Abstract-We investigated the role of an evidence-based integrated group rehabilitation program on the treatment of patients with knee osteoarthritis (KOA). This was a two-group, randomized controlled, 8 wk trial with 41 patients with moderate to very severe KOA. Patients were assigned to an intervention group (IG) or control group (CG). After both groups had received a self-management education program, IG participants underwent a rehabilitation program, including educational aspects about KOA followed by exercises. CG participants received only general health orientation about KOA during this period. The outcome measures were the Lequesne algofunctional index; 36-Item Short Form Health Survey (SF-36); and chair-stand, sit-and-reach, timed up-and-go, and 6-minute walk tests. Analysis of covariance revealed significant postintervention improvements of IG participants compared with CG participants (p < 0.05) on Lequesne total score and pain and function subdomains; SF-36 physical function, role physical, bodily pain, general health, vitality, and role emotional subdomains; and performance assessed by chair-stand, timed up-and-go, and 6-minute walk tests. Focusing on the primary outcome (Lequesne total score), the mean +/-standard deviation after 8 wk was 5.50 +/-2.98 for the IG and 7.87 +/-3. https://clinicaltrials.gov/ct2/show/ NCT01850862?term=NCT01850862&rank=1
Introdução: Entre as doenças crônicas que acometem o sistema musculoesquelético, a de maior prevalência é a osteoartrose. O exercício físico em grupo possibilita o apoio mútuo, troca de experiências e otimiza o controle da dor. Objetivos: Investigar o efeito da intervenção fisioterapêutica em grupo sobre a dor e qualidade de vida de pacientes portadores de dor crônica decorrente de osteoartrose. Métodos: Dez voluntários foram submetidos à avaliação da dor e da qualidade de vida pré e pós-intervenção. A intervenção consistiu em sessões de exercício em grupo, duas vezes por semana, durante oito semanas. Resultados: Houve diferença estatisticamente significativa na média dos domínios capacidade funcional, limitação por aspectos físicos, dor, vitalidade, limitação por aspectos sociais e limitação por aspectos emocionais e saúde mental; ao comparar os momentos pré e pós-intervenção. Conclusões: O exercício terapêutico em grupo promoveu redução nos índices de percepção dolorosa e impacto positivo na qualidade de vida.
Heart rate recovery after physical exertion tests in elderly hypertensive patients undergoing resistance training [I] Recuperação da frequência cardíaca após testes de esforço em idosas hipertensas submetidas a treinamento resistido [A] Murillo Jales Lins de Lira, Ivan Daniel Bezerra Nogueira, Juliana Fernandes de Souza, Flávio Emanoel Souza de Melo, Ingrid Guerra Azevedo, Patrícia Angélica de Miranda Silva Nogueira* Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil [R] Abstract Introduction: Heart rate recovery after exercise is a valuable variable, associated with prognosis and it has been used as an indicator of cardiorespiratory fitness, especially in patients with heart disease, as hypertensive patients. Objective: This study aimed to analyze the response of heart rate recovery in elderly hypertensive patients undergoing a resistance training program. Methods: Sample was composed for 10 elderly women with a mean age of 70.7 ± 7.4 years. Exercise test and six-minute walk test were developed and we checked heart rate recovery in the 1st and 2nd minute post tests, before and after resistance training. Results: There was an increase in mean heart rate recovery in the analyzed minutes in both tests, but only in the 1st minute after six minutes walk test we found a significant increase (p = 0.02). Conclusion: The results suggest the efficacy of resistance training to improve cardiorespiratory fitness of elderly hypertensive patients.
Introduction:The noinvasive ventilation (NIV) has been an important resource for the management of acute respiratory failure (ARF) in intensive care unit (ICU). Several factors related to the patient, the healthcare team and the equipment used can influence in the success or failure of this therapy. Therefore, it is beneficial to analyze the use and effectiveness of NIV in everyday practice, which may lead to shorter hospital staying, reduce costs, and decrease mortality rate. Objective: To observe the use of NIV in patients with ARF in ICU. Methods: Prospective and observational study, assessing 37 patients aged over 18 years, who undergone NIV in ICU for ARF. The volunteers were assessed for clinical characteristics, physiological parameters, and outcome. The sample was divided into success group -SG (nonintubated patients after NIV use) and failure group -FG (intubated patients after NIV use). Results: The NIV was successful in 18 (48.6%) subjects and failed in 19 (51.4%) of them. Acute pulmonary edema was the main reason (62.4%) of ARF found. The FG compared to SG showed longer duration of NIV use (p = 0.05), lower arterial pH (p = 0.00), higher PaCO 2 (p = 0.02) greater accumulated water balance within 24 hours (p = 0.03) and 72 hours (p = 0.05) prior to the last use of NIV. It was also observed that the FG patients had higher hospital mortality rate, as follows: 73.8% versus 16.7% of FG SG (p = 0.00). Conclusion: The FG had a longer ICU staying and higher mortality rate. Moreover, the consciousness levels, the pH level, PaCO 2 and cumulative fluid balance appear to contribute to the success or the failure of NIV.
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