Browsing by Author "Beckert, P"
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- Abordagem de fracturas expostas: a propósito de um caso clínicoPublication . Caldeira, J; Rocha, R; Lemos, P; Inácio, J; Beckert, P
- Amputação do membro inferior: que reabilitação?Publication . Pereira, I; Cadete, A; Dias, A; Vera-Cruz, C; Prates, L; Beckert, P; Coelho, A; Martinho, C; Patinha, D; Soares, MJ
- Artroplastia da tíbio-tarsica: a propósito de um caso clínicoPublication . Simas, F; Bettencourt, F; Morais, J; Vera-Cruz, C; Prates, L; Beckert, P
- Cardiac rehabilitation ( phase I ) in a community hospitalPublication . Dias, A; Fonseca, A; Vaz, Z; Ferreira, D; Beckert, P; Ferreira, R
- Cirurgia de Ambulatório: um “novo” percurso clínico para a ortopedia?Publication . Caldeira, J; Beckert, P
- Dismetria dos membros inferioresPublication . Figueiredo, M; Rocha, R; Beckert, P
- Displasia do desenvolvimento da anca: revisão da utilização do protocolo no departamento de Pediatria em RN com apresentação pélvicaPublication . Gouveia, N; Cunha, M; Beckert, P; Carreiro, H; Machado, MCIntrodução : o diagnóstico precoce da Displasia do Desenvolvimento da Anca (DDA) permite um tratamento eficaz. Quando existem factores de risco, a unificação de atitudes na prática clínica, pode ser apoiada pela aplicação de protocolos de actuação. Objectivos : verificar se, no ano 2004, foi aplicado o protocolo de detecção da DDA na apresentação pélvica. Métodos : estudo retrospectivo, com revisão dos processos dos recém-nascidos com apresentação pélvica. Variáveis estudadas: exame objectivo, ecografia das ancas e seguimento na consulta de Ortopedia. Resultados : em 4373 nados vivos, 216 (4.93%) tiveram apresentação pélvica, destes nasceram de parto distócico 192 (96.5%). O registo do exame objectivo foi feito em 183 (91.9%) recém-nascidos. Destes, realizaram ecografia das ancas 100 (54.6%) que mostrou alterações em 18, o que motivou a referenciação à consulta de Ortopedia de 8 (44.4%) recém-nascidos. Foram diagnosticados dois casos de DDA, com exame objectivo positivo e ecografia alterada. Conclusões : Apesar das falhas no protocolo, não realização de ecografia a todos os recém-nascidos, a preocupação no seguimento, é maior, quando o exame objectivo está alterado. A conjugação do exame objectivo, da ecografia e do seguimento são necessários para que não haja falhas no diagnóstico.
- Effects of lower limb strengthening on balance and function in persons who suffered a strokePublication . Fernandes, B; Batista, F; Beckert, P; Evangelista, I; Ferreira, MJ; Prates, L; Sérgio, JIntroduction - Cerebrovascular diseases, and among them, cerebral vascular accidents, are one of the main causes of morbidity and disability at European Union countries. Clinical framework resulting from these diseases include important limitations in functional ability of the these patients Postural control dysfunctions are one of the most common and devastating consequences of a stroke interfering with function and autonomy and affecting different aspects of people’s life and contributing to decrease quality of life. Neurological physiotherapy plays a central role in the recovery of movement and posture, however it is necessary to study the efficacy of techniques that physiotherapists use to treat these problems. Objectives - The aim of this study was to investigate the effects of a physiotherapy intervention program, based on oriented tasks and strengthening of the affected lower limb, on balance and functionality of individuals who have suffered a stroke. In addition our study aimed to investigate the effect of strength training of the affected lower limb on muscle tone.
- Fraturas atípicas do fémur e terapêutica com bifosfonatos: a propósito de um caso clínicoPublication . Bettencourt, F; Morais, J; Pereira, I; Beckert, P
- Knee muscle strength, balance and functional independence in persons with strokePublication . Fernandes, B; Batista, F; Beckert, P; Ivangelista, I; Ferreira, MJ; Prates, L; Sérgio, JPurpose: To investigate the relationship between knee muscle strength, balance and functional independence within the first month after stroke. Relevance: Cerebral vascular disease is one of the main causes of morbidity, disability and mortality in developed countries. Problems with movement control are frequent after stroke. Lower limb weakness and impaired balance are common problems that are related with the risk of falls and are likely to interfere with the ability to perform daily life activities. Physiotherapy intervention usually starts early after stroke and addresses impairments related to movement and posture in order to improve motor recovery and restore function. Participants: Subjects were recruited at Physiotherapy Department of Hospital Fernando Fonseca within the first month after stroke. We studied 8 patients, all males, mean age 62,5±6,2y, with unilateral stroke (7 ischemic, 1 hemorrhagic), in the middle cerebral artery territory, who were admitted to physiotherapy department. All subjects have no cognitive impairment according to Mini Mental State, no history of lower limb orthopedic problems and no other disease that could interfere with physiotherapy treatments. All subjects gave their informed consent to participate in this investigation. Methods: A test protocol was set up. Knee muscle strength (extensors and flexors) was measured on an isokinetic dynamometer. Balance and functional independence were assessed using the Berg Balance Scale (BBS) and the Modified Barthel Index (MBI) respectively. Analysis: The results were analyzed in an SPSS program version 17.0. Descriptive statistics were used to characterize the participants. A correlation analysis was performed using knee muscle strength, BBS and MBI. The significance level was set at p < 0,05. Results: Knee extensors from the affected lower limb show a deficit of 26,6% regarding knee extensors from the opposite knee. For knee flexors the deficit is 34,5%. Mean score for BBS is 29,63 ± 14,81 in a 56 point scale which indicates risk of fall. MBI mean score of 65,63 ± 17,33 indicates functional dependence. The correlation analysis demonstrates a positive correlation between BBS and MBI (Spearman correlation coefficient is 0,898 with p value = 0,002 < 0,01. These results indicate that function increase with balance. Conclusions: After stroke knee strength from the affected lower limb is impaired. It appears to be important to improve knee muscle strength from the affected lower limb to reduce weakness. In addition persons with stroke have higher risk of falls and are functionally dependent. There is evidence that balance is an important feature for functional independence in persons with stroke. Further research is needed to investigate the effect of knee muscle strength training on balance and function. Implications: These results indicate that early physiotherapy is needed after stroke. Intervention must focus on strength and balance training in order to improve stability and help persons with stroke to become functionally independent .