Introdução: O novo coronavírus SARS-CoV-2 é uma doença que pode gerar uma série de complicações ao paciente infectado, o que requer desde terapias de oxigênio até intubação e ventilação mecânica invasiva nos casos que se tornam mais críticos e evoluídos da doença. O fisioterapeuta atua na melhora das respostas das vias aéreas e juntamente com a equipe realizam manobras de posicionamento em pronação dos pacientes com insuficiência respiratória. Objetivo: Identificar a utilização da posição prona para pacientes em ventilação mecânica com COVID-19. Metodologia: Trata-se de uma revisão sistemática, elaborada através do protocolo PRISMA, referente às publicações dos últimos quatro meses sobre o uso da posição prona para pacientes em ventilação mecânica com COVID-19, através das bases de dados Medline, PubMed, Scielo, Science Direct e Springer. Resultados: Foram selecionados nove artigos que atenderam aos critérios da revisão. Especialistas apoiam a utilização da posição prona em pacientes com COVID-19. A manobra, quando realizada corretamente e por profissionais adequados, apresenta diversos benefícios, dentre eles, a otimização da oxigenação, melhorando o quadro do paciente. Conclusão: Segundo os artigos selecionados, após serem submetidos à posição prona, os pacientes demonstraram diminuição da mortalidade e melhora da oxigenação.
Alzheimer’s disease (AD) was defined as a neurodegenerative disorder, being more affected in the elderly. It is estimated that every 3.2 seconds a person in the world is affected by the high disease that rate in 2050 to 1 second. Therefore, research has been carried out on new therapeutic approaches, such as Transcranial Photobiomodulation and treatment based on antioxidants, such as Resveratrol. Therefore, the objective is to conduct a literature review on these two approaches and their effects on the treatment of AD. It was carried out according to the PRISMA recommendation and the articles were selected according to the years of publication (between 2015 and 2020) and extracted from the following databases: Science Direct, PubMed PMC, Scopus, PubMed NCBI, SciELO, LILACS, MEDLINE and PEDro. In several studies it has been reported that both therapies provide improvements at the molecular and behavioral level, recovering brain functions, acting in a neuroprotective way, improving quality of life, with few adverse effects and in a less invasive way. Thus, both treatments have numerous benefits that can be useful in the treatment of AD. However, there is a need for further research that includes interventions with greater specificity and control, so that they are defined as ideal doses and treatment protocols.
Introduction: Postural control has two behavioral goals: postural balance and orientation, which are achieved through a dynamic relationship between sensory information and muscle activity. To maintain body balance, the vestibular, optical and proprioceptive systems must be fully functioning. Neuromuscular balance (NB), developed by François Soulier, is a non-manipulative method that involves applying a soft vibration or a micro-thrust with a small mechanical device to a joint or vertebra in order to induce realignment and readjustment. Objective: To identify the biomechanical effect of NB upon static balance and body oscillations of adults and the elderly through stabilometry. Methodology: In this interventional study, 20 healthy volunteers - 10 young adults (aged between 18 and 30 years old) and 10 elderly (aged between 60 and 80 years old) - were subjected to 10 consecutive weekly NB sessions. Stabilometry was assessed at baseline and after the 10th intervention (center of pressure (COP) behavior parameters: total area in mm2, laterolateral and anteroposterior width in mm). Results: Anteroposterior as well as total area oscillations significantly decreased in the adult population (p<0.0179 and p<0.0242, respectively). Additionally, all parameters were reduced in both groups, although differences between pre and post intervention were not statistically significant. Conclusion: NB effectively decreased anteroposterior and total area oscillations of adult patients, positively contributing to static balance.
Objetivo: Caracterizar idosos ativos através de Core Set da Classificação Internacional de Funcionalidade (CIF) para saúde de idosos e avaliar a qualidade de vida por meio do The 36-Item Short Form Health Survey- SF-36 na terapia assistida com equinos. Métodos: Trata-se de um estudo observacional analítico transversal, onde 10 idosos ativos entre 60 à 80 anos realizaram 16 sessões de terapia assistida com equinos, com duração de 30 minutos cada. Para avaliação foi utilizado o questionário da CIF, o SF-36 e o Mini Exame do Estado Mental – MEEM. Foi realizado análise estatística descritiva e também foi utilizado o teste t pareado. Resultados: O MEEM pré intervenção não demonstrou declínio cognitivo. Na CIF, os domínios I, II e III ficaram com qualificadores predominantemente em 0 e 2, já o domínio IV as pontuações ficaram com qualificadores entre 3 e 4. Conclusão: A terapia assistida com equinos em idosos é uma alternativa terapêutica efetiva na melhora da qualidade de vida.
Stroke is one of the leading causes of death worldwide; its severity is associated with high death rates and motor, cognitive, and sensory . Several interventions have been proposed in recent years to prevent and primarily treat stroke. LED stands out as one of these interventions; it indicates promising results because it stimulates cellular metabolism, increasing the cellular regenerative potential, and promoting . Thus, the present study evaluated the effects of 630 nm LED in animals submitted to ischemic stroke by analyzing and motor behavior. This was an experimental study with a controlled qualitative and quantitative intervention, with a sample of 30 male Wistar Rattus divided into two groups: a control group and treated group, consisting of 15 animals each. The experimental time points were 3, 7, and 21 days of treatment. All animals were submitted to surgery for the implantation of an electrode and subsequent electrolytic lesion. The quantitative results in the three experimental time points indicate treatment superiority using the 630 nm LED compared to the control group. The findings also showed increased tissue in the treated group at 3, 7, and 21 days of treatment when compared to the control group. Hence, the results suggest that the 630 nm LED guided treatment in the experimental time points of 3, 7, and 21 days was superior to those in the control group, showing animals with increased motor response according to the apprehension test, and improved according to the evaluation.
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