scholarly journals A utilidade do Miniexercício Clínico Avaliativo (Miniex) como ferramenta padrão na graduação de fisioterapia

2021 ◽  
Vol 13 (6) ◽  
pp. e7428
Author(s):  
Luiz Euclides Coelho de Souza Filho ◽  
Katiane da Costa Cunha ◽  
Marcio Clementino de Souza Santos ◽  
Luiz Fábio Magno Falcão ◽  
Valéria Marques Ferreira Normando
Keyword(s):  

Objetivo: Avaliar o uso do Miniexercício Clínico Avaliativo (Miniex) como ferramenta útil no cenário de prática sob a visão discente. Métodos: Estudo do tipo single-arm clinical trail, descritivo e comparativo do tipo antes e depois com discentes (n=30) de graduação do último ano de Fisioterapia de uma Universidade Pública no Estado do Pará, no período de agosto a dezembro de 2018, sendo utilizado o questionário traduzido Miniex. Resultados: 96% dos discentes alegam o padrão avaliativo do Miniex ser mais objetivo do que o tradicional; 92% dos discentes consideram que o Miniex deveria ser o padrão de exame no currículo de fisioterapia; 52% aceitaram que esta ferramenta avalia o discente completamente; 88% dos discentes aceitaram que o tempo atribuído era satisfatório, enquanto 40% dos discentes ficaram desconfortáveis, enquanto avaliavam o paciente na presença do professor; 92% dos discentes concordaram que, em geral, é uma maneira muito eficaz de avaliação do discente de Fisioterapia e 84% concordam que podem obter melhor pontuação em exames futuros. Conclusão: O instrumento Miniex revelou poder ser uma ferramenta útil no cenário de prática real à fisioterapia contribuindo para a construção e o desenvolvimento desses futuros profissionais. 

1982 ◽  
Vol 139 (5) ◽  
pp. 957-961 ◽  
Author(s):  
DK Kido ◽  
S Paulin ◽  
JA Alenghat ◽  
C Waternaux ◽  
WD Riley
Keyword(s):  

2020 ◽  
Author(s):  
Xiaona Zhu ◽  
Limei Chen ◽  
Shuang Zheng ◽  
Linmin Pan

Abstract Background: Butorphanol, a synthetic opioid partial agonist analgesic, has been widely used to control perioperative pain. However, the ideal dose and availability of butorphanol for gastrointestinal (GI) endoscopy are not well known. The aim of this study was to evaluated the 95% effective dose (ED95) of butorphanol and sufentanil in GI endoscopy and compared their clinical efficacy, especially regarding the recovery time. Methods: The study was divided into two parts. For the first part, voluntary patients who needed GI endoscopy anesthesia were recruited to measure the ED95 of butorphanol and sufentanil needed to achieve successful sedation before GI endoscopy using the sequential method (the Dixon up-and-down method). The second part was a double-blind, randomized study. Two hundred cases of painless GI endoscopy patients were randomly divided into two groups (n= 100), including group B (butorphanol at the ED95 dose) and group S (sufentanil at the ED95 dose). Propofol was infused intravenously as the sedative in both groups. The recovery time, visual analogue scale (VAS) score, hand grip strength, fatigue severity scores, incidence of nausea and vomiting, and incidence of dizziness were recorded.Results: The ED95 of butorphanol for painless GI endoscopy was 9.07 μg/kg (95% confidence interval: 7.81-19.66 μg/kg). The ED95 of sufentanil was 0.1 μg/kg (95% CI, 0.079-0.422 μg/kg). Both butorphanol and sufentanil provided a good analgesic effect for GI endoscopy. However, the recovery time for butorphanol was significantly shorter than that for sufentanil (P < 0.05, group B vs. group S:21.26 ± 7.70 vs. 24.03 ± 7.80 min).Conclusions: Butorphanol at 9.07μg/kg was more effective than sufentanil for GI endoscopy sedation and notably reduced the recovery time.Trial registration: Chinese Clinical Trail Registry (Registration number # ChiCTR1900022780; Date of Registration on April 25rd, 2019) http://www.chictr.org.cn/showproj.aspx?proj= 37972.


2005 ◽  
Vol 17 (03) ◽  
pp. 135-140 ◽  
Author(s):  
CHUN-LI LIN ◽  
YU-CHAN KUO ◽  
LUN-JOU LO

Temporomandibular joint (TMJ) ankylosis or hypomobility is a major clinical problem that affects many patients suffering from facial trauma, infection, TMJ dysfunction, inflammatory diseases and tumors. Postoperative physiotherapy is recognized as essential for the prevention or treatment of TMJ hypomobility or ankylosis. Traditional methods using stacked tongue depressors and the reported TMJ opening exercisers all have disadvantages and cannot achieve clinical requires. This study employed CAD/CAM techniques to develop a new TMJ exerciser that would be user-friendly and performed clinical trails to test the efficacy of the device. A power screw was used to overcome the small force control difficulty, allowing gradually increased TMJ opening performance. The front end of the device was designed as U-shape platform that could be inserted into the patient's mouth to allow easy TMJ exercise performance. A streamlined handle also designed to be held by the patients to decrease the mouth loading. This device is convenient for long-term physiotherapy. The clinical trail results indicated that the improvements of the incisor opening range could increase from 108% to 258% within one mouth after postoperative physiotherapy. The developed TMJ exerciser is effective, convenient, easy to use, light weight and has long-term durability for postoperative physiotherapy.


2006 ◽  
Vol 42 (14) ◽  
pp. 2233-2240 ◽  
Author(s):  
E.W. Duiker ◽  
C.H. Mom ◽  
S. de Jong ◽  
P.H.B. Willemse ◽  
J.A. Gietema ◽  
...  
Keyword(s):  

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