship between social support and the reconstruction of participation must be conducted to further advance knowledge on possible mechanisms underlying social participation among workers with chronic pain.

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Doenças crônicas acometem uma porcentagem importante da população brasileira e estão associadas à assistência continuada de serviços e incapacidade funcional. A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) baseia-se no modelo biopsicossocial e permite a compreensão dos processos de funcionalidade e incapacidade através da interação dos seus componentes. O objetivo deste estudo foi analisar as inter-relações entre os domínios da CIF, descrevendo o processo de funcionalidade e de incapacidade a partir da percepção do indivíduo. Utilizou-se abordagem qualitativa com realização de entrevistas e de grade de vida, construídas a partir dos domínios da CIF, aplicadas a 11 pacientes, seguida por preenchimento de um diário de atividades semanais. Algumas condições crônicas de saúde, pré-existentes ao período focado no estudo foram registradas, mas na percepção dos entrevistados estas resultaram em poucas repercussões negativas em sua funcionalidade. As diversas condições de saúde analisadas tiveram impacto negativo nas funções e estruturas do corpo, limitaram principalmente as atividades de cuidado pessoal, tarefas domésticas e mobilidade, e foram associadas a restrições importantes na participação social. A maioria dos entrevistados fez ou faz uso de produtos e tecnologias como bengalas, prótese ou órteses, e não teve dificuldade na aquisição dos mesmos através do SUS. Os fatores pessoais que se destacaram foram as formas de enfrentamento da nova condição de saúde e a ressignificação de suas vidas. Durante as entrevistas, a importância do suporte social, sobretudo aquele oferecido pelos familiares e amigos, as barreiras encontradas na utilização do transporte público, além do acesso aos serviços de saúde e benefícios da Previdência Social foram ressaltados. A elaboração de estratégias foi um tema que aponta para a reorganização do cotidiano e que os entrevistados desenvolveram para minimizar as dificuldades vivenciadas em seu dia-a-dia...

Chronic diseases affect a significant percentage of the Brazilian population and are associated with continuous care and functional disability. The International Classification of Functionality, Disability, and Health (ICF) is based on the bio-psycho-social model and enables understanding of the processes of functionality and disability through the interaction of its components. The aim of this study was to analyze the interrelationships between the domains of the ICF, describing the process of functionality and disability from the perspective of the individual. A qualitative approach was used with interviews and a life grid, built out of ICF domains, applied to 11 patients, and followed by filling in a diary of weekly activities. Some chronic health conditions were recorded, predating the time focused on in the study, but in the perception of those interviewed they resulted in few adverse effects on their functionality. The various health conditions examined had a negative impact on the functions and structures of the body, mainly limited to the activities of personal care, household tasks, and mobility, and were associated with significant restrictions in social participation. Most respondents made use of products and technologies such as canes, prostheses, or orthoses, and they had no difficulty in acquiring them through the SUS system. Personal factors that stood out were the ways of coping with new health conditions and new meaning in their lives. During the interviews, the importance of social support, particularly that offered by family and friends, the barriers encountered in the use of public transport, in addition to access of health care and Social Security benefits were prominent. Developing day-to-day strategies was a topic that showed how respondents reorganized their lives to minimize the difficulties they experienced...

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A mensuração da preensão é um importante componente da reabilitação da mão. Os testes de força de preensão são comumente usadospara avaliar pacientes com desordens da extremidade superior, antes e após procedimentos terapêuticos. São testes simples de administrare quando adequadamente realizados, podem fornecer informações objetivas que contribuem para análise da função da mão. Protocolode teste deve ser desenvolvido e cuidadosamente seguido. Um dos instrumentos reconhecidos na literatura é o dinamômetro Jamar, quetem mostrado bons índices de validade e confiabilidade. Tem sido aceito como um instrumento padrão para mensuração da força depreensão e é muito utilizado na clínica por terapeutas ocupacionais e fisioterapeutas. Este artigo faz uma revisão sobre alguns aspectosenvolvidos na mensuração da força de preensão utilizando o dinamômetro Jamar, tais como, confiabilidade e precisão do instrumento,protocolo sugerido para seu uso, principais aspectos que podem influenciar os resultados, o uso de dados normativos e os fatores queinfluenciam a força de preensão, incluindo sexo, idade, peso e altura do indivíduo. Recomendações são feitas em relação a estes aspectospara capacitar os clínicos a conduzir adequadamente avaliações de força de preensão.

The measurement of grip strength is an important element in hand rehabilitation. Tests of grip strength are often used to assess patientswith upper extremity disorders, before and after therapeutic procedures. These tests are simple to administer and if properly conducted,they provide objective information that may contribute to the analysis of hand function. The test protocol must be carefully developedand adequately followed. A well-recommended instrument in the literature is the Jamar dynamometer, with high rates of reliability andvalidity. This instrument has been accepted as a gold standard for the measurement of grip strength and has been frequently used inclinical practice by occupational and physical therapists. The present study reviews some aspects involved in the measurement of gripstrength using the Jamar dynamometer, including the instrument reliability and precision, a suggested protocol for its use, importantvariables that may influence the results, the use of normative data and the factors that influence grip strength such as the individual?ssex, age, weight and height. Recommendations are made regarding these variables in order to help the clinicians? conduct appropriateassessments of grip strength.

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PURPOSE: Professionals who work with rehabilitation of the hand usually assess performance components as their main outcome measures. Intervention is aimed at normalization of deficits of these components, with the expectation that the integrity of the structures and functions of the body will revert to improvements in the client's functional performance. The objectives of this study were to describe changes in patients who received rehabilitation in a Brazilian public hospital after having suffered hand injuries due to workplace accidents, and to examine the relations between performance components and levels of functioning. METHODS: Observational cross-sectional study was used. A convenience sample was selected, including 42 patients assessed at service admission and at discharge. Assessed characteristics included grip strength, wrist and finger range of movement (ROM), sensitivity, and self-perceptions of functional performance (COPM). Statistical procedures included correlations between performance components and COPM scores and differences on selected variables at admission and discharge. RESULTS: Significant improvements in all assessed functional components. COPM values increased more than 100% after intervention (effect size d = 1.996 for performance and d = 1.553 for satisfaction) demonstrating improvements in both domains. Low correlations between grip strength and COPM scores were found only at admission (r = 0.314; p = 0.045). When the relationship between gains in strength and COPM scores at discharge were examined, significant correlations were found with the performance (r = 0.324; p = 0.039) and satisfaction (r = 0.0326; p = 0.038) subscales. CONCLUSIONS: Results of this study provide evidence for functional gains in clients treated in a rehabilitation service and supply information about the relation between specific components and functional performance.

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