Introduction: Although manual hyperinflation (MHI) is a physical therapy technique commonly used in intensive care and emergency units, there is little consensus about its use. Objective: To investigate the knowledge of physical therapists working in intensive care and emergency units about manual hyperinflation. Methods: Data were collected through self-administered questionnaires on manual hyperinflation. Data collection took place between September 2014 and January 2015, in Itabuna and Ilhéus, Bahia, Brazil. Results: The study sample was composed of 32 physical therapists who had between 4 months and 10 years working experience. All respondents affirmed that they used the technique in their professional practice. However, only 34.4% reported it to be a routine practice. 90.6% stated that the most common patient position during manual hyperinflation is “supine”. Participants were almost unanimous (93.8%) in citing secretion removal and cough stimulation as perceived benefits of MHI. High peak airway pressure was identified as being a precaution to treatment with MHI by 84.4% of participants, whilst 100% of the sample agreed that an undrained pneumothorax was a contraindication to MHI. Conclusion: The most common answers to the questionnaire were: supine position during MHI; secretion removal and cough stimulation as perceived benefits; high peak airway pressure as a precaution; and an undrained pneumothorax as a contraindication.

Objetivo: investigar a utilização do Nintendo Wii® como ferramenta central ou adjuvante em programas de reabilitação de pacientes com problemas traumato ortopédicos. Metodologia: O estudo consiste em uma revisão de literatura. Foram pesquisados artigos nos idiomas inglês e/ou português, disponíveis na íntegra, cadastrados nas bases eletrônicas de pesquisa Pubmed Central, Scielo, Lilacs, Bireme, Cochrane, Medline e PEDro, publicados entre 2006 e 2014. Resultados: sete artigos corresponderam aos critérios de inclusão estabelecidos, sendo seis em idioma inglês, e um, em português. Todos eles foram apresentados como randomizados, quatro destes avaliaram indivíduos com problemas em membro inferior, com atenção especial à articulação do joelho, sendo dois voltados para o tratamento de lombalgia e um para disfunção do membro superior. Exercícios de fortalecimento foram comuns a todos os estudos, sendo também comum o emprego de exercícios para melhora do equilíbrio corporal e coordenação. Quanto aos jogos utilizados no Nintendo Wii®, houve uma diversificação, com o emprego de games direcionados ao equilíbrio, à propriocepção, ao fortalecimento, ao alongamento e ao condicionamento aeróbico. A duração do programa variou entre 4 e 12 semanas, com 2 a 4 sessões semanais de exercício ou wiiterapia. Conclusão: a utilização de protocolos de intervenção com o uso do Nintendo Wii® para distúrbios traumato-ortopédicos mostrou resultados positivos nas disfunções de membros superiores, membros inferiores e coluna

Introduction: Pain in individuals with Parkinson's Disease (PD) may result from factors such as progressive changes of the disease, originating from the Central Nervous System (CNS), until coming from classic symptoms such as stiffness, dyskinesia and dystonia, having possible correlations with important functional markers such as balance and gait. There is no consensus with regard to the treatment of pain in this condition, and exercises associated with virtual reality (VR) may be an effective intervention. Objective: To evaluate the influence of an exercise program associated with virtual reality (VR) on pain intensity, correlating changes in this symptom with the functional performance of elders with Parkinson Disease (PD). Design: randomized comparative clinical trial. Setting: clinical facility from a school of physiotherapy in Brazil. Participants: 29 elders with PD. Interventions: exercises with VR and exercises without VR. Main Outcome Measures: pain, balance and gait, evaluated before and after 10 sessions, by Visual Analog Scale (VAS), Berg Balance Scale and 10 Meter Walk Test. Results: Reduction in pain intensity in the VR Group, and groups improved their balance and gait performance. Significant correlation was between the improvement in pain intensity and reduction in gait timing in the non VR Group (r = 0.713; p < 0.005). Conclusion: VR in elders with PD may be a tool for reducing pain intensity, and independently of the type, physical exercises had positive impact on their functional performance.

Introduction: Six-minute walk test (TC6') and peak expiratory low (PEF) can be in luenced by variables like gender, age and body mass index (BMI). In the school context, these tests can identify losses caused by sedentary habits and/or manifestation of overweight/obesity. Nevertheless, although widely studied in the adult context, they have not been properly clari ied in the child public. Objective: To assess the PEF and TC6' between students in the public and private network and to correlate them with factors like age, gender and BMI. Methods: 39 male and female children between eight and ten years of age were selected for the study. The TC6' was held at a sports court. The child was instructed to walk at maximum speed for six minutes and the PEF test took place in accordance to the recommendations by Pereira et al (1). Results: No signi icant correlation was found between the BMI and the PEF and TC6' scores. No signi icant correlation was found between sex and PEF, with measures within normal parameters for the entire sample. The EPF measures did not in luence the distance walked in the TC6'. A signi icant correlation was found between sex and distance walked in the TC6' only among male children attending public schools. Conclusion: Both sex and BMI did not in luence the PEF measures which, in turn, does not seem to have in luenced the distance the sample walked in the TC6'. Also concerning the TC6', only the children from public school reached the normal scores proposed in the literature.

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