scholarly journals Atividade Lúdica na Fisioterapia em Pediatria: Revisão de Literatura

2017 ◽  
Vol 23 (4) ◽  
pp. 623-636 ◽  
Author(s):  
Allan dos Santos da SILVA ◽  
Paola Janeiro VALENCIANO ◽  
Dirce Shizuko FUJISAWA

RESUMO a criança desenvolve as habilidades motoras, cognitivas, comportamento emocional e moral por meio da brincadeira e da interação social, que continuam no decorrer da vida. A variedade de jogos e/ou brincadeiras contextualiza e favorece o desenvolvimento motor adequado, sendo fundamental para aprendizagem motora. O presente estudo teve como objetivo investigar a utilização do lúdico como recurso terapêutico na prática da fisioterapia pediátrica, por meio da revisão bibliográfica nas bases de dados indexadas: PubMed, Cochrane, Medline e Lilacs, utilizando-se as palavras-chave "Child", "Play and Playthings", "Physical Therapy Modalities" com o operador booleano "and". Foram levantados 15 estudos, sendo cinco sobre a utilização da atividade lúdica por meio de jogos e brincadeiras, nove por meio de jogos eletrônicos e realidade virtual e um envolvendo ambas as modalidades. As categorias mostraram benefícios e boa aceitação pelas crianças envolvidas: melhora na postura e equilíbrio corporal, motivação, fortalecimento de vínculo, maior mobilidade, redução de sintomas de dor, fadiga, ansiedade e distúrbios de sono; a melhora da função de assoalho pélvico, melhora no desempenho físico, equilíbrio, destreza, força de preensão e movimentação dos membros superiores e maior satisfação com a terapia.

2021 ◽  
Vol 11 (7) ◽  
pp. 604
Author(s):  
Maria Dolores Apolo-Arenas ◽  
Aline Ferreira de Araújo Jerônimo ◽  
Alejandro Caña-Pino ◽  
Orlando Fernandes ◽  
Joana Alegrete ◽  
...  

Cerebral palsy (CP) treatment includes physical therapy and various complementary therapies to the standard clinical treatment. However, there are not many reviews that focus on the methods used and evaluation procedures. This study aims to analyze which tools are most suitable for the evaluation and methodology of patients with CP treated with physical therapy. Following the PRISMA statement, through a PICOS strategy, PubMed/MEDLINE, Web of Science (WOS), Scopus, Science Direct, and Scielo were searched with the following terms: cerebral palsy AND (physical therapy modalities OR therapeutics) AND outcome assessment. The methodological quality of the RCTs was assessed with the Evidence Project risk of bias tool. Thirty-seven RCTs and six RCT protocols, comprising 1359 participants with different types of CP: spastic hemiplegia/paresis, spastic diplegia/paresis, and spastic CP, met the inclusion criteria, uncovering 21 variables measured through 77 different instruments and several interventions. The therapies most widely used in CP are gaming or technology-assisted therapies, aerobic training, hippotherapy, music therapy, gait training, and aquatic exercises. This study provides an overview of what the authors used in the neurorehabilitation field through procedure evaluation and checking the technological advance that began to be used.


Head & Neck ◽  
2015 ◽  
Vol 38 (2) ◽  
pp. 301-308 ◽  
Author(s):  
Pascale Mutti Tacani ◽  
Juliana Pereira Franceschini ◽  
Rogério Eduardo Tacani ◽  
Aline Fernanda Perez Machado ◽  
Débora Montezello ◽  
...  

2018 ◽  
Vol 26 (2) ◽  
pp. 170
Author(s):  
Lidiane Cristina Correia ◽  
Bartolomeu Fagundes de Lima Filho ◽  
Fabieli Pereira Fontes ◽  
Larissa Ramalho Dantas Varella ◽  
Jamilson Simoes Brasileiro

A fibromialgia (FM) é uma doença reumática, de etiologia desconhecida que apresenta como principal característica a dor musculoesquelética, desencadeando um ciclo de descondicionamento. A fisioterapia exerce um papel muito importante com os programas de exercícios físicos, compostos por alongamento, exercício aeróbio e exercício resistido para reverter os sintomas apresentados. Recentemente, estudos têm apontado para o fato de que os exercícios resistidos poderiam ocasionar uma redução da dor em pacientes com FM, gerando um novo questionamento sobre os efeitos do exercício resistido nestes pacientes. Com isso, este estudo teve o objetivo de investigar o efeito do treinamento resistido na redução dor em mulheres com fibromialgia. Para tanto, foi realizado uma revisão de forma sistematizada dos estudos publicados até maio de 2016 nas bases de dados eletrônicas PubMed, PEDro, Scielo e Lilacs. O levantamento dos estudos encontrados foi realizado no período de maio a junho de 2016, usando os seguintes descritores na língua inglesa: Physical Therapy Modalities, strength training, Pain, Fibromyalgia e seus equivalentes na língua portuguesa e espanhola. Após a busca, foram encontrados 85 artigos. Após a análise dos resumos, 80 artigos foram excluídos de acordo com os critérios pré-estabelecidos, restando apenas 5 estudos randomizados controlados, sendo selecionados para análise dos seus dados. Após a análise, conclui-se que o treinamento resistido reduz a dor em mulheres com fibromialgia, a partir da 8ª semana de treinamento, desde que esse seja realizado de forma continuada e orientada, com duração de no mínimo 30 minutos, com frequência de 2 a 3 vezes por semana.


F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 2030 ◽  
Author(s):  
Fernanda Mendonça Araújo ◽  
Josimari Melo DeSantana

Fibromyalgia is a syndrome characterized by generalized chronic musculoskeletal pain, hyperalgesia in specific points, and psychosomatic symptoms, such as fatigue, sleep disturbances (waking unrefreshed), anxiety, depression, cognitive dysfunction, headache, and gastrointestinal disorders. Investigations with non-pharmacological therapies, focused on physical therapy, have increased in recent years as alternative therapies for the treatment of fibromyalgia. The purpose of this review is to summarize the main physical therapy modalities used to treat fibromyalgia.


2019 ◽  
Vol 67 (2) ◽  
pp. 325-332
Author(s):  
Aina Rigo ◽  
Berta Paz-Lourido

Introducción. La rehabilitación respiratoria (RR) es un tratamiento clave en la enfermedad pulmonar obstructiva crónica, pero aun estando disponible, los pacientes no siempre acceden a ella.Objetivo. Identificar los factores que pueden limitar el acceso a la RR y que se relacionan con los pacientes, los médicos y los fisioterapeutas.Materiales y métodos. Se realizó una revisión de artículos publicados en inglés y español entre 2006 y 2018. Se usaron los términos “COPD”, “chronic obstructive pulmonary disease”, “COLD”, “chronic obstructive lung disease”, “physical therapy modalities”, “rehabilitation”, “health services accessibility” y “patient” en las bases de datos PubMed, PEDro, Scielo e IBECS.Resultados. Se seleccionaron 11 publicaciones. Entre las barreras que afectan a los pacientes destacan el transporte, la condición ambiental, las situaciones personales y algunos factores sociales y contextuales. El conocimiento de los profesionales, sus condiciones de trabajo y sus expectativas sobre beneficio de los protocolos de RR también son factores que condicionan el acceso de los pacientes.Conclusiones. La formación interprofesional de médicos y fisioterapeutas, la implantación de protocolos flexibles a las condiciones de los pacientes y las medidas organizativas e intersectoriales del sistema sanitario pueden facilitar la accesibilidad a la RR de los pacientes.


2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0017
Author(s):  
Ebru Kaya Mutlu ◽  
Arzu Razak Özdinçler

Objectives: Although many studies were focused on the assessment of patients' satisfaction, few studies have specifically addressed this issue for knee osteoartritis. Global rating of change (GRC) scales are very commonly used in clinical research, particularly in the musculoskeletal area. The purpose of this study was to evaluate the patients’ satisfaction of the Mulligan’s Mobilization with Movement (MWM) techniques, Passive Mobilization (PM) techniques and physical therapy modalities (PTM) (superficial heat or cold, Transcutaneous Electrical Nerve Stimulation (TENS) and therapeutic ultrasound) in subjects with osteoarthritis of the knee. Methods: Thirty subjects with bilateral osteoarthritis of the knee were randomly assigned to the MWM group (n=21) or the PM group (n=21) or PTM group (n=22). The duration of treatment was a maximum of 5 weeks (12 sessions) in all groups. The subjects’ satisfaction were assessed before and after treatment by the GRC scales. One-way analysis of variance was used to compare the groups. When significance was observed, pairwise post hoc tests were performed using Tukey’s test. Results: Mean age and body mass index (BMI) of our study group were 54±7 years and 31±5 kg/m²,respectively in the MWM group, 56±6 years and 31±4 kg/m²,respectively in the PM group and 57±6 years and 32±5 kg/m²,respectively in the PTM group There were no significant differences between the groups with respect to age, BMI and GRC before treatment (p>0.05). Patients satisfaction of the three groups after treatment were significantly different (F=6.732 p=0.002). Pairwise comparisons of the treatment groups revealed a significant difference in the patients’ satisfaction between MWM and PTM (p=0.007), and between PM and PTM (p=0.007); there was no significant difference between MWM and PM (p>0.05). Conclusion: Manual therapy seemed to be superior to physical therapy modalities for the patients’ satisfaction. Therefore, we suggest that physiotherapist either can apply MWM or PM techniques based on their clinical experience in the management of osteoarthritis of the knee.


2016 ◽  
Vol 70 (1) ◽  
pp. 19-23
Author(s):  
Valentina Koevska ◽  
Snezana Perchinkova-Mishevska ◽  
Erieta Nikolik-Dimitrova ◽  
Biljana Mitrevska

Abstract Introduction. Osteoporosis causes chronic back pain leading to restriction of functional capacity and quality of life. The aim of this study was to examine the influence of physical therapy modalities on pain in patients with osteoporosis. Methods. This is a prospective study of patients with osteoporosis, randomly chosen and followed for three months in the Institute of Physical Medicine and Rehabilitation (IPMR). Physical therapy consisted of physical modalities and therapeutic exercises. Physical therapy modalities included interferential currents and pulsed low-frequency electromagnetic field conducted each day with weekend breaks, 21 in total. Patients had therapeutic exercises 3 times a week during the entire follow-up period. Patients were assigned into two groups. The first group consisted of nine patients who underwent physical procedures and the second group consisted of nine patients who did not receive physical therapy modalities. Two check-ups were made on day 21 and at the end of the third month. Assessment of pain intensity was made by the use of a numeric pain rating scale. Results. No significant difference between the groups was observed regarding mean age of patients (p<0.21). The first check-up showed a significantly higher pain score in the second group of patients (p=0.0003). There was no significant difference in pain intensity between both groups of patients in the three-month period of investigation (p<0.63). Conclusion. Physical therapy modalities influence on pain in patients with osteoporosis. Our investigation included a small number of patients and hence further studies are necessary.


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