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Publications (49)
This study estimated the contribution of the midfoot joint complex (MJC) kinematics to the pelvis anterior–posterior positions during the stance phase of walking and investigated whether the MJC is functionally coordinated with the lower limb joints to maintain similar pelvic positions across steps. Hip, knee, ankle, and MJC sagittal angles were me...
Objective
To systematically review evidence on the coverage, content validity and internal structure of self-report measures capturing subjective aspects of participation for adults with disabilities.
Data sources
EMBASE, MEDLINE and reference lists were searched until July 10th, 2022 for articles on measurement properties of instruments measuring...
Introduction:
Physiotherapists' (PTs) assumptions about disability, for the most part unrecognized and unquestioned, may or may not be aligned with the vision of the International Classification of Functioning, Disability, and Health (ICF). They can influence a wide range of PT practices and impact the lives of patients.
Objective:
To investigat...
Physiotherapists seek to improve client movement and promote function within an individual’s unique environmental and social realities. Despite this intention, there is a well-noted knowledge-practice gap, that is, therapists generally lack sufficient foundational preparation to effectively navigate societal challenges impacting contemporary health...
Background
Family-centered practice (FCP) is widely accepted as a best practice in pediatric rehabilitation. However, its implementation in Brazil is incipient, and systematic documentation of the extent to which it has been achieved is not available.
Objectives
To determine parents’ and service providers’ perceptions of family-centeredness and sp...
Abstract Background Motor learning (ML) science is foundational for physical therapy. However, multiple sources of evidence have indicated a science-practice gap. Clinicians report low self-efficacy with ML concepts and indicate that the lack of access to systematic training is a barrier for practical implementation. The general goal of this prelim...
An external focus of attention can improve performance, but there is little research on effects for the elderly in every day, well-learned mobility tasks. 57 older and 59 young adults performed the sit-to-stand and stand-to-sit while holding a cup, at three difficulty levels (cup empty or full, at normal or fast speed). Half were instructed to focu...
Ballet dancers need to constantly improve their performance. Several studies show that an internal focus (on body movements) leads to inferior motor performance relative to an external focus of attention (on the movement effects), but the majority of dancers usually adopt an internal focus. It is not clear if the benefits of an external focus are r...
This is an essay about the literature from the field of disability studies. It analyses rehabilitation ideologies
and practices that contribute to the systematic oppression of people with disabilities. The criticism coming from
disability studies points to conflicts of interest between rehabilitation professionals and people with disabilities,
powe...
Background
In Brazil, the number of physical therapy (PT) education programs and, consequently, of professionals, has been growing for the past 20 years.
Objectives
The objective of the study was to describe the evolution and distribution of physical therapy education programs in Brazil and to analyze the impact of workforce growth on the labor ma...
Background:
Analysis of sensorimotor synergies has been greatly advanced by the Uncontrolled Manifold (UCM) approach. The UCM method is based on partitioning inter-trial variance displayed by elemental variables into 'good' (VUCM) and 'bad' (VORT) variability that, respectively, indicate maintenance or loss of task stability. In clinical populatio...
Attentional focus affects performance and learning of motor tasks. An external attentional focus (on the effects of movement) can lead to more efficient and effective movements compared to an internal focus (on body movement itself). According to the “constrained action hypothesis” an external focus facilitates fast and reflexive movement control w...
Background
The Measure of Processes of Care (MPOC) questionnaires evaluate Family-Centered Practice (FCP) in services for children with developmental disorders. The MPOC-20 and MPOC-SP are completed by parents and by rehabilitation professionals, respectively, and are widely used in several countries.
Objectives
To translate and cross-culturally a...
A Prática Centrada na Família (PCF), considerada como best practice na assistência à criança, é um conjunto de atitudes e valores que reconhece a família como centro do cuidado. A MPOC-20 e MPOC-SP são questionários que avaliam a percepção dos cuidadores e dos profissionais de saúde, acerca da PCF. Este trabalho descreve o processo de tradução e ad...
Perceptual guidance of movement with simple visual or temporal information can facilitate performance of difficult coordination patterns. Guidance may override coordination constraints that usually limit stability of bimanual coordination to only in-phase and anti-phase. Movement dynamics, however, might not have the same characteristics with and w...
Background:
Gait speed and metabolic cost are indicators of functional capacity in children with cerebral palsy. Uncovering their mechanisms helps guide therapeutic actions.
Objectives:
To investigate the contributions of energy-generating and energy-conserving mechanisms to gait speed and metabolic cost of children with unilateral cerebral pals...
Introdução: Na reabilitação, a habilidade do paciente em lidar com a sua condição de saúde e tomar decisões, sua motivação e sua adesão, são determinantes para os desfechos terapêuticos. A prática centrada no cliente (PCC) reconhece e promove a centralidade dos interesses de pacientes e por isso seu conhecimento é fundamental para o avanço da reabi...
According to the International Classification of Functioning, Disability and Health, effective rehabilitation requires interventions that go beyond minimizing pathological conditions and associated symptoms. The scope of practice must include promoting an individual’s activity within relevant contexts. We argue that best practice requires decisions...
Movement is central to physical therapy identity and practice. Advances in the science of movement control, motor learning and development are thus inextricably tied to professional development and clinical activity. This paper aims to describe a prominent approach to motor control with potential to greatly advance the understanding of movement dys...
Introduction:
Cerebral Palsy is a group of non-progressive movement and posture disorders. There are many rehabilitation methods for children and adolescents with these disorders. Kinesiology Taping(KT) is becoming a popular as an option of rehabilitation method for these children.
Objective:
The aim of this systematic review is to summarize evide...
The literature demonstrates that the social participation of children with disabilities is influenced by both their functional skills repertoire and environmental factors. However, it is not yet known whether the effect of functional limitations on social participation is minimized or enhanced by the environmental facilitators and barriers. This st...
Specificity and information are at center stage in ecological psychology. Nevertheless, the usual theorizing on these concepts may have made the problem of accounting for perception and action more difficult by so far underestimating the role of animals as both meaning-detectors and meaning-determiners. The usual understanding of information and sp...
Objetivos:
descrever mudanças na função motora de dois adolescentes com diplegia espástica, sendo um deles participante de um protocolo de fortalecimento muscular isolado (FMI) e o outro de protocolo de fortalecimento com tarefas funcionais (FTF).
Métodos:
desenho experimental de caso único, metodologia que revela a temporalidade do perfil de muda...
Background:
Environmental factors are essential for the characterization of human functioning and disability; however, the shortage of standardized instruments to assess environmental factors has limited the design of scientific investigations directed at identifying barriers to and facilitators of social participation of people with disabilities....
Pole balancing is a key task for probing the prospective control that organisms must engage in for purposeful action. The temporal structure of pole-balancing behaviors will reflect the on-line operation of control mechanisms needed to maintain an upright posture. In this study, signatures of multifractality are sought and found in time series of th...
Guidance by simple visual patterns has been reported to facilitate performance of difficult coordination patterns. This kind of guidance, however, might significantly alter coordination dynamics and learning. Experiment 1 investigated the effect of visual guidance on the organization of bimanual coordination. Anti-phase 1:1 was performed without (i...
A variety of definitions of intelligence have been offered that are not exclusively
human-centric. One, in particular, is taken as a starting point: end-directed behavior
marked by the making of meaningful distinctions made possible by perception–
action cycles. Specific examples of end-directed behavior are examined for evidence
of three aspects o...
In cart-pole balancing, one moves a cart in 1 dimension so as to balance an attached inverted pendulum. We approached perception-action and learning in this task from an ecological perspective. This entailed identifying a space of informational variables that balancers use as they perform the task and demonstrating that they improve by traversing t...
The objective of this study was to test the feasibility of a treatment programme based on the elements of constraint-induced movement therapy (CIMT) to encourage use of the affected arm of a child with obstetric brachial plexus injury (OBP), as well as to document clinical changes observed with this intervention. A 2-year-old female child with Erb'...
Objective: To evaluate the effects of constraint-induced movement therapy on the use of the affected arm and on daily functioning in children with hemiplegic cerebral palsy.
Design: A single-blinded randomized clinical trial.
Subjects: Sixteen children with cerebral palsy randomized to intervention (n = 8, 4 males, 4 females, mean age 5 years and 6...
OBJECTIVE: To investigate the profile of changes in the use of the upper extremity in three children with hemiplegia submitted to an adapted protocol of constraint-induced movement therapy (CIMT). METHODS: A single-subject design (ABA) was replicated in three children aged 8 to 11 years old. Baseline phases (A1) and (A2) and the intervention phase...
CONTEXTUALIZATION: Low back pain is a set of painful manifestations that may cause limitations to several aspects of an individual"s life. The model of the International Classification of Functioning, Disability and Health (ICF) proposed by the World Health Organization provides a structure for understanding the functioning and disability associate...
CONTEXTUALIZAÇÃO: A lombalgia é um conjunto de manifestações dolorosas que pode acarretar limitações em vários aspectos da vida de um indivíduo. O modelo de Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) proposto pela Organização Mundial da Saúde (OMS) fornece uma estrutura para o entendimento da funcionalidade e da incap...
Nine children with spastic hemiplegic cerebral palsy underwent 24 sessions of wrist muscles strengthening in the extended wrist range aided by electrostimulation. Isometric strength of flexors and extensors was registered in three wrist positions (30° of flexion, neutral, and 30° of extension) to infer on angle–torque curves. Passive stiffness of w...
Constraint-induced movement therapy (CIMT) consists of restraining movement of the non-affected arm while providing intensive training of the affected upper extremity. Positive results have been reported after CIMT in individuals with hemiparesis due to stroke. This study is a longitudinal, ABA-design documentation of the effects of CIMT on upper e...
Objective: To investigate changes in gait quality, balance and mobility associated with treadmill training for ataxic individuals.
Design: Single-subject ABA design. Baseline phases (A) lasted three weeks and intervention (B) lasted four weeks.
Setting: University rehabilitation clinic.
Subjects: A woman (25 years) and a man (53 years) with chronic...
Effects of functional electrical stimulation applied to the wrist and finger muscles of hemiparetic subjects: a systematic review of the literature Background: a systematization of the available evidence regarding the effects of electrical stimulation for hemiplegic patients following stroke is needed. Objective: to conduct a systematic review of t...
OBJECTIVE: to investigate the impact of a thumb abduction orthosis on functional skills of a child with hemiparetic cerebral palsy and mild spasticity. METHODS: an AB single-subject design was used in this study. Baseline A consisted of data collected during a period without intervention (control conditions). The intervention phase B included the u...
Background: a systematization of the available evidence regarding the effects of electrical stimulation for hemiplegic patients following stroke is needed. Objective: to conduct a systematic review of the literature related to the effects of functional electrical stimulation for the wrist and finger muscles of adult hemiplegic patients. Method: a s...
To investigate changes in hand function associated with electrical stimulation for children with hemiplegic cerebral palsy.
An ABCA single-subject design, replicated in two children, was used in this study. Each baseline (phase A) lasted 4 weeks. Intervention consisted of electrical stimulation of wrist extensors (phase B) and of wrist extensors an...
This study compared the passive stiffness of wrist flexors and the strength of wrist flexors and extensors in three different wrist positions (30 degrees of flexion, neutral, and 30 degrees of extension) between children with cerebral palsy (CP) and typically developing (TD) comparison children. It also examined associations between these character...
Professionals who work with rehabilitation of the hand usually assess performance components as their main outcome measures. Intervention is aimed at normalization of deficits of these components, with the expectation that the integrity of the structures and functions of the body will revert to improvements in the client's functional performance. T...
Women have higher rates of knee ligament injury than men. Co-contraction of knee muscles is proposed to be an important mechanism to protect the joint from injuries.
Females have lower co-contraction levels when compared to males.
Exploratory, cross-sectional design.
Thirty-six men and women equally divided into four groups according to gender and...
OBJETIVOS: realizar uma revisão sistemática da literatura através da seleção e análise criteriosa de artigos científicos que investigaram os efeitos da tala seriada em crianças com diagnóstico clínico de paralisia cerebral espástica. MÉTODOS: busca sistemática na literatura foi realizada no período de março a agosto de 2004, nas bases de dados elet...
OBJECTIVES: to perform a systematic literature review through a careful survey of scientific articles investigating serial casting effects in children clinically diagnosed with spastic cerebral palsy. METHODS: systematic literature survey performed during the period of March to August 2004, in Medline, Lilacs and PEDro electronic databases publishe...
A eletromiografia (EMG) é uma técnica que permite o registro dos sinais elétricos gerados pelas células musculares, possibilitando a análise da atividade muscular durante o movimento. A compreensão de conceitos relativos a EMG é essencial para se assegurar a validade e confiabilidade desse instrumento de mensuração em pesquisas da área de reabilita...
Objectives: to perform a systematic literature review through a careful survey of scientific articles investigating serial casting effects in children clini- cally diagnosed with spastic cerebral palsy. Methods: systematic literature survey performed during the period of Mar ch to August 2004, in Medline, Lilacs and PEDro electr onic databases publ...