Objective: To evaluate the effect of the Ai-Chi method on the functional activities, quality of life, and posture in patients with Parkinson disease. Methods: The sample was divided into 2 groups: intervention (Ai-Chi method exercises; n = 8) and control group (without exercises; n = 7). Subjects were assessed for functional activities (Unifi ed Parkinson's Disease Rating Scale), quality of life (39-item Parkinson's Disease Questionnaire), and posture (postural assessment software SAPO). Results: The subjects in the intervention group showed improvement in functional activities (Unifi ed Parkinson's Disease Rating Scale score, 38.3 vs 23.8, P = .02) and posture (21.53 vs 21.86, P = .029). Conclusion: The Ai-Chi method improves functional activities and head posture in patients with Parkinson disease.Regarding aquatic exercises, there are already scientifi c reports about the effects of these exercises on subjects with PD; however, there is still a need for controlled and systematic studies, covering in detail the criteria for inclusion and exclusion, the disease level, along with the description of the technique used because currently these are scarce. 5 Ai-Chi is a technique used in aquatic physiotherapy in a heated pool with the goal to improve mobility, meditation, relaxation, and body stretching where movements are performed slowly and continuously. 6 These movements performed in a systematic way can infl uence the daily life activities of patients with PD since the changes resulting from the disease affect posture, locomotion, and quality of life (QOL) aspects. However, there are no studies to date in the literature demonstrating the effects of this method on clinical and functional outcomes in PD.Therefore, the aim of the study was to analyze the effects of Ai-Chi on functional activities, QOL, and the posture of patients with PD.

Objetivo. Avaliar o efeito agudo de um procedimento de Fisioterapia Aquática, no alinhamento e simetria de tronco de crianças com En­cefalopatia Crônica Não Progressiva da Infância (ECNPI). Método. Aplicou-se a fotometria como instrumento de avaliação, comparando­-se pré e pós intervenção aquática, observando os efeitos agudos de uma única sessão, com duração de 30 minutos, em quatro sujeitos quadriparéticos espásticos, com média de idade 12,75 anos. Realiza­ram-se demarcações dos pontos anatômicos: acrômios, últimas coste­las e espinhas ilíacas ântero-superiores (EIAS), foto na postura sentada em cadeira de rodas. Utilizou-se o software Corel Draw para identi­ficação de alterações na postura comparando a altura entre os pontos demarcados no plano horizontal. Para fidedignidade dessas medidas, utilizou-se o Coeficiente de Correlação Intraclasse (ICC), que verifica possíveis erros de medidas dependentes do avaliador. Resultados. O ICC resultou em 0,95. Observou-se que houve maior alinhamento e simetria corporal nos quatro sujeitos após a intervenção (p<0,05) e entre os pontos acrômios (0,02), EIAS (0,03) e não houve diferença entre últimas costelas (0,48). Conclusão. Neste estudo, concluiu-se que a Fisioterapia aquática apresentou um efeito agudo positivo na postura de crianças com ECNPI avaliadas.

Introduction: Training with exergames has been prescribed for health problems prevention, however, little is

Objective: To evaluate the functional capacity and quality of life (QoL) of the institutionalized elderly from an ICF perspective. Method: A cross-sectional observational analytic study was conducted with 22 elderly residents (77.9 ± 9.41 years) of a long-stay care institution in Curitiba, Paraná. The following assessment instruments were applied: the Barthel Index, the Nottingham Health Profile Questionnaire, and the International Classification of Functioning, Disability, and Health (ICF). Analysis of the data was done by measures of central tendency (mean) and dispersion (standard deviation). The ICF was analyzed by the distribution of relative and absolute frequencies. Results: The majority of the sample had medium cognitive status and light functional dependency. The domain that most interfered with the elderly's QOL was physical ability, energy level, sleep, and emotional and social pain, respectively. The ICF frequency distribution showed aspects not observed in the conventional assessment of the participants; in particular, it showed great specificity in the following functions: mental, sensory, and pain, the digestive, metabolic, and endocrine systems, psychomotor, movement, personal care, support and relationships, and individual activities. Conclusions: It is expected that the ICF will be adopted and used in various areas of health, including long-stay care facilities and multidisciplinary teams, so that professionals, through a unified and standard language, may intervene in the health of the individual as a whole.

Introduction:The in luenza A (H1N1) was responsible for the 2009 pandemic, especially with severe pulmonary complications. Objective: To describe characteristics of patients in a university hospital in Curitiba -PR with laboratory diagnosis of in luenza A (H1N1) and its post hospital discharge in the 2009 lung function pandemic Methodology: A retrospective observational study. It was used as a data source the institution Epidemiology Service (SEPIH) and spirometry tests of patients who were admitted in 2009, 18 years without lung disease associated and non-pregnant. Descriptive statistics were used and applied Fisher's exact test for relationship between comorbidity and spirometry tests. Results: There were 84 con irmed cases, of these 11 were eligible for the study with a mean age of 44.27 years (± 9.63) and 63.63% males. 54.54% of the 11 patients had comorbidities associated with systemic arterial hypertension (54.54%), diabetes (18.18%) and late postoperative period of kidney transplantation (18.18%) were the most frequent. Most patients (81.81%) had BMI ≥ 25kg / m². The Spirometry test was performed approximately 40.09 (± 15.27) days after discharge, of these, 5 had restrictive pattern and all had abnormal chest radiograph results. There was no statistically signi icant difference between the results of Spirometry and comorbidities (p=0.24). Conclusions: The group evaluated in this research did not show a direct relationship between Spirometry and comorbidities, but changes in Spirometry in some patients after hospital discharge stood out, suggesting changes in lung function due to in luenza A (H1N1). Keywords

RESUMOObjetivo. Avaliar o efeito agudo de um procedimento de Fisioterapia Aquática, no alinhamento e simetria de tronco de crianças com Encefalopatia Crônica Não Progressiva da Infância (ECNPI). Método. Aplicou-se a fotometria como instrumento de avaliação, comparando--se pré e pós intervenção aquática, observando os efeitos agudos de uma única sessão, com duração de 30 minutos, em quatro sujeitos quadriparéticos espásticos, com média de idade 12,75 anos. Realizaram-se demarcações dos pontos anatômicos: acrômios, últimas costelas e espinhas ilíacas ântero-superiores (EIAS), foto na postura sentada em cadeira de rodas. Utilizou-se o software Corel Draw para identificação de alterações na postura comparando a altura entre os pontos demarcados no plano horizontal. Para fidedignidade dessas medidas, utilizou-se o Coeficiente de Correlação Intraclasse (ICC), que verifica possíveis erros de medidas dependentes do avaliador. Resultados. O ICC resultou em 0,95. Observou-se que houve maior alinhamento e simetria corporal nos quatro sujeitos após a intervenção (p<0,05) e entre os pontos acrômios (0,02), EIAS (0,03) e não houve diferença entre últimas costelas (0,48). Conclusão. Neste estudo, concluiu-se que a Fisioterapia aquática apresentou um efeito agudo positivo na postura de crianças com ECNPI avaliadas.Unitermos.Fisioterapia, Hidroterapia, Postura, Paralisia Cerebral Citação. Yamaguchi B, Souza FCF, Villegas ILP, Gluszewicz IS, Israel VL. Efeito postural agudo da fisioterapia aquática na encefalopatia crônica não progressiva da infância. ABSTRACTObjective. To evaluate the acute effect of an Aquatic Physiotherapy procedure, in the alignment and symmetry of the trunk of children with Chronic Non Progressive Encephalopathy (ECNPI). Method. Photometry was applied as an evaluation process to compare pre and post aquatic intervention, observing the acute effects of a single aquatic session, with 30 minutes duration, in which four subjects quadriparetics and spastics, with an average age of 12.75 years. Demarcations were made from the anatomical points: acromions, the last ribs and anterior superior iliac spines (ASIS), a picture of the sitting posture in a wheelchair. Corel Draw software was used for identification of alterations in posture in the corporeal symmetry and alignment, comparing the height between the marked points, in the horizontal plane. Results. The Intraclass Correlation (ICC) resulted in 0.95. It was observed that was greater corporeal alignment and symmetry was achieved in the four subjects (p<0.05) between acromial points (0.02), ASIS (0.03), and there was no difference in the last ribs (0.48). Conclusion. In this study, it is concluded that Aquatic Physical Therapy brought a positive acute effect in the posture of children with ECNPI.

Objective: To evaluate the functional capacity and quality of life (QoL) of the institutionalized elderly from an ICF perspective. Method: A cross-sectional observational analytic study was conducted with 22 elderly residents (77.9 ± 9.41 years) of a long-stay care institution in Curitiba, Paraná. The following assessment instruments were applied: the Barthel Index, the Nottingham Health Profile Questionnaire, and the International Classification of Functioning, Disability, and Health (ICF). Analysis of the data was done by measures of central tendency (mean) and dispersion (standard deviation). The ICF was analyzed by the distribution of relative and absolute frequencies. Results: The majority of the sample had medium cognitive status and light functional dependency. The domain that most interfered with the elderly’s QOL was physical ability, energy level, sleep, and emotional and social pain, respectively. The ICF frequency distribution showed aspects not observed in the conventional assessment of the participants; in particular, it showed great specificity in the following functions: mental, sensory, and pain, the digestive, metabolic, and endocrine systems, psychomotor, movement, personal care, support and relationships, and individual activities. Conclusions: It is expected that the ICF will be adopted and used in various areas of health, including long-stay care facilities and multidisciplinary teams, so that professionals, through a unified and standard language, may intervene in the health of the individual as a whole.

Objective: Create and test the psychometric proprieties of the specific instrument for the quantification of the quality of life in subjects with spinal cord injuries. Methods: From the existing consensus methods was chosen the Delphi technique for the creation of the questionnaire and the SF-36 for criteria method. Results: The internal consistence was α=0,827. The intra and inter evaluators confidence shows itself high by the intra class correlation coefficient and the Brand and Altman test by the difference of average. Can be observed strong correlations between the QVLM and SF-36 in the functional capacity and physical aspects domains and moderate correlation in the health state and emotional aspects domains. There was a significant difference between the four applications of QVLM, demonstrating that the questionnaire is sensible to change. Conclusion: The QVLM was created with a suitable methodology and the evaluation of the psychometrics proprieties turn out to be on a valid, reliable, consisting and sensible to changes instrument.