Loading...
13 results
Search Results
Now showing 1 - 10 of 13
- Manual de teste muscularPublication . CINTRA, RUI; Fontes, Ana Paula; Felício, JoãoO Teste Muscular é um dos instrumentos do Fisioterapeuta que duplamente o auxilia no quotidiano da sua prática baseada na evidência, ou seja, é um instrumento valioso do diagnóstico funcional, e um instrumento dos resultados da prestação de cuidados, contribuindo para uma Fisioterapia qualificada e empreendedora. Este Manual aborda o teste muscular analítico dos principais músculos/grupos musculares dos membros e tronco.
- What s new in the Visionaire system® in second-generation for TKA? a comparative study of accuracy, efficiency and functional resultsPublication . Fontes, Ana Paula; Cintra, Rui Miguel; Gomes, Luis; Sousa, Joao PauloBackground: The aim of the study was to analyze and compare the accuracy, efficiency and functional evolution between the first- and second-generation Patient-specific instrumentation (PSI). Methods: We report our experience in TKA using PSI Visionaire System® (Smith and Nephew®) in 456 procedures. The patients were divided into first- (N=272) and second-generation PSI design (N=184). For the accuracy was analyzed the mechanical results, namely Hip-knee-ankle (HKA) alignment post-TKA and outliers’ frequency; for the efficiency was analyzed the length time surgery, the length of stay and satisfaction, for the functional outcomes was compared the evolution at pain, range of motion, gait perimeter and the domains of the Western ontario and mcmaster osteoarthritis index (WOMAC). The t-test for independent samples was applied in the continuous numeric variables and Qui square tests in the dichotomic nominal variables. Statistical significance was p value<0.05. Results: The alignment of the femur worsened significantly in the second-generation (p=0.002), but the alignment of the tibia was improved (p=0.010). However, not enough to improve significantly the HKA. No significant differences were observed in the frequency of outliers. The length of stay decreased in the second-generation (<0.001). The functioning achieved at first and third months after surgery was lower in second-generation PSI; at first month in the pain and stiffness WOMAC (p=0.030; p>0.001) and in the third in WOMAC stiffness (p<0.001). Conclusions: The second-generation PSI of Visionaire system® improved the alignment of the tibia, but not the alignment of the femur. This change did not produce any improvements in functioning.
- Functional evolution in total knee arthroplasty: first and second-generation patient-specific instrumentation compared with conventional instrumentationPublication . Fontes, Ana Paula; CINTRA, RUI; Gomes, Luis; João Paulo SousaBackground: This study compares the functional evolution between the first- and second-generation patient-specific instrumentation and conventional instrumentation pre-surgery and the third month post-surgery after TKA. We analyzed the functional outcomes achieved and the absolute gains of each study variable. In addition, we aimed to elucidate the results of the three surgical techniques regarding the surgery length of time, length of hospital stay, percentage drop in hemoglobin (Hg) at 24 h, and hip-knee-ankle angle post-surgery. Methods: We reported our experience in TKA using PSI Visionaire System® and CI technique in 688 procedures. The patients were divided into first (N=272) and second-generation (N=151) PSI designs. The control group (N=265) underwent TKA with the CI. The instruments for assessing the functioning were: visual analog scale, goniometry, 6- minute walk test (6MWT), and domains of the WOMAC Index. Results: The functioning achieved three months after surgery was lower in the CI than the first-generation PSI. The respective differences at absolute gains were found in the 6MWT and pain and function WOMAC scores (p=0.023, p=0.049, and p=0.018, respectively). The mean surgical time was higher in the CI compared to PSI designs (both p<0.001), and the mean hospital length of stay was higher in the CI compared to second-generation PSI (p=0.002). The percentual drop in Hg was higher in the first-generation PSI than with the CI (p=0.006). Conclusions: Three months after TKA, the functioning achieved with the first-generation PSI was greater than the CI. However, the functional results between second-generation PSI and CI were similar.
- Regulamento do fardamento para os estudantes do Curso de Licenciatura em Fisioterapia da ESSUAlgPublication . Felício, João; Fontes, Ana Paula; CINTRA, RUIO Curso de Licenciatura em Fisioterapia da ESSUAlg tem como principal objetivo formar profissionais capazes de desenvolver competências humanas, científicas e técnicas num clima de interdisciplinaridade; desenvolver o raciocínio clínico e competências de avaliação/intervenção nas áreas músculoesquelética, neurológica e cardiorrespiratória, ao longo do ciclo de vida e dos diversos contextos de evolução da(s) condição(ões) de saúde; integrar o conhecimento e competências numa prática baseada na evidência através de atitudes, comportamentos e práticas profissionais de excelência. Para que exista uma imagem organizacional e corporativa íntegra e coesa dos estudantes do Curso de Licenciatura em Fisioterapia da ESSUAlg, elaborou-se este documento que define e regula a utilização do seu fardamento.
- Regulamento do funcionamento do Ginásio de Fisioterapia da ESSUAlgPublication . CINTRA, RUI; Fontes, Ana Paula; Cavaco, Adriana; Felício, JoãoO presente regulamento destina-se a estabelecer as regras de funcionamento e utilização do Ginásio do Curso de Licenciatura em Fisioterapia da Escola Superior de Saúde da Universidade do Algarve (ESSUAlg) por parte dos utilizadores. O Ginásio é um espaço vocacionado para a aprendizagem e prática de estratégias de intervenção de Fisioterapia na área das condições cardiorrespiratórias, musculo esqueléticas, neuro musculares, saúde da mulher, condições especiais, quer seja no âmbito do ensino, quer da investigação ou prestação de cuidados.
- Impact of age, gender and body mass index on the efficacy of tranexamic acid in total knee arthroplastyPublication . Viegas, Rui; Kumar, Abhishek; Carvalho, Maria M.; Vide, João; Fontes, Ana Paula; Sousa, João P.Background: Tranexamic acid (TXA) is effective and safe in decreasing blood loss and transfusion rate in total knee arthroplasty (TKA). Few studies focused on the role of patients’ characteristics on the efficacy of TXA in TKA. The purpose of this study was to conduct a retrospective analysis to investigate if age, gender and BMI influence the efficacy of TXA in reducing perioperative blood loss in TKA. Methods: We did an observational study including 366 consecutive patients undergoing TKA in Hospital Particular do Algarve between January 2011 and April 2019 which were divided in two groups: intraoperative administration of intravenous TXA (TXA Group) and no administration of TXA (Control Group). The perioperative blood loss between groups and their relation with age, gender and BMI was compared. Results: Of the 366 patients, 225 (61%) received TXA. In both groups, age did not correlate to the blood loss. Women in the TXA group had less perioperative blood loss than in the control group. No such difference was found for men. The normal weight group showed no difference in perioperative blood loss with or without TXA administration. However, there was a statistically significant difference in the overweight and obese groups. The mean perioperative blood loss was higher in the control group (854±342 ml) than in the TXA group (720±335 ml). Conclusions: TXA administration is efficient in controlling TKA associated hemorrhage in overweight and obese individuals and in women but it doesn’t have that effect in normal weight patients or in men.
- Manual de tranferênciasPublication . Felício, João; Fontes, Ana Paula; CINTRA, RUIO Manual de Transferências tem como principal objetivo fornecer de uma forma sistemática e organizada os princípios das técnicas e estratégias, assim como todos os conhecimentos teórico-práticos, fundamentais para transferir um doente de uma superfície para outra, de forma segura e económica do ponto de vista ergonómico.
- Comparing conventional and patient specific instrumentation in total knee arthroplasty: an early analysis of function and satisfactionPublication . Vaz Pinto, Goncalo; Dantas, Sofia Caldeira-Dantas; Bessa Magalhães, Tiago; Fontes, Ana Paula; Marreiros, Ana; Ribeiro De Sousa, João PauloBackground: Patient specific instrumentation (PSI) in TKA is a surgical technique created to improve the accuracy of implantation, surgical time, blood loss and workflow that has been a growing trend over the past decade. Our work aims to determine if there are improvements in patient satisfaction and functional results using PSI in comparison with conventional instrumentation (CI) in TKA. Methods: The authors evaluated 716 patients from the past 10 years that underwent TKA, either by PSI (n=456) or by CI (n=260). The authors recorded the WOMAC index, articular range of motion, and the six-minute walking test at preop and day 90 post-op. T-student and Mann-Whitney tests were used considering p<0.05. Results: The functional scores achieved 90 days after surgery were better for PSI compared to CI. The respective differences are found in the extension (p=0.022), gait distance (p=0.010) and in the pain and function WOMAC index (respectively p=0.018 and p=0.020). No statistical differences were found in satisfaction. Conclusions: 90 days after TKA, the functional scores achieved with PSI were better compared to CI. However, better results in this area did not translate to significantly higher satisfaction in the patients. There seems to be a tendency in favor of better functional results in patients that underwent TKA by PSI in comparison to those submitted to CI. These results seem to follow the tendencies demonstrated in available literature.
- Manual de posicionamentos e mobilidade no leitoPublication . Felício, João; Fontes, Ana Paula; CINTRA, RUIO Manual de Posicionamentos e Mobilidade no Leito é um guião de orientação para os Estudantes de Fisioterapia da ESSUAlg, relativamente aos conteúdos programáticos associados aos posicionamentos e mobilidade no leito. O seu principal objetivo é fornecer de uma forma sistemática e organizada os princípios destas referidas estratégias, assim como todos os conhecimentos teórico-práticos fundamentais para posicionar e mobilizar um doente.
- The relationship between contextual factors and the mobility abilityPublication . Fontes, Ana PaulaObjective: To examine how the relationship between Mobility limitation is influenced by Contextual Factors in community-dwelling older adults. Design: This is a cross-sectional study. Participants: A total of 769 persons aged 65 years or above living in the community-dwelling of the Algarve region. Methods: We study eighteen categories of Personal and Environmental Factors agreement of the International Classification of Functioning (ICF) and their relationship with six categories of the Mobility domain. Multiple logistic regression was used in analyzing functional outcomes in the Mobility. Main Results: The proportion of older adults reporting disability in Mobility activities ranged from 17.4% (Moving Around Within the Home) and 53.2% (Using Private or Public Motorized Transportation). The Contextual Factors with a greater impact in explaining the limitations in Mobility outcomes were Assistance Activities of Daily Living (OR = 3.0 to OR = 11.9), Job Without Qualification (OR = 2.5 to OR = 6.3), Inadequate Nr of Meals (OR = 2.6 to OR = 3.8) and Self-Rated Physical Health (OR = 2.1 to OR = 3.1). The variable sex contributed to explaining the results of the most difficult activities to perform as Moving Around Outside the Home, Climbing and Use of Transports. The contribution of age was observed only in the Use of Transports. Conclusions: Contextual Factors are important predictors of Mobility functioning, namely, those related to Behaviors and Health Events but also those related to Social and Cultural variables.