Introduction: Although manual hyperinflation (MHI) is a physical therapy technique commonly used in intensive care and emergency units, there is little consensus about its use. Objective: To investigate the knowledge of physical therapists working in intensive care and emergency units about manual hyperinflation. Methods: Data were collected through self-administered questionnaires on manual hyperinflation. Data collection took place between September 2014 and January 2015, in Itabuna and Ilhéus, Bahia, Brazil. Results: The study sample was composed of 32 physical therapists who had between 4 months and 10 years working experience. All respondents affirmed that they used the technique in their professional practice. However, only 34.4% reported it to be a routine practice. 90.6% stated that the most common patient position during manual hyperinflation is “supine”. Participants were almost unanimous (93.8%) in citing secretion removal and cough stimulation as perceived benefits of MHI. High peak airway pressure was identified as being a precaution to treatment with MHI by 84.4% of participants, whilst 100% of the sample agreed that an undrained pneumothorax was a contraindication to MHI. Conclusion: The most common answers to the questionnaire were: supine position during MHI; secretion removal and cough stimulation as perceived benefits; high peak airway pressure as a precaution; and an undrained pneumothorax as a contraindication.
Introduction: Overweight and obese children may have lower motor coordination score than normal-weight children. Objective: To compare gross motor coordination between overweight/obese and normal-weight children and investigate the associated factors with the motor coordination scores. Method: This cross-sectional study involved 169 children of both genders, aged 6-9 years. Children with malformations, bone, muscle, and joint or neurological disorders, and BMI z < -2 were excluded. Gross motor coordination was assessed by the “Körperkoordinationstest für Kinder” (KTK). The associated factors with the motor coordination scores were analyzed by linear regression. Results: The mean scores for balancing backwards (84.2 ± 13.2 vs. 91.0 ± 15.0), hopping over on one foot (127.9 ± 10.1 vs. 132.3 ± 12.1), shifting platforms sidewise (123.5 ± 23.4 vs. 129.8 ± 14.9), as well as the overall motor scores (112.5 ± 14.8 vs. 118.8 ± 11.6) were significantly lower (p < 0.05) in overweight/obese children when compared to normal-weight children. The percentage of poor motor scores (< 85) in balancing backwards was higher in overweight/obese children (60.4% vs. 36.4%, p = 0.004) and was similar for jumping sideways (18.8% vs. 9.9%, p = 0.116), as well as for shifting platforms sidewise (6.3% vs. 0.8%, p = 0.070). By multiple linear regression analysis, the variables overweight/obesity and sports practice for less than 2 times/week decreased significantly (p < 0.05) the motor coordination score by -18.7 and -15.6 points, respectively. Conclusion: The overweight/obese children scored lower in the motor coordination tests compared to the normal-weight children. Overweight/obesity and low frequency of physical activity were associated with lower scores of gross motor coordination.
RESUMOIntrodução: A longevidade é uma realidade tornando-se necessário a implementação e/ou implantação de ações efetivas baseadas em evidências para o controle de doenças crônicas não-transmissíveis e seus fatores de risco. Objetivou-se, relatar a experiência do grupo de hipertensos e diabéticos, desenvolvidos por enfermeiros da estratégia saúde da família, descrevendo a atividade física para a prevenção, promoção da saúde e melhoria da qualidade de vida dos idosos. Materiais e Métodos: Trata-se de um relato de experiência de natureza descritiva, vivenciado pelas enfermeiras com um grupo de usuários idosos hipertensos e diabéticos. Foi realizado levantamento em prontuários (dados secundários) de 2008 até 2012. Resultados: Encontrado 320 idosos, destes, sete (2,2%) eram diabéticos, cinco (1,6%) diabéticos e hipertensos e, cinquenta e dois (16,2%) apenas hipertensos. Resultando em sessenta e quatro idosos (20,0%) portadores de alguma doença crônica não-transmissível. Destes 320 idosos, 224 idosos (70,0%) relataram que não participavam de atividades físicas por inúmeros motivos. Discussão e Conclusões: Pode-se concluir que com a inclusão das atividades físicas, como atividade complementar ao tratamento médico, percebeu-se que houve uma melhoria na qualidade de vida, saúde e integração social destes idosos, através de relatos dos idosos dentre eles: controle da pressão arterial, diminuição de dores musculares e realização de atividades da vida cotidiana. RESUMENIntroducción: La longevidad es una realidad por lo que es necesario la implementación y/o ejecución de acciones basadas en la evidencia efectivos para el control de enfermedades crónicas no transmisibles y sus factores de riesgo. El objetivo del presente estudio fue relatar la experiencia del grupo de hipertensos y diabéticos, desarrollado por enfermeras de la estrategia de salud de la familia, describiendo la actividad física para su prevención, promoción de la salud y mejoría de la calidad de vida de adultos mayores. Materiales y Métodos: Se trata de un relato de experiencia de carácter descriptivo, experimentado por las enfermeras en un grupo de usuarios de adultos mayores hipertensos y diabéticos. Se realizó análisis de las historias y registros clínicos (datos secundarios) desde 2008 hasta 2012. Resultados: Se reportaron 320 adultos mayores, de los cuales, siete (2,2%) eran diabéticos, cinco (1,6%) diabéticos e hipertensos y cincuenta y dos (16, 2%) solamente hipertensos. Resultando en sesenta y cuatro adultos mayores (20,0%) portadores de alguna enfermedad crónica no transmisible. De éstos 320 adultos mayores, 224 (70,0%) informaron que no habían participado en actividades físicas por varias razones. Discusión y Conclusiones: Se puede concluir que con la inclusión de la actividad física como una acción complementaria al tratamiento médico, se observó que hubo una mejoría en la calidad de vida, la salud y la integración social de los adultos mayores a través de informes de las personas sobre: control de la presión arterial, disminución de dolores muscu...
Introduction: Evidence-Based Practice (EBP) refers to the set of attitudes from which one can know and apply the best evidence, understand patients' preferences and use clinical experience to optimize care, as well as facilitate decision making by health teams. to prole physical therapy professionals as to their unde Objectives: rstanding and application of EBP in their clinical routines. Methods: this is a survey study involving 146 physiotherapists of both genders, from all Brazilian regions. The professionals were contacted exclusively by e-mail, through their respective regional professional councils, in order to receive the electronic questionnaires, prepared for this purpose using the Google Forms platform. The questionnaires were available for 90 days, after which they were no longer accepted. Results: 74.6% of the sample was female; there was almost unanimous agreement that EBP is necessary in clinical practice. Approximately 95% agreed that EBP can be applied even in high demand settings and 84.4% said they were able to insert the guidelines of practice guides into their clinical routines. However, it is noteworthy that 98.6% said they lacked the ability to search relevant scientic literature and the main reasons for not performing EBP were: lack of time, lack of ability to search relevant scientic literature and lack of ndings on a given patient population. the authors conclude that Brazilian physical therapists recognize the im Conclusion: portance of EBP as a guide for clinical decision making and that they use it in their professional routines, however, they need adequate orientation on efcient scientic searches in order to promote treatment excellence through reliable scientic materials.
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