Przeglądanie według Autor "Bertolini, Gladson Ricardo Flor"

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Characterization of SUS-treated amputees at the Itanhaém Municipal Rehabilitation Center from 2012 to 2020
(Publishing Office of the University of Rzeszow, 2023-12) Artioli, Dérrick Patrick; Bertolini, Gladson Ricardo Flor
Introduction and aim. Analyzing the factors related to amputations and understanding which factors are changeable can assist in the development of public policies for the prevention and education of the population. Objective: To describe the main etiological characteristics and symptoms after amputation in the Unified Health System (Sistema Único de Saúde – SUS) patients in order to contribute to the information for treatment planning by the multiprofessional team for these patients. Material and methods. Retrospective study from 2012 to 2020, evaluating data from all amputation cases seen at the Itanhaém Municipal Rehabilitation Service, SP. Results. 76 cases were studied, mostly middle-aged men, Caucasian, smokers, hypertensive, type II diabetics, some with dyslipdemia, cardiopathies, and the main cause of amputation was infection after wound. Conclusion. The population needs to be warned about the risk of amputation due to infected wounds in patients with difficulty in controlling their comorbidities. Patients who have undergone amputation, should be oriented towards an early utilization of rehabilitation services, and municipalities should prepare their medical and rehabilitation professionals for the treatment of characteristic symptoms that amputees report and prosthetization.
Evaluation of the dose-response for electrostimulation with Aussie current in the core strength
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2020) Bonito Lopes, Andressa; Espindola Amboni, Dhebora; Macedo Schmidel, Marilis; Junges Maciel, Miriélly; de Carvalho, Alberito Rodrigo; Bertolini, Gladson Ricardo Flor
Introduction. Muscle strengthening to improve joint stability is widely used in the rehabilitation process, and the use of neuromuscular electrical stimulation is a useful tool, but the use of Aussie current still has little documentation about its effectiveness. Aim. To verify if there is a dose-response effect to Aussie current, both in the strength and in the static and dynamic stability of the deep pelvic lumbar muscles. Material and methods. 39 volunteers divided into four groups, one control and three electrostimulation with intensity variation, one with intensity at the contraction threshold (GT), another with intensity maintained at 20% more (G20), and another with intensity maintained at 30% more (G30) than the intensity at the contraction threshold. The intervention lasted four weeks, with three weekly sessions lasting 15 minutes. Initially and after the intervention period, the strength and stability of the deep muscles of the pelvic lumbar region were measured in a static and dynamic manner by a biofeedback pressure unit. Results. There was a significant increase of pressure under the lordoses in the pre- and post-evaluation moments, there were no differences in the evaluation of indirect force (dynamic stability), but there was an increase in the time for GT. The effect sizes presented advantages for the electrostimulated groups in static stability. Conclusion. The doses used did not promote significant statistical differences, but the effects were positive for the electrostimulated groups, especially with respect to static stability.
Histological aspects of whole-body vibration in the knee remobilization of Wistar rats
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022) Roncini Gomes da Costa, Juliana; Freitas Tavares de, Alana Ludemila; Bertolini, Gladson Ricardo Flor ; Wutzke, Maria Luiza Serradourada; Boaro, Carolina De Toni; Rodriguez, Diego Francis Saraiva; Costa, Rose Meire; de Fátima Chasko Ribeiro, Lucinéia
Introduction and aim. The knee is one of the joints where immobilization is most used, however, it can cause morphological changes in the joint tissues and is a challenge to be overcome during rehabilitation. Whole-body vibration (WBV) is capable of generating repetitive oscillatory movements, which cause mechanical stimuli that interfere with tissue plasticity. The aim of this study was to analyze the knee morphology of Wistar rats submitted to remobilization with WBV. Material and methods. 32 male rats were used, divided into four groups (n=8): Control Group (G1), Immobilization Group (G2), Immobilized Group and Free Remobilization (G3), Remobilized Group with WBV (G4). For immobilization, a plastered apparatus was used for 15 days. G3 and G4 carried out free remobilization or with WBV, respectively, for 2 weeks. The knee joints were processed for light microscopy. Results. The WBV led to a reduction in the inflammatory infiltrate in the articular cavity and greater presence of adipocytes in the subintima of the synovial membrane. Conclusion. Remobilization with WBV induced a better tissue response in the synovial membrane when compared to free remobilization.
Lian Gong for treatment of fibromyalgia – a case study
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Ileck, Nathália Aparecida; de Azevedo, Marcus Vinícius Gonçalves Torres; Artioli, Dérrick Patrick; Bertolini, Gladson Ricardo Flor
Introduction. As a Complementary Integrative Practices (CIPs), Lian Gong has been increasingly used in the practice of Physiotherapy. Aim. This study aims to verify the effects of Lian Gong in a patient with fibromyalgia. Description of the case. In this case study the patient (one patient is evaluated) was diagnosed with fibromyalgia 29 years ago and sought care following discontent with previous treatments. Pain intensity was assessed with a visual analog scale (VAS), quality of life with SF-36, and the pressure pain threshold algometer (PPT). There were 16 visits with two weekly 60-minute sessions. When the patient was reevaluated, a Global Perception of Change (GPC) scale was added to assess general health. A folder was submitted to the patient for follow-up of exercises at home and asked to return after 4 weeks (follow-up period). Conclusion. The results indicate improvement in pain, functional capacity and general health. As a first therapy treatment, Lian Gong proved promising results in one case of fibromyalgia. The possible benefits when combined with other forms of care should be explored by clinical trials to expand knowledge of health benefit potential.
Low-level laser therapy on the rat’s gastrocnemius morphometry submitted to a rheumatoid arthritis model
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Marin, Estéfani; Fuse, Jacqueline Lumy; Lopes, Larissa Pereira; Neves, Morgana; da Silva Leal, Taciane Stein; de Fátima Chasko Ribeiro, Lucinéia; Bertolini, Gladson Ricardo Flor
Introduction. Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune inflammatory disease of unknown origin, mainly affecting synovial joints and related structures, including the adjacent musculature, generating great disability and reduction in quality of life. Aim. This study was designed to investigate the effect of low-level laser therapy (LLLT) on gastrocnemius of Wistar rats subjected to an experimental model of RA. Material and methods. Forty male Wistar rats were used, separated into: acute and chronic, being subdivided into Control Group (CG): without intervention, Lesion Group (LG): submitted to lesion, Laser Control Group (LCG): without lesion and with treatment, and Laser Lesion Group (LLG): submitted to lesion and LLLT. The treatment with LLLT occurred in four points of the right knee, wavelength of 660 nm, energy density of 5 J/cm2, energy per point of 0.003 J. Morphometric analysis was performed using a 40x magnification photomicrograph and analyzed using the Image-Pro-Plus 6.0 program. Results. As result of the acute group there was a difference only for muscle mass, being higher in CG. For the chronic group there was significant difference for cross-sectional area, larger and smaller diameter, again with the control group obtaining higher values than the others, for the number of nuclei LG was lower than CG and LCG, but LLG was not different from any of them. Conclusion. It is concluded that treatment with LLLT was not very effective in reversing the harmful effects of RA on the gastrocnemius muscle.
Morphology of extensor digitorum longus of Wistar rats after remobilization by vibratory platform
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Camilo, Izabela Rodrigues; Wutzke, Maria Luiza Serradourada; Costa, Rose Meire; Bertolini, Gladson Ricardo Flor; Ribeiro, Lucinéia de Fátima Chasko
Introduction. In exercise, vibrations are performed in order to produce rapid and short changes in muscle length. These changes are detected by sensory receptors, in response try to dampen the vibratory waves through a modulation of muscle stiffness. However, its effects on the morphology of muscle tissue are still not fully established, especially after long periods of immobilization. Aim. To compare the effects of the vibratory platform on the remobilization of the extensor digitorum longus (EDL) muscle of Wistar rats with free remobilization. Material and methods. 20 rats were divided into: CG (Control), IG (immobilized), IFG (immobilization and free remobilization), IPG (immobilization and remobilization with vibratory platform). The immobilization was performed on the pelvic limb for 15 days. The remobilization with vibratory platform was done for 10 minutes daily, for 2 weeks. The EDL was processed for histological analysis of cross-sections. Results. The area, larger diameter, smaller diameter and fiber density of the EDL muscle of GI presented significant alteration when opposed to CG, IFG and IPG. The density of nuclei of the EDL muscle of IG presented a significant increase when opposed to the others, and IPG also presented a significant increase when compared to CG. Conclusion. The morphology and morphometry of the EDL muscle tissue were affected, and both free and vibration platform remobilization re-established the morphological aspects of the muscle fiber, without significant differences between the methods.
Short-term comparison of the 660 and 830 nm laser in the treatment of temporomandibular dysfunction – a randomized clinical trial
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2020) Simon, Camila; Santos, Cássio Brendon dos; Albuquerque, Carla; Hoffmann, Lucas Guilherme; Aragão, Fernando Amâncio; Bertolini, Gladson Ricardo Flor
Introduction. The objective of this study was to compare the effects of low-level laser therapy (LLLT), 660nm laser with 830nm, in temporomandibular dysfunction (TMD). Aim. To compare the effect of LLLT 660 nm and 830 nm in treatment of TMD. Material and methods. This is a randomized clinical study, composed of 30 volunteers with TMDs selected and divided into three groups: LLLT 660nm, LLLT 830nm and Sham. After the intervention, the results were reevaluated with the Fonseca anamnestic questionnaire (FAQ), American Academy of Orofacial Pain Questionnaire (AAOPQ), McGill Pain Questionnaire and Visual Analog Scale. Results. Analysis of the results showed that, although all groups had reduced values in the FAQ, only the laser groups presented alterations in the level of classification; for AAOPQ, only the treatment groups had a reduction in the positive responses, variables, the reduction was similar for all groups. Conclusion. LLLT produced a reduction in severity of symptoms but was like the sham for pain.
Whole-body vibration on lower limb flexibility and extensibility – a randomized clinical trial
(Publishing Office of the University of Rzeszow, 2023-06) da Silva Morais, Carla Cristina; Misiak, Gabriele Favaro; Santin, Ligia Maria; de Carvalho, Alberito Rodrigo; Bertolini, Gladson Ricardo Flor
Introduction and aim. The whole-body vibration has become known for optimizing the production of muscle power due to mechanical oscillations that are dependent on vibration frequency. However, the effects of varying the vibration frequency on flexibility have still been little explored. Compare the effects of two frequencies of whole-body vibration on flexibility and extensibility of the lower limbs. Material and methods. Randomized clinical trial with a sample of 42 young adult volunteers of both sexes, who performed squatting sessions with individualized load on a platform and distributed into three groups of vibration frequency: control group (CG), with the platform off; low frequency group (LF), with a frequency of 30 Hz; high frequency group (HF), with a frequency of 45 Hz. In total, the intervention was carried out in 12 sessions and lasted 6 weeks, with 2 sessions per week. Flexibility, evaluated before and after the intervention by the sit and reach test (Wells bench) and by evaluating the extensibility of the ischiotibials by goniometry. Results. No statistical differences were observed for any of the outcomes evaluated. Conclusion. None of the proposed frequencies produced gains in flexibility and extensibility of the lower extremities and there was no superiority of one frequency over another.