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- 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.
- 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.