BACKGROUND: social distancing was implemented worldwide due to the coronavirus (COVID-19) pandemic. This impacted physical activity levels and increased the time spent in sedentary behaviors which may contributed to the emergence of increased musculoskeletal complaints. OBJECTIVE: To assess the consequences of social distancing for the increase in perceived pain of students and professors from higher education institutions. METHODS: One thousand two hundred and fifty-four participants responded to an online survey containing sociodemographic information and questions related to daily habits, physical activity profile, and musculoskeletal pain before and during the pandemic. Level of concentration, nervousness, productivity, and visual fatigue were also assessed. The primary outcome was presence of perceived pain before and during the pandemic, dichotomized between those with and without increased pain during the pandemic. RESULTS: perceived pain increased during the pandemic (p < 0.001) and was associated with females (p = 0.023; PR = 1.16; 95% CI = 1.02–1.32), income up to one minimum wage (p = 0.039; PR = 1.20; 95% CI = 1.01–1.42), no physical activity practice (p = 0.006; PR = 1.22; 95% CI = 1.06–1.40), long time in sedentary behavior (p = 0.013; PR = 3.07; 95% CI = 1.27–7.43), and electronic device usage for > 6 hours (p = 0.041; PR = 1.44; 95% CI = 1.02–2.06). Nervousness (p = 0.001) and visual fatigue (p = 0.001) increased, whereas concentration (p = 0.001) and productivity (p = 0.001) reduced during the pandemic. CONCLUSIONS: reduced physical activity practice and increased time in sedentary behavior and electronic device usage during the pandemic were associated with increased musculoskeletal pain in students and professors from higher education institutions. Decreased concentration and productivity and increased nervousness and visual fatigue were also observed during the pandemic.
Background: This study aimed to describe the effects of a 90-minute group-based constraint-induced movement therapy protocol (CIMT) on upper extremity (UE) rehabilitation in poststroke patients. Method: The study was a case series clinical study with 6 patients with chronic stroke admitted to the institutional integrated clinic. Ten 90-minute CIMT sessions were administered, based on the principles of the original therapy. On completion of the protocol, participants underwent group care once a week, for 1 hour a day. For comparison purposes, the Wolf Motor Function Test (WMFT), Motor Activity Log (MAL), and Canadian Occupational Performance Measure (COPM) were applied on admission, shortly after completing the protocol, and 3 months after completion. In addition, the MAL and shaping tasks were applied daily. Results: There was a statistically significant difference only in the MAL Amount of Use Scale applied daily between the 2nd (3.56) and 9th (3.31) and 2nd and 10th days (4.49) (P = .004), with a moderate effect size (d’ = 0.46), and in the average value of shaping repetitions between the 1st (16.10) and 2nd (6.00) and 1st and 10th tasks (7.00) (P = .014), with a moderate effect size (d’ = 0.35). Conclusion: The 90-minute CIMT protocol resulted in significant improvements in use of the more affected arm in activities of daily living during the 2-week protocol. Additional research with a larger sample and a control group is needed to confirm its effectiveness.
Em virtude do novo coronavírus a OMS determinou uma série de medidas a seremadotadas pelos países, uma delas foi isolamento social. A internet se tornou uma dasprincipais fontes de informação da população, porém a disseminação das fakes newspodem atrapalhar o enfrentamento a pandemia. Sendo assim, este estudo tem porobjetivo fazer um relato de experiência de discentes e docentes de programas de pós-graduação no combate às fakes news. Para tal, foi desenvolvido um fluxograma dasações de extensão que apresenta as etapas a serem seguidas. Após isto foram elaboradosdois materiais, um esclarecendo fakes news acerca de medicamentos e outro trazendo asverdades por trás dos mitos. Banners informativos foram divulgados nas mídias sociaisdos programas de pós-graduação envolvidos na ação, tudo com base em fundamentaçãocientífica.
INTRODUÇÃO: As deficiências físicas ocasionadas pelo Acidente Vascular Cerebral (AVC) podem estimular os pacientes a manterem um baixo condicionamento físico e se tornarem cada vez mais sedentários. O comportamento sedentário tem efeitos prejudiciais à saúde, incluindo um maior risco de incidência de doenças cardiovasculares. OBJETIVO: Verificar se existe correlação entre o tempo sentado e o comprometimento motor de membros inferiores em pacientes pós-AVC. MÉTODOS: Trata-se de um estudo observacional, de caráter transversal, onde foram analisados pacientes com diagnóstico clínico de AVC na fase crônica, de ambos os sexos. O tempo sentado foi analisado por meio da seção 5 do Questionário Internacional de Atividade Física (IPAQ) e a função motora por meio da Escala de Fugl-Meyer - subseção de membros inferiores (MMII). Os participantes foram avaliados em uma única sessão, com duração média de 1 hora. RESULTADOS: A correlação pelo coeficiente ρ de Spearman entre a Escala Fugl-Meyer MMII e IPAQ-tempo sentado durante a semana foi de r= -0,639 (p=0,008) e IPAQ-tempo sentado durante final de semana foi de r= -0,603 (p=0,013). Os pacientes passam 11,59 horas/dia durante a semana e 12,15 horas/dia durante o final de semana na posição sentada. CONCLUSÃO: Os resultados mostram uma relação negativa entre as variáveis estudadas, sugerindo que quanto maior o comprometimento motor dos MMII, maior será a média de tempo sentado do indivíduo após AVC.
Introduction: Social cognition is an increasingly explored field of research in the study of post-acquired brain injury psychiatric disorders, encompasses a number of domains including theory of mind (ToM). The ToM refers to the ability to understand, infer emotions, and predict the behavior of others. ToM deficits can impair information processing, and the laterality of the brain injury can influence the level of impairment. Objectives: To investigate whether laterality of the post-stroke hemispheric lesion influences performance on ToM tasks. Methods: Cross-sectional observational study, with chronic post-stroke subjects, aged ≥18 years, without cognitive deficits suggestive by Mini Mental State Examination (MMSE). The volunteers were submitted to a single evaluation using the Theory of Mind Task Battery (ToM TB) in its version translated and adapted to Portuguese (Brazil). The participants were allocated into two groups: group with right hemisphere injury (RHI) and group with left hemisphere injury (LHI). Comparative statistics were performed based on the ToM TB scores between the two groups using Student’s t-test. Results: Thirty-eight participants (RHI=22 and LHI=16) were included. There was no difference between the RHI and LHI group regarding social cognition assessed by ToM TB (t=1.63; p=0.11). Conclusion: The laterality of brain injury appears to not influence the level of performance on ToM tasks in stroke survivors.
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