INGRED MERLLIN BATISTA DE SOUZA
Projetos de Pesquisa
Unidades Organizacionais
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
4 resultados
Resultados de Busca
Agora exibindo 1 - 4 de 4
- Prevalence of low back pain in the elderly population: a systematic review(2019) SOUZA, Ingred Merllin Batista de; SAKAGUCHI, Tina Fujii; YUAN, Susan Lee King; MATSUTANI, Luciana Akemi; ESPIRITO-SANTO, Adriana de Sousa do; PEREIRA, Carlos Alberto de Braganca; MARQUES, Amelia PasqualThe aim of this study was to estimate the prevalence of low-back pain (LBP) and to identify the level of functional disability in elderly individuals in different populations. From January 1985 to October 2018, a search was performed using the following databases: Embase, LILACS, SciELO, Scopus, Medline, and the Web of Science. The descriptors were low-back pain, back pain, lower-back pain, prevalence, and elderly in Portuguese and English. Two independent reviewers conducted a search for studies and evaluated their methodological quality. The search strategy returned 2186 titles, and 35 were included in this review. The studies evaluated 135,059 elderly individuals aged between 60 and 102 years, and the prevalence of LBP ranged from 21% to 75%. The levels of functional disability, as well as functional difficulties, activities of daily living, and physical capacity, were identified in 60% of the studies. This review indicated a high prevalence of LBP in elderly individuals and functional disability that affects factors important for independence. However, the studies used different methodologies, suggesting that more studies be conducted with scientific accuracy, methodological quality, and low risk of bias to contribute to the proposal of preventive actions for elderly populations.
- Effects of electroacupuncture frequencies on chronic low back pain in older adults: triple-blind, 12-months protocol for a randomized controlled trial(2019) TORRES, Sarina Francescato; MACEDO, Ana Carolina Brandt de; ANTUNES, Mateus Dias; SOUZA, Ingred Merllin Batista de; SANTOS, Francisco Dimitre Rodrigo Pereira; SANTO, Adriana de Sousa Espirito; JACOB, Flavia Ribeiro; CRUZ, Ariela Torres; JANUARIO, Priscila de Oliveira; MARQUES, Amelia PasqualBackground: Low back pain (LBP) is the most frequent complaint in clinical practice. Electroacupuncture treatment may be effective; however, the supporting evidence is still limited, especially in older adults. Objective: The current study is a randomized controlled trial that aims to evaluate the clinical efficacy of electroacupuncture in older adults with LBP. Methods: A five-arm randomized controlled trial with patients and evaluators blinded to the group allocation. A total of 125 participants with non-specific LBP will be randomly assigned into one of five groups: three electroacupuncture groups (low, high, and alternating frequency); one control group; and one placebo group. The electroacupuncture will be applied twice a week (30 min per session) for five weeks. The primary clinical outcome measure will be pain intensity. The secondary outcomes include: quality of pain; physical functioning; perceived overall effect; emotional functionality; patient satisfaction; and psychosocial factors. Patients will be evaluated before the first session, immediately after the last, and followed up after six and 12 months to check the medium- and long-term effects. Discussion: Although electroacupuncture is increasingly used to treat LBP, there is no guidance regarding the parameters used, which leads to inconsistent results. Thus, the effect of electroacupuncture (EA) on LBP remains controversial and requires more studies, especially in the older adult population. Conclusion: This is the first randomized controlled trial to evaluate the efficacy of different frequencies of electroacupuncture for treating chronic LBP in older adults. This study will provide evidence on the effectiveness of electroacupuncture as an alternative treatment method for LBP and will entail wider debate about an appropriate acupuncture intervention in this population.
- Avaliação do agenciamento de autocuidados e sua associação com sintomas e qualidade de vida em indivíduos com fibromialgia(2020) COUTO, Letícia Assis; YUAN, Susan Lee King; SOUZA, Ingred Merllin Batista de; SANTO, Adriana de Sousa do Espírito; MARQUES, Amélia PasqualABSTRACT Fibromyalgia (FM) is a condition of high prevalence, which causes physical discomfort, mental distress and impairment of social relationships. Self-care may be a relevant factor to improve the quality of life in individuals with fibromyalgia, since it is related to the act of empowerment, leading individuals to have control over their own life. The aim of this study was to assess self-care agency of individuals with fibromyalgia and check for associations between self-care and symptoms, quality of life and sociodemographic variables. The study included 40 individuals with FM according to the 2010 American College of Rheumatology criteria. Self-care was measured with the Appraisal Self-Care Agency Scale-Revised (ASAS-R), pain with the Visual Analog Scale (VAS) and the Widespread Pain Index (WPI), severity of symptoms with the Symptom Severity (SS) Scale, and quality of life with the Fibromyalgia Impact Questionnaire - Revised (FIQ-R). In data analysis, the Pearson correlation coefficient was used for parametric data, and the Spearman correlation coefficient was used for non-parametric data. The level of significance adopted was 5%. Moderate values were found for self-care agency (52.75±10.25), VAS pain (5.84±2.16), WPI (13.32±3.78) and SS (9.30±1.68). Severe impact on quality of life was found with the FIQR (63.98±17.26). Additionally, significant correlations were observed of self-care agency with social status (r=0.391), and with the following FIQ-R domains: function (r=−0.338), overall impact (r=-0.315), symptoms (r=−0.332) and total score (r=−0.375). The study suggests that individuals with fibromyalgia have a moderate level of self-care agency, and a weak association of self-care with quality of life and social status.
- Association of Functional Disability and Biopsychosocial Factors in Older Adults With Low Back Pain Who Live in the Amazonas State Brazil: A Cross-Sectional Study(2022) SOUZA, Ingred Merllin Batista de; MERINI, Lilian Regiani; RODRIGUES, Rafaella de Souza Pereira; SANTO, Adriana de Sousa do Espinto; MARQUES, Amelia PasqualObjective: The purpose of this study was to identify social and clinical factors associated with levels of functional disability (FD) in older adults with low back pain (LBP) in the city of Manaus, Amazonas, Brazil. Methods: A cross-sectional study of 557 adults with LBP aged >= 60 years was completed. Sociodemographic and clinical features, pain intensity (Numeric Rating Scale), FD (Roland Morris Disability Questionnaire), physical activity (International Physical Activity Questionnaire-short version), body mass index, educational level, health perception, emotional level, and self-reported diseases were evaluated. Statistical analysis was used to verify the association between quantitative variables and a group; Student t test or Mann-Whitney test, and analysis of variance (normality assumption) or Kruskal-Wallis test (non-parametric), P value of less than .05. Results: There were 81.3% female participants, 54.9% self-reported their race and/or skin color as brown, and 37.8% were sedentary. Pain intensity scores were 6.26 +/- 2.19 in female participants and 5.82 +/- 1.84 in male participants. Mean FD scores were 11.68 +/- 6.08 for female participants and 9.61 +/- 5.76 for males participants, although 39.7% of the total group presented with severe disability (score >= 14) and FD was associated with female sex (P = .001), physical activity (P <= 0.001), body mass index (P <= .001), emotional level (P < .001), and health perception (P < .001). Conclusion: In this group of older adults with LBP, FD was associated with female sex, level of physical activity, body mass index, emotional level, and health perception. Many factors that were identified with FD are modifiable; therefore, interventions, such as nutrition education and re-conceptualization of self-emotional and health perception, may have potential to help in preventing and reducing FD.