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Search Results: 1 - 10 of 187021 matches for " Arméle Dornelas de; "
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The Valsalva maneuver duration during labor expulsive stage: repercussions on the maternal and neonatal birth condition
Lemos, Andrea;Dean, Elizabeth;Andrade, Armèle Dornelas de;
Brazilian Journal of Physical Therapy , 2011, DOI: 10.1590/S1413-35552011000100012
Abstract: objectives: this cross-sectional study was designed to examine the effects of the valsalva maneuver (vm) and its duration on the acid- base equilibrium of the neonate and its maternal repercussions during the expulsive stage of labor, after standard breathing and pushing instructions were given. methods: a convenience sample of women with low risk pregnancy (n=33; mean age 22.5±3.7y and gestational age 38.1±1.12wks) and their newborns were studied during the expulsive stage of vaginal labor. coaching consisted of standard recommendations for breathing including prolonged vms coordinated with pushing. maternal outcomes included the need for uterus fundal pressure maneuver and episiotomy, perineal trauma and posture. neonatal outcomes included blood gases sampled from the umbilical cord, and apgar scores. data were analyzed with the fisher's exact test, chi-square test, and pearson correlation coefficient. results: none of the maternal outcomes were associated with vm duration. with respect to neonatal outcomes, increased vm duration was associated with reduced venous umbilical ph (r=-0.40; p=0.020), venous base excess (r=-0.42; p=0.014) and with arterial base excess (r=-0.36; p=0.043). expulsive stage time was negatively associated with umbilical venous and arterial ph. conclusions: vm duration during fetal expulsion in labor negatively affects fetal acid-base equilibrium and potentially the wellbeing of the neonate. our results support the need to consider respiratory strategies during labor, to minimize potential risk to the mother and neonate.
Unindo for as seremos fortes! Associa o Brasileira de Pesquisa e Pós-Gradua o em Fisioterapia By joining forces, we will be strong! Brazilian Association for Research and Graduate Studies in Physical Therapy
Armèle F. Dornelas de Andrade,Raquel Rodrigues Britto
Brazilian Journal of Physical Therapy , 2008, DOI: 10.1590/s1413-35552008000600001
Abstract:
Editorial
Armèle Dornelas de Andrade,Raquel Rodrigues Britto
Fisioterapia e Pesquisa , 2008, DOI: 10.1590/s1809-29502008000400001
Abstract:
Abdominal muscle electrical activity during labor expulsive stage: a cross-sectional study Atividade elétrica muscular abdominal durante os esfor os expulsivos do parto: um estudo transversal
Belisa D. R. Oliveira,Armèle Dornelas de Andrade,Andréa Lemos,Vitor C. Brito
Brazilian Journal of Physical Therapy , 2011,
Abstract: BACKGROUND: During the second stage of labor, the progression of the fetal expulsion depends on many factors related to maternal and fetal parameters, including the voluntary abdominal pushing. OBJECTIVES: This study aimed to correlate the maternal and fetal parameters that may influence the voluntary maternal pushes during the second stage of labor by using surface electromyography. METHODS: The electromyographic activity of the rectus abdominis and external oblique muscles were measured during the second stage of labor in 24 Brazilian pregnant women. The diastasis of the rectus abdominis, the body mass index and the uterine fundal height were analyzed as maternal parameters and the fetal weight, cephalic circumference, APGAR scores and arterial pH and CO2 were analyzed as fetal parameters. The oxytocin usage and the expulsive phase duration were considered. RESULTS: A negative correlation between the rectus abdominis diastasis and the rectus abdomini muscle electromyographic parameters was found (r=-0.407 p=0.04). No statistically significant correlations were found among the rectus abdominis and external oblique muscles electromyography and the other maternal or fetal parameters, as well as among expulsive phase duration and the oxytocin usage. CONCLUSIONS: This study suggests that the rectus abdominis diastasis may be an influential parameter in generating voluntary pushes during the second stage of labor, however it cannot be considered the only necessary parameter for a successful labor. CONTEXTUALIZA O: Durante o segundo estágio do parto, a progress o da expuls o fetal depende de vários fatores ligados a parametros maternos e fetais, dentre eles, o esfor o abdominal voluntário. OBJETIVOS: Correlacionar os parametros maternos e fetais que podem influenciar os esfor os voluntários durante a fase do segundo estágio do parto por meio da eletromiografia de superfície. MéTODOS: As atividades eletromiográficas dos músculos retoabdominal e oblíquo externo foram medidas durante o segundo estágio do parto em 24 gestantes. A diástase do músculo retoabdominal, o índice de massa corpórea e a altura de fundo de útero foram analisados como parametros maternos, e o peso fetal, o perímetro cefálico, os índices de Apgar e o pH e pCO2 arterial foram analisados como parametros fetais. O uso de ocitocina e o tempo do período expulsivo foram considerados. RESULTADOS: Encontrou-se uma correla o negativa entre a diástase umbilical e os parametros eletromiográficos do músculo retoabdominal (p=0,04; r=-0,407). N o se encontrou correla o significativa entre a eletromiog
Posicionamento corporal alterando a for?a muscular respiratória e o grau de obstru??o em crian?as asmáticas
Silva, Kamary Coriolano Lins da;Andrade, Tibério Cesar Queiroz de;Pessoa, Maíra Florentino;Andrade, Armèle Dornelas de;
Fisioterapia em Movimento , 2012, DOI: 10.1590/S0103-51502012000300009
Abstract: introduction: asthma is a chronic inflammatory disorder which in severe cases changes the air flow, even in the period between episodes. objective: to evaluate, in asthmatic children under the effect of nebulized drug, the influence of upright sitting and leaning forward sitting postures, by assessing the intensity of the inspiratory and expiratory pressures (mip and mep) and peak expiratory flow (pef). methods: 57 children aged 6-12 years were divided in three groups: in group i, both postures, upright sitting and leaning forward sitting, were assessed without using nebulized drug; in group ii, only the upright sitting posture was assessed before and after nebulization; in group iii, only the leaning forward sitting posture was assessed before and after nebulization. the measures were repeated by assessing these children three times in a single session. a student t-test (pared) was used for comparisons. results: mip, mep and pef were higher in the leaning forward position indicating respective p values of p = 0.003, p = 0.006 and p = 0.000. after nebulization, the group ii demonstrated an increase of 44.16% in mip, 36.02% in pef and 34.88% in mep. after nebulization, the group iii showed a gain of 69.46% in mip, 60.87 in mep and 52.05% in pef. the difference between groups ii and iii were significant (p < 0.05) for levels of pef and mep, indicating that the group iii showed better performance during these tests. conclusion: it can be suggested that the leaning forward sitting posture provided an increased mechanical advantage for expiratory muscles, favoring the airflow during expiration and reducing the obstruction as evidenced by mep and pef increase.
Confiabilidade do teste da caminhada de seis minutos em pacientes com miastenia gravis generalizada
Resqueti, Vanessa Regiane;Oliveira, Georges Willeneuwe de Sousa;Dourado Junior, Mario Emilio;Andrade, Armèle Dornelas de;Casan, Pere;Fregonezi, Guilherme Augusto de Freitas;
Fisioterapia e Pesquisa , 2009, DOI: 10.1590/S1809-29502009000300006
Abstract: the purpose of this study was to assess the reliability of the six minutes walking test (6mwt) as a functional capacity test for patients with generalized myasthenia gravis (mg). eleven patients with generalized mg (5 men, six women), aged 55±9 years, were first assessed as to pulmonary function and then submitted to three 6mwt in different days. heart rate and oxygen saturation were measured (by means of portable oxymeter) during, and dyspnea (by the borg scale) and distance walked were measured after, each test. at the three tests distances walked were 498 m, 517 m and 520 m (respectively 99%, 103%, and 104% of predicted values). mean heart rate, oxygen saturation, and dyspnea values showed constant behaviour through the three tests. a high relative reliability was found between the tests, with interclass coefficient correlation over 0.90 (6mwt1-6mwt2, 0.960; 6mwt1-6mwt3, 0.945; and 6mwt2-6mwt3, 0.970); absolute reliability of 4%, 3.5% and 4.8%, as well as good repeatability of 11%, 9.8% and 13.4% were found for respectively the first, second, and third tests. upper and lower agreement limits, as well as bias mean values by the bland-altman test show clinically acceptability. it may hence be said that the 6mwt proved safe, reliable and reproducible, and may be used for exercise tolerance assessment and follow up of patients with generalized myasthenia gravis.
Repercuss?es da cardiomegalia na fun??o pulmonar de indivíduos adultos com insuficiência cardíaca cr?nica: uma revis?o sistemática
Silva, Jo?o Danyell Dantas da;Lima, Catarina Souza Ferreira Rattes;Reinaux, Cyda Maria Albuquerque;Brand?o, Daniella Cunha;Andrade, Armèle Dornelas de;
Fisioterapia e Pesquisa , 2011, DOI: 10.1590/S1809-29502011000100015
Abstract: to analyze the repercussions of the cardiomegaly on lung function in adults with chronic heart failure (chf), the databases pubmed, bireme, isi web of knowledge and cochrane were considered to review observational studies published in the last decade without language restriction. it was used the descriptors "cardiomegaly" and "respiratory function tests", and denied "exercise". it was included papers with chf, of both sexes between 19 and 64 years accepting samples with congestive hf and dilated cardiomyopathy and excluding with acute heart failure, post-intervention assessment clinic or by exercise. the quality of papers was evaluated by using the scale of agency for healthcare research and quality (ahrq) and accepted papers with score>50 points (0-100). we selected 5 studies from total of 1093 and grouped by parameters related to flows and lung volumes, respiratory pattern and muscle performance. at ahrq, two studies were in the range of 50-75% and the others>75%. these studies showed lower inspiratory vital capacity (ivc), forced expiratory volume in 1st second (fev1) and maximal inspiratory pressure (pimáx) as a function of cardiomegaly, with a slight reduction in the ratio vef1/ivc and diffusion capacity for carbon monoxide (dlco). therefore, the studies suggest that the cardiomegaly leads to a restrictive lung pattern, with reduction in alveolar volume that interferes with dlco. the strongest correlations involve the reduction of pimáx, ivc and fev1 in this population.
Abdominal muscle electrical activity during labor expulsive stage: a cross-sectional study
Oliveira, Belisa D. R.;Andrade, Armèle Dornelas de;Lemos, Andréa;Brito, Vitor C.;Pedrosa, Manuela L.;Silva, Thayse N. S.;
Brazilian Journal of Physical Therapy , 2011, DOI: 10.1590/S1413-35552011005000029
Abstract: background: during the second stage of labor, the progression of the fetal expulsion depends on many factors related to maternal and fetal parameters, including the voluntary abdominal pushing. objectives: this study aimed to correlate the maternal and fetal parameters that may influence the voluntary maternal pushes during the second stage of labor by using surface electromyography. methods: the electromyographic activity of the rectus abdominis and external oblique muscles were measured during the second stage of labor in 24 brazilian pregnant women. the diastasis of the rectus abdominis, the body mass index and the uterine fundal height were analyzed as maternal parameters and the fetal weight, cephalic circumference, apgar scores and arterial ph and co2 were analyzed as fetal parameters. the oxytocin usage and the expulsive phase duration were considered. results: a negative correlation between the rectus abdominis diastasis and the rectus abdomini muscle electromyographic parameters was found (r=-0.407 p=0.04). no statistically significant correlations were found among the rectus abdominis and external oblique muscles electromyography and the other maternal or fetal parameters, as well as among expulsive phase duration and the oxytocin usage. conclusions: this study suggests that the rectus abdominis diastasis may be an influential parameter in generating voluntary pushes during the second stage of labor, however it cannot be considered the only necessary parameter for a successful labor.
Influência da varia??o dos decúbitos laterais na deposi??o pulmonar de aerossol
Alcoforado, Luciana;Pess?a Filho, Luiz C.;Brand?o, Daniella C.;Galv?o, André M.;Reinaux, Cyda M. A.;Andrade, Armèle Dornelas de;
Brazilian Journal of Physical Therapy , 2011, DOI: 10.1590/S1413-35552011000400004
Abstract: background: the lateral decubitus position leads to the greatest changes in regional pulmonary ventilation and is used in respiratory physical therapy routines. objectives: to evaluate the influence of the lateral decubitus position on the pulmonary deposition of inhaled radioaerosol particles in young people and report the effects of the decubitus position on routine therapy. methods: eight healthy male volunteers, mean age 23.6±2.5 years, were included in a randomized study in two phases. in the first phase, aerosol was inhaled for nine minutes in a randomly-selected lateral decubitus position and after an interval of 5 to 7 days, the second phase was conducted. pulmonary scintigraphy was carried out by inhalation of 25 mci of 99mtc-dtpa. following inhalation, images were acquired with scintillation cameras and regions of interest (roi) were investigated in the longitudinal and cross-sectional divisions of the lungs. statistical analysis included a paired student's t-test with a significance level of p<0.05. results: inhalation in the right lateral decubitus position presented higher counts (p<0.04) in posterior roi of the right lung than in the posterior roi of the left lung. in the left lateral decubitus position, the count was higher in the left lung (p<0.02) than in the posterior roi of the right lung. conclusions: the deposition of aerosol particles during inhalation was position-dependent in the two phases of the study, which confirms the validity of technical and therapeutic resources based on the physiology of position-dependent ventilation and suggests that body positioning can be used to advantage in routine therapy.
Influência dos corticosteroides inalatórios nas press?es respiratórias máximas de crian?as escolares asmáticas
Andrade, Tibério César Queiroz de;Feitosa, Larissa Andrade de Sá;Carvalho, Larissa de Andrade;Marinho, Patrícia érika de Melo;Andrade, Armèle de Fátima Dornelas de;
Fisioterapia em Movimento , 2012, DOI: 10.1590/S0103-51502012000100007
Abstract: introduction: the inhaled corticosteroid (ic) is the mean therapy used for the preventive and maintenance treatment of asthma. overdose or prolonged use of ic can cause some collateral effects as remission in bone growth, adrenal suppression and myopathy. objectives: to evaluate the influence of inhaled corticosteroids in the inspiratory and expiratory strength in asthmatic school children. materials and methods: a cross-sectional, observational study, that included 60 children between 6 to 12 years divided into three groups: control (cg), asthma (ag) and children whose used ic for at least three months (ag+ic). the maximal inspiratory pressure (mip) and maximal expiratory pressure (mep) were measured in 3 different days with 12 days between them. results: the mean ± sd of mip in the third day was - (65.4 ± 21.9), - (74.9 ± 19.5) and - (80.7 ± 21.5) cmh2o to the ag, ag+ic and cg, respectively. the mip in the ag was lesser than in the cg (p < 0.05). the mean ± sd of mep in the third day was 52.7 ± 14.8; 61.7 ± 17.4; and 75.6 ± 18.4 cmh2o to the ag, ag+ic and cg, respectively. the mep was superior in the cg than in the ag (p < 0.05). the mep was superior in the cg than the ag+ci (p < 0.05). conclusions:the results suggest that ic promotes a major control of pulmonary hiperinflation with the increase of mip in asthmatic children, but decrease the mep probably by the effect in the type ii muscles fibers.
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