, and control (n ‫؍‬ 25). The participants underwent anthropometric and cirtometric measurements associated with maximal respiratory pressures. We analyzed data using descriptive (mean and SD) and inferential statistics (1-way analysis of variance, Student t test, and Scheffé post hoc) with a level of significance of 5% (P < .05) and a CI of 95%. RESULTS: Although the anthropometric and cirtometric variables indicated similarity of values between groups (P > .05), the maximal inspiratory and expiratory pressures were considerably lower in the subjects with PD and AD (P < .01). CONCLUSIONS: The control of the anthropometric and cirtometric variables of the subjects indicates that RMS is affected by the aging process, and its decline increases in neurodegenerative conditions. This fact represents a serious risk for the development of atelectasis and other pneumo-functional complications, which must be considered in proposing of future therapies.

Resumo O processo de formação dos profissionais da saúde constitui um desafio a gestores e educadores devido à complexidade de estimular ao mesmo tempo habilidades profissionais, interpessoais e humanísticas do aluno. Os programas de Residências Multiprofissionais em

Introduction: With the creation of the Support Center for Family Health (NASF) and the high insertion of physiotherapists in this, it is necessary to have a better knowledge on this category's current work. Objective: To analyze the process of work of physiotherapists at NASF and their education, and the technological tools usage. Methods: Transversal study, descriptive, analytic, enforced by online semi-structured questionnaires to NASF's physiotherapists in Mato Grosso do Sul. The results were analyzed through descriptive statistics and chi-square test (significant level of 5%). Results: 37 physiotherapists (21 cities) participated. Among them, 27% Family-Health/Primary-Health-Care post graduates, and 51.4% in other clinical areas. Most (91,9%) did not receive enough capacitation when joining NASF, and 94.6% consider that did not have enough knowledge to do their activities. The articulation NASF and Family-Health-Strategy team is considered unsatisfactory to 51.3%. Individual rehabilitation is the most carried activity on a daily basis (59.5%), and NASF's tools are used by less than half, except the Amplified Clinic, which is used by 54,1% of physiotherapists. There was a significant association between capacitation to NASF's work and the tools usage of Singular-Therapeutic Project, Territorial Health Project and Support Pact. There was no association between the tools usage and the specialization in Family Health. Conclusion: The assistive and rehabilitator model has been the conductor of physiotherapists' actions. NASF's tools are little used. These results are explained due to the limited knowledge about NASF's attributions, resulting from the small capacitation offer to these activities and the traditional rehabilitator education.

Objective: to analyze the results of the National Census of Primary Health Care Centers with regard to architectural and communication barriers in Primary Health Care throughout Brazil. Methods: this was a cross-sectional study based on data from the first National Census of Primary Health Care Centers conducted between May and October 2012. Results: the Northern region had the lowest rates of adequacy; although the Southeast region had the best rates when compared to the country's other regions, they were nevertheless unsatisfactory, since for many items adequacy was still below 50%; the items relating to accessibility by people with disabilities (5.7 to 34.2%) and/or the illiterate (0.1 to 27.4%) had very low scores. Conclusion: the majority of services evaluated had architectural and communication barriers, hindering access to health services by disabled, illiterate or elderly people; the importance of allocating resources to reduce iniquities and improve access is stressed.

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Considering the need for teamwork-focused training and the development of discussions and collective constructions in the fields of knowledge, a proposal that seeks to mobilize interdisciplinary training was created by students and teachers from different health courses of the Universidade Federal de

Despite consensus regarding the interference of cognitive processes on the human balance, the impact that different sensory stimuli have on the stabilometric measures remains unclear. Here, we investigated changes in the postural balance of individuals with Alzheimer's disease (AD) and in healthy controls undergoing different proprioceptive and somesthetic pitfalls. We included 17 subjects submitted to eight sensorimotor dynamics with differences in the support bases, contact surfaces, and visual clues. The measurements used to assess participants balance were as follows: position of the body in space, range of instability, area of the support base, and velocity of postural control. From a total of 56 cross-sectional analyses, 21.42% pointed out differences between groups. Longitudinal analyses showed that tasks with proprioceptive and somesthetic pitfalls similarly impact imbalance in both groups. The current results suggest that AD subjects and healthy controls had different patterns submitted to balance, but suffered similar interference when undergoing proprioceptive and somesthetic challenges.

Considera-se relevante que o Agente Comunitário de Saúde (ACS) conheça a atuação do fisioterapeuta na Atenção Primária à Saúde (APS), influenciando positivamente suas ações. Este estudo objetivou investigar o conhecimento dos ACS sobre a atuação do fisioterapeuta na APS. Realizou-se um estudo transversal com 170 ACS no município de Campo Grande/MS. Utilizou-se um questionário com informações sociodemográficas e relacionadas ao conhecimento sobre a atuação do fisioterapeuta.  Para os ACS, o papel do fisioterapeuta na APS relaciona-se ao atendimento individual, domiciliar e com vista à reabilitação. Competências, como gestão e educação em saúde, são pouco reconhecidas como prática do fisioterapeuta.