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- Validação da Escala Physical Performance Test para a população geriátrica Portuguesa com demênciaPublication . Almeida, Ana; Antunes, Andreia; Ramos, Ines; Vicente, Joana; Gonçalves, Rui; Pedro, LuisaIntrodução: A demência é uma patologia neurodegenerativa caracterizada pela deterioração cognitiva associada ao declínio funcional. Em Portugal, existe escassez de instrumentos de medida para avaliar o desempenho físico destes pacientes. A escala Physical Performance Test (PPT) avalia a funcionalidade. O objetivo do estudo é validar as duas versões da escala - PPT-7 e 9 itens - para idosos com demência na população portuguesa. Material e Métodos: Efetuou-se um estudo transversal observacional. Dos 96 indivíduos avaliados, 60 cumpriram os critérios de inclusão: idade ≥ a 65 anos; diagnóstico de demência com avaliação através do Mini Mental State Examination entre 10 e 24 pontos. Cumpriram-se os procedimentos éticos da Declaração de Helsínquia. A recolha de dados realizou-se em oito instituições. Resultados: O alfa de Cronbach foi de 0,79 (avaliador 1 e 2) no PPT-9 itens e 0,69 (avaliador 1) e 0,70 (avaliador 2) no PPT-7 itens. Os valores de confiabilidade teste-reteste variam entre 0,65 e 0,72 (avaliador 1) e 0,52 e 0,91 (avaliador 2), exceto no item 3. Os valores de confiabilidade inter-avaliador superaram 0,95. Para o PPT-9 e PPT-7 itens, a correlação foi de 0,99. A convergência do PPT-9 itens com o IB é de 0,65 e do PPT-7 itens é de 0,64. Discussão: Os coeficientes do alfa de Cronbach revelaram bons níveis de confiabilidade. Ambas as versões apresentam boa reprodutibilidade, elevada concordância inter-observador e convergência moderada com o IB. Conclusão: A versão portuguesa do PPT-7 e 9 itens é fiável e válida para idosos com demência.
- Instruments to assess gait in individuals with multiple sclerosis: a systematic reviewPublication . Jesus, Maria Margarida de; Pedro, LuisaBackground: Gait impairment is considered a significant cause of disability and is a clinical feature of Multiple Sclerosis. For this reason, their regular assessment is essential for better management and treatment and to evaluate the effectiveness of rehabilitation. Objective: This study aims to know what instruments are available in the literature to assess gait in patients diagnosed with MS. Data Sources and Searches: A complete literature search was conducted in MEDLINE, Web of Science, Embase, and Scopus, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The study protocol was registered at the International Prospective Register of Systematic Reviews (PROSPERO). Study Selection: The authors selected studies written in English and representing validation of gait assessment tools exclusively for adults with a diagnosis of MS. Data Extraction and Quality Assessment: Two authors independently extracted the data for reliability, measurement error, validity, and assessed methodological quality using the COnsensus-based standards to select health Measurement Instruments (COSMIN). Data Synthesis and Analysis: All authors performed data synthesis to determine the level of evidence per measurement property per tool.
- The importance of hope for quality of life in patients with multiple sclerosisPublication . Pais-Ribeiro, J. L.; Pedro, LuisaAims: This study intends to describe the importance of hope for the quality of life in patients with multiple sclerosis. Evidence has indicated that Hope is important as a buffer between risk factors, physical and psychological health status, and quality of life for patients with multiple sclerosis. Methods: The study was exploratory and descriptive. Setting: A general Hospital in Lisbon, Portugal. Participants: 280 patients with Multiple Sclerosis. We explore the relationship between Hope and Quality of Life. The instruments used are the Multiple Sclerosis Quality of Life scale (MSQol-54) and the Hope Scale. Results: The correlation between the Hope Scale and the domains of MSQOL-54: Physical Health (r=0.24, p<0.05), Physical Role Limitations (r=0.25, p<0.05), Emotional Role Limitations (r=0.35, p<0.05), Pain (r=0.28, p<0.05),Well-being (r=0.48, p<0.01), Energy (r=0.42, p<0.01), Health in General (r=0.41, p<0.01), Social Function (r=0.45, p<0.01), Cognitive Function (r=0.28, p<0.05), Health Distress (r=0.52, p<0.01), Overal Qol (r=0.49, p<0.01), Sexual function (r=0.33, p<0.05), Change in Health (r=-0.17, p<0.05), and Satisfaction with sexual function (r=0.33, p<0.05). Conclusions: There is a statistically significant correlation between the variables, suggesting that hope can play an important role in the quality of life of patients with multiple sclerosis, especially in domains such as the perception of well-being, health in general, and social function, and distress.
- Programa de intervenção de fisioterapia com dança na funcionalidade do membro superior para mulheres sobreviventes de cancro da mamaPublication . Nogueira, Paula Pinto; Amorim, Vera; Pedro, LuisaNo âmbito do Mestrado em Fisioterapia no ramo de especialização em fisioterapia na saúde da mulher, na Escola superior das tecnologia da saúde de Lisboa, em 2018/2020 sob a orientação da professora Dra Luisa Pedro da ESTESl e da Professora Dra Vera Amorim Da escola Superior de Dança do IPL, foi elaborado um projeto para conhecer o impacto de um programa de intervenção em fisioterapia, com dança na funcionalidade do membro superior das mulheres mastectomizadas sobreviventes de cancro da mama. Com o parecer favorável do Conselho de Ética, Nº51 de 2019. A dança é uma das atividades físicas de baixo impacto mais criativas por meio da arte que proporciona uma melhor adesão às sessões de fisioterapia e ao exercício físico regular por parte dos doentes crónicos com benefícios, não só a nível físico como mental. Para este estudo foram selecionadas , pela Professora da Escola Superior de Dança doutorada e especialista em Dança, e pelas Fisioterapeutas, as danças que iam ao encontro dos objetivos funcionais das mulheres sobreviventes de cancro de mama, nomeadamente a funcionalidade do membro superior. Escolhemos danças que integravam movimentos dos membros superiores indicados nos tratamentos de fisioterapia, nos limites funcionais de cada paciente. O objetivo deste programa, baseado nas guidelines da intervenção da fisioterapia para as mulheres mastectomizadas sobreviventes de cancro de mama, foi usar a adaptação das danças tradicionais e históricas para melhorar a resposta cardiorrespiratória e promover o movimento e a funcionalidade do membro superior.
- Well-being and disease severity of multiple sclerosis patients following a physical activity programPublication . Pedro, Luisa; Pais-Ribeiro, José Luís; Páscoa Pinheiro, JoãoABSTRACT - Introduction: Multiple sclerosis (MS) is a chronic disease of the central nervous system that mainly affects young adults, promoting a great impact on functionality. Fatigue is a very common symptom, associated with multiple impairments in sensitivity, muscle activity, neuromotor control, balance, cognition, and problem-solving ability. MS leads to strong functional restrictions, particularly in the context of daily living activities, as well as in patient participation. Objective: To understand the implications of a self-regulation program in the perception of well-being and mental health in MS patients. Methods: A set of exercises was implemented for use in daily activities, supported by different studies with MS patients. Patients were asked to classify the severity of their disease and to use the Mental Health Inventory (MHI-38), at the beginning (time A) and at the end (time B) of the self-regulation program. We used the Statistical Package for the Social Sciences (SPSS) version 25. A non-parametric statistical hypothesis test (Wilcoxon test) was used to analyze the variables. Results: The mean age was 44 years old, with patients between the ages of 20 and 58. 58.3% were women, 37.5% were currently married, 67% were retired and the mean level of education was 12.5 years. The correlation between the perception of disease severity and psychological well-being before the self-regulation program (r = 0.26, p < 0.05) and after the intervention (r = 0.37, p < 0.01) suggests a low to moderate correlation. Conclusion: The implementation of the self-regulatory model, through the promotion of physical activity in patients with MS, had a positive impact on clinical rehabilitation, well-being, and perception of disease severity of these people.
- Impact of an adapted physiotherapy program with traditional and historical dances for mastectomized women surviving breast cancerPublication . Pinto, Paula Nogueira; Amorim, Vera; Pedro, LuisaIntroduction: Breast cancer survivors with longer treatments often leave sequelae. Dance provides greater adherence to regular physical activity. Traditional dances are made up of rhythmic and standardized movements in space and time, which require the movements and coordination of large and small muscle groups. Methods: Longitudinal quasi-experimental method. Intervention dances were chosen based on exercise guidelines for mastectomized women. The program minutes once a week, for 7 weeks, of a low-impact physical activity through art that provides greater adherence to regular physical activity. Sample 11 women with an average age of 55 years and standard deviation of 9, who underwent mastectomy for more than 6 months, who were not undergoing adjuvant treatments, and without contraindications for physical exercise. Instruments: European Organization for Research and Treatment of Cancer (EORCT QLQ-BR23); Disabilities of the arm shoulder and hand (DASH); Fatigue Impact Scale (MFIS). Statistics Shapiro-Wilk adjustment, T Student test or the Wilcoxon, for a significance level of 0.05 %. Results: Improvements in QoL in body image (z = -2.315, p < 0.021) and future perspective (z = -2.121,p < 0.034).Functionality of the upper limb (t (10) = 2.826, p < 0.018). Cognitive fadigue (z = -2.852; p < 0.004) and chronic fatigue(z = -2.362; p < 0.018). Discussion: The physiotherapy intervention program with traditional and historical dances, oriented and chosen for this sample, demonstrated to be a promising program to develop in rehabilitation. CONCLUSION: The physiotherapy intervention program with traditional and historical dances, had a positive impact on quality of life, body image, and future perspective, on the functionality of the upper limb and fatigue.