AMELIA PASQUAL MARQUES

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Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina

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  • article 13 Citação(ões) na Scopus
    Effectiveness of two physical therapy interventions, relative to dental treatment in individuals with bruxism: study protocol of a randomized clinical trial
    (2014) AMORIM, Cinthia Santos Miotto; FIRSOFF, Eliete Ferreira Osses; VIEIRA, Glauco Fioranelli; COSTA, Jecilene Rosana; MARQUES, Amelia Pasqual
    Background: Bruxism is a parafunctional habit characterized by grinding and/or clenching of the teeth. It may happen while awake (awake bruxism) or while sleeping (sleep bruxism). In adults, the prevalence is 20% for the awake bruxism and 8% for the sleep bruxism. Peripheral, central, and psychosocial factors influence the disorder, which may predispose to pain in the masticatory muscles and neck, headache, decreased pain thresholds in the masticatory and cervical muscles, limitation mandibular range of motion, sleep disorders, stress, anxiety, depression, and overall impairment of oral health. The aim of this study is to compare two distinct physical therapy interventions with dental treatment in pain, mandibular range of motion, sleep quality, anxiety, stress, depression, and oral health in individuals with bruxism. Methods/Design: Participants will be randomized into one of three groups: Group 1 (n = 24) intervention will consist of massage and stretching exercises; Group 2 (n = 24) will consist of relaxation and imagination therapies; and Group 3 (n = 24) will receive dental treatment. The evaluations will be performed at baseline, immediately after treatment, and at 2-month follow-up. Pain intensity will be assessed using the visual analogical scale, while pain thresholds will be determined using dolorimetry. Mandibular range of motion will be assessed using digital pachymeter. Sleep quality will be assessed by the Pittsburgh Sleep Quality Index, anxiety by the State-Trait Anxiety Inventory, stress by the Perceived Stress Scale-10, depression by the Beck Depression Inventory, and oral health will be assessed using the Oral Health Impact Profile - 14. Significance level will be determined at the 5% level. Discussion: This project describes the randomization method that will be used to compare two physical therapy interventions with dental treatment in the management of pain, mandibular range of motion, sleep quality, anxiety, stress, depression, and oral health in individuals with bruxism. The study will support the practice of evidence-based physical therapy for individuals with bruxism. Data will be published after study is completed.
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    EFFECT OF COGNITIVE BEHAVIORAL THERAPY AND EXERCISE VERSUS SUPERVISED EXERCISE PROGRAM IN PATIENTS WITH CHRONIC NONSPECIFIC LOW BACK PAIN: A RANDOMIZED CONTROLLED
    (2014) MARQUES, A. P.; MAGALHAES, M. O.; COMACHIO, J.; MUTO, L. H. A.; SILVA, A. P. M. C. Carvalho e; ALMEIDA, G. P. L.; FRANCA, F. J. R.; RAMOS, L. A. V.; BURKE, T. N.
  • article 42 Citação(ões) na Scopus
    Postural control in individuals with and without non-specific chronic low back pain: a preliminary case-control study
    (2014) CAFFARO, Rene Rogieri; FRANCA, Fabio Jorge Renovato; BURKE, Thomaz Nogueira; MAGALHAES, Mauricio Oliveira; RAMOS, Luiz Armando Vidal; MARQUES, Amelia Pasqual
    A preliminary case-control study. To assess postural control in individuals with and without non-specific chronic low back pain (cLBP) during quiet standing. cLBP affects 12-33 % of the adult population. Reasons for pain chronicity are yet poorly known. Change in postural control may be a risk factor for cLBP, although available studies are not conclusive. Sample consisted of 21 individuals with cLBP and 23 controls without cLBP. Balance was assessed using a force plate (Balance Master(A (R)), NeuroCom) by the modified clinical test of sensory interaction and balance, pain severity by the visual analogue scale, quality of life with the SF-36 Questionnaire, and functional disability with the Roland-Morris Questionnaire. Groups were homogeneous for age, weight, height and body mass index. Relative to controls, participants in the cLBP group had deficits in the postural control, with greater postural sway in the quiet standing condition with closed eyes closed on unstable surfaces (p < 0.05) for the following parameters: total COP oscillation [cLBP 1,432.82 (73.27) vs CG 1,187.77 (60.30)], root mean square sagittal plane [cLBP 1.21 (0.06) vs CG 1.04 (0.04)], COP area [cLBP 24.27 (2.47) vs CG 16.45 (1.79)] and mean speed of oscillation [cLBP 12.97 (0.84) vs CG 10.55 (0.70)]. Postural control, as evidenced by increased oscillation of COP, is impaired in individuals with cLBP relative to controls. Differences are magnified by visual deprivation and unstable surface conditions.
  • article 23 Citação(ões) na Scopus
    EFFECTIVENESS OF GLOBAL POSTURAL REEDUCATION COMPARED TO SEGMENTAL EXERCISES ON FUNCTION, PAIN, AND QUALITY OF LIFE OF PATIENTS WITH SCAPULAR DYSKINESIS ASSOCIATED WITH NECK PAIN: A PRELIMINARY CLINICAL TRIAL
    (2014) AMORIM, Cinthia Santos Miotto de; GRACITELLI, Mauro Emilio Conforto; MARQUES, Amelia Pasqual; ALVES, Vera Lucia dos Santos
    Objective: The purpose of this study was to assess the effectiveness of global postural reeducation (GPR) relative to segmental exercises (SE) in the treatment of scapular dyskinesis (SD) associated with neck pain. Methods: Participants with SD and neck pain (n = 30) aged 18 to 65 years were randomly assigned to one of two groups: GPRand SE (stretching exercises). The upper extremity was assessed using the Disabilities of the Arm, Shoulder, and Hand questionnaire; function of the neck was estimated using the Neck Disability Index; pain severity was measured using a visual analogical scale; and health-related quality of life was assessed using the Short Form-12. Assessments were conducted at baseline and after 10 weekly sessions (60 minutes each). The significance level adopted was alpha < .05. Results: For pre-post treatment comparisons, GPR was significantly associated with improvements in function of neck and upper extremities, pain, and physical and mental domains of quality of life (P < .05). Segmental exercises improved function of upper extremities and of the neck and severity of pain (P < .05). When contrasting groups, GPR was significantly superior to SE in improving pain and physical domains of the quality of life. Conclusion: This study showed that GPR and SE had similar effects on function of the neck and upper extremity in patients with SD associated with neck pain. When comparing groups, GPR was superior to SE in improving pain and quality of life.
  • article
    Fibromyalgia: is there association between balance and pain? a pilot study
    (2014) SANTO, Adriana de Sousa do Espírito; MANGO, Pamela Cristina; ASSUMPÇÃO, Ana; SAUER, Juliana Ferreira; MARQUES, Amélia Pasqual
    Studies of balance and risk factors for falling typically focus on the elderly population or on individuals with musculoskeletal pain. Although fibromyalgia is associated with intrinsic factors that predispose to falls (pain, depression, fatigue), few studies have researched balance and falls in this syndrome. The aim of this study was to verify the association between balance, balance self-efficacy and pain in women with and without fibromyalgia, and verify the association between Berg Balance Scale and Activities-specific Balance Confidence Scale (ABC Scale). The sample consisted of 48 women aged between 40 and 59 years, divided into two groups: Fibromyalgia group (n=22) and Control group (n=26) with asymptomatic people. Balance was assessed by Berg Balance Scale, balance self-efficacy by the ABC Scale and pain by the visual analog scale. Mean scores for pain, Berg and ABC Scale were 5.4 cm (SD 2.6), 55 (interquartile range 54-56), and 54.6 (SD 26.6) respectively for Fibromyalgia group, and 0 cm, 56 (interquartile range 55-56), and 89.4 (SD 14.4) respectively for Control group. Statistically significant differences were found in balance on comparing both groups (p=0.000 for Berg Balance Scale and 0.009 for ABC Scale) with lower values for Fibromyalgia group. In Fibromyalgia group, pain was negatively correlated with balance (r=-0.48, p=0.020) and balance self-efficacy (rs=-0.56, p=0.006). Correlation between Berg Balance Scale and ABC Scale was found only in the Fibromyalgia group (rs =0.55, p=0.007). There are associations between poor balance and pain, and poor balance and decreased balance self-efficacy in women with fibromyalgia. There is an association between scales in the Fibromyalgia group.
  • article
    Physical therapy in the conservative treatment for anterior cruciate ligament rupture followed by contralateral rupture: case report
    (2014) ALMEIDA, Gabriel Peixoto Leão; ARRUDA, Gilvan de Oliveira; MARQUES, Amélia Pasqual
    Although the surgical reconstruction be the obvious indication for the anterior cruciate ligament (ACL) lesion, there is no consensus on whether the results of surgery are superior to those obtained with nonsurgical management. The objective of this report was to describe a case of nonsurgical treatment for ACL rupture followed by a contralateral rupture. A 28-year-old female practitioner of muay-thai and handball suffered a non-contact ACL rupture in the left knee, and three months after the end of rehabilitation, the patient suffered a second non-contact ACL rupture in the contralateral knee and also received nonsurgical treatment. After both ruptures the patient received a treatment program focused on the strengthening of the quadriceps and hamstring muscles, trunk stabilization, plyometrics exercises, perturbation training, and return-to-sport training. After the treatments the patient exhibited absence of pain; normal muscular function and knee extension and flexion strength; normal range of motion; normal hop tests (<10% difference between members); improvement in the knee functional capacity and total return to normal activities. After two years of follow-up, the patient remained pain free and with normal knee function. The findings demonstrate the physical therapy effects in the nonsurgical treatment of bilateral ACL rupture. The patient could return to sport practice without instability. Further studies with a larger sample are needed to assess the recovery capacity and the full return to sport activities of patients with ACL injury.
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    CORRELATION OF DYNAMIC POSTURAL CONTROL AND HIP MUSCLE STRENGTH
    (2014) MARQUES, A. P.; SILVA, A. P. M. C. Carvalho e; ALMEIDA, G. P. L.; MAGALHAES, M. O.
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    EFFECT OF STABILIZING EXERCISES VERSUS TENS IN FATIGUE OF THE LUMBAR MULTIFIDUS MUSCLE AND THE ABILITY TO ACTIVATE THE TRANSVERSUS ABDOMINIS: A PRELIMINARY STUDY
    (2014) MARQUES, A. P.; RAMOS, L. A. V.; FRANCA, F. J. R.; CALLEGARI, B.; BURKE, T. N.; MAGALHAES, M. O.; SILVA, A. P. M. C. Carvalho e; ALMEIDA, G. P. L.