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Search Results: 1 - 10 of 11184 matches for " Mara Regina Knorst "
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Incontinência urinária e obesidade Urinary incontinency and obesity
Mara Regina Knorst,Denizar Alberto da Silva Melo
Ciência & Saúde , 2011,
Abstract:
Necessidades fisioterapêuticas de idosos em atendimento ambulatorial
Mara Regina Knorst,Milena Abreu Tavares de Sousa,?ngelo Jose Gon?alves Bós
Revista Brasileira de Ciências do Envelhecimento Humano , 2010,
Abstract: O envelhecimento populacional tem aumentado a prevalência de doen as cr nicas e incapacitantes, as quais levam à limita o funcional, diminuindo a autonomia e a qualidade de vida dos idosos. Limita es funcionais causam dependência para o desempenho de tarefas, ou seja, atividades de vida diária (AVD) e atividades instrumentais de vida diária (AIVD). A aten o ambulatorial tem aumentado para com os idosos, em vista da demanda por servi os ambulatoriais de reabilita o geriá trica, na qual o fisioterapeuta tem um papel relevante. Este estudo busca conhecer as principais demandas de atendimento fisioterapêutico em ambulatório geriátrico, propondo a estrutura ideal mínima desse servi o. Em um estudo transversal, descritivo e analítico, pacientes de um ambulatório de geriatria com sessenta anos ou mais, de ambos os sexos, foram convidados a participar da pesquisa. Os voluntários foram inquiridos sobre as AVD e AIVD e tiveram avaliadas as fun es de equilíbrio, flexibilidade articular e fun o muscular. A presen a de doen as, estado mental e depress o foi coletada por consulta ao prontuário médico. Os 55 idosos participantes tinham indica o de acompanhamento fisioterapêutico. Demência e gota foram significativas para perda de AVD e AIVD. Verificou-se também perda significativa para AIVD entre idosos com osteoartrose. Entre as técnicas fisioterapêuticas, a mais indicada foi a cinesioterapia motora, que inclui exercícios ativos passivos, resistidos e caminhada orientada. Conclui-se que as doen as cr nicas est o associadas à dependência física e que o fisioterapeuta tem um papel importante na reabilita o funcional do idoso ambulatorial. Faz-se necessária a cria o de espa o físico dentro de um servi o ambulatorial contendo equipamentos específicos da fisioterapia.
Physiotherapy in brest cancer: life quality and function clinical evolution Fisioterapia em oncologia mamária: qualidade de vida e evolu o clínico funcional
Gabriela Tomedi Leites,Mara Regina Knorst,Caroline Helena Lazzarotto de Lima,Felipe Pereira Zerwes
Ciência & Saúde , 2010,
Abstract: Purpose: to assess physiotherapy intervention impact on quality of life and functional evolution of women who underwent clinical treatment of breast cancer. Methods: almost-experimental study of the type before and after, carried out from March to June of 2009. We have included 10 patients subjected to surgical treatment of breast cancer and who underwent adjuvant treatment. We performed functional evaluation and a quality life questionnaire application, and a intervention protocol proposal with stretching and exercises training since resistance, strength and resistance strength by 8 weeks, supervised by the physiotherapist and home orientation. Results: the proposal with the protocol early implementation with exercises for the comorbidities prevention related to breast cancer treatment helped in clinical and functional parameters improvement. There was no quality of life decline even with the systemic treatment. There was parameters improvement related to satisfaction with health, the ability to daily activities perform, ability to work satisfaction and satisfaction with themselves. Conclusion: the physical therapy must start early and this protocol promoted quality of life maintenance and improved functional capacity of these women. Objetivo: Avaliar a influência da interven o fisioterapêutica na qualidade de vida e na evolu o clínico funcional de mulheres submetidas ao tratamento do cancer de mama. Materiais e Métodos: Estudo quase-experimental do tipo antes e depois, composto por treinamento de for a e flexibilidade, em 10 mulheres submetidas a tratamentos cirúrgico e adjuvante, com dura o de oito semanas. Para avalia o da qualidade de vida utilizou-se o questionário WHOQOL-bref. A avalia o clínico funcional foi composta por avalia o: da amplitude de movimento (ADM) de ombro mensurada por meio de goniometria; da for a muscular de flex o, extens o e abdu o de ombro avaliada com uma repeti o máxima; da dor ao repouso e ao movimento; da sensibilidade; e de edema através da perimetria. Resultados: N o houve varia o percentual nas respostas do questionário de qualidade de vida. Na avalia o inicial, as pacientes tinham for a muscular e ADM menor no membro superior homolateral à cirurgia e ao final n o foi encontrada essa diferen a, ocorrendo ganho de for a e ADM em ambos os membros. No teste de sensibilidade foi relatado paresia na regi o cirúrgica e n o houve melhora. Após o tratamento houve diminui o de 40% no relato dor forte ao movimentar o bra o e na avalia o da dor ao repouso inicialmente 50% referiram dor forte e, após, todas dor fraca.
Influence of the type of delivery on the outcome of urinary incontinence physical therapy treatment Influência do tipo de parto no resultado do tratamento fisioterapêutico na incontinência urinária
Mara Regina Knorst,Flávia Elize Lisot,Larissa Lovatel Zollner,Maria Cristina Barbosa
Ciência & Saúde , 2012,
Abstract: Objectives: To analyze the influence of the type of delivery on the pelvic floor muscle strength (PFMS) of women with urinary incontinence (UI), before and after physical therapy intervention and the relationship between the different types of UI and type of delivery. Materials and Methods: In this nonrandomized, uncontrolled clinical trial, 46 women (35 to 78 years) with a medical diagnosis of UI (stress – SUI, mixed – MUI, urgency – UUI), who did not undergo gynecological surgery were included. The voluntaries were evaluated (perineometry and bidigital test) and undertook a conservative treatment consisting of pelvic floor exercise and transvaginal electrical stimulation. Results: The mean age was 53.6±10.5 years. Half the voluntaries had MUI, 39.1% had SUI and 10.9% UUI. After treatment, the women who had had normal delivery presented a significant increase in the PFMS, both measured by the perineometer (p=0.031; paired Student′s T test) and by the bidigital test (p≤0.05; Wilcoxon’s Test), while the women who had cesarean section or both types of delivery did not present a significant gain. The relationship between the type of delivery and types of UI did not present a significant difference. Over 80% of the women that had normal delivery or cesarean section were continent or satisfied after the treatment. Conclusion: The voluntaries that had normal delivery presented the greatest gains in the PFMS. Notwithstanding, the type of delivery did not influence the results of the physical therapy intervention regarding urinary continence, since the majority of the women treated reported being continent or satisfied with the treatment. Objetivos: Analisar a influência do tipo de parto na for a muscular do assoalho pélvico (FMAP) de mulheres com incontinência urinária (IU), antes e depois de interven o fisioterapêutica e determinar a rela o entre os tipos de IU e tipos de parto. Materiais e Métodos: Neste ensaio clínico, de bra o único e n o controlado foram incluídas 46 mulheres (35 a 78 anos) com diagnóstico médico de IU (de esfor o – IUE, de urgência – IUU ou mista – IUM), que n o realizaram cirurgia ginecológica. As voluntárias foram avaliadas e submetidas a tratamento conservador, constituído de exercícios perineais e eletroestimula o transvaginal. Resultados: A média de idade foi de 53,6±10,5 anos. Metade das voluntárias apresentou IUM, 39,1% apresentaram IUE e 10,9% IUU. Após o tratamento, as mulheres que realizaram parto normal apresentaram aumento significativo da FMAP, tanto mensurada pelo perine metro (p=0,031; teste t student para amostras pare
Clinical profile, quality of life and depressive symptoms of women with urinary incontince attending a university hospital
Knorst, Mara R.;Resende, Thais L.;Goldim, José R.;
Brazilian Journal of Physical Therapy , 2011, DOI: 10.1590/S1413-35552011000200005
Abstract: objectives: to describe the characteristics of urinary incontinence (ui) and to evaluate its impact on health-related quality of life (qol) and depressive symptoms in women referred for physical therapy at a university hospital. methods: a descriptive cross-sectional study with demographic data collection related to ui. all women were evaluated through examination and also through depression and qol questionnaires. results: forty-eight women were evaluated (53.8±10.9 years), 47.9% with mixed ui (mui), 39.6% with stress ui (sui) and 12.5% with urge ui (uui). in 50% of the cases the urinary loss lasted between 3.3 and 10 years. there was no significant difference in the pelvic floor muscle strength among the different types of ui (p>0.05). depressive symptoms were detected in 37% of the women. changes in the qol were observed in all three groups of women with ui. according to the king's health questionnaire (khq), women with mui presented more compromised health perception and greater physical, social, daily activity and personal relationship limitations (p<0.05). the women with mui presented a worse health perception (p<0.05) according to the whoqol-bref. conclusion: depressive symptoms were detected in more than a third of the women whose quality of life was adversely affected and the greatest impact was observed in the patients with mui.
Interven??o fisioterapêutica em mulheres com incontinência urinária associada ao prolapso de órg?o pélvico
Knorst, Mara R.;Cavazzotto, Karilena;Henrique, Magali;Resende, Thais L.;
Brazilian Journal of Physical Therapy , 2012, DOI: 10.1590/S1413-35552012000200004
Abstract: background: urinary incontinence (ui) is a prevalent condition that affects women of all ages. pelvic organ prolapse in conjunction with ui is a common occurrence. objective: to assess the effect of pelvic prolapse on the outcome of physical therapy treatment for women with ui. methods: the study included 48 women aged between 35 and 78 years who underwent anamnesis and measurement of pelvic floor strength (bi-digital test and perineometry). the physical therapy intervention consisted of transvaginal electrical stimulation and pelvic floor exercise for up to 15 weekly sessions. results: the majority of the women had normal delivery and 2.6±1.5 children (range=0-7). pelvic prolapse was observed in 72.4% of the women who had normal delivery, in 100% of those who had cesarean section, and in 77.8% of those who had both normal and cesarean deliveries. 48% of the women had mixed ui, 39.5% had stress ui, and 12.5% had urge ui. the duration of symptoms varied from 2 to 28 years (7.9±5.3). in the participants with and without prolapse, a significant difference was observed in the pre- and post-treatment comparisons for the pelvic floor muscles. the pre- and post-treatment perineometry showed a significant increase only in the women with prolapse (p=0.048). 87.5% of the participants became continent. conclusions: the physical therapy treatment was effective in treating and/or curing the symptoms of ui, whether or not associated with pelvic prolapse, regardless of the clinical type of incontinence.
Implica??es ético-epistemológicas da negocia??o nos processos de avalia??o institucional participativa
Sordi, Mara Regina Lemes De;
Educa??o & Sociedade , 2012, DOI: 10.1590/S0101-73302012000200009
Abstract: this paper discusses the importance of alternative models of regulation of the quality of public schools in response to the purposeful evaluation models focused on student achievement on standardized tests. given the paucity of studies on public policy implementation becomes the experience of a municipal school system as a reference for the analysis of the strengths and vulnerabilities of the evaluation process implemented taking as participatory institutional focus on the negotiation meetings between the managers of the central and the actors of the schools. the aim is to identify concepts of quality and assessment governing the negotiation process and the consequences for decision making. it is observed that the actors tend to enhance the understanding of his role in negotiating and there is evidence of expanding the role and involvement of players from schools with the logic evaluation of the model with the continuity of the process.
Comiss?o própria de avalia??o (cpa): similaridades e dessemelhan?as no uso da estratégia na educa??o superior e em escolas do ensino fundamental
De Sordi, Mara Regina Lemes;
Avalia??o: Revista da Avalia??o da Educa??o Superior (Campinas) , 2011, DOI: 10.1590/S1414-40772011000300006
Abstract: the study aims to think about the meaning of the self evaluation commissions created as a strategy that permits institutional self- evaluation processes in higher education. it aims to establish comparisons from a rereading of the model used by sinaes in brazil higher education. the results confirm the importance of the self evaluation commissions as an instance that promotes the meeting of the social actors in collective spaces to search for the improvement of learning quality in an organized and plural form. the advantages of the use of such commissions in fundamental school education are appointed by the proximity of the self evaluation processes of the internal and external actors related to the school.
Editorial
Mara Regina Santos da Silva
Texto & Contexto - Enfermagem , 2005,
Abstract:
Are There Places for Negotiation in Politics Regulation of Public School Quality?
Mara Regina Lemes de Sordi
Educa??o : Teoria e Prática , 2010,
Abstract: Describe the project of institutional Evaluation developed in municipal district educationemphasizing the guiding principles of the propose that values the local school actorsstrengthening for participate in the negotiation for a public school whose conception ofq u a l i t y i s s o c i a l l y r e l e v a n t . B y t h e a c t o r s v o i c e s e n g a g e d i n t h e p r o c e s s o fimplementation, the challenges, the capabilities and the vulnerabilities of the proposeare emphasized. Can be conclude that the institutional evaluation in elementary schoolsis an area under construction and needs a politic provision to try alternative modelswhere the regulation can occurs in a negotiated and participatory way.
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