PROSPERO (CRD42015020683). [Menezes KKP, Nascimento LR, Ada L, Polese JC, Avelino PR, Teixeira-Salmela LF (2016) Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review.Journal of Physiotherapy62: 138-144].

Resumo Introdução: É indispensável que os profissionais da saúde se informem sobre os fenômenos grupais, pois sua organização como modalidade de atenção coletiva é cada vez mais frequente nos serviços de saúde. Assim, o objetivo deste estudo foi analisar, através de uma revisão da literatura, os resultados de ações educativas na Atenção Primária em Saúde através da utilização de grupos operativos encontrados. Método: Busca eletrônica nas bases de dados Medline, Scielo, LILACS e Web of Science, sem restrição de idioma e ano de publicação, realizada por dois pesquisadores independentes. Resultado: A estratégia de busca retornou 143 estudos, no entanto somente 10 estudos foram incluídos. Aplicados em diferentes populações, percebemos que os grupos voltados para a educação em saúde na Atenção Primária funcionam como estratégia eficiente, na qual se abre espaço para a escuta das necessidades e para a informação. Além disso, medidas objetivas demonstram melhora no autocuidado, estilo de vida, abandono de vícios, comportamentos de risco etc. Conclusão: Os grupos operativos estão inseridos no cuidado à saúde na Atenção Primária como um processo prático e eficiente. Todos os estudos alcançaram resultados positivos na promoção, prevenção e educação em saúde.

This systematic review reports 5 possible interventions used to improve respiratory function after stroke. Respiratory muscle training proved to be effective for improving inspiratory and expiratory strength, lung function, and dyspnea, and benefits were carried over to activity. However, there is still no evidence to accept or refute the efficacy of aerobic, breathing, and postural exercises, or the addition of electrical stimulation in respiratory function.

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HighlightsHigh-intensity respiratory muscle training may improve neurological rehabilitation.Gains in respiratory muscle strength are expected to be clinically meaningful.If benefits are carried over to activity, community participation may be enhanced.If benefits include reduction in hospital admissions, treatment costs may be reduced.

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Background and Purpose: Telephone-based assessment may be a valuable and cost-effective approach to improve monitoring and follow-up assessments in patients and research participants. Telephone-based assessment may be of particular value during times when it is important to reduce in-person contract, such as during the Covid-19 pandemic. The purpose of this study was to investigate concurrent validity of the telephone-based administration of the ABILHAND for the assessment of manual ability in individuals with stroke. Methods: Using a cross-sectional study design, participants with stroke were invited to answer the ABILHAND questionnaire on 2 randomized occasions, face to face and by telephone, 5 to 7 days apart. The mean difference (MD) between the interviews was calculated (95% confidence interval [95% CI]) to investigate the concurrent validity. Intraclass correlation (ICC) and weighted κ coefficients were used to investigate the agreement between face-to-face and telephone-based administration. Results: One hundred two participants (50 men; mean age = 65 years, SD = 13 years) were included. No significant differences were observed between the mean scores obtained with face-to-face and telephone-based administration of the ABILHAND (MD = −0.06; 95% CI, −0.72 to 0.60). Very high agreement was found between face-to-face and telephone-based administration (ICC = 0.90; 95% CI, 0.85 to 0.93) on the ABILHAND total scores. Most of the individual items had moderate or substantial κ agreement. Discussion and Conclusions: Telephone-based administration of the ABILHAND is valid for the assessment of manual ability after stroke. Clinicians and researchers may use the ABILHAND for monitoring manual ability in persons with stroke and/or screening potential research participants. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A318).

The ABILOCO-Brazil demonstrated satisfactory measurement properties to be used within both clinical and research contexts in Brazil, as well cross-cultural validity to be used in international/multicentric studies. However, the presence of ceiling effect suggests that it may not be appropriate for the assessment of individuals with high levels of locomotion ability. Implications for rehabilitation Self-report measures of locomotion ability are clinically important, since they describe the abilities of the individuals within real life contexts. The ABILOCO questionnaire, specific for stroke survivors, demonstrated satisfactory measurement properties, but may not be most appropriate to assess individuals with high levels of locomotion ability The results of the cross-cultural validity showed that the ABILOCO-Original and the ABILOCO-Brazil calibrations may be used interchangeable.