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BACKGROUND: Gluteus medius (GM) is a segmented muscle involving three muscular subdivisions. Rehabilitation exercises has been suggested to strengthen specific subdivisions. OBJECTIVE: This study aimed to evaluate muscular activation of the anterior, middle, and posterior subdivisions of the GM during two different exercises. METHODS: A total of 28 healthy active subjects participated in this study. Muscle activity using surface electromyography was recorded for the three GM subdivisions during figure-of-four position (FFP) and wall press (WP). Non-parametric Kruskal-Wallis test was used to detect differences between GM subdivisions on each exercise and the Mann-Whitney U test was used to compare muscular activation across exercises. RESULTS: There were statistically significant differences (P< 0.001) in all GM subdivision during FFP and WP exercises. Both exercises showed greater activation of the posterior subdivision than the middle and anterior subdivisions, with the WP causing highest activation of the posterior subdivision. CONCLUSION: In line with the WP exercise, the FFP produces sufficient activity to provide potential strength gains on the posterior subdivision and could be a viable option to include in the early stages of the rehabilitation process. Clinicians may use this information to make more informed decisions about exercise selection for strengthening specific GM subdivision.

The objective of this study was to explore the feasibility and preliminary effectiveness of the Lifestyle-Integrated Functional Exercise for People with Dementia (LiFE4D) on health-related physical fitness, cognitive function, physical activity, and respiratory and upper limb functions. A randomized controlled pilot study was conducted (control group: usual care; experimental group: usual care and LiFE4D). The feasibility of LiFE4D was determined considering recruitment, protocol acceptability, adherence, and safety. Measures of health-related physical fitness, cognitive function, physical activity, and respiratory and upper limb functions were assessed at the baseline and 3 months. Twelve participants (8 [66.7%] female, 82 [72.2–84] years) were included, six per group. Recruitment was challenging. LiFE4D was acceptable with excellent adherence and no major adverse events. Cardiorespiratory endurance (effect size = 1.64, 95% confidence interval [CI; 0.33, 2.95]) and balance (effect size = 1.46, 95% CI [0.19, 2.73]) improved after LiFE4D. LiFE4D seems to be feasible and safe, and it shows potential to significantly improve the health-related physical fitness of people with dementia.

Background/Aims Physical activity is effective in people with dementia. Most people with dementia live at home, but few home-based physical activity programmes have been developed. The aim of this protocol is to determine the feasibility, effectiveness and cost-effectiveness of the Lifestyle Integrated Functional Exercise for People with Dementia (LiFE4D). Methods A randomised, controlled trial will be implemented. The experimental group will receive LiFE4D and the control group will maintain usual treatment. LiFE4D is a 3-month programme adjusted to daily routines and involving carers, with decreased face-to-face contact over time. The primary outcome measure is exercise capacity assessed with the 2-Minute Step Test. Secondary outcomes include cognitive function, physical activity, health-related physical fitness, respiratory function, functionality, quality of life, carers' burden and costs. Results Findings from this study will improve knowledge and provide guidance on home-based physical activity for people with dementia. Conclusions If effective, the trial will provide a model of home-based physical activity and inform international guidelines for dementia care.

Physical activity can improve function in people over 65. The aim of the study was to evaluate the efficacy of mild intensity exercise interventions on the functional health and quality of life of this population. A systematic review was conducted using WOS (n=20), Scopus (n=235), PubMed (n=15), and PEDro (n=20) databases. Eight studies met the inclusion criteria. Six hundred and nineteen subjects with an age range of 60-103 years were evaluated. Interventions included endurance, aerobic, and vibration exercises. Those who used pedometers, telephone calls and follow-up controls showed positive effects in increasing physical activity. Five studies evaluated strength and showed that increasing strength also improved balance and walking speed. The results indicate that applying mild intensity physical activity interventions is a way of ensuring improved functional health and quality of life in older people.

An exploratory study was implemented to characterize the sedentary behavior of people older than 75, attending day care, and study its association with quality-of-life. Sedentary behavior was measu...

MOVE.TE is a non-profit participatory physiotherapy platform that aims at translating knowledge in the field of physiotherapy and developing freely available evidence-based physiotherapy programmes targeting the primary care services of the Portuguese National Health service. A group of volunteer academics and clinicians collaborated at different stages and time points to create the first ever falls prevention and management programme and guidance for Physiotherapy in primary care, in Portugal. This report describes this seven-step process. In spite of many challenges, this project constitutes an example of advocacy in physiotherapy for the promotion of better healthcare for older adults. info:eu-repo/semantics/publishedVersion

Background and Objectives Physical activity has the potential to improve health outcomes in people with dementia, namely when living at home. However, the knowledge about home-based physical activity for this population is scarce. Thus, we aim to identify and synthesize the effects of home-based physical activity for people with dementia. Research Design and Methods A systematic review was conducted. Quality of studies was assessed using the Delphi List. Effect sizes (ES) were calculated with MetaXL 2.0. A meta-analysis was conducted for the Mini-Mental Status Examination (MMSE), Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia, Alzheimer’s Disease Cooperative Study Group Activities of Daily Living Scale (ADCS-ADL), Functional Reach test, Timed Up and Go (TUG) test, Short Physical Performance Battery, Dementia Quality of Life, NPI Caregivers subscale and Zarit Burden Interview (ZBI). Results Sixteen randomized controlled trials were included. Most were of high quality and published after 2015. A large heterogeneity of interventions was found. Meta-analysis showed significant results in MMSE (ES = 0.71, 95% CI 0.43, 0.99), NPI (ES = −0.37, 95% CI −0.57, −0.17), ADCS-ADL (ES = 0.80, 95% CI 0.53, 1.07), Functional Reach test (ES = 2.24, 95% CI 1.80, 2.68), TUG test (ES = −2.40, 95% CI −2.84, −1.96), NPI Caregivers subscale (ES = −0.63, 95% CI −0.94, −0.32), and ZBI (ES = −0.45, 95% CI −0.77, −0.13). Few minor adverse events and high adherence to intervention were found. Discussion and Implications Home-based physical activity seems safe and effective in delaying cognitive function decline and improving changes in behavioral and psychological symptoms of dementia, activities of daily living, health-related physical fitness, and carer’s burden in people with dementia living at home.

Physical activity can improve function in people over 65. The aim of the study was to evaluate the efficacy of mild intensity exercise interventions on the functional health and quality of life of this population. A systematic review was conducted using WOS (n=20), Scopus (n=235), PubMed (n=15), and PEDro (n=20) databases. Eight studies met the inclusion criteria. Six hundred and nineteen subjects with an age range of 60-103 years were evaluated. Interventions included endurance, aerobic, and vibration exercises. Those who used pedometers, telephone calls and follow-up controls showed positive effects in increasing physical activity. Five studies evaluated strength and showed that increasing strength also improved balance and walking speed. The results indicate that applying mild intensity physical activity interventions is a way of ensuring improved functional health and quality of life in older people.

O crescimento do e-commerce, que tem vindo a decorrer na última década, criou um aumento das entregas ao cliente final, ou entregas last mile, no segmento Business to Consumer. Atualmente, o last mile é uma das fases mais dispendiosas e ineficientes de toda a cadeia de abastecimento. Ao efetuar uma compra, os clientes, consideram os serviços de entrega como um dos fatores com maior influência no processo de escolha de retalhista. Deste modo, para melhorar a qualidade do seu serviço, um retalhista deve melhorar o seu sistema de entregas ou desenvolver novos métodos. Assim, revela-se a importância da oferta de serviços de entrega last mile eficientes por parte dos retalhistas. Neste contexto, foi desenvolvida esta investigação, através de um estudo de caso com enfoque na operação de entrega de pequenos formatos da Worten. O presente estudo visa, numa primeira fase, à análise da eficiência e custos dos métodos de entrega last mile, oferecidos pela Worten, isto é, as home deliveries e o click&collect. De seguida, numa segunda fase visa foca- se na avaliação da introdução de um novo método de entrega do tipo collection points: a rede pick up, com o objetivo de aumentar a eficiência e reduzir custos. No final da presente dissertação, com base nos resultados obtidos, foi possível identificar os principais problemas dos métodos de entrega atuais propondo ações de melhoria. Para além disto, foi possível concluir que a introdução da rede pick up como método de entrega poderá ser vantajosa para a Worten. The growth of e-commerce, which has been taking place in the last decade, has created an increase in final consumer deliveries, or last mile deliveries, in the B2C segment. Today, the last mile is considered by many authors to be one of the most expensive and inefficient stages of the entire supply chain. Delivery services are considered to be one of the most influential factors in a consumer's decision to choose a retailer to make a purchase. Thus, the literature says that, to improve the quality of a service, a retailer should improve their current delivery system or create new methods. In that way, the importance of offering efficient last mile delivery services by retailers is revealed. In this context, this research was developed, through a case study focusing on the Worten small format delivery operation. The present study aims, initially, to analyze the efficiency and costs of the last mile delivery methods offered by Worten and in a second phase to evaluate the introduction of a new delivery method with a collection point tipology: the pick up network, with the aim of increasing efficiency and reducing costs. At the end of this dissertation, based on the results obtained, it was possible to identify the main problems of the current delivery methods proposing actions to improve it. In addition, it was possible to conclude that the introduction of the pick up network as a delivery method can be advantageous for Worten.

Dissertação de Mestrado em Design, com a especialização em Design de Comunicação, apresentada na Faculdade de Arquitetura da Universidade de Lisboa para obtenção do grau de Mestre. Submitted by Pilar Lago (mpilar@fa.utl.pt) on 2017-06-29T10:07:45Z No. of bitstreams: 1 RE_Madalena_Rita_20142003_CD x2.pdf: 11602242 bytes, checksum: 422482f2addad8319e436948cc5076f7 (MD5) Made available in DSpace on 2017-06-29T10:07:45Z (GMT). No. of bitstreams: 1 RE_Madalena_Rita_20142003_CD x2.pdf: 11602242 bytes, checksum: 422482f2addad8319e436948cc5076f7 (MD5) Previous issue date: 2017-03-06 N/A

Texto apresentado no III Encontro de História da Arte.