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Porto Alegre, Brazil

Franco C.R.C.,HCPA | Leao P.,Physiotherapy | Townsend R.,Federal University of Rio Grande do Sul | Rieder C.R.M.,Movement Disorders Clinic
Arquivos de Neuro-Psiquiatria | Year: 2011

Axial rigidity is an important motor manifestation in Parkinson's disease (PD). Trunk mobility impairment can cause gait, balance and postural problems. However, only few instruments analyze the trunk mobility in PD patients. The aim of this study is to present a new Trunk Mobility Scale (TMS) and its validation in PD. The TMS constituted of dynamic tests involving trunk movements in sagittal, transversal and coronal planes. Ninety eight PD patients and 31 normal controls were analyzed. A strong correlation was found between the TMS scores and the Hoehn & Yahr staging scale (r: 0.72; p<0.01), motor Unified Parkinson's Disease Rating Scale (r: 0.84; p<0.01) and Schwab and England Activities of Daily Living (r: -0.72; p<0.01). The scale showed a satisfactory reliability rate (α Cronbach: 0.85, ICC: 099). TMS is a simple and reliable instrument to evaluate trunk mobility impairment in patients with PD.

Nery R.M.,HCPA | Martini M.R.,HCPA | Vidor C.R.,UNISINOS | Mahmud M.I.,HCPA | And 3 more authors.
Brazilian Journal of Cardiovascular Surgery | Year: 2010

Objective: To check changes in the functional capacity of patients undergoing coronary artery bypass grafting (CABG) through the six-minute walk test (6MWT) in a 2- year follow-up. Methods: In this prospective cohort study in 215 patients who underwent CABG, 13 did not meet the criteria for inclusion. Of these, 202 patients were evaluated preoperatively, 13 died during hospitalization and 6 in the 2-year follow-up. Four patients were considered lost-tofollow- up. This study followed 179 patients for two years classified into active and sedentary, according to physical activity in leisure time and to the 6MWT preoperatively and 2 years later. Results: One hundred and twenty patients were evaluated in the day before CABGS, being 67% male with an average age of 63 (±9.75) years. Before surgery and 2 years later, 52 were active and the 6MWT distances performed had been 359m (±164.47) and 439m (±171.34), respectively; P= 0.016. Forty five patients were classified as sedentary before and 2 years after surgery. The 6MWT distances walked before and after surgery had been 255m (±172.15) and 376m (±210.92), respectively; P< 0.001. Eighty two patients transited between these two groups, 71 passed from sedentary to active and had walked before and after surgery 289m (±157.15) and 380m (±125.44), respectively; P= 0.001. The 11 patients who were active and passed to the sedentary group walked 221m (±191.91) and 384m (±63.73), respectively; P= 0.007. Conclusion: The functional capacity of the patients who underwent CABGS had a significant improvement in a medium-term follow-up.

Ferreira I.B.,Hospital de Clinicas de Porto Alegre HCPA | Ferreira I.B.,Federal University of Rio Grande do Sul | Paiva C.B.,Hospital de Clinicas de Porto Alegre HCPA | Narvaez J.C.M.,HCPA | Bosa V.L.,Federal University of Rio Grande do Sul
Jornal Brasileiro de Psiquiatria | Year: 2015

objective: To identify the nutritional status and dietary habits of male patients recovering from chemical dependency in an ambulatory treatment of an addition unit. Methods: Crosssectional study with 25 male patients in ambulatorial treatment for chemical dependency. Anthropometric parameters (weight, height, waist circumference and body mass index) and body composition (bioelectrical impedance) were measured and dietary habits (Food Frequency Questionnaire) were investigated. Categorical variables are shown as frequencies and percentages and continuous variables as mean and standard deviation or as median and interquartile range. results: It was found a body mass index mean of 27.73 ± 4.15 kg/m², with a prevalence of overweight in 88% of the sample. The waist circumference mean was 96.60 ± 9.84 cm and a percentual body fat mass of 23.24 ± 6.44. The sample majority [20 (80%)] refers do four or more meals a day and 72% reported an increased food intake during the period of abstinence. The preference for specific foods during the abstinence period was reported by 12 (48%) patients. Regarding the consumption of ultra-processed foods, there is a highlight daily consumption of French bread (68%), white pan bread (16%), artificial juices (48%), soft drinks (32%), high-fat cheese (36%), high-fat processed meat (36%), candy and gum (32%). Conclusion: The study reveals a high prevalence of overweight and obesity, as well as altered waist circumference, increased food intake and daily and weekly consumption of ultra-processed foods. © 2015, Editora Cientifica Nacional Ltda. All rights reserved.

Muller L.,Hospital Pequeno Principe | Caputo G.,Federal University of Rio Grande do Sul | Zago M.K.,HCPA | Gomes J.L.E.,Federal University of Rio Grande do Sul
Journal of Musculoskeletal Research | Year: 2015

Objective: To evaluate whether 60° and 90° V-shaped osteotomies in sheep femurs have statistically significant differences when submitted to compressive strength tests. Material and Methods: A total of 30 left femurs of recently slaughtered sheep were removed, the proximal segment was discarded, and the bones were randomly divided into two groups of 15 specimens each. The bones underwent distal osteotomy at the supracondylar region at a 90° angle between cuts, in group 1, and at a 60° angle in group 2. The osteotomy was V-shaped and the distal apex started in the lateral face of the femur; medial cortical bone remained intact. Compressive tests were conducted, and four points of the deformation curve were collected for the calculation of the deformation rate using an interpolation scheme. Deformation patterns were evaluated according to two groups: intercondylar fracture and medial cortical fracture. Results: Group 1 had a mean resistance to failure to compressive load of 232kgf (SD 59.551; 150-400), whereas in group 2, mean resistance to failure to compressive load was 157.13kgf (SD 67.4; 70-346); this difference was statistically significant (p=0.000619, Kruskal-Wallis). Conclusions: Osteotomy at a 90° angle had a greater resistance to compression and resulted in less weakening of the distal area of the femur after osteotomy. There were no differences in the pattern of fracture generated by compression according to osteotomy angle. © 2015 World Scientific Publishing Company.

Balbinotto R.P.,Clinics Hospital of Porto Alegre HCPA | Trindade M.R.M.,UFRS | Muller A.L.L.,HCPA | Nunes A.G.,UFRS | And 3 more authors.
Acta Cirurgica Brasileira | Year: 2010

Purpose: To verify the frequency of postsurgical pelvic adhesion formation in an experimental animal model using videolaparoscopy. Methods: Experimental study in a sample of 11 non-pregnant female rabbits, aged 5 to 7 months. After general anesthesia, access to the abdominal cavity was performed by an open puncture technique, with 10mm optics, placing two other 5 mm trochars under direct visualization, in the iliac fossae. Then a fragment of peritoneum was resected, followed by electrocauterization. In 21 days, the videolaparoscopy was repeated, and adhesion formation and score was looked at, with biopsies at the surgical site. Results: 54 % of adhesion formation was observed, and the median score of adhesions was 6 (minimum of 3 and maximum of 10), all of them found in the bladder and the anterior abdominal wall. Conclusion: The method used presents a high frequency of intra-abdominal adhesion formation.

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