The functional activities manipulation and adaptation (FAMA) approach in cerebral palsy: a treatment proposal with emphasis on motor learning

There are different approaches used by physiotherapists in the treatment of cerebral palsy (CP), but the majorities are based on theoretical and conceptual knowledge gained from the development of motor control. This work aims to present an approach for the treatment of cerebral palsy based on the knowledge of motor learning. When determining the advancements in studies on motor learning and that such knowledge can somehow assist the physiotherapist in the organization of their clinical intervention, the idea arose of developing a treatment approach that is based on the use of this knowledge of motor learning in the treatment of CP. The Functional Activities Manipulation and Adaptation (FAMA) approach is a physiotherapeutic proposal in the treatment of CP that uses the nominal language of the ICF and, to arrange treatment, uses clinical experience with the best evidence available and the needs of the patient. Its main objective is to provide functionality for mobility, through the knowledge of motor learning, focusing on the classification of functional skills, structures and factors that influence practice. Motor learning is the greatest difference of the FAMA approach, where the knowledge acquired through motor learning seeks to organize the physiotherapy treatment for CP.There are different approaches used by physiotherapists in the treatment of cerebral palsy (CP), but the majorities are based on theoretical and conceptual knowledge gained from the development of motor control. This work aims to present an approach for the treatment of cerebral palsy based on the knowledge of motor learning. When determining the advancements in studies on motor learning and that such knowledge can somehow assist the physiotherapist in the organization of their clinical intervention, the idea arose of developing a treatment approach that is based on the use of this knowledge of motor learning in the treatment of CP. The Functional Activities Manipulation and Adaptation (FAMA) approach is a physiotherapeutic proposal in the treatment of CP that uses the nominal language of the ICF and, to arrange treatment, uses clinical experience with the best evidence available and the needs of the patient. Its main objective is to provide functionality for mobility, through the knowledge of motor learning, focusing on the classification of functional skills, structures and factors that influence practice. Motor learning is the greatest difference of the FAMA approach, where the knowledge acquired through motor learning seeks to organize the physiotherapy treatment for CP

Atividade física e esporte por meio de jogos eletrônicos na Paralisia Cerebral.

Extrato de relatório.A Paralisia Cerebral (PC) tem como principal característica alterações na postura e no movimento que causam dificuldades ao individuo para realizar movimentos básicos fundamentais. Desta forma, o indivíduo com PC necessita de oportunidades diferenciadas para a prática de atividades física e esporte, sendo que uma possibilidade bastante viável é a utilização de consoles de jogos eletrônicos, os quais estão sendo investigados como uma forma adaptada de propiciar função e vivência de movimento similar a diferentes esportes.Rede CEDES / M

Implementation of lean manufacturing in multinational companies with production subsidiaries in Brazil : a roadmap

Multinational companies with production subsidiaries in Brazil are generally recognized as being highly productive companies. However, in large, their productivity potential is not fully achieved. Lean Manufacturing (LM) has proved to be a valuable aid to achieve competitiveness in the long run. In the light of the increasing importance of the successfully implementation of LM by multinationals in Brazil and an apparent lack of discussion regarding LM in Brazil, this paper aims to propose a comprehensive implementation roadmap, to enable multinationals to achieve an advanced sustainable LM system in a practical manner, based on a systematic approach. Findings from the literature and case studies are combined to develop the roadmap, to permit both companies that have, and have just started to implement LM to be able to use the roadmap. The roadmap was built on a broad empirical basis and it is impossible to consider all factors influencing LMI in multinationals operating in Brazil in a real world setting. Accordingly, it should not be regarded as a ready-made implementation plan, which has to be strictly followed, but rather a guideline to help multinationals develop their own, detailed and tailor-made plan to successfully implement LM and to establish a learning organization.info:eu-repo/semantics/publishedVersio

PROJECT MANAGEMENT IN HEALTH AND MEDICAL RESEARCH

Not applicabl

A PROPÓSITO DE UMA MEDIDA DA CENTRALIDADE URBANA NO ESTADO DA BAHIA

O trabalho apresenta o conceito de centralidade urbana segundo a Teoria das Localidades Centrais (W. Christaller, 1933) e estabelece uma mensuraçãopara o Estado da Bahia através de uma adaptação da fórmula original. Os resultados obtidos foram utilizados no mapeamento por isolinhas segundoo programa NST - Numerical Surface Techniques and Contour Map Plotting, da IBM. Com isto obteve-se uma distribuição espacial das isocentralidades,confrontada, ao final do trabalho, com o modelo de Christaller, em termos teóricos e práticos

Paralisia Cerebral: Fundamentos para Pais e Cuidadores

One aspect that cannot be ignored is the impact of cerebral palsy in the internal dynamics of the family, due to the fact that its members are confronted with a different reality which requires adaptations and changes daily. The way parents, caregivers and family members adjust is crucial for the future of the child and of the people involved. Due to the difficulties of parents and caregivers of children with cerebral palsy in acquiring knowledge about the definitions, classifications and differences caused by disability, this work aims to present theoretical and practical explanations about cerebral palsy. Therefore, an explanatory text was organized with the main reasons that cause changes in posture and movement of children with disabilities, because it is known that the knowledge of parents can interfere in the care and education, whereas parents play an essential role as educators of their children, especially during the early formative years, and that this will provide all opportunities for participation, learning and growth.Um aspecto que não pode ser ignorado é o impacto da paralisia cerebral na dinâmica interna da família, devido ao fato de que seus membros são confrontados com uma realidade diferente que exige adaptações e modificações diárias. A forma como os pais, cuidadores e membros da família se ajustam é crucial para o futuro da criança e das pessoas envolvidas. Devido às dificuldades dos pais e cuidadores de crianças com paralisia cerebral em adquirir conhecimentos sobre as definições, classificações e diferenças causadas pela deficiência, este trabalho tem como objetivo apresentar esclarecimentos teóricos e práticos sobre paralisia cerebral. Para tanto, organizou-se um texto explicativo dos principais motivos que causam as alterações na postura e movimento das crianças com deficiência, pois é sabido que o conhecimento dos pais pode interferir no cuidado e na educação, considerando que os pais desempenham um papel essencial como educadores de seus filhos, especialmente durante os primeiros anos de formação, e que isso proporcionará a todos oportunidades de participação, aprendizado e crescimento

Caracterização das habilidades funcionais na síndrome de Rett

O objetivo deste estudo foi identificar as áreas de maior comprometimento nas habilidades funcionais na síndrome de Rett (SR). Foram avaliadas 64 pacientes que preenchiam os critérios para a forma clássica da doença, com idade entre 2 e 26 anos. Foi aplicado o Inventário de avaliação pediátrica de incapacidade (PEDI) que contém 197 itens nas áreas de autocuidado, mobilidade e função social. Dentre as 73 atividades da área de autocuidado, 52 (71,2%) não foram realizadas por qualquer paciente; na mobilidade, dentre as 59 atividades propostas, 8 (13,5%); e na área de função social, dentre as 65 atividades, 50 (76,9%) não foram realizadas por paciente alguma. O desempenho médio ajustado em escala de 0 a 100 para a área de autocuidado foi de 8,9/100, variando de 0 a 19; na área de mobilidade, foi de 30,2/100, variando de 1 a 44; e na de função social, 5,2/100, com variação de 0 a 14. Foi possível verificar fortes correlações entre a área de autocuidado e as de mobilidade e função social; no entanto, entre as áreas de mobilidade e função social não foi detectada correlação significativa. Infelizmente, devido à gravidade da síndrome, o menor comprometimento da mobilidade, comparado ao das áreas de autocuidado e função social, não traz vantagens adaptativas ou maior independência às pacientes com SR.The purpose of this study was to determine the areas of greater impairment in functional abilities of patients with Rett syndrome. Sixty-four patients aged 2 to 26 years old, who filled out criteria for the classic form of the disease, were assessed by the Pediatric Evaluation of Disability Inventory (PEDI) of which 197 items are grouped in the areas of self-care, mobility, and social function. From the 73 activities in self-care area, 52 (71.2%) were not accomplished by any patient; in mobility area, among the 59 proposed activities, 8 (13.5%); and in social function area, from 65 activities, 50 (76.9%) could not be accomplished. Adjusted mean results in a 0-to-100 scale were: self-care, 8.9/100, varying from 0 to 19; mobility, 30.2/100, varying from 1 to 44; and social function, 5.2/100, varying from 0 to 14. Strong correlations were found between self-care area and mobility and social function areas, but no significant correlation between the latter. Unfortunately, due to the serious impairment of the disease, the fact that mobility is affected to a lesser degree, as compared to self-care and social function, does not bring Rett syndrome patients any adaptive advantage nor greater independence

POLÍTICAS TERRITORIAIS DE INTEGRAÇÃO E FORTALECIMENTO URBANO E REGIONAL PARA O ESTADO DA BAHIA

Como a rede de centros urbanos do Estado da Bahia é, historicamente, bastante desigual, frágil e pouco integrada, sugerimos aqui, oito ações complementares e articuladas de políticas territoriais que podem contribuir para a diminuição destes problemas. São eles: a) criação e consolidação de Conselhos Regionais de Desenvolvimento, de caráter deliberativo; b) incentivos à implantação de Consórcios Intermunicipais, aproveitando as novas regras do jogo aprovadas em 2005; c) implantação de um Fundo de Desenvolvimento Regional; d) realização de Fóruns de Desenvolvimento Urbano-Regional das Cidades Médias; e) realização de Seminários de Integração das Ações para os centros urbanos, objetivando a maior integração e coordenação; f) implantação da Aglomeração Urbana de Ilhéus-Itabuna e da Aglomeração Urbana de Feira de Santana; g) revisão da abrangência e retomada do planejamento metropolitano de Salvador; e h) fortalecimento da densidade institucional e informacional dos centros urbanos. Estas ações além de contribuírem para o fortalecimento integração dos centros urbanos da Bahia, estão em sintonia com os anseios da sociedade na busca pelo fortalecimento democrático e pela inclusão social e territorial

VALIDITY OF SOFTWARE FOR MEASUREMENT OF TOTAL REACTION TIME WITH SIMPLE STIMULUS -TRT_S 2012

Objective: Determine the validity of the TRT_S2012 software in to assess the total reaction time (TRT) with a simple visual stimulus (TRTSimple) and mental fatigue from TRT (TRTFatigue). Methods: Three types of validation were applied: a) concurrent, for determining the correlation between the TRT_S2012 Software and Vienna Test System (VTS), b) content of a sample of adults, and c)mechanical, using a robot that performs a mechanic motion to respond to a light stimulus.The study included 216 young adults, college students aged 17 – 45 years (x = 24.0 ± 6.0) and a robot. Descriptive and inferential statistics were used for performance on TRT obtained by young adults and robot in two software. Results: The intra-class correlation in the adults TRT showed strong correlation between VTS and TRTSimple (R = .72). Identification of the proposed initial stimulus in TRTFatigue presented intermediate correlation with VTS (R = .56) and the final stimulus presented low correlation with VTS (R=.35).The robot TRT showed standard deviation ranging .5 ms (on average) between the highest and lowest.The standard error of the mean ranged from .23 to .28 and the distributions were homogeneous between 8.2 to 9.7%. Conclusion: The results confirmed the validity of the software TRT_S2012 2012. It is a reliable cognitive test that can be applied to young adults for measuring the TRT with simple visual stimuli and for evaluating the influence of mental fatigue from the TRT. however, the delays caused by the computer resources used should be considered and measured with a resource like the robot. We conclude that the TRT_S2012 software is valid for assessing the TRT and cognitive fatigue in healthy adults