Linamara Rizzo Battistella

University of São Paulo | USP · Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho (FM) (São Paulo)

Purpose: Event-related desynchronisation (ERD) and event-related synchronisation (ERS) reflect pain perception and integration of the nociceptive sensory inputs. This may contribute to the understanding of how neurophysiological markers of Knee Osteoarthritis (KOA) patients can differ from control individuals, which would improve aspects such as p...

Objective: To compare the effects of 2 types of robotic-assisted gait training (RAGT) devices that have been used in stroke rehabilitation. Design: Retrospective cohort. Setting: Rehabilitation hospital. Participants: 24 community dwelling people with stroke (N=24). Interventions: RAGT with either an exoskeleton (Lokomat) (mean age=53.8 years; 30%...

Background. In amputees, exercising can impact the distribution of body temperature. The aim of this case report is to verify the acute effect of exercising in C-Mill on the temperature distribution in the lower limbs of a man with unilateral transfemoral amputation. Materials and Methods. The thigh and legs of a man with left distal transfemoral a...

Background Fatigue and muscle weakness are common complaints in COVID-19 survivors. However, little is still known about the skeletal muscle qualitative and quantitative characteristics after hospitalization due to moderate and severe COVID-19. Objectives To assess rectus femoris and vastus intermedius muscle thickness (MT) and rectus femoris echo...

Background/objective Chronic pain due to osteoarthritis (OA) is a prevalent cause of global disability. New biomarkers are needed to improve treatment allocation, and genetic polymorphisms are promising candidates. Method We aimed to assess the association of OPRM1 (A118G and C17T) and brain-derived neurotrophic factor (BDNF [G196A]) polymorphisms...

Purpose of Review Our aim is to provide a historical review of the implementation of a cancer rehabilitation center in Brazil, active since 2008. We expect this data to support the implementation of other centers both in Brazil and worldwide. Recent Findings Cancer rehabilitation delivery is fragmented and punctuated in most cases, and cancer reha...

Background Knee osteoarthritis (OA) is a leading cause of disability in the elderly population. Chronic disabling pain is associated with maladaptive neuroplastic changes in brain networks, commonly associated with central sensitization. The main clinical features of nociplastic pain conditions include combined peripheral and central sensitization,...

Objective The study aimed to examine the clinical and neurophysiological predictors of motor event-related desynchronization (ERD) and synchronization (ERS) in patients with chronic pain due to knee osteoarthritis (KOA). Methods We performed a cross-sectional analysis of our cohort study (DEFINE cohort), KOA arm, with 71 patients, including demogr...

Purpose of Review This study is a narrative review aiming at evaluating the current literature of the last 5 years on gamification and musculoskeletal rehabilitation. The article search involved the following MeSH terms at PubMed: “gamification,” “exergaming,” and “rehabilitation.” Original studies in English language were included. Recent Finding...

Objective: The incidence of spinal cord injury in Brazil is increasing. It is important to understand more about how individuals are living with spinal cord injury. Design: Cross-sectional, observational study of individuals with spinal cord injury. Subjects: A questionnaire with 125 questions was applied to individuals diagnosed with spinal c...

Background Chronic pain due to osteoarthritis is a debilitating and heterogeneous disease. Pain phenotypes are measured by electroencephalogram (EEG), cortical excitability indexed by transcranial magnetic stimulation (TMS), and quantitative sensory testing (QST). However, mixed evidence exists regarding the influence of biological sex on these par...

Purpose The study aimed to examine associations between the 36-item short form health survey (SF-36) in clinical and neurophysiological measures to identify its predictors in patients with knee osteoarthritis (KOA) in a rehabilitation program. Methods We analyzed data from our cohort study (DEFINE cohort). We analyzed data from our KOA arm, with 10...

Objectives The study investigated the long-term functional status of hospitalised COVID-19 survivors to explore and document their functional situation. Design This prospective observational study assessed 801 COVID-19 survivors at 3–11 months after hospital discharge. It analyses participants' sociodemographic background, COVID-19 clinical manife...

BACKGROUND Vital signs monitoring such as oximetry, blood pressure and heart rate are important to follow-up the evolution of patients, alerting the need for clinical intervention and adjustments in the therapeutic process, avoiding worsening of the clinical picture, new hospitalizations and the expansion of the disabling condition. And the possibi...

Background Monitoring vital signs such as oximetry, blood pressure, and heart rate is important to follow the evolution of patients. Smartwatches are a revolution in medicine allowing the collection of such data in a continuous and organic way. However, it is still a challenge to make this information available to health care professionals to make...

Rehabilitation after amputation is essential, and descriptions of inpatient rehabilitation programs for individuals with amputation are scarce. Therefore, the objective of this study was to describe the effects of an inpatient physical rehabilitation program on mobility, balance, function, and gait of individuals with unilateral lower-limb amputati...

Purpose: Establish the validity of a triaxial accelerometer (Dynaport®) for evaluating the energy expenditure of patients with stroke sequelae at a rehabilitation hospital. Methods: This is a cross-sectional study with 24 stroke inpatients of a rehabilitation hospital. The participants were assessed on energy expenditure by an ergospirometer sys...

Medidas alternativas e de baixo custo podem ser importantes para análise do movimento humano. Objetivo: Verificar a concordância de análise de movimento humano entre aplicativo de monitoramento por meio de inteligência artificial com análise tridimensional de movimento. Método: Estudo transversal observacional no qual voluntário sadio realizou movi...

This study aims to investigate the multivariate relationship between different sociodemographic, clinical, and neurophysiological variables with resting-state, high-definition, EEG spectral power in subjects with chronic knee osteoarthritis (OA) pain. This was a cross-sectional study. Sociodemographic and clinical data were collected from 66 knee O...

Background: Knee osteoarthritis (OA) is associated with chronic inflammation in somatic structures, which alters sensory afferents and leads to plastic changes in the nervous system. Methods: A systematic literature review was carried out, without language restrictions, period, or status of publication. The database used were Medline, EMBASE, Coch...

O programa de reabilitação em regime de internação pode trazer diversos benefícios aos indivíduos amputados. Objetivo: Verificar a temperatura dos membros inferiores e a funcionalidade de indivíduo amputado submetido a um programa de reabilitação em regime de internação. Método: Paciente do sexo masculino com amputação transfemoral distal à esquerd...

A COVID-19 tem consequências sensório motoras, cognitivas, psíquicas e nutricionais que necessitam de reabilitação. Objetivo: Descrever o programa de reabilitação ambulatorial desenvolvido no Instituto de Medicina Física e Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, otimizado, intensivo e de curta du...

This study aims to investigate the associative and multivariate relationship between different sociodemographic and clinical variables with cortical excitability as indexed by transcranial magnetic stimulation (TMS) markers in subjects with chronic pain caused by knee osteoarthritis (OA). This was a cross-sectional study. Sociodemographic and clini...

Introduction: There is no diagnosis for phantom limb pain (PLP), and its investigation is based on anamnesis, which is subject to several biases. Therefore, it is important to describe and standardize the diagnostic methodology for PLP. Objective: To characterise PLP and, secondarily, to determine predictors for its diagnosis. Methodology. This...

A randomized, sham-controlled clinical trial. To test the effects of tDCS, combined with robotic training, on gait disability in SCI. Our hypothesis was that participants who received active tDCS would experience greater walking gains, as indexed by the WISCI-II, than those who received sham tDCS. University of São Paulo, Brazil. This randomized, d...

Introduction: There is evidence that brain plasticity is the central mechanism involved in the functional recovery process of patients with knee OA. Studies involving the analysis of central nervous system mechanisms of pain control and recovery could provide more data on future therapeutic approaches. Objective: Explore possible functional chan...

Worldwide, knee osteoarthritis (KOA) accounts for 2.2% of total years lived with disability. There is a low correlation between joint tissue damage and pain intensity. Periarticular structures may be involved and cannot be identified in X-rays. To describe the main ultrasonography (USG) changes in symptomatic patients with primary KOA; to correlate...

This article examines the architecture of a mini prototype wheelchair with sensors, the whole project is called LUCITA case study. Such an integrated patient information system could support healthcare actors in decision making along the evolution of rehabilitation training from any physical location.

This article examines the architecture of a mini prototype wheelchair with sensors, the whole project is called LUCITA case study. Such an integrated patient information system could support healthcare actors in decision making along the evolution of rehabilitation training from any physical location.

Background: Stroke is one of the leading causes of adult disability, and up to 80% of stroke survivors undergo upper extremity motor dysfunction. Constraint-Induced Movement Therapy (CIMT) and Robot-Assisted Therapy (RT) are used for upper limb stroke rehabilitation. Although CIMT and RT are different techniques, both are beneficial; however, their...

Objectives: As patients recovering from the novel coronavirus disease 2019 (COVID-19) present with physical, respiratory, cognitive, nutritional, and swallowing-related impairments and mental health complications, their rehabilitation needs are complex. This study aimed to describe the demographic, clinical, and functional status after the dischar...

Phantom limb pain (PLP) is a frequent complication in amputees, which is often refractory to treatments. We aim to assess in a factorial trial the effects of transcranial direct current stimulation (tDCS) and mirror therapy (MT) in patients with traumatic lower limb amputation; and whether the motor cortex plasticity changes drive these results. In...

Patients with sequelae of stroke commonly report somatosensory losses. It is believed that body temperature may be associated with tactile sensibility and sensorimotor recovery of these patients. Demonstrate the associations among tactile sensibility, cutaneous temperature, subjective temperature perception, and sensorimotor recovery of patients wi...

Objectives: The pain related to Spinal Cord Injury (SCI) is difficult to treat and it is associated with significant morbidity. One aspect to improve therapeutics is to explore markers of pain and its correlates in SCI. Methods: In this cross-sectional neurophysiological analysis of a randomized, double-blind controlled trial, thirty-nine patien...

Background Functional changes after spinal cord injury (SCI) are related to changes in cortical plasticity. These changes can be measured with electroencephalography (EEG) and has potential to be used as a clinical biomarker. Method In this longitudinal study participants underwent a total of 30 sessions of robotic-assisted gait training (RAGT) ov...

Objective:To quantify attitudes toward disabilities, perceived by persons with disabilities (PWDs) treated at a university hospital in Brazil, as well as to determine whether PWD-perceived attitudinal barriers correlate with various factors. Methods This was a cross-sectional, observational study of PWDs who completed the Attitudes to Disability Sc...

Rehabilitation and palliative treatment in neurocritical care is a process that seeks early recovery from deficits and the preparation for reintegrating into community life, in search of the best possible functional outcome, independence, quality of life, and decreased suffering. The literature emphasizes the need for structuring of services specia...

Introduction: Knee pain is an imprecise marker of radiographic evidence of osteoarthritis (OA). These patients are more likely to develop central sensitisation to pain, a risk factor for chronic pain. Objectives: The aim of this study was to examine the associations among radiographic evidence of OA, self-reported pain, pressure pain thresholds...

Objectives: To compare the impact of an exercise program vs. exercise program plus LS education in individuals with knee OA. Therapeutic exercise and lifestyle changes (LS) are usua lly recommended for the treatment of knee osteoarthritis (OA). Materials and Methods: Single-blind randomized clinical trial with individuals of both sexes with clinica...

A pesquisa InSCI (International spinal cord injury) foi desenvolvida para descrever a saúde e o bem-estar de indivíduos com lesão medular (LM) em relação à comunidade local. Por isto, objetivo deste estudo será descrever as características pessoais, fatores ambientais, de saúde, de qualidade de vida, de trabalho dos indivíduos que vivem com lesão m...

BACKGROUND AND OBJECTIVES: Knee osteoarthritis is among the leading sources of chronic disability and may lead to depression, anxiety and pain catastrophizing, enhancing perceived pain. This study aimed at investigating the influence of pain catastrophizing on attitudes and perception of pain, and in the functionality of individuals with knee osteo...

Introduction: Osteoarthritis is a common disease in which skin temperature may be included among the pathophysiological factors. Thermography allows the mapping of cutaneous temperature and may be employed in the investigation of osteoarthritis. Objectives: To evaluate cutaneous temperature of the lower limbs, as well as to verify its associatio...

BACKGROUND: Low cost infrared sensors have been recently released, and despite lacking a high resolution, they have already been employed in clinical research The objective of this study was to demonstrate the agreement of thermal images captured by a low-cost smartphone-attached Infra-Red camera compared to a professional Infra-Red camera. MATERIA...

Objective The gait recovery in spinal cord injury (SCI) seems to be partially related to the reorganization of cerebral function; however, the neural mechanisms and the respective biomarkers are not well known. This study tested the hypothesis that enhanced beta-band oscillations may be a marker of compensatory neural plasticity during the recovery...

Introduction: The exact mechanisms underlying the development and maintenance of phantom limb pain are still unclear. This study aimed to identify the factors affecting pain intensity in chronic, lower limb, traumatic phantom limb pain patients. Methods: This is a cross-sectional analysis of patients with phantom limb pain. We assessed amputatio...

Objectie: Calculate the mechanical work (W), applying the total mechanical work (Wtot) and segmental work (Wseg) as a new complementary evaluation resource of the postural control mechanisms in subjects undergoing motor and visual disturbance. Methods: Ten healthy adult male volunteers were selected with ages 25.6 (±2.26) years, whose height was 1....

Restoring the ability to walk, especially independently, is one of the goals in the rehabilitation of patients with incomplete spinal cord injury (ISCI). The G-EO System (GS) robotic gait training acts as a reinforcer of the repetitive and specific practice of the gait phases. Objective: Investigate the combined effects of physiotherapy and robotic...

Neuropatia periférica induzida por quimioterapia (NIPQ) é uma condição incapacitante resultante de tratamento quimioterápico para câncer. Dentre os fatores de risco destaca-se a presença de neuropatia prévia e baixo clearance de creatinina. Objetivo: Avaliar a ocorrência de NPIQ entre os pacientes portadores de câncer de mama submetidos ao uso do P...

Objective: To verify the effects of gait and robotic stair training with G-EO System, associated with conventional rehabilitation, on gait speed and endurance and trunk control of stroke participants. Methods: Retrospective study with 28 participants in the chronic phase of the disease. G-EO System was used for gait and stair robotic intervention....

Background: Stroke combined with Diabetes Mellitus may cause sensibility and vascular alterations. Objective: To determine whether sensitivity and plantar cutaneous temperature of clinically controlled patients with stroke and DM are different from those of patients with stroke only. Methods: This is a cross-sectional case-control study. The v...

Disability disproportionately affects women, older individuals, and ethnic minorities in low-income countries, many of which are located in Latin America. Physical Medicine and Rehabilitation (PM&R) is the medical specialty that manages disability and works on restoring function, and over the past 6 decades has significantly expanded its importance...

International trade is an important component of assistive technology sustainability at a global level, and directly relates to the supply and availability of assistive products (AP) in many countries. Aiming at (i) presenting how AP can be identified, grouped and tracked using Harmonized System (HS) codes; (ii) identifying the global export/import...

Objetivo: Apresentar características do perfil de indivíduos amputados unilaterais na fase pré-protética atendidos em um instituto de reabilitação hospitalar. Método: Estudo retrospectivo a partir dos registros dos prontuários dos pacientes amputados do Instituto de Medicina Física e Reabilitação da Universidade de São Paulo que realizaram reabilit...

Chemotherapy-induced peripheral neuropathy (CIPN) can cause loss of independence and poor quality of life (QoL) due to severe disabilities, but in spite of its importance there is still a lack of data for the management of CIPN. Acupuncture has showed promising results and may be a cost-effective option for the treatment. Objectives To evaluate th...

Objective: To cross-culturally adapt and check for the reliability and validity of the neurogenic bladder symptom score questionnaire to Brazilian Portuguese, in patients with spinal cord injury and multiple sclerosis. Materials and Methods: The questionnaire was culturally adapted according to international guidelines. The Brazilian version was a...

Robotic therapy has been gaining prominence in poststroke rehabilitation programs. An example of these devices is the G-EO System™, which simulates gait as well as other more complexes standards of gait such as the steps on stairs. However, to the best of our knowledge, there are no studies that apply thermography as a tool to evaluate stroke patie...

Introduction: Low back pain is a common and very prevalent disease and can impose limitations that negatively impact patients. The objective of this study was to verify and compare the association between lumbar superficial temperature and pressure pain tolerance thresholds in individuals with chronic nonspecific low back pain and healthy controls...

During the 2nd Semester of 2018, at the Brazilian Aeronautics Institute of Technology (Instituto Tecnologico de Aeronautica – ITA), a successful Collaborative Interdisciplinary Problem-Based Learning (Co-IPBL) experience took place. At that time, more than 20 undergrad and graduate students from 3 different courses, within just 17 academic weeks, h...

O linfedema associado ao câncer de mama é causa de prejuízo significativo da qualidade de vida deste grupo de pacientes e constitui complicação frequente das intervenções necessárias nesse tipo de câncer. Sabe-se que o tratamento utilizado no linfedema associado ao câncer de mama envolve a Terapia Física Complexa (TFC), cuja eficácia é limitada e n...

Neurologic disorders such as stroke and cerebral palsy are leading causes of long-term disability and can lead to severe incapacity and restriction of daily activities due to lower and upper limb impairments. Intensive physical and occupational therapy are still considered main treatments, but new adjunct therapies to standard rehabilitation that m...

There is scarce data about intra-hospital complications in acute traumatic spinal cord injury (TSCI). Objective: To report characteristics of complications in patients with TSCI in a major trauma center. Method: This is a cross-sectional study with 434 patients with acute TSCI from 2004 to 2014. Outcomes were frequency and description of complicati...

Carpal Tunnel Syndrome is the most common compressive neuropathy in the general population, and it may lead to disabling symptoms and significant functional limitation. This systematic review covered Pubmed, Medline, Embase, Cochrane, CINAHL, LILACS, and SCIELO databases, with no time or language delimitations. The PICO strategy defined the search...

Objetivo: Avaliar eficácia da terapia de ondas de choque focal (f-ESWT) comparada ao placebo para dor e incapacidade em pacientes com osteoartrose de joelho (OA). Métodos: Ensaio clínico randomizado, duplo-cego, placebo controlado, pacientes com OA primária de joelhos realizaram exercícios (alongamentos de isquiotibiais e fortalecimento de quadríce...

Por indicar a temperatura corporal, a avaliação termográfica pode servir como indicativo de alteração fisiológica em algumas condições clínicas nas quais a reabilitação se faz necessária. Objetivo: Conhecer a quantidade de publicações sobre o uso da termografia como instrumento de avaliação de desfecho de pesquisa clínica em estudos de reabilitação...