Browsing by Author "Prates, L"
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- 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
- 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.
- 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 .
- Neonatal Brachial Plexus Palsy: Risk Factors and Its Prognostic ValuePublication . Ataíde, S; Bettencourt, F; Cadete, A; Prates, LIntroduction: Neonatal brachial plexus palsy affects 0.7 to 5.8 per 1,000 newborns and is characterised by upper limb paresis detected in the immediate neonatal period. Shoulder dystocia, instrumental delivery and foetal macrosomia are well-known risk factors. Most neonatal brachial plexus palsy evolve favourably, while 3%-27% of newborns have sequelae. Methods: A retrospective cross-sectional study was conducted to characterise neonatal brachial plexus palsy in the newborn population of a hospital with differentiated perinatal support and to assess the rela - tionship between the risk factors and lesion prognosis. The authors reviewed the newborn medical records referred to the physical medicine and rehabilitation clinic between January 2006 and December 2016. Results: During the study period, 137 cases of neo- natal brachial plexus palsy were identified in 36,833 births, which translate into an incidence of 3.7/1,000 live births. Foetal macrosomia was found in 41% and shoulder dystocia in 40%. According to the Narakas clas- sification, 58% were included in group I, 30% in group II, 9% in group III and 3% in group IV. The majority of patients were discharged without sequelae. Newborns with group II, III and IV lesions as well as macrosomic newborns were more likely to develop sequelae (p < 0.05). Shoulder dystocia and operative delivery did not present a statistically significant relationship with the prognosis of the lesion. Discussion: The incidence of neonatal brachial plexus palsy in this population was similar to is described in other series. The relationship between macrosomia and neonatal brachial plexus palsy with sequelae found may be of importance in the attempt to prevent this lesion
- Ortóteses de tronco em doença neoplásicaPublication . Ladeira, A; Ribeiro, I; Ataíde, S; Portugal, D; Dantas, B; Dias, A; Prates, L
- Percurso do doente com neoplasia da mama operadaPublication . Prates, L; Martinho, C; Sequeira, M; Vaz, Z; Dias, A; Pereira, I; Vera-Cruz, C; Cadete, A; Barreiros, J; Beckert, P
- Percurso do doente submetido a artroplastia total da anca: a intervenção da reabilitaçãoPublication . Bettencourt, F; Simas, F; Morais, J; Vera-Cruz, C; Prates, L; Cardoso, A; Madeira, MR; Alves, G
- Percurso hospitalar: fratura da extremidade proximal do fémurPublication . Ladeira, A; Bettencourt, F; Ribeiro, I; Pimenta, J; Madeira, R; Cardoso, A; Alves, G; Vera-Cruz, C; Prates, L
- Programa educativo pré-alta: impacto de um programa educativo para doentes após AVC e cuidadores informais no momento da alta hospitalar: estudo exploratórioPublication . Damião, L; Baptista, F; Pereira, C; Alves, A; Silva, A; Carvalho, A; Vera-Cruz, C; Patinha, B; Pires, F; Prates, L; Ferreira, M; Silva, V