RESUMEN
Investigar por meio de uma revisão sistemática o impacto do uso de cicloergômetro na função respiratória, cardiovascular, capacidade aeróbica, funcional e qualidade de vida em pacientes com doença renal crônica durante a hemodiálise. Métodos: A pesquisa buscou referências de janeiro de 2010 a dezembro de 2018. Foram incluídas as bases Pubmed, Scielo, PEDro, Lilacs e Cochrane Library e foram usadas palavras-chave pré-selecionadas. Os artigos encontrados foram avaliados pela escala PEDro. A busca e análise foram realizadas por dois autores de forma independente. Resultados: Um total de 81 artigos foi identificado, no entanto apenas quatro atendiam aos critérios de inclusão e exclusão. Devido ao pequeno número de artigos incluídos e à sua heterogeneidade, seus resultados não puderam ser submetidos à metanálise e foram apresentados de forma descritiva. Conclusão: O exercício aeróbico com uso de cicloergômetro realizado durante as sessões de hemodiálise promove melhora da capacidade aeróbia e condicionamento físico e por consequência na qualidade de vida. (AU)
To investigate the impact of the use of cycloergometer on the respiratory function and quality of life in patients with chronic kidney disease undergoing hemodialysis. Methods: This review sought for articles published from January 2010 to December 2018. The databases Pubmed, Scielo, PEDro, Lilac's and Cochrane Library were used. The search occurred with pre-selected keywords. The articles found were evaluated, scored and qualified using the PEDro scale. The search and analysis was carried out by two authors who evaluated the studies independently. Results: A total of 81 articles were identified, four of which met inclusion and exclusion criteria. Due to the small number of studies and their heterogeneity, the results were not metanalyzed and were instead presented descriptively. Conclusion: Aerobic exercise using a cycle ergometer performed during hemodialysis sessions promotes an improvement in aerobic capacity and physical fitness and consequently in quality of life. (AU)
Asunto(s)
Humanos , Calidad de Vida , Pruebas de Función Respiratoria , Diálisis Renal , Insuficiencia Renal Crónica , Prueba de Esfuerzo , Investigación , Aptitud Física , Acondicionamiento Físico HumanoRESUMEN
The aim of the present study was to perform a review of the literature on current quantitative clinical methods for the evaluation of upper limb movements in children and adolescents with Down syndrome, with a focus on describing the variables, protocols, motor function and motor control. METHODS: A survey of PubMed, Scielo, BVS Bireme and PEDro databases using the following key words: upper limb and EMG and Down syndrome; upper limb and kinematics and Down syndrome; upper limb and motion analysis and Down syndrome; movement and upper limb and Down syndrome; upper limb and Down syndrome; reach and Down syndrome. RESULTS: In all, 344 articles and five were selected to compose the present systematic review. No standardization was found among the studies analyzed with regard to data collection, data processing or procedures for the evaluation of the variables. CONCLUSION: A kinematic evaluation is effective for the discussion of the results, but methodological differences among the studies and inconsistent results exert a negative influence on clinical interpretations and the possibility of reproducibility. The standardization of an upper limb movement evaluation protocol using kinematic analysis is important, as it would provide the basis for comparable, reproducible results and facilitate the planning of treatment interventions.
Asunto(s)
Síndrome de Down/fisiopatología , Destreza Motora/fisiología , Movimiento/fisiología , Extremidad Superior/fisiopatología , Adolescente , Fenómenos Biomecánicos/fisiología , Niño , Ensayos Clínicos como Asunto/métodos , Síndrome de Down/diagnóstico , Femenino , Humanos , Reproducibilidad de los ResultadosRESUMEN
INTRODUCTION: Cerebral palsy (CP) is a posture and movement disorder and different therapeutic modalities, such as the use of braces, have sought to favor selective motor control and muscle coordination in such patients. The aim of the proposed study is to determine the effect of the combination of posture-control insoles and ankle-foot orthoses (AFOs) improving functional limitation in children with CP. METHODS/DESIGN: The sample will be composed of 24 children with CP between four and 12 years of age. After the signing of the statement of informed consent, the children will be randomly allocated to two groups: a control group using AFOs alone and an experimental group using both posture-control insoles and AFOs. Evaluations will be performed on five occasions: without any accessory (insoles or AFOs), immediately after, one month after, six months after and one year after AFOs or insole and AFOs use. The evaluation will involve the analysis of gait, static and functional balance, mobility and hypertonia. The three-dimensional assessment of gait will involve the eight-camera SMART-D SMART-D 140® system (BTS Engineering), two Kistler force plates (model 9286BA) and an eight-channel, wireless FREEEMG® electromyography (BTS Engineering). Static balance will be assessed using a Kistler force plate (model 9286BA). Clinical functional balance and mobility will be assessed using the Berg Balance Scale, Timed Up-and-Go Test and Six-Minute Walk Test. The posture-control insoles will be made of ethylene vinyl acetate, with thermal molding for fixation. The fixed orthoses will be made of polypropylene and attached to the ankle region (AFO). The results will be analyzed statistically, with the level significance set to 5% (p < 0.05). TRIAL REGISTRATION NUMBER: RBR6d342s (http://www.ensaiosclinicos.gov.br/news/).