Browsing by Author "Oliveira, Raul"
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- Effects of ankle foot orthoses on the gait patterns in children with spastic bilateral cerebral palsy: a scoping reviewPublication . Ricardo, Diogo; Raposo, Maria; Cruz, Eduardo; Oliveira, Raul; Carnide, Filomena; Veloso, António; João, FilipaBackground: Cerebral palsy (CP) is the most common cause of motor disability in children and can cause severe gait deviations. The sagittal gait patterns classification for children with bilateral CP is an important guideline for the planning of the rehabilitation process. Ankle foot orthoses should improve the biomechanical parameters of pathological gait in the sagittal plane. Methods: A systematic search of the literature was conducted to identify randomized controlled trials (RCT) and controlled clinical trials (CCT) which measured the effect of ankle-foot orthoses (AFO) on the gait of children with spastic bilateral CP, with kinetic, kinematic, and functional outcomes. Five databases (Pubmed, Scopus, ISI Web of SCIENCE, SciELO, and Cochrane Library) were searched before February 2020. The PEDro score was used to assess the methodological quality of the selected studies and alignment with the Cochrane approach was also reviewed. Prospero registration number: CRD42018102670. Results: We included 10 studies considering a total of 285 children with spastic bilateral CP. None of the studies had a PEDro score below 4/10, including five RCTs. We identified five different types of AFO (solid; dynamic; hinged; ground reaction; posterior leaf spring) used across all studies. Only two studies referred to a classification for gait patterns. Across the different outcomes, significant differences were found in walking speed, stride length and cadence, range of motion, ground force reaction and joint moments, as well as functional scores, while wearing AFO. Conclusions: Overall, the use of AFO in children with spastic bilateral CP minimizes the impact of pathological gait, consistently improving some kinematic, kinetic, and spatial-temporal parameters, and making their gait closer to that of typically developing children. Creating a standardized protocol for future studies involving AFO would facilitate the reporting of new scientific data and help clinicians use their clinical reasoning skills to recommend the best AFO for their patients.
- Perspetivas dos idosos que realizam fisioterapia sobre o efeito das tecnologias nas decisões terapêuticasPublication . Domingos, Samuel; Postolache, Gabriela; Oliveira, Raul; Moreira, Isabel; Pedro, Luísa; Vicente, Sónia; Postolache, OctavianA tecnologia é cada vez mais uma parte integrante dos cuidados de saúde em Portugal. Contudo, ainda pouco se sabe acerca do modo como a população em geral e em particular a população idosa lida com a tecnologia em contextos de saúde. Estudar a perceção dos utentes de fisioterapia sobre a importância da existência de tecnologias de informação e comunicação (TIC) que contribuam para a sua participação em decisões relacionadas com o processo de recuperação em fisioterapia. Uma amostra de 365 utentes de fisioterapia com idades entre 18 e 88 anos respondeu a 42 questões para avaliação das suas perspetivas acerca do uso de TIC no processo de fisioterapia. Utentes com 65 ou mais anos (N=137) revelaram menor uso da internet que os restantes participantes (44.8% vs 86,3%). Utentes sem acesso à internet consideraram menos importante a participação da pessoa nas decisões relacionadas com o processo de fisioterapia, com base nas informações disponibilizadas através das TIC (M=2.7, DP=1.1, N=107 vs M=3.6, DP=0.9, N=258). Utentes idosos atribuíram menor importância às TIC no processo de participação nas decisões de saúde que os restantes participantes (M=2.8, DP=1.1, N=137 vs M=3,7 DP=0,8, N=228), sobretudo idosos sem internet (M=2.4, DP=1.0, N=75). A discussão dos resultados à luz de teorias de ilusão de compreensão sugerem a necessidade de implementação de estratégias para ajustar as perceções e promover o uso de tecnologias em contexto de saúde.
- Physiotherapists’ perceived knowledge on technologies for electronic health records for physiotherapyPublication . Postolache, Gabriela; Oliveira, Raul; Moreira, Isabel; Pedro, Luisa; Vicente, Sónia; Domingos, Samuel; Postolache, OctavianBackground - In the last decade, the amount of evidence has increased indicating that stakeholders’ training and education are key to the successful adoption of electronic health records (EHRs). Also, it has been shown that the availability of technical and training support during the initial implementation is essential. Objective: We investigate the perceived knowledge of EHRs and the motivation for adoption of EHRs in physiotherapy practice. Methods - A cross-sectional study was conducted using a questionnaire developed with 27 questions. Among studied variables were: perceived knowledge of technologies for electronic health records, number of training sessions for the adoption of EHRs, motivation related to the adoption of EHRs.
- Smart walker solutions for physical rehabilitationPublication . Postolache, Octavian; Pereira, José Miguel Dias; Viegas, Vítor; Pedro, Luisa; Girão, Pedro Silva; Oliveira, Raul; Postolache, GabrielaIn the last decade, the clinical reasoning in physical therapy has been to develop systems for physiotherapists to make clinical decisions rapidly, effectively and efficiently, in response to the increasingly complex needs of health and rehabilitation units. Some studies show the importance of walking aids during rehabilitation from some diseases, and after surgery for arthroplasty in the elderly population, and in elderly patients with balance disorders, muscle weakness or in people with diabetes mellitus. Walkers are important devices that aid the rehabilitation process. The use of a walker is recommended for gait changes and imbalance due to various factors, such as surgery of the lower limbs or neurodegenerative changes, especially in the early recovery period.
- Technology use and preference among physiotherapy patientsPublication . Oliveira, Raul; Postolache, Gabriela; Moreira, Isabel; Domingos, Samuel; Vicente, Sónia; Pedro, LuísaPurpose: The aim of this study was to assess the information and communication technology (ICT) use and preference among physiotherapy patients.