The McKenzie method (a more resource-intensive intervention) was slightly more effective than the Back School method for disability, but not for pain intensity immediately after treatment in participants with chronic low back pain.
OBJECTIVES:To evaluate the difference in isokinetic strength of hip muscles between patients with knee osteoarthritis (OA) and matched healthy controls, and to establish the correlation between this isokinetic strength and pain and function in patients with knee OA.METHODS:25 patients with a diagnosis of unilateral knee OA, 25 patients with bilateral knee OA, and 50 matched controls were evaluated using the visual analog scale for pain, knee Lequesne index, Western Ontario and McMaster Universities questionnaire and an isokinetic test.RESULTS:The groups were matched for age, gender and body mass index. The results of the isokinetic test revealed lower peak torque of the hip in patients with OA of the knee than in the control group for all movements studied. Strong correlations were found between the peak torque, visual analog scale and function.CONCLUSIONS:Patients with OA of the knee exhibit lower isokinetic strength in the hip muscles than healthy control subjects. Strengthening the muscles surrounding the hip joint may help to decrease pain in people with knee OA. Some correlations between pain/function and peak torque were found.
Este estudo teve por objetivo verificar o perfil dos usuários e da demanda do serviço da clínicaescola de fonoaudiologia da Universidade Federal da Bahia (UFBA) e contribuir para as pesquisas em fonoaudiologia na área da Saúde Coletiva. Foi desenvolvido por meio da revisão de prontuários clínicos dos indivíduos atendidos no período de 2004 a 2007 na clínica-escola de Fonoaudiologia da UFBA, onde foram coletados dados sociodemográficos e clínicos, tais como: idade, sexo, escolaridade, ocupação, renda média familiar, origem do encaminhamento, queixa inicial, tempo de espera para atendimento e a área que a hipótese diagnóstica fonoaudiológica abrangeu. Dos 210 indivíduos atendidos nesse período, a maioria foi encaminhada por profissionais da saúde (49%). O sexo masculino (51,4%) e a faixa etária entre 0 e 12 anos (52%) foram predominantes. Frequentemente os usuários apresentam apenas uma queixa (64,8%). 49,3% dos indivíduos aguardaram por atendimento aproximadamente por 6 meses. A área predominante foi a Linguagem (52,4%), seguida pela Motricidade Orofacial (31,4%) e Voz (19%). Concluiu-se que o perfil dos indivíduos pesquisados revelou uma população predominantemente masculina, com idade entre 0 e 12 anos, encaminhados, em sua maioria, por profissionais da área da saúde. A maioria apresentou somente uma queixa, e o tempo de espera pelo atendimento foi em média de seis meses. A área predominante foi a Linguagem seguida pela Motricidade Orofacial e Voz, respectivamente.
Introdução. O esporte adaptado é ferramenta importante na reabilitação de indivíduos com deficiência, pelos benefícios motores, psicológicos e sociais. O basquetebol em cadeira de rodas (BCR) possui regras semelhantes ao basquetebol convencional, com adaptações. É jogado por indivíduos com seqüelas motoras,como lesados medulares. A prevalência de lesões músculo-esqueléticas nesse esporte é citada em pesquisas, sem correlacionálas com sobrecarga ou mau uso dos membros não afetados pelas adaptações nas atividades de vida diária. Objetivo. verificar a prevalência de lesões músculo-esqueléticas nos últimos dozemeses em lesados medulares (LM) cadeirantes (T1 e inferior), que praticam ou não BCR, e correlacionar com a qualidade de vida destes indivíduos. Método. Foram avaliados 27 indivíduos (12 sedentários, 15 desportistas), homens, locomoção em cadeira de rodas manual. Utilizou-se o Inquérito de Morbidade Referida, um questionário de cunho sócio-demográfico e o WHOQOL-bref. Resultados. a maior prevalência de dor por lesões músculo-esqueléticas foi no ombro, em ambos os grupos. Os desportistas apresentaram maiores escores nos aspectos físico, psicológico e de relações pessoais no WHOQOL-bref. Conclusão. Os LM desportistas apresentam lesões músculo-esqueléticas como os sedentários, porém, com qualidade de vida melhor. Sugere-se que o esporte adaptado é uma importante via para a reabilitação destes indivíduos.
BackgroundChronic low back pain is a highly prevalent condition, which is associated with high direct and indirect costs to the society. Although this condition is highly prevalent, it is still extremely difficult to treat. Two potentially useful treatments for patients with chronic low back pain are called the McKenzie and Back School treatment programs. These programs have good biological plausibility, are widely available and have a modest cost. Although these treatments are already available for patients, the evidence that supports their use is largely based on low quality methodological studies. Therefore, a high-quality randomised controlled trial is required to compare, for the first time, the effectiveness of these treatments in patients with chronic low back pain.Methods/designOne hundred and forty-eight patients will be randomly allocated to a four-week treatment program based upon the McKenzie or Back School principles. Clinical outcomes (pain intensity, disability, quality of life, and trunk flexion range of motion) will be obtained at follow-up appointments at 1, 3 and 6 months after randomisation. The data will be collected by an assessor who will be blinded to the group allocation.DiscussionThis will be the first study aimed to compare the McKenzie and Back School approaches in patients with chronic low back pain. The results of this trial may help in the decision-making process of allied health providers for the treatment of chronic low back pain and reduce the health-related costs of this condition.Trial RegistrationACTRN12610000435088
Objective: To evaluate the effectiveness of sleep hygiene instructions for women with fi bromyalgia. Materials and methods: Seventy women with fi bromyalgia completed the study. The assessment comprised the Fibromyalgia Impact Questionnaire (FIQ), the Pittsburgh Sleep Quality Index (PSQI), and a general questionnaire with personal data and lifestyle information. All patients received information about the disease and a sleep diary, but only the experimental group received the sleep hygiene instructions. Patients were asked to practice sleep hygiene, and, after three months, they were reevaluated by use of the same questionnaires. Results: The mean age in the control group was 55.2 ± 7.12 years, and, in the experimental group, 53.5 ± 8.89 years (P = 0.392). The experimental group showed: a decrease in the pain Visual Analogue Scale values (P = 0.028), in fatigue (P = 0.021), and in the PSQI component 1 (P = 0.030); and a signifi cant reduction in the diffi culty falling asleep after waking up in the middle of the night (P = 0.031). The experimental group also showed an increase in the reporting percentage of "silent environment" (ranging from 42.9% to 68.6%), a decrease in the reporting percentage of "fairly quiet environment" (ranging from 40% to 22.9%), and a decrease in the reporting percentage of "noisy environment" (ranging from 17.1% to 8.6%). These changes facilitated falling asleep after waking up in the middle of the night. Conclusion: The sleep hygiene instructions allowed changing the patients' behavior, which resulted in pain and fatigue improvement, increased subjective quality of sleep, in addition to facilitating falling asleep after waking up in the middle of the night.
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