Rodrigo Andraus - Academia.edu (original) (raw)

Papers by Rodrigo Andraus

Research paper thumbnail of Statistical allocation methods used in randomized controlled trials on bilateral carpal tunnel syndrome: an integrative literature review

Research, Society and Development

The objective of this review was to verify the available scientific evidence on allocation and co... more The objective of this review was to verify the available scientific evidence on allocation and concealment methods, and the statistical analyses used in randomized clinical trials (RCTs) on bilateral CTS. An integrative literature review was conducted, based on searches of databases for the period from 2014 to 2021. One-hundred-and-ten articles were found, of which 22 were considered eligible for inclusion. The statistical analyses methods used in the presence of bilateral pathologies was not clear in six (27.27%) cases and was inappropriate in another six (27.27%). A further five (22.72%) articles included only the most severely affected wrist for evaluation, while data from the right and left wrist were analyzed and described separately in four (18.18%) reports. Finally, only one (4.54%) RCT showed an adequate statistical approach. RCTs on clinical and surgical therapy of CTS do not use statistical models that include data repetition due to bilaterality when assessing outcomes.

Research paper thumbnail of Efficacy of the association of formulation with Coffea canephora extract and phonophoresis against gynoid lipodystrophy in women population: development, characterization and clinical study

Research, Society and Development

Gynoid lipodystrophy (GL), popularly known as cellulite, affects 85% of women after puberty. The ... more Gynoid lipodystrophy (GL), popularly known as cellulite, affects 85% of women after puberty. The aim of the study was to develop, characterize and evaluate the effectiveness of a topical formulation based on Coffea canephora green extract (GCE) applied by phonophoresis in the treatment of GL in young women. Formulations with 1.0% (w/w) and 3.0% (w/w) of GCE were developed and characterized by organoleptic analysis, pH, centrifugation, caffeine content, rheology, spreadability, preliminary stability and cytotoxic analysis. And after the selection of the formulation, in a longitudinal, randomized and blind study, with volunteers in separate groups, the Control Group (CG, n=15) used the formulation based on a copolymer of sodium acrylates and lecithin (Lec) and the Test Group (TG, n=15) the copolymer formulation of sodium acrylates and lecithin containing 3.0% (w/w) of GCE (Lec/GCE3). Volunteers were assessed before and after treatment for cellulite severity using the Cellulite Severit...

Research paper thumbnail of Time de Resposta Rápida: percepção de enfermeiros sobre o atendimento do serviço em um hospital público de ensino

Research, Society and Development

Este estudo tem como objetivo descrever as potencialidades, fragilidades e sugestões na percepção... more Este estudo tem como objetivo descrever as potencialidades, fragilidades e sugestões na percepção dos enfermeiros sobre o atendimento do serviço de Time de Resposta Rápida (TRR). Trata-se de uma pesquisa exploratória de abordagem quanti-qualitativa. O corpus deste estudo contou com a participação de 22 enfermeiros de um hospital de ensino público no estado do Paraná. Os principais resultados apontaram como potencialidades: o atendimento rápido do TRR quando solicitado nas unidades assistenciais clínica e cirúrgica para adulto e a melhoria da qualidade da assistência à saúde prestada aos pacientes. Como fragilidades: a falta do atendimento do serviço no período noturno e a falta de comunicação do TRR com o enfermeiro da unidade, sendo os principais. Como sugestões apareceram a necessidade de inserção do enfermeiro como integrante exclusivo da equipe e de reuniões de serviço periódicas. Esperamos que este estudo possa contribuir na consolidação de um serviço ainda inovador no Brasil, ...

Research paper thumbnail of Effect of the kinesio taping application method for the activation and strength of gastrocnemius muscles in healthy adults

Research, Society and Development, 2022

The objective of this study was to verify the effect of kinesio-taping (KT) application of the or... more The objective of this study was to verify the effect of kinesio-taping (KT) application of the origin for muscle insertion (O>I) and insertion for muscle origin (I>O) in healthy participants, through surface electromyography and peak torque of gastrocnemius muscles. A total of 69 participants with an average age of 22.9±5.2 years were evaluated, 41 women with an average age of 22.0±5.1 years, BMI 25.1±4.6 kg/m2, and 28 men with an average age of 22.0±5.1 years, BMI 23.1±3.3 kg/m2, randomized under three conditions: O>I, I>O and no KT (control), repeated three times with five-minute rest between sessions. The peak torque of the gastrocnemius lateral (GML) and medial (GMM) muscles was evaluated at speeds 30º/s 60º/s 120º/s and muscle activity through surface electromyography. Repeated-measurement ANOVA showed effect only on the variable speed (F=767,1; p<0.001) and the variables condition (F=0.010; p=0.990) and interaction (F=0.199; p=0.892) were not significant. In ele...

Research paper thumbnail of Individuals progressive tension protocol in the application of elastic bandage in nonspecific chronic low back pain: a case study

Manual Therapy, Posturology & Rehabilitation Journal, 2021

Introduction: Low back pain is a disorder of musculoskeletal origin of multifactorial character, ... more Introduction: Low back pain is a disorder of musculoskeletal origin of multifactorial character, which can become chronic when it persists for more than 3 months. It is expected that 80% of the world's population will present with low back pain at some stage of life, characterizing it as a serious public health condition that requires specific interventions for treatment. Given the context, elastic banding arises, a resource that can be useful to these patients, however, its effectiveness requires that the bandage be of quality that the therapist has experience and that its application is standardized, the latter being scarce in the current literature. Thus, the present study sought to observe what would be the application of a progressive tension protocol with elastic bandage in an individual with nonspecific chronic low back pain. Methods: A 47-year-old female, caregiver of the elderly and diagnosed with nonspecific chronic low back pain participated in the study. The treatmen...

Research paper thumbnail of Effect of Photo Biomodulation on Muscle Repair: a Literature Review

Journal of Health Sciences, 2021

Muscle injuries are frequent, both in the practice of exercises and in the work environment, and ... more Muscle injuries are frequent, both in the practice of exercises and in the work environment, and after the injury, healing begins. The inflammatory phase of muscle healing is accompanied by an increase in the production of reactive oxygen species (ROS), and a reduction in the antioxidant activity of defense enzymes. This imbalance between both can generate oxidative stress, which can cause oxidative damage by directly affecting vital cellular constituents, such as lipids, proteins and DNA, in addition to interfering negatively in the muscle cells differentiation . Therefore, substances or therapies that stimulate antioxidant repair and defense are crucial to keep the levels of free radical production low, and to minimize factors that delay or prevent tissue recovery, among these therapies photo biomodulation has stood out. The objective of this literature review is to clarify the FBM effect on oxidative stress and muscle repair. Therefore, a search was carried out in the databases o...

Research paper thumbnail of Dysphonia, arterial hypertension, diabetes mellitus, thyroid diseases, and noise complaints as probable factors associated with hearing loss among teachers

Revista CEFAC, 2021

Objective: to verify a possible association between hearing loss and dysphonia, arterial hyperten... more Objective: to verify a possible association between hearing loss and dysphonia, arterial hypertension, diabetes mellitus, thyroid diseases, and noise complaints. Methods: a cross-sectional study involving 60 teachers, mean age 47.05 years. Pure-tone threshold audiometry was used to assess hearing, the voice questionnaire and voice acoustic evaluation were used for voice perception and quality, and the standardized questionnaire verified noise complaint and comorbidities. The statistical analysis was conducted with Mann-Whitney and Fisher's exact tests and multivariate linear regression. Results: there was a significant association between hearing loss and diabetes mellitus, hypertension, and thyroid disease (both p <0.0001), but there was no association between noise complaints and hearing loss in this population. The regression showed that dysphonia (p = 0.0311) and diabetes mellitus (p = 0.0302) are independent risk factors for hearing loss. A correlation was found between ...

Research paper thumbnail of Programa De Pós-Graduação Em Ciências Da Reabilitação Uel/Unopar: Relato De Experiência Em Época De Pandemia

CADERNOS DE EDUCAÇÃO, SAÚDE E FISIOTERAPIA, 2020

Contextualização: A realidade imposta pela pandemia causada pelo Coronavírus/COVID-19 levou a mod... more Contextualização: A realidade imposta pela pandemia causada pelo Coronavírus/COVID-19 levou a modificação na forma de realizar as atividades que envolvem a pós-graduação. Assim, esse relato tem por objetivo descrever a experiência do Programa de mestrado e doutorado em Ciências da Reabilitação UEL/UNOPAR no período da pandemia, causada pelo novo coronavírus. Descrição da experiência: As disciplinas de caráter teórico estão sendo ministradas na modalidade à distância. As orientações, atividades de grupo de pesquisa e administrativas e qualificações e defesas também tem sido realizadas por meio de reuniões on-line, via e-mail e tecnologia de comunicação remota. Quanto aos projetos de pesquisas, as coletas de dados presenciais estão suspensas, dentro das possibilidades, as demais fases continuam em andamento. Considerações finais: As estratégias de manutenção parcial minimizam os efeitos da restrição de atividades presenciais. O ensino à distância tem sido ferramenta útil para a contin...

Research paper thumbnail of Efeitosdométodotherapytaping®sobreoequilíbrio Postural

Introducao: Bandagem Elastica Terapeutica pelo metodo Therapy Taping® (BET) e uma tecnica utiliza... more Introducao: Bandagem Elastica Terapeutica pelo metodo Therapy Taping® (BET) e uma tecnica utilizada para reducao da dor, melhora da flexibilidade, do alinhamento postural e ajudar na propriocepcao atraves do aumento ou reducao da tensao muscular atuando na coordenacao motora e equilibrio. Objetivos: Avaliar o efeito da aplicacao de duas diferentes estrategias de BET sobre o equilibrio postural de mulheres jovens saudaveis. Metodologia: Ensaio clinico (Parecer do CEP 1248276) com 24 participantes alocadas em dois grupos de tratamento: G1 (n= 12) receberam aplicacao da BET nos tornozelos e G2 (n= 12) receberam a aplicacao nos isquiotibiais, em ambos os membros inferiores. Equilibrio dos individuos avaliado em quatro momentos: pre-intervencao (Pre), imediatamente (Ime), 24 e 48 horas apos intervencao (24h e 48h). Medidas avaliadas: cinco parâmetros estabilograficos obtidos em plataforma de forca, area elipse do centro de pressao (COP em cm2), velocidade media (VEL em cm/s) e frequencia...

Research paper thumbnail of Preoperative use of gabapentin for pain reduction in open surgeries under local anesthesia for idiopathic bilateral carpal tunnel syndrome

Research, Society and Development, 2021

This article aims to evaluate the preoperative use of gabapentin in the control of intra- and pos... more This article aims to evaluate the preoperative use of gabapentin in the control of intra- and postoperative pain in patients with idiopathic bilateral carpal tunnel syndrome (CTS). A prospective, randomised, double-blind study involving 45 subjects with severe CTS, 23 receiving treatment (gabapentin 600 mg) and 22 receiving placebo (control), who underwent an open surgical approach in one hand under local anaesthesia. Information related to the patients’ profile, safety of the surgical procedure, history of pain, adverse effects, numbness, and medications used were collected during the 14 days of the procedure and evaluated by Generalised Estimated Equations and Generalised Linear Mixed Models. The treatment and control groups were homogeneous regarding the patients’ profile and surgical procedure data. The patients who used gabapentin 600 mg had a better evaluation during surgery (d = 0.655), anaesthesia (d = 0.854), and on the first night of sleep (d = 1.323), and they reported a ...

Research paper thumbnail of Análise da funcionalidade de idosos com osteoartrite

Fisioterapia e Pesquisa, 2015

O objetivo deste estudo foi analisar a influencia do genero, idade e farmacoterapia da osteoartri... more O objetivo deste estudo foi analisar a influencia do genero, idade e farmacoterapia da osteoartrite (OA) sobre a funcionalidade de idosos. Trata-se de um estudo transversal com 105 idosos de ambos os generos (Idade: 70,73±6,0 anos) e portadores de OA de quadril e/ou joelho, confirmado por analise radiografica. A funcionalidade foi avaliada por dois instrumentos: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) e Indice Algofuncional de Lequesne. As analises dos dados apresentaram pior funcionalidade tanto no questionario Lequesne (p=0,007) como no WOMAC (p=0,013) e em seus dominios Intensidade da Dor (p=0,013), Rigidez (p=0,032) e Funcionalidade (p=0,018). Contudo, nao foram verificadas diferencas nos instrumentos avaliados quanto a diferentes faixas etarias ou comprometimento da articulacao segundo alteracoes radiograficas (p>;0,05). Foi observado que os medicados apresentavam pior funcionalidade em comparacao aos que nao utilizavam medicamentos para OA (Le...

Research paper thumbnail of O Uso Da Bandagem Elástica Terapeutica No Equilibrio Estático

Research paper thumbnail of Effect of caffeine gel and caffeine gel associated with iontophoresis in women gynoidlipodystrophy: A pilot randomized trial

Research, Society and Development, 2021

Caffeine has been widely used to treat gynoid lipodystrophy (GLD). Despite caffeine has been cons... more Caffeine has been widely used to treat gynoid lipodystrophy (GLD). Despite caffeine has been considered as a promise treatment, there is a lack of scientific evidences regarding its effect on GLD when associated with iontophoresis or others equipment. We aimed to evaluate the effects of a caffeine gel alone and associated with iontophoresis in GLD treatment. In a single-blind randomized clinical trial, women with mild/moderate GLD in the buttocks were randomized to topical caffeine gel group (CG; n=10); caffeine gel plus iontophoresis group (CIG; n=11) or iontophoresis group (IG; n=10). The groups were treated with 10 sessions, two times/week, 20 min/session. The subjects were evaluated pre and post treatment by photonumeric GLD severity scale, ultrasound image, thermography and quality of life questionnaire with a blind evaluator. There were statistical reduction in subcutaneous tissue thickness (P≤0.046) as well as in subcutaneous tissue plus dermis thickness (P≤0.044) in buttocks...

Research paper thumbnail of Evaluation of the effects of different applications of kinesio taping on postural control in healthy women

Journal of Bodywork and Movement Therapies, 2021

It has been demonstrated that Kinesio Tape (KT) application has immediate positive effects on bal... more It has been demonstrated that Kinesio Tape (KT) application has immediate positive effects on balance in healthy individuals, but its mid-term effects have not yet been investigated. OBJECTIVE Evaluate the effects of KT on postural control in young women, using four strategies. METHODS Forty-eight healthy women aged 18-35 years old were randomly assigned to four groups with different elastic bandages (G1: ankle; G2: hamstrings; G3: lumbar; G4: different taping applications) and their postural control was evaluated using stabilographic parameters obtained on a force platform during right and left unipodal (UNP-R and UNP-L) and semi-tamdem tests at pre-intervention (PRE), immediately after (IME), and 24 and 48 h after the application of bandages. RESULTS G1 showed a significantly lower velocity in the antero-posterior direction for the PRE compared to the IME period (p = 0.0204) in the UNP-R task, and the same was observed in the medio-lateral velocity when comparing the results for PRE with IME (p = 0.0340 and p = 0.0244) in the UNP-L task. Regarding the frequency, G2 had a significantly lower mean for the PRE, compared to IME (p < 0.001) in the UNP-R in antero-posterior direction, and in medio-lateral direction in the UNP-R (p = 0.003) and in the UNP-L task (p = 0.020). CONCLUSIONS The use of KT changed postural control, mainly considering the velocity and frequency of COP oscillations, and especially immediately after its application.

Research paper thumbnail of Does Photobiomodulation Improve Muscle Performance and Recovery? A Systematic Review

Revista Brasileira de Medicina do Esporte

Photobiomodulation (PBM) appears to limit exercise-induced muscle damage, improve biochemical and... more Photobiomodulation (PBM) appears to limit exercise-induced muscle damage, improve biochemical and functional recovery, and reduce inflammation and oxidative stress. This systematic review aimed to evaluate the effectiveness of photobiomodulation (PBM) in skeletal muscle recovery after exercise, addressing the different types of lasers and parameters used. Randomized clinical trials (RCTs) comparing the effects of PBM were included. The primary outcome evaluated was performance, and the secondary was inflammatory marker expression. The searches were conducted in March 2021. Fifteen RCTs that met the inclusion criteria were included. There was significant variability regarding the doses and wavelengths used, as well as in the types of lasers. However, in most studies, PBM promoted improvement of maximum voluntary contraction, better oxygen consumption, increased time to achieve exhaustion and fatigue, and decreased creatine kinase (CK), oxidative stress, and fatigue markers, mainly wh...

Research paper thumbnail of Characterization of protein-enriched yogurt and its effects on the lean body weight gain and electrical activity in skeletal muscle of physically active individuals

Research, Society and Development, 2020

Protein-enriched yogurts have experienced a growth in marketability in recent years, being demand... more Protein-enriched yogurts have experienced a growth in marketability in recent years, being demanded especially by consumers interested in increasing their daily apportion of proteins. In this study, the objective was to develop a protein-enriched yogurt and to compare it with a non-enriched yogurt in terms of their physicochemical characteristics, texture, and sensory acceptance after different storage periods and their effects on the lean body weight gain and electrical activity in skeletal muscle of physically active individuals. The supplemented whey protein had a buffering effect on the product, leading to its lower syneresis. Both formulations had similar hardness, indicating that the textural parameters had been retained in the protein-enriched yogurt. Panelists indicated no differences in sensorial attributes between the non-enriched and protein-enriched yogurts, with the sensory characteristics of each product being mainly described by the presence of whey protein and the cu...

Research paper thumbnail of Emotional and disability status in patients with chronic low back pain

International Journal of Radiology & Radiation Therapy, 2020

Objective: to analyze the prevalence of psychological disorders (anxiety, depression, stress) and... more Objective: to analyze the prevalence of psychological disorders (anxiety, depression, stress) and the relationship of these factors with functional disability in patients with chronic low back pain. Study design: cross-sectional descriptive and observational study. Setting: the physiotherapy outpatient clinic of the Northen University of Paraná, Londrina, Paraná, Brazil. Methods: 84 individuals were recruited, being 43 elderly (20 with low back pain and 23 control subjects) and 41 adults (21 with low back pain and 20 control subjects). In order to assess the psychological aspects, Beck Inventories of Depression and anxiety as well as Lipp Stress Inventory were used. To evaluate the funcionality, Roland Morris Questionnaire was chosen. The evaluation of the pressure pain threshold was performed using algometer emg systems®. To analyse was considered a significance level of 5% (p<0.05). Results: It was observed that people with low back pain have higher scores of depression, anxiet...

Research paper thumbnail of Efeitos da Kinesiotaping na Aplicação em Tornozelos Sobre o Controle Postural de Indivíduos Saudáveis

Este estudo avaliou o efeito da aplicacao da Kinesiotape no controle postural de individuos joven... more Este estudo avaliou o efeito da aplicacao da Kinesiotape no controle postural de individuos jovens saudaveis. Quarenta participantes foram divididos em dois grupos: G1 (n = 20) composto por homens com idade de 23 ± 2,12 anos e o G2 (n = 20) por mulheres com idade 24 ± 4,96 anos. Ambos os grupos receberam a aplicacao da Kinesiotape na regiao dos tornozelos e foram submetidos a avaliacao do controle postural em apoio unipodal direito (UNPD) e esquerdo (UNPE) na plataforma de forca em quatro momentos: pre-intervencao (PRE), imediatamente apos (IME), 24 horas (24H) e 48 horas (48H) apos a aplicacao da kinesio. A analise estatistica foi realizada atraves do teste de Friedman, utilizando o software IBM SPSS Statistics versao 24. A analise das variaveis do centro de pressao mostrou uma reducao significativa no G1 na VEL ML na posicao UNPD entre os periodos PRE e IME (p = 0,013) e na FAP na posicao UNPD em todos os periodos (PRE-IME p = 0,042; PRE-24H p = 0,02; PRE-48h p = 0,007). No G2 hou...

Research paper thumbnail of Effects of Laser Photobiomodulation Therapy at 808 nm on Muscle Performance and Perceived Exertion in Elderly Women

Topics in Geriatric Rehabilitation, 2020

Objective: This study aimed to investigate the acute effects of laser photobiomodulation (λ: 808 ... more Objective: This study aimed to investigate the acute effects of laser photobiomodulation (λ: 808 nm) therapy on muscle performance and perceived exertion in physically active elderly women. Methods: Seventeen physically active elderly women (72.6 ± 4.1 years) participated in a crossover study in which they received active or placebo laser therapy on the rectus femoris muscle on 2 occasions, separated by a 7-day washout period. On each occasion, the following performance outcomes were assessed: functional capacity by short physical performance battery, knee extensor strength by maximum voluntary isometric contraction, muscle endurance by repetitions-to-failure test and blood lactate levels, and perceived exertion. Results: No statistical (P > .05) differences were observed between active and placebo laser conditions for all muscle performance outcome (ie, short physical performance battery, maximum voluntary isometric contraction, repetitions-to-failure, and lactate) and perceived exertion. Conclusions: Acute laser photobiomodulation therapy at 808 nm does not improve muscle performance (functional capacity, strength, and endurance) and perceived exertion in physically active elderly women. Trial registration: NCT04241991.

Research paper thumbnail of Atletas De Taekwondo Têm Melhor Controle Postural Do Que Atletas De Handebol e Futebol Americano

Revista Brasileira de Medicina do Esporte, 2017

RESUMO Introdução: O controle postural é um pré-requisito importante para o desempenho do atleta ... more RESUMO Introdução: O controle postural é um pré-requisito importante para o desempenho do atleta no esporte. Além disso, o sistema de controle postural contribui para a prevenção de lesões. Déficits nesse sistema podem levar a instabilidade corporal e sobrecarga das estruturas musculoesqueléticas, gerando disfunção e dor. Objetivos: A proposta deste estudo foi avaliar o controle postural em três diferentes modalidades esportivas: taekwondo, handebol e futebol americano. Métodos: Todos os atletas executaram o teste de equilíbrio unipodal sobre uma plataforma de força nos membros inferiores direito e esquerdo. Foram realizados três testes de trinta segundos cada, com os olhos abertos. A média dos três testes foi utilizada para mensurar os parâmetros de controle postural, centro de pressão e velocidade dos deslocamentos anteroposteriores e mediolaterais. Resultados: Diferenças significativas foram observadas entre os três grupos em todos os parâmetros analisados (P = <0,04). A análi...

Research paper thumbnail of Statistical allocation methods used in randomized controlled trials on bilateral carpal tunnel syndrome: an integrative literature review

Research, Society and Development

The objective of this review was to verify the available scientific evidence on allocation and co... more The objective of this review was to verify the available scientific evidence on allocation and concealment methods, and the statistical analyses used in randomized clinical trials (RCTs) on bilateral CTS. An integrative literature review was conducted, based on searches of databases for the period from 2014 to 2021. One-hundred-and-ten articles were found, of which 22 were considered eligible for inclusion. The statistical analyses methods used in the presence of bilateral pathologies was not clear in six (27.27%) cases and was inappropriate in another six (27.27%). A further five (22.72%) articles included only the most severely affected wrist for evaluation, while data from the right and left wrist were analyzed and described separately in four (18.18%) reports. Finally, only one (4.54%) RCT showed an adequate statistical approach. RCTs on clinical and surgical therapy of CTS do not use statistical models that include data repetition due to bilaterality when assessing outcomes.

Research paper thumbnail of Efficacy of the association of formulation with Coffea canephora extract and phonophoresis against gynoid lipodystrophy in women population: development, characterization and clinical study

Research, Society and Development

Gynoid lipodystrophy (GL), popularly known as cellulite, affects 85% of women after puberty. The ... more Gynoid lipodystrophy (GL), popularly known as cellulite, affects 85% of women after puberty. The aim of the study was to develop, characterize and evaluate the effectiveness of a topical formulation based on Coffea canephora green extract (GCE) applied by phonophoresis in the treatment of GL in young women. Formulations with 1.0% (w/w) and 3.0% (w/w) of GCE were developed and characterized by organoleptic analysis, pH, centrifugation, caffeine content, rheology, spreadability, preliminary stability and cytotoxic analysis. And after the selection of the formulation, in a longitudinal, randomized and blind study, with volunteers in separate groups, the Control Group (CG, n=15) used the formulation based on a copolymer of sodium acrylates and lecithin (Lec) and the Test Group (TG, n=15) the copolymer formulation of sodium acrylates and lecithin containing 3.0% (w/w) of GCE (Lec/GCE3). Volunteers were assessed before and after treatment for cellulite severity using the Cellulite Severit...

Research paper thumbnail of Time de Resposta Rápida: percepção de enfermeiros sobre o atendimento do serviço em um hospital público de ensino

Research, Society and Development

Este estudo tem como objetivo descrever as potencialidades, fragilidades e sugestões na percepção... more Este estudo tem como objetivo descrever as potencialidades, fragilidades e sugestões na percepção dos enfermeiros sobre o atendimento do serviço de Time de Resposta Rápida (TRR). Trata-se de uma pesquisa exploratória de abordagem quanti-qualitativa. O corpus deste estudo contou com a participação de 22 enfermeiros de um hospital de ensino público no estado do Paraná. Os principais resultados apontaram como potencialidades: o atendimento rápido do TRR quando solicitado nas unidades assistenciais clínica e cirúrgica para adulto e a melhoria da qualidade da assistência à saúde prestada aos pacientes. Como fragilidades: a falta do atendimento do serviço no período noturno e a falta de comunicação do TRR com o enfermeiro da unidade, sendo os principais. Como sugestões apareceram a necessidade de inserção do enfermeiro como integrante exclusivo da equipe e de reuniões de serviço periódicas. Esperamos que este estudo possa contribuir na consolidação de um serviço ainda inovador no Brasil, ...

Research paper thumbnail of Effect of the kinesio taping application method for the activation and strength of gastrocnemius muscles in healthy adults

Research, Society and Development, 2022

The objective of this study was to verify the effect of kinesio-taping (KT) application of the or... more The objective of this study was to verify the effect of kinesio-taping (KT) application of the origin for muscle insertion (O>I) and insertion for muscle origin (I>O) in healthy participants, through surface electromyography and peak torque of gastrocnemius muscles. A total of 69 participants with an average age of 22.9±5.2 years were evaluated, 41 women with an average age of 22.0±5.1 years, BMI 25.1±4.6 kg/m2, and 28 men with an average age of 22.0±5.1 years, BMI 23.1±3.3 kg/m2, randomized under three conditions: O>I, I>O and no KT (control), repeated three times with five-minute rest between sessions. The peak torque of the gastrocnemius lateral (GML) and medial (GMM) muscles was evaluated at speeds 30º/s 60º/s 120º/s and muscle activity through surface electromyography. Repeated-measurement ANOVA showed effect only on the variable speed (F=767,1; p<0.001) and the variables condition (F=0.010; p=0.990) and interaction (F=0.199; p=0.892) were not significant. In ele...

Research paper thumbnail of Individuals progressive tension protocol in the application of elastic bandage in nonspecific chronic low back pain: a case study

Manual Therapy, Posturology & Rehabilitation Journal, 2021

Introduction: Low back pain is a disorder of musculoskeletal origin of multifactorial character, ... more Introduction: Low back pain is a disorder of musculoskeletal origin of multifactorial character, which can become chronic when it persists for more than 3 months. It is expected that 80% of the world's population will present with low back pain at some stage of life, characterizing it as a serious public health condition that requires specific interventions for treatment. Given the context, elastic banding arises, a resource that can be useful to these patients, however, its effectiveness requires that the bandage be of quality that the therapist has experience and that its application is standardized, the latter being scarce in the current literature. Thus, the present study sought to observe what would be the application of a progressive tension protocol with elastic bandage in an individual with nonspecific chronic low back pain. Methods: A 47-year-old female, caregiver of the elderly and diagnosed with nonspecific chronic low back pain participated in the study. The treatmen...

Research paper thumbnail of Effect of Photo Biomodulation on Muscle Repair: a Literature Review

Journal of Health Sciences, 2021

Muscle injuries are frequent, both in the practice of exercises and in the work environment, and ... more Muscle injuries are frequent, both in the practice of exercises and in the work environment, and after the injury, healing begins. The inflammatory phase of muscle healing is accompanied by an increase in the production of reactive oxygen species (ROS), and a reduction in the antioxidant activity of defense enzymes. This imbalance between both can generate oxidative stress, which can cause oxidative damage by directly affecting vital cellular constituents, such as lipids, proteins and DNA, in addition to interfering negatively in the muscle cells differentiation . Therefore, substances or therapies that stimulate antioxidant repair and defense are crucial to keep the levels of free radical production low, and to minimize factors that delay or prevent tissue recovery, among these therapies photo biomodulation has stood out. The objective of this literature review is to clarify the FBM effect on oxidative stress and muscle repair. Therefore, a search was carried out in the databases o...

Research paper thumbnail of Dysphonia, arterial hypertension, diabetes mellitus, thyroid diseases, and noise complaints as probable factors associated with hearing loss among teachers

Revista CEFAC, 2021

Objective: to verify a possible association between hearing loss and dysphonia, arterial hyperten... more Objective: to verify a possible association between hearing loss and dysphonia, arterial hypertension, diabetes mellitus, thyroid diseases, and noise complaints. Methods: a cross-sectional study involving 60 teachers, mean age 47.05 years. Pure-tone threshold audiometry was used to assess hearing, the voice questionnaire and voice acoustic evaluation were used for voice perception and quality, and the standardized questionnaire verified noise complaint and comorbidities. The statistical analysis was conducted with Mann-Whitney and Fisher's exact tests and multivariate linear regression. Results: there was a significant association between hearing loss and diabetes mellitus, hypertension, and thyroid disease (both p <0.0001), but there was no association between noise complaints and hearing loss in this population. The regression showed that dysphonia (p = 0.0311) and diabetes mellitus (p = 0.0302) are independent risk factors for hearing loss. A correlation was found between ...

Research paper thumbnail of Programa De Pós-Graduação Em Ciências Da Reabilitação Uel/Unopar: Relato De Experiência Em Época De Pandemia

CADERNOS DE EDUCAÇÃO, SAÚDE E FISIOTERAPIA, 2020

Contextualização: A realidade imposta pela pandemia causada pelo Coronavírus/COVID-19 levou a mod... more Contextualização: A realidade imposta pela pandemia causada pelo Coronavírus/COVID-19 levou a modificação na forma de realizar as atividades que envolvem a pós-graduação. Assim, esse relato tem por objetivo descrever a experiência do Programa de mestrado e doutorado em Ciências da Reabilitação UEL/UNOPAR no período da pandemia, causada pelo novo coronavírus. Descrição da experiência: As disciplinas de caráter teórico estão sendo ministradas na modalidade à distância. As orientações, atividades de grupo de pesquisa e administrativas e qualificações e defesas também tem sido realizadas por meio de reuniões on-line, via e-mail e tecnologia de comunicação remota. Quanto aos projetos de pesquisas, as coletas de dados presenciais estão suspensas, dentro das possibilidades, as demais fases continuam em andamento. Considerações finais: As estratégias de manutenção parcial minimizam os efeitos da restrição de atividades presenciais. O ensino à distância tem sido ferramenta útil para a contin...

Research paper thumbnail of Efeitosdométodotherapytaping®sobreoequilíbrio Postural

Introducao: Bandagem Elastica Terapeutica pelo metodo Therapy Taping® (BET) e uma tecnica utiliza... more Introducao: Bandagem Elastica Terapeutica pelo metodo Therapy Taping® (BET) e uma tecnica utilizada para reducao da dor, melhora da flexibilidade, do alinhamento postural e ajudar na propriocepcao atraves do aumento ou reducao da tensao muscular atuando na coordenacao motora e equilibrio. Objetivos: Avaliar o efeito da aplicacao de duas diferentes estrategias de BET sobre o equilibrio postural de mulheres jovens saudaveis. Metodologia: Ensaio clinico (Parecer do CEP 1248276) com 24 participantes alocadas em dois grupos de tratamento: G1 (n= 12) receberam aplicacao da BET nos tornozelos e G2 (n= 12) receberam a aplicacao nos isquiotibiais, em ambos os membros inferiores. Equilibrio dos individuos avaliado em quatro momentos: pre-intervencao (Pre), imediatamente (Ime), 24 e 48 horas apos intervencao (24h e 48h). Medidas avaliadas: cinco parâmetros estabilograficos obtidos em plataforma de forca, area elipse do centro de pressao (COP em cm2), velocidade media (VEL em cm/s) e frequencia...

Research paper thumbnail of Preoperative use of gabapentin for pain reduction in open surgeries under local anesthesia for idiopathic bilateral carpal tunnel syndrome

Research, Society and Development, 2021

This article aims to evaluate the preoperative use of gabapentin in the control of intra- and pos... more This article aims to evaluate the preoperative use of gabapentin in the control of intra- and postoperative pain in patients with idiopathic bilateral carpal tunnel syndrome (CTS). A prospective, randomised, double-blind study involving 45 subjects with severe CTS, 23 receiving treatment (gabapentin 600 mg) and 22 receiving placebo (control), who underwent an open surgical approach in one hand under local anaesthesia. Information related to the patients’ profile, safety of the surgical procedure, history of pain, adverse effects, numbness, and medications used were collected during the 14 days of the procedure and evaluated by Generalised Estimated Equations and Generalised Linear Mixed Models. The treatment and control groups were homogeneous regarding the patients’ profile and surgical procedure data. The patients who used gabapentin 600 mg had a better evaluation during surgery (d = 0.655), anaesthesia (d = 0.854), and on the first night of sleep (d = 1.323), and they reported a ...

Research paper thumbnail of Análise da funcionalidade de idosos com osteoartrite

Fisioterapia e Pesquisa, 2015

O objetivo deste estudo foi analisar a influencia do genero, idade e farmacoterapia da osteoartri... more O objetivo deste estudo foi analisar a influencia do genero, idade e farmacoterapia da osteoartrite (OA) sobre a funcionalidade de idosos. Trata-se de um estudo transversal com 105 idosos de ambos os generos (Idade: 70,73±6,0 anos) e portadores de OA de quadril e/ou joelho, confirmado por analise radiografica. A funcionalidade foi avaliada por dois instrumentos: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) e Indice Algofuncional de Lequesne. As analises dos dados apresentaram pior funcionalidade tanto no questionario Lequesne (p=0,007) como no WOMAC (p=0,013) e em seus dominios Intensidade da Dor (p=0,013), Rigidez (p=0,032) e Funcionalidade (p=0,018). Contudo, nao foram verificadas diferencas nos instrumentos avaliados quanto a diferentes faixas etarias ou comprometimento da articulacao segundo alteracoes radiograficas (p>;0,05). Foi observado que os medicados apresentavam pior funcionalidade em comparacao aos que nao utilizavam medicamentos para OA (Le...

Research paper thumbnail of O Uso Da Bandagem Elástica Terapeutica No Equilibrio Estático

Research paper thumbnail of Effect of caffeine gel and caffeine gel associated with iontophoresis in women gynoidlipodystrophy: A pilot randomized trial

Research, Society and Development, 2021

Caffeine has been widely used to treat gynoid lipodystrophy (GLD). Despite caffeine has been cons... more Caffeine has been widely used to treat gynoid lipodystrophy (GLD). Despite caffeine has been considered as a promise treatment, there is a lack of scientific evidences regarding its effect on GLD when associated with iontophoresis or others equipment. We aimed to evaluate the effects of a caffeine gel alone and associated with iontophoresis in GLD treatment. In a single-blind randomized clinical trial, women with mild/moderate GLD in the buttocks were randomized to topical caffeine gel group (CG; n=10); caffeine gel plus iontophoresis group (CIG; n=11) or iontophoresis group (IG; n=10). The groups were treated with 10 sessions, two times/week, 20 min/session. The subjects were evaluated pre and post treatment by photonumeric GLD severity scale, ultrasound image, thermography and quality of life questionnaire with a blind evaluator. There were statistical reduction in subcutaneous tissue thickness (P≤0.046) as well as in subcutaneous tissue plus dermis thickness (P≤0.044) in buttocks...

Research paper thumbnail of Evaluation of the effects of different applications of kinesio taping on postural control in healthy women

Journal of Bodywork and Movement Therapies, 2021

It has been demonstrated that Kinesio Tape (KT) application has immediate positive effects on bal... more It has been demonstrated that Kinesio Tape (KT) application has immediate positive effects on balance in healthy individuals, but its mid-term effects have not yet been investigated. OBJECTIVE Evaluate the effects of KT on postural control in young women, using four strategies. METHODS Forty-eight healthy women aged 18-35 years old were randomly assigned to four groups with different elastic bandages (G1: ankle; G2: hamstrings; G3: lumbar; G4: different taping applications) and their postural control was evaluated using stabilographic parameters obtained on a force platform during right and left unipodal (UNP-R and UNP-L) and semi-tamdem tests at pre-intervention (PRE), immediately after (IME), and 24 and 48 h after the application of bandages. RESULTS G1 showed a significantly lower velocity in the antero-posterior direction for the PRE compared to the IME period (p = 0.0204) in the UNP-R task, and the same was observed in the medio-lateral velocity when comparing the results for PRE with IME (p = 0.0340 and p = 0.0244) in the UNP-L task. Regarding the frequency, G2 had a significantly lower mean for the PRE, compared to IME (p < 0.001) in the UNP-R in antero-posterior direction, and in medio-lateral direction in the UNP-R (p = 0.003) and in the UNP-L task (p = 0.020). CONCLUSIONS The use of KT changed postural control, mainly considering the velocity and frequency of COP oscillations, and especially immediately after its application.

Research paper thumbnail of Does Photobiomodulation Improve Muscle Performance and Recovery? A Systematic Review

Revista Brasileira de Medicina do Esporte

Photobiomodulation (PBM) appears to limit exercise-induced muscle damage, improve biochemical and... more Photobiomodulation (PBM) appears to limit exercise-induced muscle damage, improve biochemical and functional recovery, and reduce inflammation and oxidative stress. This systematic review aimed to evaluate the effectiveness of photobiomodulation (PBM) in skeletal muscle recovery after exercise, addressing the different types of lasers and parameters used. Randomized clinical trials (RCTs) comparing the effects of PBM were included. The primary outcome evaluated was performance, and the secondary was inflammatory marker expression. The searches were conducted in March 2021. Fifteen RCTs that met the inclusion criteria were included. There was significant variability regarding the doses and wavelengths used, as well as in the types of lasers. However, in most studies, PBM promoted improvement of maximum voluntary contraction, better oxygen consumption, increased time to achieve exhaustion and fatigue, and decreased creatine kinase (CK), oxidative stress, and fatigue markers, mainly wh...

Research paper thumbnail of Characterization of protein-enriched yogurt and its effects on the lean body weight gain and electrical activity in skeletal muscle of physically active individuals

Research, Society and Development, 2020

Protein-enriched yogurts have experienced a growth in marketability in recent years, being demand... more Protein-enriched yogurts have experienced a growth in marketability in recent years, being demanded especially by consumers interested in increasing their daily apportion of proteins. In this study, the objective was to develop a protein-enriched yogurt and to compare it with a non-enriched yogurt in terms of their physicochemical characteristics, texture, and sensory acceptance after different storage periods and their effects on the lean body weight gain and electrical activity in skeletal muscle of physically active individuals. The supplemented whey protein had a buffering effect on the product, leading to its lower syneresis. Both formulations had similar hardness, indicating that the textural parameters had been retained in the protein-enriched yogurt. Panelists indicated no differences in sensorial attributes between the non-enriched and protein-enriched yogurts, with the sensory characteristics of each product being mainly described by the presence of whey protein and the cu...

Research paper thumbnail of Emotional and disability status in patients with chronic low back pain

International Journal of Radiology & Radiation Therapy, 2020

Objective: to analyze the prevalence of psychological disorders (anxiety, depression, stress) and... more Objective: to analyze the prevalence of psychological disorders (anxiety, depression, stress) and the relationship of these factors with functional disability in patients with chronic low back pain. Study design: cross-sectional descriptive and observational study. Setting: the physiotherapy outpatient clinic of the Northen University of Paraná, Londrina, Paraná, Brazil. Methods: 84 individuals were recruited, being 43 elderly (20 with low back pain and 23 control subjects) and 41 adults (21 with low back pain and 20 control subjects). In order to assess the psychological aspects, Beck Inventories of Depression and anxiety as well as Lipp Stress Inventory were used. To evaluate the funcionality, Roland Morris Questionnaire was chosen. The evaluation of the pressure pain threshold was performed using algometer emg systems®. To analyse was considered a significance level of 5% (p<0.05). Results: It was observed that people with low back pain have higher scores of depression, anxiet...

Research paper thumbnail of Efeitos da Kinesiotaping na Aplicação em Tornozelos Sobre o Controle Postural de Indivíduos Saudáveis

Este estudo avaliou o efeito da aplicacao da Kinesiotape no controle postural de individuos joven... more Este estudo avaliou o efeito da aplicacao da Kinesiotape no controle postural de individuos jovens saudaveis. Quarenta participantes foram divididos em dois grupos: G1 (n = 20) composto por homens com idade de 23 ± 2,12 anos e o G2 (n = 20) por mulheres com idade 24 ± 4,96 anos. Ambos os grupos receberam a aplicacao da Kinesiotape na regiao dos tornozelos e foram submetidos a avaliacao do controle postural em apoio unipodal direito (UNPD) e esquerdo (UNPE) na plataforma de forca em quatro momentos: pre-intervencao (PRE), imediatamente apos (IME), 24 horas (24H) e 48 horas (48H) apos a aplicacao da kinesio. A analise estatistica foi realizada atraves do teste de Friedman, utilizando o software IBM SPSS Statistics versao 24. A analise das variaveis do centro de pressao mostrou uma reducao significativa no G1 na VEL ML na posicao UNPD entre os periodos PRE e IME (p = 0,013) e na FAP na posicao UNPD em todos os periodos (PRE-IME p = 0,042; PRE-24H p = 0,02; PRE-48h p = 0,007). No G2 hou...

Research paper thumbnail of Effects of Laser Photobiomodulation Therapy at 808 nm on Muscle Performance and Perceived Exertion in Elderly Women

Topics in Geriatric Rehabilitation, 2020

Objective: This study aimed to investigate the acute effects of laser photobiomodulation (λ: 808 ... more Objective: This study aimed to investigate the acute effects of laser photobiomodulation (λ: 808 nm) therapy on muscle performance and perceived exertion in physically active elderly women. Methods: Seventeen physically active elderly women (72.6 ± 4.1 years) participated in a crossover study in which they received active or placebo laser therapy on the rectus femoris muscle on 2 occasions, separated by a 7-day washout period. On each occasion, the following performance outcomes were assessed: functional capacity by short physical performance battery, knee extensor strength by maximum voluntary isometric contraction, muscle endurance by repetitions-to-failure test and blood lactate levels, and perceived exertion. Results: No statistical (P > .05) differences were observed between active and placebo laser conditions for all muscle performance outcome (ie, short physical performance battery, maximum voluntary isometric contraction, repetitions-to-failure, and lactate) and perceived exertion. Conclusions: Acute laser photobiomodulation therapy at 808 nm does not improve muscle performance (functional capacity, strength, and endurance) and perceived exertion in physically active elderly women. Trial registration: NCT04241991.

Research paper thumbnail of Atletas De Taekwondo Têm Melhor Controle Postural Do Que Atletas De Handebol e Futebol Americano

Revista Brasileira de Medicina do Esporte, 2017

RESUMO Introdução: O controle postural é um pré-requisito importante para o desempenho do atleta ... more RESUMO Introdução: O controle postural é um pré-requisito importante para o desempenho do atleta no esporte. Além disso, o sistema de controle postural contribui para a prevenção de lesões. Déficits nesse sistema podem levar a instabilidade corporal e sobrecarga das estruturas musculoesqueléticas, gerando disfunção e dor. Objetivos: A proposta deste estudo foi avaliar o controle postural em três diferentes modalidades esportivas: taekwondo, handebol e futebol americano. Métodos: Todos os atletas executaram o teste de equilíbrio unipodal sobre uma plataforma de força nos membros inferiores direito e esquerdo. Foram realizados três testes de trinta segundos cada, com os olhos abertos. A média dos três testes foi utilizada para mensurar os parâmetros de controle postural, centro de pressão e velocidade dos deslocamentos anteroposteriores e mediolaterais. Resultados: Diferenças significativas foram observadas entre os três grupos em todos os parâmetros analisados (P = <0,04). A análi...