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- Adaptação cultural e validação da versão portuguesa do Living with Asthma Questionnaire (LWAQ)Publication . Gonçalves, Rui Soles; Cavalheiro, Luís; Gil, João; Rodrigues, Abel; Coutinho, António; Henriques, Gonçalo; Ferreira, PedroObjetivo: Traduzir e adaptar culturalmente o Living with Asthma Questionnaire (LWAQ) para a língua Portuguesa e testar a sua fiabilidade e validade. Métodos: A versão Portuguesa desta medida de qualidade de vida relacionada com a saúde, específica de doença, foi obtida através de traduções e retroversões, painéis de consenso e pré-teste. A versão Portuguesa dos questionários LWAQ e Medical Outcomes Study - 36 item Short Form (SF-36), e um formulário das características dos doentes foram administrados a 61 asmáticos. Resultados: A fiabilidade das pontuações do LWAQ foi considerada boa com coeficientes alfa de Cronbach a variarem entre 0.70 e 0.97 [com exceção do constructo “preocupações” (0.62), e dos domínios “sono” (0.67) e “efeitos nos outros” (0.47)] e coeficientes de correlação intraclasse entre 0.86 e 0.99. A validade de construção foi suportada pela confirmação de hipóteses pré-definidas envolvendo as correlações esperadas entre os constructos, domínio e pontuação total do LWAQ, e as dimensões do SF-36 com conceitos semelhantes. Conclusão: A versão Portuguesa do LWAQ apresentou características psicométricas adequadas em termos de coerência interna, reprodutibilidade e validade de construção.
- Results from a home based exercise protocol to elderly people with osteoarthritisPublication . Pinheira, Vítor; Gonçalves, Bárbara; Pereira, Sara; Rodrigues, Abel; Gonçalves, Rui SolesIntroduction: Osteoarthritis is one of the most commom problems in elderly populations and the most commom cause of disability. Knee is one of the most affected joint and the loss of range of motion and function will limit daily activities and the mobility. Self-management programs with exercises performed at home may be a useful therapy. These programs are based on the quadriceps strengthening exercises, low aerobic strength in order to improve the functional state, pain and aerobic capacity. Objectives: Evaluate the effectiveness of an exercise protocol performed at home on improving the functionality, mobility and health related quality of life of elderly people with knee osteoarthritis. Materials and Methods: Exploratory, descriptive and longitudinal study. 44 subjects have been selected according to the inclusion criteria (age ¡Ý 65 years with symptoms of knee osteoarthritis) and exclusion (inability to perform gait, hip osteoarthritis and prosthetics hip or knee). The subjects made an initial assessment (T0) before beginning the protocol (applied during 8 weeks, daily, in the summer of 2013) performed at home and meeting occasionally in groups, with the researcher, to correct the learned exercises, clarify questions and add some exercises or progressions. After the 8 weeks was applied an new assessment (T1) and the follow-up is taken in T2 and T3, (respectively, at 3 and 6 months later). In the assessment was used the Knee Injury and Osteoarthritis Outcome Score (KOOS), the Timed Up and Go Test (TUG) and the SF-12. Data from changes in daily routine of the subjects are also collected. The protocol was applied by two physical therapists. Results: Between T0 and T1 the subjects present better results in the analyzed variables. Between T1 and T2, these improvement appear be related with the maintenance of the protocol. Conclusion: An home based exercise protocol to elderly people with osteoarthritis revealed results in mobility. The maintenance of the results is related with the continuity of the protocol and with changes in the daily activities.
- Influence of stretching program in factory workers, prevalence of musculoskeletal symptomsPublication . Rodrigues, Abel; Mendes, A.; Gonçalves, Rui SolesIntroduction: Musculoskeletal injuries have become a major health problem in the industrialized world. Objective: Evaluate the prevalence of musculoskeletal symptoms in factory workers and compare the ability to work comparatively to subjects with and without symptoms prevalence. Evaluate the influence of a self-static stretches program in the prevalence of symptoms in the last 7 days, pain intensity and ability to work. Methods: The sample consisted of factory workers at two factories in the Castelo Branco district. At T0 the Nordic Musculoskeletal Questionnaire (NMQ) for the survey of musculoskeletal symptoms was applied, and to assess the ability to work and physical activity level were applied the Work Ability Index (WAI) and the International Physical Activity Questionnaire (IPAQ), respectively. Subsequently, the workers of factory A were divided into a control group (CG) and experimental group (EG), the latter being subjected to a program of self-static stretches. At T1 were again applied the NMQ and WAI, in both groups. Results: In factory A (n=131) there was a high prevalence of symptoms at the upper limbs, and in B (n=50) at the level of the lower limbs and lower back. Individuals with occurrence of symptoms present greater hour load, service time and Body Mass Index (BMI), and more/less time sitting. Workers with prevalence of symptoms have a lower WAI, and there was a negative association between pain intensity and WAI. In EG there was found, between T0 and T1, a significant decrease in the intensity of lower back pain (p=0.011). Conclusions: The results show the need for urgent intervention in industry, mainly directed to the most prevailing body regions. Some mentioned factors should be reduced, but the results do not indicate causality. The results of the program of self-static stretches were not in favor of the hypotheses, therefore more research is needed to confirm these results.