Poliomielite: uma nova velha doença. Qual o valor dos programas de educação continuada para profissionais da saúde?

Universidade Federal de Goiás Setor de Fisiologia Humana e do Exercício, Faculdade de Educação FisicaUniversidade Federal de São Paulo (UNIFESP) Departamento de FisiologiaUniversidade Federal do Espírito Santo Centro de Educação Física e DesportosUNIFESP, Depto. de FisiologiaSciEL

Quantitative Relationship Between Physical Activity And Antihypertensives in Elderly Women

Introduction: Physical activity is an important tool to manage systemic arterial hypertension. However, less is known about the relationship of physical activity with the number of antihypertensive drugs used by older adults. Objective: The aim of this study was to compare the number of antihypertensive drugs used by older female adults (aged ≥ 60 years) with a low level of physical activity with the number used by those with a high level of physical activity, and to verify how many participants used more than two antihypertensive drugs. Methods: Twenty-eight physically active older women with systemic arterial hypertension who participated in a physical activity program for community-dwelling older female adults were divided into two groups: participants who presented lower habitual physical activity levels were placed in group 1 and participants that presented higher habitual physical activity levels were placed in group 2, according to the Baecke questionnaire. In addition, the number of antihypertensive drugs used by participants was collected. Results: The number of prescribed antihypertensive drugs was 2.0 (median) for both groups investigated. There was no significant difference between groups regarding the number of antihypertensive tablets prescribed (p>0.05). Although there was no statistical difference, a higher proportion of participants from the lower physical activity group used more than two antihypertensive drugs. Conclusion: The level of habitual physical activity did not affect the number of antihypertensive tablets used by hypertensive elderly women. Level of evidence II; Therapeutic studies – investigation of treatment results

Exercise and sport do not trigger seizures in children and adolescents with epilepsy in school settings

Univ Fed Espirito Santo, Cent Educ Fisica Desportos, Vitoria, ES, BrazilUniv Fed Sao Paulo, Dept Fis, Sao Paulo, SP, BrazilUniv Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, SP, BrazilUniv Fed Goias, Fac Educ Fis Danca, Lab Avaliacao Movimento Humano, Setor Fis Humana Exercicio, Goiania, Go, BrazilUniv Fed Sao Paulo, Dept Fis, Sao Paulo, SP, BrazilWeb of Scienc

Differences in muscle strength after ACL reconstruction do not influence cardiorespiratory responses to isometabolic exercise

Objectives: To investigate whether the muscle strength decrease that follows anterior cruciate ligament (ACL) reconstruction would lead to different cardiorespiratory adjustments during dynamic exercise.Method: Eighteen active male subjects were submitted to isokinetic evaluation of knee flexor and extensor muscles four months after ACL surgery. Thigh circumference was also measured and an incremental unilateral cardiopulmonary exercise test was performed separately for both involved and uninvolved lower limbs in order to compare heart rate, oxygen consumption, minute ventilation, and ventilatory pattern (breath rate, tidal volume, inspiratory time, expiratory time, tidal volume/inspiratory time) at three different workloads (moderate, anaerobic threshold, and maximal).Results:There was a significant difference between isokinetic extensor peak torque measured in the involved (116.5±29.1 Nm) and uninvolved (220.8±40.4 Nm) limbs, p=0.000. Isokinetic flexor peak torque was also lower in the involved limb than in the uninvolved limb (107.8±15.4 and 132.5±26.3 Nm, p=0.004, respectively). Lower values were also found in involved thigh circumference as compared with uninvolved limb (46.9±4.3 and 48.5±3.9 cm, p=0.005, respectively). No differences were found between the lower limbs in any of the variables of the incremental cardiopulmonary tests at all exercise intensities.Conclusions: Our findings indicate that, four months after ACL surgery, there is a significant deficit in isokinetic strength in the involved limb, but these differences in muscle strength requirement do not produce differences in the cardiorespiratory adjustments to exercise. Based on the hypotheses from the literature which explain the differences in the physiological responses to exercise for different muscle masses, we can deduce that, after 4 months of a rehabilitation program after an ACL reconstruction, individuals probably do not present differences in muscle oxidative and peripheral perfusion capacities that could elicit higher levels of peripheral cardiorepiratory stimulus during exercise.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Universidade Federal de São Paulo (UNIFESP) Department of PhysiologyUniversidade Federal de Goiás Faculty of Physical Education Department of Human and Exercise PhysiologyUniversidade Federal do Espírito Santo Center for Physical Education and SportUniversidade Federal de São Paulo (UNIFESP) Department of Orthopedics and TraumatologyUNIFESP, Department of PhysiologyUNIFESP, Department of Orthopedics and TraumatologyFAPESP: 99/07746-9SciEL

Isokinetic muscle assessment after treatment of pectoralis major muscle rupture using surgical or non-surgical procedures

INTRODUCTION: Rupture of the pectoralis major muscle appears to be increasing in athletes. However, the optimal treatment strategy has not yet been established. OBJECTIVES: To compare the isokinetic shoulder performance after surgical treatment to that after non-surgical treatment for pectoralis major muscle rupture. METHODS: We assessed 33 pectoralis major muscle ruptures (18 treated non-surgically and 15 treated surgically). Horizontal abduction and adduction as well as external and internal rotation at 60 and 120 degrees/s were tested in both upper limbs. Peak torque, total work, contralateral deficiency, and the peak torque agonist-to-antagonist ratio were measured. RESULTS: Contralateral muscular deficiency did not differ between the surgical and non-surgical treatment modalities. However, the surgical group presented twice the number of athletes with clinically acceptable contralateral deficiency (<20%) for internal rotators compared to the non-surgical group. The peak torque ratio between the external and internal rotator muscles revealed a similar deficit of the external rotation in both groups and on both sides (surgical, 61.60% and 57.80% and non-surgical, 62.06% and 54.06%, for the dominant and non-dominant sides, respectively). The peak torque ratio revealed that the horizontal adduction muscles on the injured side showed similar weakness in both groups (surgical, 86.27%; non-surgical, 98.61%). CONCLUSIONS: This study included the largest single series of athletes reported to date for this type of injury. A comparative analysis of muscular strength and balance showed no differences between the treatment modalities for pectoralis major muscle rupture. However, the number of significant clinical deficiencies was lower in the surgical group than in the non-surgical group, and both treatment modalities require greater attention to the rehabilitation process, especially for the recovery of muscle strength and balance

Percepção ambiental dos moradores sobre a utilização das águas do Açude no Distrito de Galante, Campina Grande, Paraíba

O estudo da percepção ambiental constitui uma ferramenta capaz de expor a realidade socioambiental de determinadas comunidades através da coleta de informações diretamente com os moradores que vivenciam os problemas, visto que evidencia ações, valores e opiniões, bem como conhecimentos culturais e hábitos. O objetivo deste trabalho foi avaliar a percepção ambiental dos moradores do Distrito de Galante, sobre a utilização das águas do Açude José Rodrigues após o racionamento ocorrido nos entre os anos de 2016 e 2017, uma vez que as águas deste reservatório estão impróprias para o consumo humano. A metodologia foi composta pela aplicação de um questionário semiestruturado contendo questões abertas e fechadas, sendo aplicado a 30 moradores residentes no entorno do açude José Rodrigues. Os resultados mostram que 60% dos moradores afirmaram utilizar as águas do açude no período do racionamento, sendo as águas utilizadas para consumo humano, dessedentação animal, atividades domésticas, etc. Constatou-se que após o fim do racionamento os moradores utilizavam as mesmas águas para dessedentação animal, recreação, pesca e irrigação. Além disso, o açude é utilizado como ponto turístico, movimentando a economia local. Entretanto, essas águas estão impróprias para o consumo humano e para a realização de atividades que dependam da potabilidade da água