Estudo dos efeitos sensório-motores da fisioterapia aquática com pacientes em estado de coma vigil

Jakaitis, Fabio; Guazzelli, Ada Bianca Abdulmacih

doi:10.34024/rnc.2005.v13.8795

Cited by 5 publications

(1 citation statement)

References 8 publications

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“…A regressão não acontece, exceto na fase aguda mediante uma complicação neurológica ou exaustão mental por sobrecarga. Atingir o nível X, depois de um TCE grave, é muito difícil, porém não é impossível (CICERONE, 2000;JAKAITIS;GUAZZELLI, 2006).…”

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Aging with intellectural disability: perception of professionals at the Association of Parents and Friends of People with Disabilities

Bonatelli

Hammerschmidt

Schoeller

et al. 2022

Geriatr Gerontol Aging

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Objective: To understand the aging of people with intellectual disability from the perspective of education professionals at the Association of Parents and Friends of People with Disabilities (Associação de Pais e Amigos dos Excepcionais [APAE]). Methods: This is an exploratory, descriptive study with a qualitative approach; data were collected in November 2020 from 17 education professionals working at APAE by using a structured online questionnaire via the Google Forms platform. Data were transcribed and organized in a Microsoft Excel spreadsheet and a Microsoft Word text file, and data analysis followed the discourse of the collective subject methodology. Results: Six central ideas emerged from the results: the aging of people with intellectual disability is expected, but premature; understanding the aging process of people with intellectual disability: a deficit of understanding or non-existence; stereotypes, prejudice, and stigma linked to older adults with intellectual disability; cognitive impairment when aging with intellectual disability: skills, functioning, autonomy, and independence; limitations and disabilities of older adults with intellectual disability require care and support; and communication difficulties of older adults with intellectual disability: welcoming, stimulating, and raising awareness. Conclusions: Aging with intellectual disability involves dismissing infantilization and stereotypes, providing opportunities for activities of daily living and social experiences, prolonging independence and autonomy, and improving the process of aging with dignity, care and support.

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Section: ) Secundáriasunclassified

Aging with intellectural disability: perception of professionals at the Association of Parents and Friends of People with Disabilities

Bonatelli

Hammerschmidt

Schoeller

et al. 2022

Geriatr Gerontol Aging

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Applications, indications, and effects of passive hydrotherapy WATSU (WaterShiatsu)—A systematic review and meta-analysis

et al. 2020

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Background WATSU (portmanteau word: water and shiatsu) is a form of passive hydrotherapy in chestdeep thermoneutral water (35˚C = 95˚F = 308.15 K). It combines elements of myofascial stretching, joint mobilization, massage, and shiatsu and is reported to be used to address physical and mental issues. The objective of this systematic review (PROSPERO Registration No. CRD42016029347) and the meta-analyses was to assess the applications, indications, and the effects of WATSU to form a basis for further studies. MethodsA search for "WATSU OR watershiatsu OR (water AND shiatsu)" was conducted without any restrictions in 32 databases. Peer reviewed original articles addressing WATSU as a stand-alone hydrotherapy were assessed for risk of bias. Quantitative data of effects on pain, physical function, and mental issues were processed in random model meta-analyses with subgroup analyses by study design. Effect sizes were expressed as Hedges's g (± 95% confidence intervals). ResultsOf 1,906 unique citations, 27 articles regardless of study design were assessed for risk of bias. WATSU has been applied to individuals of all ages. Indications covered acute (e.g. pregnancy related low back pain) and chronic conditions (e.g. cerebral palsy) with beneficial effects of WATSU regarding e.g. relaxation or sleep quality. Meta-analyses suggest beneficial effect sizes of WATSU on pain (overall Hedges's g = -0.71, 95% CI = -0.91 to -0.51), physical function (overall Hedges's g = -0.76, 95% CI = -1.08 to -0.44), and mental issues (overall Hedges's g = -0.68, 95% CI = -1.02 to -0.35). ConclusionVarious applications, indications and beneficial effects of WATSU were identified. The grade of this evidence is estimated to be low to moderate at the best. To strengthen the findings of this study, high-quality RCTs are needed. IntroductionWATSU (portmanteau word: English "water" and Japanese 指圧 "Shiatsu") was first described by its originator Dull in the 1980s as a treatment consisting of Japanese Shiatsu bodywork applied in thermal water [1]. To practice WATSU, a therapist stands in thermoneutral water (35˚C = 95˚F = 308.15 K), supporting the supine receiver with hands, forearms, or shoulders and softly moving her / him in slow and spacious circular motion sequences following elaborate movement patterns related to receiver's and therapist's level of experience [1]. The hands of the therapist function as a grip to facilitate movement and at the same time to stimulate acupuncture points. Gentle traction is applied to the body of the receiver to mobilize joints and stretch myofascial structures, as well as meridians, channels through which the life-energy (Chinese 氣 "qi", flows in the concept of Traditional Chinese Medicine [1,2]. During immersion, hydrostatic pressure influences fluid distribution, metabolism, and respiration. The impact of gravity is greatly reduced, thus decreasing joint loads and allowing maximal flexibility in the positioning of the treated individual [3,4]. The thermoneutral temperature of 35˚C is recommended because it all...

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Influência da fisioterapia aquática no controle de tronco na síndrome de pusher: estudo de caso

et al. 2009

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A síndrome de pusher, ou do não-alinhamento, é uma alteração do controle postural observada em pacientes com lesões encefálicas, que apresentam uma inclinação do tronco contralateral à lesão. O estudo visou analisar a influência da fisioterapia aquática no controle de tronco em um paciente de 78 anos com síndrome de pusher. Para o diagnóstico da síndrome foi utilizada a escala de avaliação do sintoma de empurrar (SCP, Scale for contraversive pushing). A simetria do tronco foi avaliada por fotogrametria, medindo-se, nas fotografias do paciente tiradas antes e depois do tratamento, os ângulos de alinhamento da cabeça, dos ombros e do tronco. A fisioterapia aquática consistiu em duas sessôes semanais de uma hora durante dois meses, totalizando 16 sessões, empregando os métodos Bad Ragaz e Halliwick, para fortalecimento da musculatura do tronco e dos membros superiores, respectivamente. Na avaliação após a intervenção, foi observada importante redução dos ângulos de inclinação da cabeça (de 31,7º para 10,6º), dos ombros (de 10,3º para 1,7º) e do tronco (de 9,6º para 3,0º). O programa de fisioterapia aquática, portanto, propiciou ao participante com a síndrome de pusher sensível melhora na simetria e alinhamento do tronco.

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Estudo dos efeitos sensório-motores da fisioterapia aquática com pacientes em estado de coma vigil

Cited by 5 publications

References 8 publications

Aging with intellectural disability: perception of professionals at the Association of Parents and Friends of People with Disabilities

Aging with intellectural disability: perception of professionals at the Association of Parents and Friends of People with Disabilities

Applications, indications, and effects of passive hydrotherapy WATSU (WaterShiatsu)—A systematic review and meta-analysis

Influência da fisioterapia aquática no controle de tronco na síndrome de pusher: estudo de caso

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