Introduction. Diabetic neuropathy (DN) is one of the most frequent chronic complications of type 2 diabetes mellitus (DM2). One technique capable of influencing the central and peripheral nervous system is foot reflexology (FR). Therefore, the objective of this study was to analyze the immediate effect of FR in DN type 2 patients. Method. This was a randomized controlled clinical trial, with 12 participants selected from a list of diabetic patients from the Basic Health Units of the city of Alfenas-MG. The sample consisted of two groups: Control Group (n=5) and Intervention Group (n=7). The instruments used were: surface electromyography for analysis of the lateral and medial gastrocnemius muscles, baropodometry to evaluate the balance from the variables of mean pressure and mass division, and the cardiofrequency meter to analyze the relationship between the sympathetic and parasympathetic nervous system and cardiovascular stress. Statistical analysis was used the Shapiro-Wilk test and later the independent t test and Mann Whitney for intergroup comparison. Results. There was only a difference in the EMG of the right lateral gastrocnemius muscle (p=0.04). Conclusion. It was concluded that FR was able to generate response in muscle electrical activity, besides influencing the balance of DN2 patients.

Background: Few studies evaluated cardiac autonomic responses induced by hemodialysis. We aimed to evaluate cardiac autonomic regulation during hemodialysis in haemodynamically stable patients with chronic renal disease. Method:Heart rate variability (HRV) was analyzed in the time and frequency domains in the following periods: Pre-dialysis (10 minutes before); Hemodialysis (240 minutes). Results:The standard deviation of all normal RR intervals (SDNN) increased 60-90min after hemodialysis compared to pre-hemodialysis (29.77±12ms vs. 51.70±41.6ms -p<0.05). The percentage of adjacent RR intervals with a difference of duration greater than 50ms (pNN50) also raised 180-210 min after hemodialysis compared to 0-30 min after hemodialysis (1.29±3.5 vs. 4.37±7.8 -p<0.05). Low frequency (LF) (ms 2 ) increased 150-180 min after hemodialysis compared to pre-hemodialysis (168.2±179.8 ms 2 vs. 562.6±455.7 ms 2 : p<0.05) and high frequency (HF) (ms 2 ) band raised 150-180min and 180-210 after hemodialysis compared to pre-hemodialysis (59.3±70.78 ms 2 vs. 212.5±304.9 ms 2 vs. 186.3±335.1 ms 2 : p<0.05).

A mielomeningocele é um defeito de fechamento do tubo neural, caracterizado pela falha na fusão dos arcos vertebrais, displasia medular e distensão cística das meninges, que contêm tecido nervoso em seu interior. O defeito acontece entre a terceira e quinta semana de vida intra-uterina e nem sempre é diagnosticada durante a gravidez, sendo responsável por 85 % dos casos de defeito do tubo neural. A manifestação clínica mais óbvia da mielomeningocele é a perda das funções sensoriais e motoras nos membros inferiores. O presente estudo demonstrou os resultados da fisioterapia em uma criança com mielomeningocele através da funcionalidade e da independência nas atividades de vida diária, por meio de aquisições da capacidade de engatinhar e deambular com auxílio.Palavras-chave: mielomeningocele, defeitos do tubo neural, fisioterapia.

(1) Background: Stroke is one of the leading causes of disability. To identify the best treatment strategies for people with stroke (PwS), the aim of the current study was to compare the effects of training on a treadmill with functional electrical stimulation (TT-FES) with training on a treadmill (TT), and to analyze the effects of sequence of training on mobility and the parameters of walking ability. (2) Methods: Prospective, longitudinal, randomized and crossover study, in which 28 PwS were distributed into groups, namely the A-B Group (TT-FES followed by TT) and B-A Group (TT followed by TT-FES), using the foot drop stimulator, and were measured with functional tests. (3) Results: We found improved mobility, balance, non-paretic limb coordination, and endurance only in the group that started with TT-FES. However, sensorimotor function improved regardless of the order of training, and paretic limb coordination only improved in the B-A Group, but after TT-FES. These data indicate that the order of the protocols changed the results. (4) Conclusions: Although biomechanical evaluation methods were not used, which can be considered a limitation, our results showed that TT-FES was superior to isolated training on a treadmill with regard to balance, endurance capacity, and coordination of the non-paretic limb.