ResumoObjetivos: Avaliar os efeitos de um programa de treinamento proprioceptivo convencional e de um protocolo com a utilização do videogame associado a Balance Board em indivíduos idosos, em relação a equilíbrio, mobilidade, flexibilidade e quedas. Método: Trata-se de pesquisa quase experimental, realizada com 32 indivíduos idosos. A amostra consistiu em dois grupos: o primeiro GC (n=16; idade=67,63 anos), com treinamento proprioceptivo convencional e o segundo, GE (n=16; idade=66,88 anos), em treinamento proprioceptivo com a nova ferramenta tecnológica. Foram realizados dez atendimentos, duas vezes na semana, duração de 30 minutos no GC com treinamento proprioceptivo convencional e 30 minutos no GE com plataforma Balance Board. Resultados: Para o GE, somente a variável escala de Berg não apresentou diferença significativa (p<0,05) entre os momentos pré e pós-intervenção, sendo que na escala POMA (p=0,018), Unipodal (p=0,018) e testes de alcance funcional anterior e lateral (p=0,012) observou-se diferença estatística (p<0,05) significativa nos momentos avaliados. Já para o GC, tanto POMA (p=0,043) como a escala Unipodal (p=0,043) apresentaram diferenças significativas entre o momento pré e pós-intervenção. Conclusão: Conclui-se que o treinamento proprioceptivo com realidade virtual mostrou ser mais eficiente que o treinamento proprioceptivo convencional em indivíduos idosos em relação ao equilíbrio, mobilidade, flexibilidade e quedas. AbstractObjective: To evaluate the effects of a conventional proprioceptive training program and a protocol with the association of video game use and Balance Board in elderly regarding balance, mobility, flexibility and falls. Method: This almost experimental research was conducted with 32 elderly participants. The sample consisted of two groups. The first, CG (n=16; aged=67.63 years), with conventional proprioceptive training and the second, SG (n=16; aged=66.88 years) proprioceptive training with the new technological tool. Treatments were done in both groups twice a week, during Palavras-chave: Equilíbrio Postural. Idoso. Propriocepção.

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Background: Abdominal disorders can alter respiratory function and increase the morbidity and mortality of patients with chronic obstructive pulmonary disease. Aim: To improve the physiotherapeutic and muscular capacity in chronic obstructive pulmonary muscular inspiration in the preoperative preparation in abdominal surgeries. Method: Retrospective and documentary study using SINPE © , clinical database software of patients with chronic obstructive pulmonary disease and candidates to abdominal operation. The sample consisted of 100 men aged 55-70 years, all with chronic obstructive pulmonary disease who underwent preoperative physiotherapeutic treatment. They were divided into two groups of 50 individuals (group A and group B). In group A the patients were treated with modern mobility techniques for bronchial clearance and the strengthening of the respiratory muscles was performed with IMT ® Threshold. In group B the treatment performed for bronchial obstruction was with classic maneuvers and for the strengthening of the respiratory muscles for flow incentive was used Respiron ® . Results: Both groups obtained improvement in the values of the PiMáx after the different treatments. Group A obtained greater change in the intervals and a more significant increase of the values of the PiMax in relation to the average pre and post-treatment. However, when analyzing the variance and the standard deviation of the samples, group B presented the best results showing more homogeneity. Conclusions: The modern and traditional bronchial clearance techniques associated with inspiratory muscle training were equally effective in gaining inspiratory muscle strength with increased Pmax. In this way, the two can be used in the preoperative preparation of patients with chronic obstructive pulmonary disease and referred to abdominal operations.

Background: The creation of a computerized clinical database with the ability to collect prospective information from patients and with the possibility of rescue and crossing data enables scientific studies of higher quality and credibility in less time. Aim: To validate, in a single master protocol, the clinical data referring to Surgery of Digestive System in a multidisciplinary way, incorporating in the SINPE© platform, and to verify the incidence of digestive diseases based on the prospectively performed collections. Method: Organize in one software, in a standardized structure, all the pre-existing items in the SINPE© database; the theoretical basis was computerized through the MIGRASINPE© module creating a single multiprofessional master protocol for use as a whole. Results: The existing specific protocols were created and/or adapted - they correspond to the most prevalent digestive diseases - unifying them. The possibility of multiprofessional use was created by integrating all data collected from medicine, nursing, physiotherapy, nutrition and health management in a prospective way. The total was 4,281 collections, distributed as follows: extrahepatic biliary tract, n=1,786; esophagus, n=1015; anorectal, n=736; colon, n=550; small intestine, n=86; pancreas, n=71; stomach, n=23; liver, n=14. Conclusions: The validation of the unification and structuring in a single master protocol of the clinical data referring to the Surgery of the Digestive System in a multiprofessional and prospective way was possible and the epidemiological study carried out allowed to identify the most prevalent digestive diseases.

-Background -Calculations of metabolic and physical activity are carried out from the active tissue in the body, known as lean body mass, which is the sum of fat-free lean mass to essential fat. Kinesiotherapy helps in weight strength and flexibility and can be applied in the patients recovery. Aim -In patients undergoing surgical treatment for morbid obesity are the objectives: 1) to evaluate the effect of physiotherapy counter resisted in lean mass; 2) to assess the factors associated with variations in lean body mass with physical therapy; 3) to compare the group of patients who lost lean mass to the one who won using physical therapy, analyzing the co-morbidities that interfered with these results. Method -The study included 100 patients operated on by Fobi-Capella technique divided into group A, patients who lost lean body mass measured in two periods (between 30 days and three months between three months and six months) and group B by the patients that gained lean body mass in at least period. Data collection was performed using the Electronic Multiprofessional Protocol of Metabolic and Bariatric Surgery with emphasis in Physical Therapy, identified as SINPE © (Integrated Electronic Protocols). The patients were evaluated pre-operatively and followed in the postoperative period in four phases: in the hospital, 30 days, three months and six months after the operation. Results -There were significant differences between the three assessments (p <0.001). By comparing the 30 days to three months, there was loss of lean body mass with statistical significance (p <0.001). Similarly, between 30 days and six months (p <0.001). However, the period between three months and six months did not show results with significance level (p <0.612), showing a tendency to maintain lean body mass. Conclusions -Physical therapy counter resisted helped in maintaining lean body mass between the periods of three months and six months; 2) elderly men, diabetic and dyslipidemic lost more lean mass; duration of obesity, cardiovascular and orthopedic disease not changed the lean mass; 3) groups A and B showed no significant differences for both gain and loss lean mass in relation to cardiovascular and orthopedic comorbidities, but patients with diabetes mellitus and dyslipidemia were more prevalent in Group A. ABCDDV/797RESUMO -Racional -Cálculos metabólicos e de atividade física são realizados a partir do tecido ativo presente no corpo, conhecido como massa corporal magra, que resulta da soma da massa magra isenta de gordura com a gordura essencial. A cinesioterapia é a musculação terapêutica que auxilia na força e flexibilidade. Objetivos -No paciente submetido a tratamento cirúrgico para obesidade mórbida: 1) avaliar o efeito da fisioterapia contra-resistida na massa magra; 2) avaliar os fatores associados às variações de massa corporal magra com tratamento fisioterapêutico; 3) comparar o grupo de pacientes que perdeu com o que ganhou massa magra com o tratamento fisioterapêutico, analisando as co-morbidades que interferira...