3 research outputs found
Impacto de um programa de tratamento em pacientes com alterações na coluna
Objective: To evaluate the impact of a physiotherapy treatment program on patients with spine alterations. Methods: This is an experimental, longitudinal, quantitative study carried out in the city of Araxá, Minas Gerais, Brazil. Participants were 81 patients from the Back School project, between May 2016 and April 2017, who should present some spine pathology, with specific medical referral, and agree to participate in the project. The participants were submitted to Pilates or global postural reeducation sessions twice a week during the three-month treatment, in a group, with an average duration of 50 minutes. Initial and final evaluation of musculoskeletal disorders was performed through the Nordic Musculoskeletal Questionnaire and the level of disability was assessed with use of the Oswestry index. At the end of the program the patients answered a questionnaire for assessment of their satisfaction with the results obtained. Results: The participants’ mean age was 49.7±12.34 years. The mean Oswestry index was 16.65±8.08, before the intervention, and 11.63±7.89 after the intervention. Moderate disabling pain was found in highest proportion (50.6%, n=41) before treatment, changing to 100% of mild disabling pain. Regarding the results obtained by the Nordic Musculoskeletal Questionnaire, the majority (76.5%, n=62) presented pain in the lumbar region, followed by the neck and dorsal region, both with 49.4%, n=40. Conclusion: The physiotherapy treatment program, by means of the Back School project, gave rise to an overall improvement in the patients' clinical status, particularly in functionality, limitation and pain.Objetivo: Evaluar el impacto de un programa de tratamiento fisioterapéutico de pacientes con alteraciones de la columna. Métodos: Se trata de un estudio experimental, longitudinal y cuantitativo realizado en el municipio de Araxá, Minas Gerais, Brasil. Participaron 81 pacientes del proyecto Escuela de la Columna entre los meses de mayo de 2016 y abril de 2017 que presentaban alguna patología de la columna, que tenían solicitación de médico específico y que estaban de acuerdo en participar del proyecto. Los participantes hicieron clases de Pilates o de Reeducación Postural Global, dos veces a la semana durante tres meses de tratamiento en grupo y con duración media de 50 minutos. Se realizó la evaluación inicial y final de los disturbios osteomusculares por el cuestionario Nórdico de Síntomas Osteomusculares y la evaluación del nivel de incapacidad por el índice de Owestry. Al finalizar el programa los pacientes contestaron un cuestionario para evaluar la satisfacción de los resultados obtenidos. Resultados: Los participantes tenían edad media de 49,7±12,34 años. La media del cuestionario Owestry fue de 16,65±8,08 antes de la intervención y de 11,63±7,89 después. Hubo mayor proporción del dolor incapacitante moderado (50,6%, n=41) antes del tratamiento cambiando para el 100% después. Respecto los resultados del cuestionario Nórdico de Síntomas Osteomusculares la mayoría (76,5%, n=62) presentó dolor en la región lumbar seguida del cuello y región dorsal ambas con el 49,4%, n=40. Conclusión: El programa de tratamiento fisioterapéutico a través de la Escuela de Columna ha proporcionado la mejora general del cuadro clínico de los pacientes principalmente de la funcionalidad, la limitación y el dolor.Objetivo: Avaliar o impacto de um programa de tratamento fisioterápico em pacientes com alterações na coluna. Métodos: Trata-se de um estudo experimental, longitudinal, quantitativo, realizado no município de Araxá, Minas Gerais, Brasil. Participaram 81 pacientes do projeto Escola da Coluna, entre os meses de maio 2016 a abril de 2017, que deveriam apresentar alguma patologia de coluna, com encaminhamento médico específico e concordar em participar do projeto. Os participantes foram submetidos ao Pilates ou à Reeducação Postural Global, duas vezes por semana durante três meses de tratamento, em grupo, com duração média de 50 minutos. Realizou-se avaliação inicial e final dos distúrbios osteomusculares pelo questionário Nórdico de Sintomas Osteomusculares e avaliação do nível de incapacidade de pelo índice de Owestry. Ao final do programa os pacientes responderam a um questionário para avaliar a satisfação com os resultados obtidos. Resultados: Os participantes tinham idade média de 49,7±12,34 anos. A média obtida com o questionário Owestry foi de 16,65±8,08 antes da intervenção e 11,63±7,89 após a intervenção. Houve maior proporção de dor incapacitante moderada (50,6%, n=41) antes do tratamento passando para 100% de dor incapacitante leve. Em relação aos resultados obtidos pelo questionário Nórdico de Sintomas Osteomusculares, a maioria (76,5%, n=62) apresentou dor na região lombar, seguido pelo pescoço e região dorsal, ambas com 49,4%, n=40. Conclusão: O programa de tratamento fisioterápico, por meio da Escola de Coluna, propiciou melhora geral no quadro clínico dos pacientes, principalmente na funcionalidade, limitação e dor
Evaluation of pulmonary function and respiratory symptoms in pyrochlore mine workers
ABSTRACT Objective: To identify respiratory symptoms and evaluate lung function in mine workers. Methods: This was a cross-sectional observational study involving production sector workers of a pyrochlore mining company. The subjects completed the British Medical Research Council questionnaire, which is designed to evaluate respiratory symptoms, occupational exposure factors, and smoking status. In addition, they underwent pulmonary function tests with a portable spirometer. Results: The study involved 147 workers (all male). The mean age was 41.37 ± 8.71 years, and the mean duration of occupational exposure was 12.26 ± 7.09 years. We found that 33 (22.44%) of the workers had respiratory symptoms and that 26 (17.69%) showed abnormalities in the spirometry results. However, we found that the spirometry results did not correlate significantly with the presence of respiratory symptoms or with the duration of occupational exposure. Conclusions: The frequencies of respiratory symptoms and spirometric changes were low when compared with those reported in other studies involving occupational exposure to dust. No significant associations were observed between respiratory symptoms and spirometry results