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Investigar por meio de uma revisão sistemática o impacto do uso de cicloergômetro na função respiratória, cardiovascular, capacidade aeróbica, funcional e qualidade de vida em pacientes com doença renal crônica durante a hemodiálise. Métodos: A pesquisa buscou referências de janeiro de 2010 a dezembro de 2018. Foram incluí­das as bases Pubmed, Scielo, PEDro, Lilacs e Cochrane Library e foram usadas palavras-chave pré-selecionadas. Os artigos encontrados foram avaliados pela escala PEDro. A busca e análise foram realizadas por dois autores de forma independente. Resultados: Um total de 81 artigos foi identificado, no entanto apenas quatro atendiam aos critérios de inclusão e exclusão. Devido ao pequeno número de artigos incluí­dos e í sua heterogeneidade, seus resultados não puderam ser submetidos í metanálise e foram apresentados de forma descritiva. Conclusão: O exercí­cio aeróbico com uso de cicloergômetro realizado durante as sessões de hemodiálise promove melhora da capacidade aeróbia e condicionamento fí­sico e por consequência na qualidade de vida.Palavras-chave: doença renal crônica, diálise renal, terapia por exercí­cio, técnicas de exercí­cio e de movimento.

The purpose of the present study was to perform a systematic review of the literature to investigate how and with what modifications or adaptations constraint-induced movement therapy has been employed in clinical practice for therapeutic interventions in children with cerebral palsy. Searches were conducted of the CAPES (Brazilian fostering agency) periodical portal, Pubmed, Bireme, Science Direct, Scielo and PEDro databases for relevant articles published between January 2010 and May 2016. The articles retrieved were evaluated, scored and qualified by two blinded reviewers using the Physical therapy Evidence Database Scale. The searches led to the retrieval of 102 articles, 12 of which were included in the present systematic review. A table was created containing information on the study groups, inclusion criteria, intervention, intervention frequency, difficulties encountered, evaluations and outcomes. Considerable variety was found in the therapeutic intervention models. The findings of the present review demonstrate that constraint-induced movement therapy in pediatric clinical practice is not employed in its original form. Although the studies analyzed did not have a common methodology regarding the use of this type of therapy, the method has been adapted with considerable flexibility, providing promising, positive results regarding the therapeutic intervention of the paretic upper limb in children with cerebral palsy.

Introduction: Functional disability is common in patients with chronic kidney disease, especially in those on hemodialysis. Muscle strength can be evaluated by a dynamometer; however, no study using this technique on the quadriceps of patients undergoing hemodialysis was found in literature. Objective: To assess the effects of cycloergometer training on the quadriceps muscle strength of patients with chronic kidney disease undergoing hemodialysis. Method: This was a clinical trial including 46 patients, both men and women, over 18 years old who had been undergoing hemodialysis for more than six months and signed an informed consent form. Patients were allocated into two groups: intervention group (n = 22) and control group (n = 20). The intervention group underwent intradialytic training in a physical therapy protocol with the cycloergometer for two months, whereas the control group, in turn, was only reevaluated two months after the initial evaluation. All patients were assessed for demographic data at baseline and, two months later for quadriceps muscle strength by standardized dynamometry and with the use of a rigid belt and suction cups. Results: A significant increase was detected in quadriceps muscle strength in the right and left lower limbs in the intervention group when compared with the control group. Conclusion: Quadriceps muscle strength improved after patients with chronic kidney disease on hemodialysis underwent training with the cycloergometer. Resumo Introdução: A incapacidade funcional é comum em pacientes com doença renal crônica, especialmente naqueles em hemodiálise. A força muscular pode ser avaliada pelo dinamômetro, porém não localizamos na literatura estudo dessa técnica em quadríceps de pacientes em hemodiálise. Objetivo: Analisar os efeitos do treinamento com o cicloergômetro na força muscular do quadríceps de pacientes com doença renal crônica em hemodiálise. Método: Este estudo foi prospectivo e randomizado com inclusão de 46 pacientes, acima de 18 anos, de ambos os gêneros que realizavam hemodiálise há mais de seis meses e assinassem o termo de consentimento livre e esclarecido. Os pacientes foram alocados em dois grupos: intervenção (n = 22) e controle (n = 20). O grupo de intervenção realizou dois meses de treinamento intradialítico de um protocolo fisioterápico com o cicloergômetro, já o grupo controle foi somente reavaliado após dois meses da avaliação inicial. Todos foram avaliados quanto a dados demográficos e força muscular do quadríceps no início e no fim do estudo por dinamometria com padronização da técnica, e uso de cinto rígido e ventosas. Resultados: Houve aumento significante da força muscular de quadríceps em membro inferior direito e esquerdo no grupo intervenção quando comparado ao controle. Conclusão: Houve melhora da força muscular após o treinamento realizado com o cicloergômetro na força muscular do quadríceps de pacientes com doença renal crônica em hemodiálise. Resumen Introducción: La discapacidad funcional es común en pacientes con enfermedad renal crónica, especialmente aquellos en hemodiálisis. La fuerza muscular se puede evaluar por medio del dinamómetro, pero no hemos encontrado en la literatura un estudio con esta técnica en cuádriceps de pacientes en hemodiálisis. Objetivo: Analizar los efectos del entrenamiento con cicloergómetro sobre la fuerza muscular del cuádriceps de pacientes con enfermedad renal crónica sometidos a hemodiálisis. Método: Se trata de un estudio prospectivo y aleatorizado, en el que incluyó a 46 pacientes, mayores de 18 años, de ambos sexos, que realizaban hemodiálisis durante más de seis meses, y que firmaron el formulario de consentimiento informado. Los pacientes fueron asignados en dos grupos: intervención (n = 22) y control (n = 20). El grupo intervención realizó dos meses de entrenamiento intradialítico de un protocolo de fisioterapia con el cicloergómetro, mientras que el grupo control fue reevaluado solamente tras dos meses de la evaluación inicial. Todos fueron evaluados en cuanto a los datos demográficos y la fuerza muscular del cuádriceps al principio y al final del estudio por medio de la dinamometría con estandarización de la técnica, y el uso de correas rígidas y ventosas. Resultados: Hubo un aumento significativo en la fuerza muscular del cuádriceps en las extremidades inferiores derecha e izquierda en el grupo intervención en comparación con el grupo control. Conclusión: Se observó la mejora de la fuerza muscular tras el entrenamiento con cicloergómetro en la fuerza muscular del cuádriceps de pacientes con enfermedad renal crónica en hemodiálisis.

Parada Cardiorrespiratória (PCR) é a interrupção súbita da função mecânica cardíaca útil e suficiente, e da respiração. É uma ocorrência inesperada, que constitui grave ameaça a vida, sendo de vital importância rapidez no atendimento. O objetivo da pesquisa é avaliar e comparar estudantes ingressantes e concluintes dos cursos da área da saúde e graduando de diferentes áreas se possuem conhecimento acerca dos sinais e sintomas acerca dos primeiros socorros na Parada Cardiorrespiratória Trata-se de um estudo transversal analítico e descritivo. Foi realizado com estudantes ingressantes e concluintes dos cursos de enfermagem, fisioterapia e engenharia. Para coleta de dados foi utilizado um questionário com perguntas fechadas (alternativas), de caráter objetivo, onde apenas uma questão estava correta. A análise dos dados obtidos foi feita por meio de frequência para as variáveis categóricas e por meio de média e desvio padrão para as variáveis numéricas, utilizando os programas Excel e SPSS, o teste qui-quadrado (x²) e exato de Fisher foram utilizados para análise estatística, onde p ≤ 0,05 foi considerado estatisticamente significativo. Posteriormente os dados foram organizados em tabelas e gráficos. Foram avaliados 197 estudantes, os resultados demonstraram diferença estatisticamente significante na avaliação do conhecimento dos estudantes ingressantes de engenharia sobre o que é a RCP e na comparação dos ingressantes e concluintes nas questões sobre o que é a PCR e quais as técnicas de primeiros socorros. Conclui-se que os estudantes do curso de engenharia mostraram pouco conhecimento sobre os temas abordados. Os estudantes de enfermagem e fisioterapia apresentaram conhecimento na maioria dos temas abordados. University knowledge assessment and lay about the signs and symptoms and first aid in cardiopulmonary resuscitationAbstract: Cardiopulmonary Resuscitation (CPR) is the sudden interruption of useful and sufficient mechanical heart function, and breathing. It is an unexpected occurrence, which constitutes a grave threat to life, being of vital importance fast service. To evaluate and compare to students entering and graduating from health courses and lay people have knowledge about the signs and symptoms and first aid in the CPR. This is an analytical and descriptive transversal study. Was carried out with students entering and graduating of nursing courses, physical therapy and engineering (lay). For data collection was used a questionnaire with closed questions (alternative), the objective character, where only one question was correct. The data analysis was done using frequency for categorical variables and mean and standard deviation for numerical variables, using Excel and SPSS, the chi-square test (x²) and Fisher's exact tests were used for statistical analysis where p ≤ 0.05 was considered statistically significant. Later, the data were organized in tables and graphs. 197 students were assessed, results showed statistically significant difference in testing the knowledge of freshmen engineering students about what is CPR and comparing freshmen and the questions about what is CRP and what first aid techniques. The undergraduate students of engineering showed little knowledge about the topics covered. Nursing students and physical therapy had knowledge in most themes.

Purpose. Exercise is recommended for patients undergoing hemodialysis, to reduce the decrease in functional capacity secondary to the progression of chronic kidney disease. A cycle ergometer can be easily added to an exercise routine during hemodialysis sessions. The purpose of this article was to assess the results of a training protocol with the cycle ergometer during hemodialysis sessions on the respiratory function and functional capacity of patients with chronic kidney disease on hemodialysis. Method. In this randomized clinical trial (NCT no. 02834026), 39 patients undergoing hemodialysis were randomly allocated into two groups: the treatment group (TG, n = 20), who underwent a cycle ergometer protocol training, and the control group (GC, n = 19), not trained. The TG attended 24 training sessions, three times a week, during the intradialytic period. Training intensity was aimed at keeping the heart rate between 50 and 70% of its maximum. All participants were evaluated before and after the eight consecutive weeks of follow-up and had biochemicals data, anthropometric, functional, and respiratory outcomes evaluated. Results. A significant difference was observed between groups in forced vital capacity, forced expiratory volume in the first second, peak expiratory flow, maximal inspiratory and expiratory pressure, and Borg score and distance covered in the six-minute walk test. Improvement was also observed in biochemical and Kt/V test results for the TG. Conclusion. The systematic training regimen with a cycle ergometer resulted in benefits in the respiratory function and functional capacity in patients with chronic kidney disease undergoing hemodialysis.

A vida universitária propicia ao indivíduo o encontro de um ambiente favorável para desenvolver e aprimorar valores relacionados à sua futura vida profissional e pessoal. Assim, por meio da busca do conhecimento científico, deve encontrar condições para potencializar o desenvolvimento de pensamento crítico e do seu papel enquanto cidadão, essenciais para a formação do profissional da área da saúde e de seu compromisso com a sociedade. Objetivou-se identificar as características inerentes à qualidade de vida em estudantes dos cursos de graduação em Biomedicina, Enfermagem, Farmácia e Fisioterapia. Trata-se de estudo transversal foi realizado, com 320 acadêmicos de enfermagem, farmácia, biomedicina e fisioterapia de uma Universidade particular do Estado de São Paulo. Foi utilizado uma entrevista estruturada com dados sociodemográficos e o questionário genérico sobre qualidade de vida da OMS, WHOQOL-BREF. Os resultados demonstraram diferença estatisticamente significativa na piora da qualidade de vida entre os ingressantes e concluintes dos cursos de graduação da área da saúde nos domínios psicológico, relações sociais e meio ambiente. Os estudantes do período noturno apresentaram prejuízo em sua Qualidade de Vida, devido à rotina de trabalho e estudo.Evaluation of quality of life in college students of the health areaAbstract: University life provides individuals with a favorable environment to develop and improve values related to their future professional and personal lives. Thus, through the search for scientific knowledge, it must find conditions to enhance the development of critical thinking and its role as a citizen, essential for the training of the health professional and his commitment to society. The objective of the research was to identify and analyze the inherent quality of life characteristics of undergraduate students in Biomedicine, Nursing, Pharmacy and Physiotherapy. This cross-sectional study was conducted with 320 nursing academics, pharmacy, biomedicine and physiotherapy from a private university in the State of São Paulo. We used a semi-structured interview with sociodemographic data and the WHOQOL-BREF generic questionnaire on quality of life. The results showed a statistically significant difference in the quality of life worsening among the students and graduates of the undergraduate courses of the health area in the psychological, social relations and environment domains. The students of the night period presented impairment in their Quality of Life, due to the routine of work and study.

Objectives Analyse the quality of life of workers of administrative department who carry out repetitive functions in a medical certification central. Method This study was carried out in a transversal analytical approaching. The sample was constituted by 62 workers of the administrative sector of a medical certification central in the state of Sao Paulo. As an instrument of gathering the data the used questionnaires were: Anamnesis Questionnaire with personal and professional data, Nordic Questionnaire, Job stress scale, SF-36 Quality of Life Questionnaire. The characterisation of the sample was obtained through descriptive statistics, where test t and correlation of Pearson test were applied. Results a According to the results of the analysis of the Nordic questionnaire, 33, 87% mentioned feeling pain in the wrists and hands. In the correlation made among the data of SF-36 and Nordic questionnaire, it was showed that they presented complaints about the Nordic, minor was the score in the variables of SF-36: limitation by physical aspects, pain, vitality, emotional aspects and mental health. Conclusions It is concluded that the most affected segments were wrists and hands, with 33, 87%, followed by anklebone and feet with 16, 13%.

Objectives This study aimed to compare Quality of life (QOL) of women who practice Jazz compared to sedentary women, in the Sports Centre-414 SESI in Sao Paulo - SP Method We carried out a cross-sectional study, with women between 50 and 85 years old, divided into two groups: Activity Group (GA, n = 14) and Sedentary Group (GS, n = 14). QOL was analysed by the SF-36. Results The GA had a significant improve in 6 domains of SF-36 compared to GS (p Conclusions The results of this study suggest an improvement in the QOL of practitioners of jazz, especially in the physical and emotional aspects, compared to sedentary women.