Implementation of physiotherapeutic shares in the prevention of diabetes complications in a Family Health Strategy

Introduction In the Family Health Strategy (FHS), the treatment of Diabetes Mellitus (DM) includes education and lifestyle change strategies. Physiotherapists have a key role in this health setting. Objectives To implement actions of evaluation and guidelines for patients with type 2 DM who attend a Family Health Strategy (FHS), regarding diabetic foot and the practice of regular physical exercise in the control and prevention of the complications of Diabetes Mellitus. Methods 17 individuals from an FHS were evaluated, with the following procedures: clinical and anthropometric parameters, inspection, a questionnaire on diabetic neuropathy, tests of vibratory and tactile sensitivity, muscle function, range of motion, functional analysis, questions about exercise practice and guidance regarding controlling blood glucose and foot care. Results Deformities, dry skin, calluses, dehydration, ulceration, cracking and brittle nails were found. Peripheral neuropathy was not observed; tactile sensitivity was altered in the heel region and the vibratory sense was absent in 5% of individuals. A decrease in functionality of ankle movements was verified. Of the participants, 76% were sedentary, 24% knew about the benefits of practicing regular exercise, 25% had undergone a medical evaluation prior to performing physical exercise and, of these, 25% were supervised by a qualified professional. Discussion The implementation of physiotherapy actions in diabetics from an FHS was important for highlighting the presence of risk factors for diabetic complications. Conclusions Individuals attending the FHS need more information and programs for the prevention of diabetic complications.

Relationship between therapeutic alliance and deep abdominal muscle recruitment in nonspecific low back pain sufferers

Chronic low back pain is a difficult condition to be treated. As some patients respond positively to treatment and others do not present any improvements, one can think there are others conditional factors that need to be elucidated. By means of this study, we sought to investigate the association between the occurrence of the formation of a positive relationship between patient and therapist, assessed by the therapeutic alliance inventory, and the adequate recruitment of the deep abdominal muscles, as well as to verify the effect of a protocol intervention based on motor control exercises on levels of pain and disability. The recruitment of the transverse abdominal and internal oblique muscles was examined by ultrasound imaging in 12 subjects with nonspecific chronic low back pain before and after implementation of a protocol for motor control exercises, with subsequent application of the therapeutic alliance inventory questionnaire. No association was found between the level of therapist/patient alliance and muscle recruitment. The proposed protocol was effective in reducing the levels of pain and disability; however, recruitment of transverse abdominal and internal oblique muscles showed no significant changes in the end of the intervention. Based on these findings, we verified that the therapeutic alliance has no association with muscle recruitment in the short term. However, although there were no changes in muscle recruitment after the intervention program, the level of pain and disability was reduced.

Efeitos do treinamento concorrente sobre a composição corporal e gasto energético de repouso em mulheres na menopausa

Pós-graduação em Fisioterapia - FCT

Atividade física na gestação: aplicabilidade de um questionário específico para gestantes (PPAQ) e sua associação com Diabete Melito Gestacional (DMG), sobrepeso/obesidade

Pós-graduação em Ginecologia, Obstetrícia e Mastologia - FMB

Influência da obesidade sobre o tecido ósseo de Rattus novergicus albinus idosos, submetidos à suspensão pela cauda e ao exercício resistido

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Poesia é isso e aquilo: um estudo das reflexões metapoéticas na poesia de Sebastião Uchoa Leite

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A identidade do jornalismo no (dis)curso da história da imprensa no Brasil

Pós-graduação em Linguística e Língua Portuguesa - FCLAR

Função exponencial e seu ensino através da resolução de problemas

Pós-graduação em Matemática - IBILCE

Variabilidade da frequência cardíaca e a dinâmica miocárdica em cães com degeneração mixomatosa da valva mitral submetidos a um programa de condicionamento físico

Pós-graduação em Medicina Veterinária - FCAV

Reabilitação do assoalho pélvico em pacientes com incontinência urinária pós prostatectomia radical

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Biomarcadores cardíacos em cães com degeneração mixomatosa da valva mitral submetidos a um programa de condicionamento físico

Pós-graduação em Medicina Veterinária - FCAV

As perspectivas dos alunos de 8º e 9º anos em relação à educação física escolar em uma escola pública

A problemática desta pesquisa gira em torno do fenômeno do crescente desinteresse e desmotivação dos alunos, em relação às aulas de Educação Física, já constatado em muitos estudos. Desse modo, o objetivo desta pesquisa é buscar compreender as perspectivas dos alunos dos 8º e 9º anos do ensino fundamental de uma escola pública, em relação à educação física escolar, nos seguintes aspectos: como avaliam as suas aulas; quais seus (des) interesses e (des) motivações diante delas; que importância atribuem à educação física; que expectativas possuem em relação a ela. Foi utilizado um questionário com questões abertas e fechadas, respondido por 81 alunos escolhidos aleatoriamente. Os resultados indicam que os alunos gostam das aulas de educação física, mas lhe atribuem menor importância diante de outras disciplinas. Também apontam para a pouca diversidade de conteúdos nas aulas de educação física e pouca atenção do professor para as estratégias de ensino que poderiam motivar mais os alunos, o que contribui para o desinteresse. Conclui-se que a motivação intrínseca às atividades da educação física não vem sendo bem aproveitada, diminuindo a contribuição da disciplina para a formação educativa dos alunos, embora o professor não possa, sozinho, ser responsabilizado por esta situação

Movimento jogo e brincadeira na educação infantil: as expectativas das famílias

Childhood is a theme that has attracted many controversies and discussions, and winning approaches to the increasingly large over time: biological, psychological, educational, welfare and, more recently, sociological. It is known that the movement, play and game activities are important recurrent and integral development of children, and should be present prominently in early childhood institutions. Based on these assumptions is that this study aimed to analyze the didactic-pedagogical principles postulated by the law, official guidelines didactic teaching and literature, with regard to meeting the needs of children in early childhood education. Unveiling the expectations of the families responsible for children in relation to early childhood education, especially with regard to movement, and play games and compare to what extent these expectations turn away or close to the guidelines on teaching and pedagogical movement, games and postulated in official documents, legislation and literature. To this end, we carried out literature search, selection and analysis of texts relevant to the understanding of the theme. Fieldwork was conducted in a Municipal School of Early Childhood Education Full-time (Emei) of Bauru/SP, and involved the analysis of the Political-Pedagogical Project of the institution, semi-structured interviews with five teachers and five children in the family responsible for Garden II (ages 5 to 6 years). Data were analyzed using thematic content analysis of Bardin and triangulated by the confrontation of literature/legislation, the Pedagogical Political Project of the institution and the expectations of families/guardians. We also realize that the Pedagogical Political Project of EMEI is in routine activities with the children, movement, and play the game are covered and are worked. According to teachers interviewed they assist in learning other areas of work (Oral and Written Language, Nature and Society, etc.) learning of moral...

Efeitos preventivos do treinamento físico na expressão das proteínas Cox-2 e Vegf de ratos tratados com dexametasona

Dexamethasone is a synthetic glucocorticoid widely used to treat allergic and inflammatory processes. This drug is used in three main situations, are used to contain acute or chronic inflammatory processes, or like immunosuppressive drug's. In these cases the patient will receive high doses for a chronic period and, therefore, has a much greater chance of adverse side effects, such as hypertension, diabetes and dyslipidemia. Dexamethasone promotes deleterious effects on the arachidonic acid pathway, when administered in high doses, because it is a potent anti-inflammatory drug. We recently demonstrated that dexamethasone significantly reduces the protein expression of vascular endothelial growth factor (VEGF) in both skeletal muscle and heart, but the mechanisms involved remain unclear. Meanwhile, exercise has been shown to be effective against high blood pressure, diabetes and dyslipidemia, promoting, among other factors, the increase in VEGF and angiogenesis. One possible explanation for these effects would be the creation of new vessels mediated by inflammation, or by the stimulation of the formation of products of the metabolism of arachidonic acid (AA), such as prostaglandin E2 (PGE2) and VEGF, by increasing the stimulation of the enzymes cyclooxygenase 1 and 2 (COX-1 and COX-2). Little is known about the preventive effects of training on the action of dexamethasone in the arachidonic acid pathway. Therefore, the aim of this study was to determine whether aerobic exercise training, performed before and concomitant treatment with dexamethasone, was able to prevent the effects of the dexamethasone in the protein expression of COX-2 and VEGF. For this, we used young Wistar rats (n = 40) which were randomly divided into 4 groups: sedentary control (SC), sedentary and treated with dexamethasone (SD), trained control (TC) and trained and treated with dexamethasone (TD). These rats performed aerobic exercise training, 60% of maximum capacity, 5

Presença de fatores de risco dependentes ou não de esforço físico em praticantes de corrida de rua

In order to reduce the sedentarism and to improve population's health condition, many physical activity incentive programs have been stimulated. As a result, many people have adhered to street racing, but their health condition is almost always ignored. The aim of this study was to evaluate street racers' health condition, identifying the presence of cardiovascular risk factors as well as problems associated to street racing. The study case was composed by 111 racers from the town of Bauru (94 men and 17 women) aged in average 39±13 years old, who were evaluated in 4 street race competitions. The subjects answered to an anamnesis with questions about their socioeconomic status, medicine use, cardiovascular risk, physical exercise practices, and issues related to racing and injury. Weight (kg) and height (m) were measured to calculate the body mass index (BMI, kg/m²) as well as systolic and diastolic blood pressure (BP), heart rate (HR), abdominal circumference (AC), and flexibility. It could be observed that the majority of racers were Caucasian, married and belonged to social classes over C. The prevalent age was between 18 and 35 years old (42%). Among the participants, 38.7% have already undergone some kind of surgery and 13% declared having some health problem. The questionnaire pointed out that 36% had low and moderate cardiovascular risk. It could be noticed from the AC that 10% of men and 18% of women had high cardiac risk. Among the tested, 43.2% (24.3% altered and 18.9% borderline) showed high BP on the day of the test, but only 2.7% had self-declared hypertensive. In relation to injury, 36% had already had lesions of some kind, 27.5% of which had occurred in the last 8 months. 66.6% had derived from training or racing competitions and the knee was the mostly affected body part. Only 43% had professional orientation by a physical education teacher during their training and the main reasons for them to begin racing practice were...