RESUMO Objetivo Este trabalho investigou as evidências de validade da Escala de Solidão UCLA para aplicação na população brasileira. Métodos Foram seguidas as fases: (1) autorização do autor e do Comitê de Ética; (2) tradução e retrotradução; (3) adaptação semântica; (4) validação. Utilizou-se para análise dos dados análise descritiva, fatorial exploratória, alpha de Cronbach, Kappa, teste de esfericidade de Barlett, teste Kaiser-Meyer-Olkin e correlação de Pearson. Para a adaptação, a escala foi submetida a especialistas e a um grupo focal com 8 participantes para adaptação semântica e a um estudo piloto com 126 participantes para adaptação transcultural. Da validação, participaram 818 pessoas, entre 20 e 87 anos, que responderam a duas versões da UCLA, ao Questionário de Saúde do Paciente, à Escala de Percepção de Suporte Social e a um questionário elaborado pelos autores. Resultados A escala mostrou dois fatores, que explicaram 56% da variância e alpha de 0,94. Conclusões A Escala de Solidão UCLA-BR indicou evidências de validade de construto e discriminante, além de boa fidedignidade, podendo ser utilizada para avaliação da solidão na população brasileira.

Objective: To investigate, based on scientific literature, evidence on social participation and personal autonomy of individuals with spinal cord injury. Method: Integrative review of the literature including studies published between January 2006 and September 2016, obtained in the databases PubMed, CINAHL and LILACS. The guiding question was: "What evidence is available in the scientific literature about the social participation and/or personal autonomy of individuals with spinal cord injury?" The data were processed by IRaMuTeQ and analyzed by the Hierarchical Descending Classification, according to the expertise of the researchers. Results: Six selected studies discussed social participation, one discussed personal autonomy and two discussed both. 107 text segments were retained and gave rise to five classes. Conclusion: There is little specificity regarding the characteristics of social participation and personal autonomy of individuals with spinal cord injury. The existence of barriers forces them to adopt strategies to participate autonomously.

sent them by mail or e-mail. It was observed a decrease of those elderly people's dependence while taking care of themselves, improvement of their socialization, betterment of caregivers' safety and peacefulness regarding the performance of functional activities by elderly people, and a lowering of constant frail aging people's hospitalizations and concomitant health-related costs. The conclusion was that assistive technology devices are quite valuable to community-dwelling frail elderly people, improving their functional capacity, autonomy, and quality of life.

RESUMO Este trabalho avaliou a solidão e a depressão em universitários, verificando sua relação com hábitos, características do curso e suporte social. Participaram 574 universitários. Utilizou-se a Escala de Solidão UCLA-BR, Escala de Suporte Social, Questionário sobre a Saúde do Paciente e questionário complementar. Houve triagem para depressão em 38,7% dos estudantes e 53% sentia solidão mínima. A maioria dos estudantes fazia quatro ou mais refeições, dormia entre 6 e 8 horas, considerava ter amigos e lazer. Não fumavam, mas bebiam. Houve correlação entre solidão e depressão (rho = 0,42) e dessas condições com hábitos dos universitários, área do curso e suporte social. Conclui-se que o estado emocional de universitários avaliados é preocupante e intervenções são necessárias.

Slow stroking applied for 3 min over the posterior primary rami region is believed to decrease muscle tone by reducing arousal via activation of the inhibitory reticular system (O'Sullivan, 1988). The efficacy of this intervention and insight into the possible mechanisms whereby changes in muscle tone might occur were examined in 10 patients with multiple sclerosis (MS) having mild to moderate plantarflexor spasticity. Electrophysiological measures of spasticity reflecting the excitability of the alpha-motoneuron pool associated with the triceps surae muscles indicated significant differences between the MS group and a group of 12 healthy controls. In the MS group only, amplitudes of the H-reflex, H-reflex during vibration and the Achilles tendon jerk were obtained pre-, post-and 30 min poststroking. A significant decrease in H-reflex amplitude (normalised to the maximum M-wave) was found 30 min post-stroke when compared with baseline values. This was not attributable to bedrest alone. Other measures obtained prior to and after stroking did not change significantly. Patients reported that they felt more relaxed following the intervention. These preliminary findings suggest that 3 min of stroking can reduce alpha-motoneuron excitability in MS patients with spasticity.B. Brouwer, V. Soura do Andrade.