The purpose of this work was to verify the reproducibility, as well as the method repeatibility for postural evaluation through photogrammetry. For that, 21 individuals being 24,2 ± 1,3 years old were photographed in anterior, posterior, profile and face positions. To perform these photos, several anatomic sites, which are often used in the traditional postural evaluation, were marked on the skin. Different angles from these sites were examined through the program ALCimagem-2000. For the inter-examiner analysis, the photos were evaluated by three different examiners whose results were compared. For the intra-examiner analysis, the same photos were evaluated by the same examiner in two different occasions. For the analysis of the repeatibility of the method, the volunteers were photographed twice with a period of a week interval, and the photos were evaluated by the same examiner. For comparing inter and intraexaminer results, the intra-class correlation coefficient was applied. The results revealed that the proposed method presented good inter-examiner reliability. From the statistically reliable angles, some had a lesser reliability coefficient, mainly the sagital plane angles referring to vertebral flexures such as the cervical lordosis, thoracic kyphosis, and lumbar lordosis. In the intra-examiner evaluation, just the thoracic kyphosis angle hasn't presented reliability. As for the repeatibility of the method just the inferior scapular angle haven't presented reliability. Thus, computerized photogrammetry seem be a reliable method for postural evaluation on the frontal, anterior and posterior planes. However, the sagital plane needs more studies to define normality parameters for the vertebral flexures.

The objective of this study was to verify self-care guidelines together with lower limb home exercises alter ankle and foot plantar pressure and alignment in patient with Type 2 Diabetes Mellitus (DM) measuring health and sociodemographic factors. The health factors analyzed were sensitivity and circulation aspects, risk rating, and neuropathy symptom score, ankle and foot alignment (photogrammetry), plantar pressures, and postural stability (baropodometry) before and after administering these guidelines and home exercises in 97 patients type 2 DM during 10 months. The self-care guidelines and exercises changed the forefoot alignment (Right Foot – Initial vs Final, p = 0.04; Left Foot, P<0.01), the center of the force displacement in the mediolateral (Right Foot - Initial versus Final, p = 0.02; Left Foot, P<0.01), and the anterior-posterior (Right foot - Initial versus Final, p = 0.01) direction, and body balance (Initial versus Final, p = 0.02). There was no change in the remaining assessed parameters. Self-care associated with the guidelines for home exercises for the lower limbs in patients with type 2 DM are effective in maintaining and improving the alignment of the feet, mediolateral stability and prevention of complications.Trial RegistrationThe Brazilian Clinical Trials Registry RBR-8854CD

Resumo No Brasil, as Práticas Integrativas e Complementares (PIC) tiveram maior visibilidade após a criação da Política Nacional de Práticas Integrativas e Complementares, em 2006. Contudo, ainda existem lacunas sobre o cenário geral dessas práticas. O objetivo deste estudo foi analisar a implementação, o acesso e o uso das PIC no Sistema Único de Saúde (SUS) após a implantação da política. Foi realizada uma revisão integrativa da literatura, guiada pela questão: “Qual o atual cenário de implementação, acesso e utilização das PIC no âmbito do SUS?”, na Biblioteca Virtual em Saúde, na US National Library of Medicine e na Web of Science, com os descritores “Sistema Único de Saúde”/“Unified Health System” AND “Terapias complementares”/“Complementary Therapies”. Da análise dos artigos, emergiram quatro categorias de discussão: “A abordagem das PIC no SUS: principais práticas usadas”; “O acesso às PIC: a Atenção Básica à Saúde como porta de entrada”; “Atual cenário de implementação das PIC: o preparo dos serviços e dos profissionais da saúde para a realização das PIC”; “Principais avanços no uso das PIC e desafios futuros”. Observa-se que as PIC são oferecidas de forma tímida e os dados disponíveis são escassos, apesar dos reflexos positivos para os usuários e para os serviços que aderiram à sua utilização.

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ObjectiveTo evaluate the effectiveness of abdominopelvic training by virtual reality compared to pelvic floor muscle training (PFMT) using a gym ball (a previously tested and efficient protocol) on postmenopausal women’s pelvic floor muscle (PFM) strength.MethodA randomized controlled trial was conducted with 60 postmenopausal women, randomly allocated into two groups: Abdominopelvic training by virtual reality – APT_VR (n=30) and PFMT using a gym ball – PFMT_GB (n=30). Both types of training were supervised by the same physical therapist, during 10 sessions each, for 30 minutes. The participants’ PFM strength was evaluated by digital palpation and vaginal dynamometry, considering three different parameters: maximum strength, average strength and endurance. An intention-to-treat approach was used to analyze the participants according to original groups.ResultsNo significant between-group differences were observed in most analyzed parameters. The outcome endurance was higher in the APT_VR group (p=0.003; effect size=0.89; mean difference=1.37; 95% CI=0.46 to 2.28).ConclusionBoth protocols have improved the overall PFM strength, suggesting that both are equally beneficial and can be used in clinical practice. Muscle endurance was higher in patients who trained using virtual reality.

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RESUMO Objetivo: Avaliar a efetividade da acupuntura auricular na dor de pacientes oncológicos em tratamento quimioterápico e possíveis alterações no consumo de analgésicos após a aplicação da intervenção. Método: Ensaio clínico randomizado com portadores de câncer que apresentavam queixa de dor maior ou igual a quatro na Escala Numérica da Dor. Foram criados dois grupos paralelos, um Experimental, o qual recebeu a aplicação da acupuntura auricular em pontos do equilíbrio energético e em pontos indicados para o tratamento da dor, e um Placebo, em que foram aplicados pontos placebos fixos. Ambos os grupos receberam a aplicação de agulhas semipermanentes em oito sessões. Resultados: Participaram 31 portadores de câncer. Depois das oito sessões de acupuntura auricular, houve diferença significativa entre os grupos na redução da intensidade da dor (p < 0,001) e no consumo das medicações (p < 0,05). Conclusão: A acupuntura auricular foi efetiva na redução da dor de pacientes em tratamento quimioterápico. Registro Brasileiro de Ensaios Clínicos: RBR-6k3rqh.

Objective: To evaluate the effect of prayer on anxiety in cancer patients undergoing chemotherapy. Method: Quasi-experimental study, with pre and post-intervention. Twenty patients admitted to treatment of continuous intravenous chemotherapy were recruited. The volunteers were evaluated through interviews using a questionnaire of sociodemographic, clinical and spiritual characteristics, the Index of Religiosity Duke University and the State-Trait Anxiety Inventory. Vital signs were measured and collected salivary cortisol. The intervention was applied prayer and data collection occurred in three phases: first collection (baseline), pre and post-intervention. Results: The data found between the pre and post-intervention samples showed different statistically significant for state anxiety (p= <0.00), blood pressure (systolic, p=0.00, diastolic, p=<0.00) and respiratory rate (p=0.04). Conclusion: Prayer, therefore, proved to be an effective strategy in reducing the anxiety of the patient undergoing chemotherapy.