Correlação entre a escala internacional de acidente vascular cerebral do Instituto Nacional de Saúde (NIHSS) e a penetração laríngea e aspiração laringotraqueal no acidente vascular cerebral isquêmico

Pós-graduação em Bases Gerais da Cirurgia - FMB

Relação entre depressão e desequilíbrio postural em idosos que sofreram acidente vascular encefálico

INTRODUCTION: The incidence of stroke it increases with the aging and each successive decade above 55 years leads to a doubling of stroke incidence. Among the current complications of stroke are the unbalance postural and depression. OBJECTIVES: To evaluate and correlate the postural balance and depression in elderly with and without stroke. MATERIALS AND METHODS: We evaluated 38 subjects (19 with stroke and 19 without). The balance was evaluated by Berg Balance Scale and the depression by Yesavage Depression Scale. RESULTS: Elderly with stroke presented depression when compared with elderly without the disease (p < 0.0001). The risk of falling in elderly with stroke was 102 times higher than in elderly without stroke. There was a correlation between depression and balance (r = -0.55; p = 0.01). CONCLUSION: Elderly patients with sequels of stroke have unbalance and greater depression, when compared with elderly of same age without the disease.

Grau de comprometimento e tempo de trânsito orofaríngeo em disfagia no acidente vascular encefálico

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

Efeitos da estimulação elétrica neuromuscular nas circuitarias medulares inibitórias de sujeitos crônicos após acidente vascular cerebral

Pós-graduação em Fisioterapia - FCT

Absenteísmo por doença ocupacional de trabalhadores rurais no setor canavieiro

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

Controle autonômico do coração e fração de ejeção na fase crônica do acidente vascular encefálico

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

A concepção de deficiência em discussão: ponto de vista de docentes de Terapia Ocupacional

The way one conceives disabled people seems to influence the actions directed toward them. Occupational therapists constitute a part of health professionals that direct their actions based on a comprehensive view of disability. The aim of this study was to identify and analyze the conception of disability from the standpoint of occupational therapists. Fifteen university teachers of Occupational Therapy undergraduate courses participated in this study: seven from public universities and eight from private institutions, located in mid-sized municipalities in the state of São Paulo. The data were collected by means of a scale denominated “Escala de Avaliação da Concepção de Deficiência” (Rating Scale for Conception of Disability). The results show that the subjects tend to follow interactional, social conceptions of disability. This study yields contributions to understand the conception of disability held by teachers of Occupational Therapy. This conception certainly guides their teaching performance and affects the training of future professionals.

Inclusão escolar do aluno com deficiência física: contribuições da Terapia Ocupacional

The inclusive school consists of a school that thoroughly attends the diversity and, therefore, students with special educational needs, including the ones with physical dysfunction. The objective of this study was to identify the difficulties of a teacher in the process of school inclusion of the student with physical dysfunction in order to adapt learning resources, having adequate school furniture and to guide the teacher in specific situations. A teacher of early childhood education participated in this study. For data collection two half-structuralized interviews were used. The first obtained information concerning the teacher’s difficulties due to the motor aspects of the student with difficulty to access the curriculum. The second interview gathered information about the teacher’s perception of the partnership between the occupational therapist and the teacher in the perspective of the inclusive education. The data analysis of the first interview and the student case-study allowed elaborating occupational therapy strategies to minimize these difficulties.After elaborating the strategies, a second interview was performed. The data of this interview showed that based on the analysis and adequacy of the interaction between a person’s functional demands, the task and the environment, make it possible for the student to overcome satisfactorily the inherent challenges of the educational context, and detached the importance of the partnership of the teacher and occupational therapist in the whole process. It concludes that the pupil incapacity would not have manifested if there was an adequate environment to receive him.

Politicas públicas em oncologia: refletindo sobre a atuação da Terapia Ocupacional

A Política Nacional de Atenção Oncológica almeja o acesso e atendimento integral além de uma maior efetividade e efi ciência no controle do câncer. Assim, diversas ações, serviços e profi ssionais são exigidos para dar a assistência necessária. A respeito da atuação da Terapia Ocupacional, nota-se que a profi ssão não é especifi cada, e não tem a atuação regulamentada. Sendo assim, o objetivo principal do presente estudo foi identifi car a inserção, atuação e ampliação do campo de trabalho da Terapia Ocupacional no Estado de São Paulo para a área oncológica em contexto hospitalar, tomando por base as Políticas Públicas de Atenção Oncológica. Visou também identifi car os Centros de Assistência de Alta Complexidade em Oncologia do Estado de São Paulo que possuem o terapeuta ocupacional como parte da equipe. Para tanto, foi realizada: identifi cação dos Centros de Alta Complexidade em Oncologia do Estado de São Paulo cadastrados no Cadastro Nacional de Estabelecimentos de Saúde, por meio de dados fornecidos pelo INCA e do site ofi cial do Ministério da Saúde; mapeamento da inserção do terapeuta ocupacional nesses locais e aplicação de questionário aos profi ssionais, para caracterizar os serviços e ações desenvolvidas pela Terapia Ocupacional em oncologia. O estudo do tipo qualitativo descritivo constatou a existência de diferentes possibilidades assistenciais em oncologia, tendo em vista as demandas e organização dos hospitais. Quanto à inserção e ampliação do campo de trabalho, verifi cou-se que nem todos os CACONs contam com os serviços e ações da Terapia Ocupacional, o que sugere que ainda não há efetivamente a incorporação desse profi ssional nas equipes multiprofi ssionais desses centros.

Efeito da intervenção terapêutica ocupacional junto a crianças com déficts de percepção visual, coordenação motora e integração visuo-motora

To students with special educational needs participate actively at school are required effective and systematic investment, involving the school community as a whole. The occupational therapist is one of the professionals who can facilitate this student inclusion process. This study aimed to discuss the occupational therapy intervention effects with two disability children with deficits in visual perceptual skills, motor coordination and visual motor integration, that was included in regular education. The Beery-Buktenica Developmental Test of Visual Motor Integration was use to evaluate visual perceptual skills, motor coordination and visual-motor integration. Because the deficits presented in the functions investigates was identified the need of an occupational therapy intervention program designed to improve the performance in theses functions. After the program, the test was reapplied. The results pointed to an improvement of all functions considered deficient. These results highlight to the training importance to improve the performance in abilities evaluated.

Revisión de literatura sobre prescripción y confección de adaptaciones de bajo costo para el desempeño de actividades de la vida diaria:el papel del terapista ocupacional

This article had as main objective to discuss, based on literature review, some aspects of low cost devices, to improve the development of clinical practice related to the Occupational Therapy on Physical Rehabilitation. The concept of Activity of Daily Living, Assistive Technology and Adaptations are discussed. At regard of some kinds of adaptations, their cost and benefits, the making of low cost adaptation ad other aspects that an occupational therapist could considerer discussing by the Brazilian experience. The authors recognized that more researches are necessary to develop the knowledge in this field of knowledge, identified by the gaps in the scientific literature concerning this issue.

Efeitos da Fisioterapia Respiratória na Mecânica Respiratória de Pacientes com Acidente Vascular Encefálico Ventilados Mecanicamente

Patients who went through a Stroke may require mechanical ventilation (MV) in the acute phase of the disease and, on MV, they may show alterations in the respiratory mechanic. Physiotherapy techniques are applied in patients on MV to improve their respiratory mechanic. Thus, the purpose of this study was to evaluate the effects of the Respiratory Physiotherapy into the dynamic compliance (Cdyn), static compliance (Cst) and airway resistance (Rwa) in Stroke patients on MV. In order to do that, patients with Stroke diagnostic on MV were evaluated, before and after the use of Physiotherapy techniques (manual rib-cage compression, thoracic decompression, zero end expiratory pressure and suctioning). Cdyn, Cst and Rwa were the researched variables. Statistical Analysis was made using Paired T-Test with statistical significance with p-values no greater than 5%. Eleven patients were part of the study, with an average of 64,6±12,5 years old. Cdyn increased after physiotherapy from 29,3±16,1 ml/cmH2O to 33,8±16,7 ml/cmH2O (p=0,03). Cst also increased from 44,4±20,7 ml/cmH2O to 54,0±26,6 ml/cmH2O (p=0,024). No significant difference was detected for Rwa between the before and after moments (Before – 8,0±3,2 cmH2O/l/s, After – 7,3±2,25 cmH2O/l/s; p=0,45). It was possible to conclude that both dynamic and static compliance increased after physiotherapy, but the airway resistance did not increase in patients with stroke on mechanical ventilation.

Abordagens corporais: recurso transformador na formação do terapeuta ocupacional

The objective of this study was to discuss the teaching-learning process of corporal approaches in the Occupational Therapy fi eld. The informations were collected during the classes, in the body approaches matter, administered in the fourth period of the graduate program in Occupational Therapy of the Universidade Estadual Paulista, through focus groups conducted at the end of all twelve-face meetings with classes of four hours each. The study was realized by forty students enrolled in the discipline. All meetings were fi lmed, which allowed the full transcript and analysis of the students reports. The speeches analysis consisted of content analysis and categories creation. The results indicated to the perception of the thematic discussed during the meetings enabled the student to experience and build critical thinking about what is proper the client, and through a holistic approach, about what is guiding the potency of the Occupational Therapy process. The body approaches are considered a feature powerfull transformer in the teaching-learning of occupational therapy as an investigative and formative activity in the understandings’ construction of the professional practice of occupational therapists in situations of uniqueness, complexity, uncertainty and confl ict in the value process.

Avaliação das atividades realizadas em uma instituição de atendimento de crianças e jovens com autismo: contribuições com a implantação de um serviço de terapia ocupacional

O Autismo Infantil é um Transtorno Global do Desenvolvimento que se caracteriza pela presença de comprometimentos severos nas áreas de comunicação, interação social recíproca, interesses e comportamentos. Este trabalho teve como objetivos analisar o atendimento realizado com indivíduos autistas em uma instituição e verificar como a Terapia Ocupacional pode contribuir na atenção voltada aos alunos. A pesquisa foi realizada através da observação e registro em diário de campo das atividades realizadas por cinco indivíduos com Autismo em uma associação específica de Autismo e Transtornos no Desenvolvimento. Também foi realizada entrevista com os profissionais que atuam na instituição. No diário de campo, nota-se a prevalência das atividades pedagógicas. Por outro lado, observa-se escassez de atividades funcionais, de atividades básicas e instrumentais de vida diária, e de atividades direcionadas à comunicação e interação. Nas entrevistas, foi possível constatar que existe interesse dos profissionais na implantação do serviço de Terapia Ocupacional. Considerando as possibilidades de atuação da Terapia Ocupacional junto às crianças e jovens com autismo, conclui-se que a implantação desse setor nessa associação poderia trazer inúmeros benefícios para os usuários e equipe de profissionais da instituição.

Redução dos riscos de operação na montagem de mancais em cilindros de laminação em uma usina siderúrgica

The increasing concerns about the health and safety is significantly changing the costeffective management of labor, also becoming an important tool in the pursuit of quality. In this context the present work makes a studyin a steel mill, to determine an action plan with the goal of reducing the risk of injury during handling and setting up bearings in a workshop of rolling mill rolls. The study is structured through the Method of Analysis and Troubleshooting, and quality tools. The definition of the action plan has brought lowcost measures that seek to solve the problem, eliminating the possibility of fatality or inability to employees