Ensaios clínicos controlados e randomizados na ortopedia: dificuldades e limitações

Malavolta, Eduardo Angeli; Demange, Marco Kawamura; Gobbi, Riccardo Gomes; Imamura, Marta; Fregni, Felipe

doi:10.1590/s0102-36162011000400018

Cited by 23 publications

(6 citation statements)

References 11 publications

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“…As it is a convenience sample, without a sample calculation, the results of this research based on a non-probabilistic sampling do not allow generalizations regarding the population of interest. The reduced number of subjects may generate a type II error (false negative) which consists in stating that there is no statistical difference in the studied group 39 . As a result of this small sample, it was not possible to do a random allocation with the use of control group.…”

Section: Discussionmentioning

confidence: 99%

Efeitos do exercício do trato vocal semiocluído em canudo comercial na voz do professor

2017

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RESUMO Objetivo: verificar os efeitos do exercício de fonação em canudo comercial na voz de professores. Métodos: estudo de intervenção, com grupo único de professores, cego ao avaliador. Os participantes foram solicitados a executar o exercício de fonação em canudo imerso a uma garrafa com água no início do turno de trabalho, por quatro semanas consecutivas. Utilizou-se o parâmetro “grau global de severidade” do protocolo Consenso da avaliação perceptivoauditiva da voz (CAPE-V) para a avaliação perceptivoauditiva, o protocolo de autoavaliação índice de triagem de distúrbios de voz (ITDV) e os efeitos vocais autorreferidos na comparação entre os momentos pré e pós-intervenção. Resultados: a média de idade dos professores foi de 45,28 (± 8,48) anos, variando entre 30 e 58 anos, sendo composta, na sua maioria, pelo sexo feminino (79,3%). A frequência de alteração vocal autorreferida foi 58,6%. Houve decréscimo na média dos escores do CAPE-V e do ITDV na comparação antes e após a intervenção com significância estatística (p<0,05). Na pós-intervenção os efeitos autorreferidos ocorridos mais frequentes foram “melhora na voz”, “menor cansaço” (ambos com 37,9%). Conclusão: o exercício com canudo comercial promoveu melhora na voz dos professores e efeitos benéficos autorreferidos e pode ser utilizado como medida protetora.

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Section: Discussionmentioning

confidence: 99%

Efeitos do exercício do trato vocal semiocluído em canudo comercial na voz do professor

2017

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“…almost experimental and non-experimental studies, respectively. This finding may be justified by the difficulty of adapting a methodology to the characteristics of an experimental study [16]. The difficulty of carrying out studies with higher levels of evidence may also justify the publication of more than 75% of papers in scientific journals with Qualis B1 and B2.…”

Section: Discussionmentioning

confidence: 99%

Clinical functional evaluation of female's pelvic floor: integrative review

Fernandes

Reis²,

Patrizzi

et al. 2018

Fisioter. mov.

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Introduction: The effectiveness of pelvic floor muscle training (PFMT) depends on the correct prescription of intensity, repetition and endurance of muscle contractions, which are provided by an adequate assessment of pelvic floor muscle. Objective: Verify the techniques, resources and strategies used for clinical functional evaluation of female pelvic floor (PF) described in literature. Methods: It’s an integrative review of published studies and books from 2010 until December 2015. Relevant articles with complete description of PF evaluation were found through the use of Scielo, LILACS, PubMed and Medline databases. Results: 34 articles that fulfilled all the criteria were selected. Conclusion: The most used techniques, resources and strategies were: anamnesis, physical examination, measurement of pelvic floor muscle activity using Modified Oxford Scale or perineometry, and use of questionnaires to analyze patient's perspective of their own symptoms. Thus, we could use the parameters obtained in the evaluation to plan an ideal PFMT for each patient, so the physiotherapist would have a good database to analyze the evolution and define the end of therapy.

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“…Clinical trials aim to create base to support the use of therapies through analysis of different interventions, and these studies have several advantages, especially with regard to the reduction of bias in data collection and analysis, what gives prestige to this method in research [26].…”

Section: Discussionmentioning

confidence: 99%

Nursing care for the prevention of falls in the elderly: an integrative review

et al. 2017

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Objective: To evaluate the literature evidence on nursing care for preventing falls among the elderly. Method:Integrative review of studies published between 2005 and 2015 available in the LILACS, PubMed and CINAHL databases. The search was carried out in English, Portuguese and Spanish and combined the following descriptors: elderly, accidents from falls and nursing care .Results: Ten studies were selected. The thematic analysis resulted in three categories: health education as strategy for preventing falls in the elderly, identification of risk factors for the occurrence of falls in the elderly as preventive strategy and use of care technologies for preventing falls in the elderly. Conclusion:More participation of nursing in the production of research directed to this theme is suggested, particularly the development of intervention studies that may reveal the care to be provided in the different care scenarios for the health of the elderly.

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Ensaios clínicos controlados e randomizados na ortopedia: dificuldades e limitações

Cited by 23 publications

References 11 publications

Efeitos do exercício do trato vocal semiocluído em canudo comercial na voz do professor

Efeitos do exercício do trato vocal semiocluído em canudo comercial na voz do professor

Clinical functional evaluation of female's pelvic floor: integrative review

Nursing care for the prevention of falls in the elderly: an integrative review

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