Introdução: O tratamento da endometriose permanece em discussão e tem como objetivo primário a redução da dor e melhora da qualidade de vida. Objetivos: analisar quais tratamentos vem sendo utilizados até então para endometriose e qual seu grau de evidência. Métodos: a pesquisa foi realizada na base de dados pubmed, Science direct e medline, seguindo as orientações PRISMA. Resultados: Para dor pélvica, são descritos os tratamentos empíricos baseados em orientações físicas e aconselhamentos, progestágenos, anticoncepcionais, antiinflamatórios e SIU-LNG (dispositivo de liberação hormonal intra-útero). Já os tratamentos citados para infertilidade são, ablação cirúrgica das lesões, cirurgias mais complexas que envolvem outros sistemas além do reprodutor, tratamento hormonal pós cirúrgico e inseminação intra-útero e fertilização in vitro. Conclusão: Atualmente o tratamento padrão é a laparoscopia nos casos mais graves, com dores mais intensas ou infertilidade e a terapia conservadora sobretudo, os tratamentos hormonais em casos considerados mais brandos.
BACKGROUND AND OBJECTIVES:Low back pain is considered a public health problem worldwide and has a personal, social, occupational and economic impact. Psychosocial signs such as inappropriate beliefs about pain, fear of movement, anxiety, stress, depression and low job satisfaction are characteristics of individuals with low back pain. These clinical signs are mediators of chronic pain and disability. The present study aimed to assess psychological comorbidities in patients with chronic non--specific low back pain who are undergoing physical therapy and patients awaiting physical therapy; in addition to characterizing the psychosocial profile of these individuals. METHODS: This research was carried out with 31 individuals recruited from physical therapy clinics in the region of greater Florianópolis. They were divided into two groups: Treatment (TG) and non-treatment (CG). The following self-report instruments were applied: Hospital Anxiety and Depression Scale (HADS), Health Status Questionnaire (SF-36V2), Visual Analog Scale (VAS), Oswestry Low Back Pain Disability Index (OL-BPDI), Fear-Avoidance Belief Questionnaire (FABQ) and Pain Castatrophizing Scale (PCS). RESULTS: Significant differences (p<0.05) were observed in the scores of the instruments applied between the groups. The CG had higher averages than the GT.
CONCLUSION:The results obtained in this study support previous findings about the benefits of physical therapy for indivi-
Characterization of biopsychosocial factors of patients with chronic nonspecific low back painCaracterização de fatores biopsicossociais de pacientes com dor lombar crônica inespecífica
Introduction: With scientific and technological advances, the survival of critically ill patients has increased over the years. However, some patients require prolonged invasive mechanical ventilation (IMV), which can increase the length of stay in the intensive care unit (ICU) and lead to ICU-acquired muscle weakness (ICUAW). There are several tools to diagnose ICUAW, however, most of them depend on patient collaboration, and often, due to sedation, this becomes unfeasible. Objective: To describe the ICUAW assessment instruments in critically ill patients. Methodology: A bibliographic search was carried out in PubMed, MedLine (International Literature and Health), LILACS (Latin America and the Caribbean in Health Sciences) and Cochrane databases between 1995 and December 2019 using the keywords: muscle weakness, muscle strength and intensive care unit. Conclusion: The assessment of muscle weakness is of great importance to verify the health status of critically ill patients admitted to the ICU and to guide them towards the most appropriate treatment plan. Thus, it is essential for the physical therapist to know the various instruments for assessing muscle weakness acquired in the ICU.
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