Search

Federal University of Par?. Center for Tropical Medicine. Bel?m, PA, Brazil / State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil. State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil. Federal University of Par?. Center for Tropical Medicine. Bel?m, PA, Brazil. State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil. State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil. State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil. State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil. Federal University of Par?. Center for Tropical Medicine. Bel?m, PA, Brazil / Santa Casa de Miseric?rdia Foundation. Bel?m, PA, Brazil. State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil. Federal University of Par?. Center for Tropical Medicine. Bel?m, PA, Brazil. State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil. Federal University of Par?. Center for Tropical Medicine. Bel?m, PA, Brazil / State University of Par?. Center for Biological and Health Sciences. Bel?m, PA, Brazil / Minist?rio da Sa?de. Secretaria de Vigil?ncia em Sa?de. Instituto Evandro Chagas. Ananindeua, PA, Brasil. This study analyzed the relationship between infection by human T-cell lymphotropic virus type 1 (HTLV-1) and changes in the pulmonary system. Cohort and case-control study models that analyzed a causal association between HTLV-1 and changes in the pulmonary system were considered. There were no restrictions on language and publication period. The study was registered in the PROSPERO systematic analysis database (Protocol No. CRD42017078236) and was prepared according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The following databases were used: PubMed, BVS Regional Portal, Embase, CINAHL and Web of Science. We utilized the Newcastle-Ottawa Scale to assess the methodological quality of published studies and the Kappa coefficient to assess the agreement level between two reviewers. Of the total 1156 studies retrieved by the search strategy, 28 were considered potentially eligible (Kappa test = 0.928). Of the 28 studies, three fully met the inclusion criteria. These indicated that pulmonary lesions, such as bronchiectasis and bronchitis/bronchiolitis, were observed in patients with HTLV-1, with high-resolution computed tomography of the chest being the main method of diagnostic investigation. The analyzed cohort and case-control studies indicated an etiological relationship between HTLV-1 infection and the presence of lung lesions, with emphasis on bronchiectasis in the presence of high viral loads, as well as a higher mortality in these individuals compared with the general population.

Introduction: The impairment of muscle strength and fatigue in leprosy remains a problem that requires careful attention to avoid or minimize its progression, as well as prevention of disabilities and deformities. Objective: To investigate the maximum voluntary contraction and time to muscle fatigue in leprosy patients. Method: A total of 21 leprosy patients and 21 healthy subjects completed the sample. The method used to determine the maximum voluntary contraction (MVC) of the handgrip followed the recommendation of the American Society of Hand Therapists with the use of a hydraulic hand grip dynamometer. The test was performed three times with each hand, with a time interval of 60 seconds between successive trials. The subject was instructed to perform a maximal isometric force against the dynamometer for 5 seconds. The peaks were recorded and used for the fatigue test. For the fatigue test, we recorded the electromyogram of the forearm muscles to offline determine the onset time for the muscle contraction (14 bits, Miograph 2 USB®, Miotec, Brazil). Results: Leprosy patients had lower MVC compared with healthy subjects (p > 0.05), both in the dominant and the non-dominant hands. The time to fatigue in the leprosy and control groups was similar (p < 0.05). We observed that leprosy patients had more contractions than the healthy subjects (22.6 ± 11.8 contractions for the leprosy group vs. 12.3 ± 6.9 contractions for the control group, p > 0.05). Conclusion: Multibacillary leprosy patients lost muscle force without modifying the resistance to fatigue. Resumo Introdução: O comprometimento da força muscular e a fadiga na hanseníase continuam sendo problemas que requerem cuidadosa atenção para evitar ou minimizar sua progressão, bem como prevenir incapacidades e deformidades. Objetivo: Avaliar a força muscular e o tempo até a fadiga em pacientes com hanseníase Método: Vinte e um pacientes com hanseníase e 21 indivíduos saudáveis completaram a amostra. O método utilizado para determinar a contração voluntária máxima (CVM) da força de preensão palmar seguiu a recomendação da Sociedade Americana de Terapeutas da Mão com o uso de um dinamômetro de preensão manual. O teste foi realizado três vezes em cada mão, com intervalo de tempo de sessenta segundos entre tentativas sucessivas. O sujeito foi instruído a realizar força isométrica máxima contra o dinamômetro durante cinco segundos. Os picos foram registrados e usados para o teste de fadiga. Para o teste de fadiga, registrou-se o eletromiograma dos músculos do antebraço para determinar off-line o tempo de início da contração muscular (14 bits, Miograph 2 USB ® , Miotec, Brasil). Resultados: Os pacientes com hanseníase apresentaram menor CVM em relação aos saudáveis (p < 0,05) nas mãos dominante e não dominante. Não houve diferença no tempo de fadiga entre os grupos hanseníase e controle (p > 0,05). Foi observado que os pacientes com hanseníase tinham mais contrações do que os saudáveis (22,6 ± 11,8 contrações para o grupo com hanseníase vs. 12,3 ± 6,9 para o grupo controle, p < 0,05). Conclusão: Pacientes com hanseníase multibacilar apresentaram perda de força muscular sem modificação da resistência à fadiga. Resumen Introducción: El compromiso de la fuerza muscular y la fatiga en la lepra sigue siendo un problema que requiere atención cuidadosa para evitar o minimizar su progresión, así como la prevención de incapacidades y deformidades. Objetivo: Evaluar la fuerza muscular y el tiempo hasta la fatiga de pacientes con lepra. Método: Veintiún pacientes con lepra y 21 sujetos sanos completaron la muestra. El método utilizado para determinar la contracción voluntaria máxima (CVM) de la fuerza de asimiento palmar siguió la recomendación de la Sociedad Americana de Terapeutas de la Mano con el uso de un dinamómetro de asimiento manual. La prueba se realizó tres veces con cada mano, con un intervalo de tiempo de 60 segundos entre intentos sucesivos. El sujeto fue instruido a realizar una fuerza isométrica máxima contra el dinamómetro durante 5 segundos. Los picos se registraron y se utilizaron para la prueba de fatiga. Para la prueba de fatiga, registramos el electromiograma de los músculos del antebrazo para determinar fuera de línea el tiempo de inicio de la contracción muscular (14 bits, Miograph 2 USB ® , Miotec, Brasil). Resultados: Los pacientes con lepra presentaron menor CVM con relación a los sanos (p < 0,05) en las manos dominante y no dominante. No hubo diferencia en el tiempo de fatiga entre los grupos de lepra y control (p > 0,05). Se observó que los pacientes con lepra tenían más contracciones que los sanos (22,6 ± 11,8 contracciones para el grupo con hanseniasis frente a 12,3 ± 6,9 para el grupo control, p < 0,05). Conclusión: Pacientes con hanseniasis multibacilar presentaron pérdida de fuerza muscular sin modificación de la resistencia a la fatiga.

This blind randomized clinical trial evaluated the effect of CIMT on the functionality and quality of life (QOL) of chronic hemiparetics. Thirty volunteers were divided into two groups: Control (CG) and CIMT (CIMTG); evaluated before and after 12 and 24 intervention sessions. The scales used were: adapted Fugl-Meyer Motor Assessment (FMA), Modified Ashworth, Stroke Specific Quality Of Life (SS-QOL) and the Functional Reach Test (FRT). The scores for all FMA variables in the CIMTG increased until the 24th session, differing from the pre-treatment. In the CG, the scores increased for pain, coordination/ speed and sensitivity. In the FRT there was an increase in the scores in both groups; after the 12th and 24th sessions, the result of the CIMTG was superior to the CG. For the SS-QOL in the CIMTG, the general score and most of the variables increased, as well as in the CG. Muscle tone in CIMTG was lower compared to CG after 24 sessions. Both protocols used in the study were effective, the CIMT protocol showed benefits in recovering the functionality of the paretic upper limb, in the functional range and in reducing muscle tone, with a consequent improvement in quality of life.

Introduction: Physiotherapy goes through moments of historical and curricular evolution that culminate today in the search for the best way to train professionals who are more general and close to the needs of society. However, the curricular changes that the profession goes through are not always able to supply what the student needs for a more complete training. Objective: To evaluate student practice before and after using an educational video about the physical therapy physical examination of the critical patient at the bedside. Methods: Single-arm clinical trail study with undergraduate students (n = 25) from the last year of Physiotherapy at a Public University in the State of Para, from August to December 2018. The protocol consisted of the inclusion of a video educational in the students' routine and their evaluative complement through the Miniex instrument. Results: Average evaluation time of the pre and post-video phases of 9.2 ± 3.5 and 13.4 ± 1.9 (p < 0.0001). Improvement in the pre and post-video scores in the items of the Miniex (p < 0.0001); skill in physical examination 2.2 ± 1.2 and 7.4 ± 1.2, humanistic qualities/professionalism 2.0 ± 1.3 and 6.3 ± 2.4, clinical reasoning 2.3 ± 1.4 and 7.5 ± 1.3, guidance skills 2.6 ± 1.6 and 7.3 ± 1.4, organization/efficiency 2.0 ± 1.0 and 6.7 ± 2.1 and general clinical competence 2.4 ± 1.4 and 7.4 ± 1.3. Conclusion: The proposed educational video proved to be an efficient tool in the Physiotherapy student practice scenario.

Par? State University. Center for Biological Sciences and Health. Bel?m, PA, Brazil. Minist?rio da Sa?de. Secretaria de Vigil?ncia em Sa?de. Instituto Evandro Chagas. Ananindeua, PA, Brasil. Minist?rio da Sa?de. Secretaria de Vigil?ncia em Sa?de. Instituto Evandro Chagas. Ananindeua, PA, Brasil / Federal University of Par?. Tropical Medicine Center. Division of Infectious Diseases. Bel?m, PA, Brazil. Maternity of the Holy House. Radiology servisse. Bel?m, PA, Brazil. Maternity of the Holy House. Radiology servisse. Bel?m, PA, Brazil. Par? State University. Center for Biological Sciences and Health. Bel?m, PA, Brazil. Par? State University. Center for Biological Sciences and Health. Bel?m, PA, Brazil. Par? State University. Center for Biological Sciences and Health. Bel?m, PA, Brazil. Par? State University. Center for Biological Sciences and Health. Bel?m, PA, Brazil. Federal University of Par?. Tropical Medicine Center. Division of Infectious Diseases. Bel?m, PA, Brazil. Federal University of Par?. Tropical Medicine Center. Division of Infectious Diseases. Bel?m, PA, Brazil. Federal University of Par?. Tropical Medicine Center. Division of Infectious Diseases. Bel?m, PA, Brazil. Federal University of Par?. Tropical Medicine Center. Division of Infectious Diseases. Bel?m, PA, Brazil. Federal University of Par?. Tropical Medicine Center. Division of Infectious Diseases. Bel?m, PA, Brazil. Par? State University. Center for Biological Sciences and Health. Bel?m, PA, Brazil / Federal University of Par?. Tropical Medicine Center. Division of Infectious Diseases. Bel?m, PA, Brazil. The aim of this study was to compare computed tomography (CT) scans of chest and lung function among patients with Human T-Lymphotropic Virus Type 1 (HTLV) with and without HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). In this cross-sectional study performed between January 2013 and June 2016, we included 48 patients with HAM/TSP (19 women and 11 men) and without HAM/TSP (12 women and 6 men). We compared CT findings and lung functions of these groups. Patients who had HAM/TSP had abnormal CT findings (P = 0.000), including more frequent bronchiectasis (P = 0.049), parenchymal bands (P = 0.007), interlobular septal thickening (P = 0.035), and pleural thickening (P = 0.009). In addition, neither patients with HAM/TSP (9/30; 30%) nor the controls (0/18; 0%) had obstructive or restrictive lung disease (P = 0.009). HTLV diagnosis should be considered in all patients with abnormal CT findings in whom no other cause is apparent. It is important to remember that lung disease increases the rates of morbidity and mortality in developing countries.