Objective: The objective of this study was to analyze the functional status of adult and older adult individuals with lower back pain . Methods: Eighty-three individuals were recruited, 42 older adults (20 with lower back pain and 22 control group) and 41 younger adults (21 with lower back pain and 20 control group). Functional capacity was assessed using the following tests: Timed Up and Go (TUG), Five Times Sit-to-Stand (FTSTS), six-minute walking test (SMWT), and sitting-rising test (SRT) . Results: In the younger adults, there was no difference in functional capacity between the groups (p>0.05). On the other hand, when statistical analysis was adjusted using body mass index (BMI) as a covariate, the lower back pain group performed more poorly on the SRT (p<0.004). Furthermore, poorer physical capacity was seen in the older adults with back pain via the SRT test (p=0.001), and when the BMI was adjusted, a statistical difference was seen in the SRT as well as the SMWT (p<0.05) . Conclusion: Older individuals with lower back pain have poorer physical performance, and the sitting-rising test is the most discerning for assessment of functional status in individuals with lower back pain. Level of Evidence III, Retrospective Comparative Study.
ResumoEvidências apontam que profissionais envolvidos na assistência ao idoso sofrem de estresse e apresentam uma qualidade de vida comprometida. O objetivo do estudo foi avaliar o nível de estresse e a qualidade de vida dos técnicos e auxiliares de enfermagem de uma instituição de longa permanência. Delineamento transversal, exploratório e quantitativo foram utilizados como método. Utilizou-se as escalas Job Stress Scal e WHOQOL e a correlação de Spearman, para avaliar a relação do estresse e qualidade de vida, considerando p<0,05 para todos os testes estatísticos realizados. A idade média foi de 37,95±8,2 anos. O componente psicológico controle foi relacionados com renda e período de sono. Ademais, a qualidade de vida foi negativamente correlacionada com renda e positivamente com a idade e nível de escolaridade. As variáveis renda, sono, idade, escolaridade e estresse podem instrumentalizar a busca por alternativas de promoção da qualidade de vida. Palavras AbstractEvidence suggests that professionals involved in the care of the elderly suffer from stress and have an impaired quality of life. The objective of study was to evaluate the level of stress and quality of life of technicians and nursing assistants in a long-term care facility. Refinement transversal, exploratory and quantitative design used were as method. We used the Job Stress Scal and Whoqol scales and the Spearman correlation to assess the relationship of stress and quality of life, considering p <0.05 for all statistical tests. The average age was of 37.95 ± 8.2 years. The psychological component control was related with income and sleep period. Moreover, the quality of life was negatively correlateded with income and positively with age and level of education. The income variables, sleep, age, education and stress can instrumentalize the search for alternatives to promote of quality of life.
INTRODUÇÃO: A Doença Pulmonar Obstrutiva Crônica produz alterações mecânicas na caixa torácica que desencadeiam disfunções físicas limitantes das atividades de vida diária e da qualidade de vida. OBJETIVOS: Avaliar os efeitos de um programa de exercícios para readequação do complexo toracopulmonar na mobilidade da caixa torácica, capacidade de exercício e qualidade de vida em pacientes com DPOC. MATERIAIS E MÉTODOS: Este estudo avaliou 13 pacientes com DPOC por meio de Espirometria, Teste da Caminhada dos Seis Minutos (TC6min), Cirtometria e Questionário de Qualidade de Vida Saint George (SGRQ). O programa foi elaborado com base em exercícios que objetivam o aumento da mobilidade de caixa torácica, tolerância ao exercício e melhora na resposta subjetiva em relação à qualidade de vida. RESULTADOS: Após 12 semanas de tratamento, verificou-se um aumento significativo na mobilidade da região inferior da caixa torácica (expansibilidade da região xifoide: de 3 ± 2 cm para 7 ± 4 cm, p = 0,01), na região abdominal (expansibilidade umbilical: de 2 ± 1 cm para 6 ± 4 cm, p = 0,01) e melhora na distância percorrida no TC6min (391 ± 117 m inicial para final de 442 ± 124 m, p = 0,04). Na avaliação pelo SGRQ, houve uma tendência sem significância estatística de melhora nos três domínios (sintomas: 37 ± 22 para 26 ± 21; atividades: 64 ± 15 para 62 ± 19; e impacto: 42 ± 16 para 38 ± 16). CONCLUSÃO O programa de exercícios respiratórios direcionados ao aumento da mobilidade da caixa torácica melhorou a expansibilidade torácica e abdominal e a capacidade de exercício.
Objective: This study aimed to investigate the acute effects of laser photobiomodulation (λ: 808 nm) therapy on muscle performance and perceived exertion in physically active elderly women. Methods: Seventeen physically active elderly women (72.6 ± 4.1 years) participated in a crossover study in which they received active or placebo laser therapy on the rectus femoris muscle on 2 occasions, separated by a 7-day washout period. On each occasion, the following performance outcomes were assessed: functional capacity by short physical performance battery, knee extensor strength by maximum voluntary isometric contraction, muscle endurance by repetitions-to-failure test and blood lactate levels, and perceived exertion. Results: No statistical (P > .05) differences were observed between active and placebo laser conditions for all muscle performance outcome (ie, short physical performance battery, maximum voluntary isometric contraction, repetitions-to-failure, and lactate) and perceived exertion. Conclusions: Acute laser photobiomodulation therapy at 808 nm does not improve muscle performance (functional capacity, strength, and endurance) and perceived exertion in physically active elderly women. Trial registration: NCT04241991.
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