ADRIANA CLAUDIA LUNARDI
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina
19 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 19
conferenceObject Comparison of incentive spirometers on thoracoabdominal mechanics and inspiratory muscular activation in morbidly obese(2012) PAISANI, Denise de Moraes; SILVA, Cibele Cristine Berto Marques Da; LUNARDI, Adriana Claudia; PORRAS, Desiderio Cano; BARBOSA, Renata Cleia Claudino; CARVALHO, Celso Ricardo Fernandes- Lung expansion techniques on thoracoabdominal mechanics in patients underwent to open abdominal and laparoscopic surgeries(2015) LUNARDI, Adriana; SILVA, Cibele Marques da; CANO, Desiderio; PAISANI, Denise; CARVALHO, Celso R. F.
- Influence of postural pattern according to the Godelieve Denys-Struyf method on pain and postpartum depression in the immediate postpartum(2024) JESUS, Caroline Rodrigues de; FERREIRA, Elizabeth Alves Gonçalves; SILVEIRA, Leda Tomiko Yamada da; LUNARDI, Adriana Claudia; OLIVEIRA, Cláudia deABSTRACT | This study aimed to evaluate the relation between the postural pattern according to the Godelieve Denys-Struyf (GDS) method with postpartum depression and pain in immediate postpartum women. A cross-sectional study was conducted, including 29 women at 1–3 postpartum days. The Edinburgh Postnatal Depression Scale (EPDS) assessed depression and Visual Numerical Scale assessed pain score (from 0=no pain to 10=the most intense pain). Postural pattern was categorized into groups according to the deviation plane: axial (anteromedial, posteromedial, anteroposterior, and posteroanterior postures) and relational (anterolateral and posterolateral postures) or mixed, considering upper and lower limbs. Participants’ age ranged from 19 to 41 years, body mass index from 21.4 to 43.8 kg/m 2 . The EPDS scored from 10 to 26 points. In total, 52% women reported pain, but the pain score was similar among postural pattern groups (p=0.77) and not correlated with EPDS (p=0.88). Women’s postural patterns were: mixed (45%), relational (38%), and axial (17%). EPDS score was higher for relational pattern group than axial group (20.45±1.63 vs 15.00±3.24; p=0.01). In conclusion, the mixed postural pattern was the most frequent. The relational postural pattern group (anterolateral and posterolateral posture) presented a higher depression score than the axial postural pattern group. No association was found between postural patterns and the pain score or between pain and postpartum depression.
- Characteristics of individuals with moderate to severe asthma who better respond to aerobic training: a cluster analysis(2023) ENDRIGUE, Tiago C.; LUNARDI, Adriana C.; FREITAS, Patricia D.; SILVA, Ronaldo A.; MENDES, Felipe A. R.; FRANCA-PINTO, Andrezza; CARVALHO-PINTO, Regina M.; CARVALHO, Celso R. F.Objective: To determine the characteristics of individuals with asthma who are responsive to aerobic training. Methods: This post hoc analysis of pooled data from previous randomized controlled trials involved 101 individuals with moderate to severe asthma who underwent aerobic training. Participants underwent a maximal cardiopulmonary exercise test and completed the Asthma Control Questionnaire and the Asthma Quality of Life Questionnaire before and after a 24-session aerobic training program. Better and worse responders to aerobic training were identified by cluster analysis. Results: Two clusters were identified according to the improvement in peak VO2 after aerobic training (better and worse responders). Characteristics of the better responder group were being older, being female, having higher BMI, and having higher cardiac reserve at baseline when compared with the worse responder group. Also, better responders had worse clinical control, worse quality of life, and lower physical capacity at baseline. After training, worse responders, in comparison with better responders, showed half the improvement in Delta peak VO2 ( 7.4% vs. 13.6%; 95% CI, -12.1 to - 0.92%; p < 0.05) and worse asthma control. A weak, negative, but significant association (r = -0.35; p < 0.05) was observed between clinical control and aerobic fitness only in the better responder group. Both groups showed significant improvement in quality of life. Conclusions: Obese individuals with worse exercise capacity, clinical control, and quality of life showed improvement with aerobic training. Moreover, worse responders also improved with training, but to a lesser extent.
- Evolução de desempenho físico e força de preensão palmar em idosos assistidos por um programa de assistência domiciliar interdisciplinar em um ano(2013) ANSAI, Juliana Hotta; GLISOI, Soraia Fernandes das Neves; SILVA, Tamara Oliveira da; FERREIRA, Fernanda Pretti Chalet; LUNARDI, Adriana Claudia; SERA, Celisa Tiemi NakagawaDue to the increase of morbidities in aging, there is a need for health services to assist elderly, such as a Domiciliary Assistance. We performed an observational prospective study to analyze physical performance and handgrip strength in elderly assisted by Interdisciplinary Domiciliary Assistance Center in one year. We assessed 19 elderly who were capable of comprehension, independent gait and without decompensation of disease at baseline and after one year. The evaluation consisted of anthropometric and clinical data collected by medical records, physical performance (Short Physical Performance Battery-SPPB) and handgrip strength at patient home. We compared the evaluations (paired t test) and assess the association between body mass index, age, SPPB and handgrip strength (Pearson correlation). As results, there was a significant worsening in handgrip strength in both limbs, gait speed and general physical performance. Body mass index, balance and lower extremity strength were kept. We observed inverse correlation between age (r=-0.55) and change in balance and direct correlation between handgrip strength and gait (r=0.48). There was no other significant correlation. A more specific and frequent assistance could bring benefits on independence and quality of life in elderly community, since elderly get higher functional loss and comorbidities.
article 20 Citação(ões) na Scopus Postoperative chest physical therapy prevents respiratory complications in patients undergoing esophagectomy(2011) LUNARDI, Adriana C.; CECCONELLO, Ivan; CARVALHO, Celso R. F.Background: Esophagectomy presents the highest rate of postoperative pulmonary complications among all types of upper abdominal surgery. The benefits of chest physical therapy in patients undergoing upper abdominal surgery have been shown by many studies; however, its specific effect in patients receiving esophagectomy has been seldom investigated. Objectives: This study aimed to compare the frequency of respiratory complications in patients undergoing esophagectomy receiving chest physical therapy compared to no treatment. Methods: 70 consecutive patients were evaluated retrospectively and allocated to two groups: control group (CG=no physical therapy; n=30) and chest physical therapy group (PTG; n=40). Patients received chest physical therapy which includes lung re-expansion and airway clearance maneuvers. They were not submitted to either noninvasive ventilation or exercises with devices that generate airways positive pressure. All patients were instructed to early mobilization. Information about pre-operative and respiratory complications were collected. Statistic analysis to compare the frequency of respiratory complications was performed by the Z test. The significance level was set to 5%. Results: Patients in the CG and PTG were similar in terms of age, BMI, smoking and drinking status, malignant diseases, surgical and anesthesia duration and types of esophagectomy (p > 0.05). Our results show that patients received chest physical therapy after esophagectomy had a lower frequency of respiratory complications (15% vs. 37%, p < 0.05). In addition, the PTG needed a shorter duration of antibiotic treatment and thoracic drainage as well as less re-intubation compared with the control group (p < 0.05). Conclusions: Our results suggest that chest physical therapy treatment reduces respiratory complications and the need for care but does not influence on hospital length of stay.- Correspondence: High positive airway pressure could shorten the drainage period in haemothorax but not physiotherapy intervention Reply(2021) SANTOS, Elinaldo da Conceicao Dos; SILVA, Juliana de Souza da; ASSIS FILHO, Marcus Titus Trindade de; VIDAL, Marcela Brito; MONTE, Moises de Castro; LUNARDI, Adriana Claudia
- A study of measurement properties of the Life-Space Assessment questionnaire in older adults with chronic obstructive pulmonary disease(2018) GARCIA, Isabel Fialho Fontenele; TIUGANJI, Carina Tiemi; SIMOES, Maria do Socorro Morais Pereira; LUNARDI, Adriana ClaudiaObjective: To test the measurement properties (reliability, interpretability, and validity) of the Life-Space Assessment questionnaire for older adults with chronic obstructive pulmonary disease. Design: Clinimetric study. Setting: Pneumology service, ambulatory care, Sao Paulo, SP, Brazil. Participants: Consecutive sample of older adults (n=62; 38 (61%) men, 24 (39%) women) with chronic obstructive pulmonary disease. Interventions: Not applicable. Main outcome measures: Life-Space Assessment questionnaire assesses five space levels visited by the older adult in four weeks prior to the assessment. We tested the following measurement properties of this questionnaire: reliability (reproducibility assessed by a type-2,1 intraclass correlation coefficient (ICC2,1); internal consistency assessed by the Cronbach's alpha; measurement error by determining the standard error of measurement (SEM)), interpretability (minimum detectable change with 90% confidence (MDC90); ceiling and floor effects by calculating the proportion of participants who achieved the minimum and maximum scores), and validity by Pearson's correlation test between the Life-Space Assessment questionnaire scores and number of daily steps assessed by accelerometry. Results: Reproducibility (ICC2,1) was 0.90 (95% confidence interval (CI): 0.84-0.94), and internal consistency (Cronbach's alpha) was 0.80 (range=0.76-0.80 for each item deleted). SEM was 3.65 points (3%), the MDC90 was 0.20 points, and we observed no ceiling (2%) or floor (6%) effects. We observed an association between the score of the Life-Space Assessment questionnaire and daily steps (r=0.43; P=0.01). Conclusion: Life-Space Assessment questionnaire shows adequate measurement properties for the assessment of life-space mobility in older adults with chronic obstructive pulmonary disease.
- Two devices to facilitate the perception of pelvic floor muscle contraction in the sitting position in women with urinary incontinence: comparative analysis(2022) SAWADA, Thais Naomi; LUNARDI, Adriana Claudia; CARRO, Daniela Fantin; PORTO, Débora Françoes; SILVEIRA, Leda Tomiko Yamada da; FERREIRA, Elizabeth Alves GonçalvesABSTRACT The use of support devices may facilitate the perception of pelvic floor muscle (PFM) contraction, which is difficult to be performed. Therefore, this study aimed to compare the perception of PFM contraction in the sitting position during the use of two different support devices on women with PFM dysfunction. This is a cross-sectional study performed with 37 women with stress or mixed urinary incontinence (UI). All women performed three free PFM contractions sitting on a chair, followed by three contractions using each support device (sand pads and a cylindrical foam, which provide sciatic and perineal support, respectively). Women scored the perception of PFM contraction from 1 to 5, as well as the perception of facilitation of contraction (higher grades show better results) and discomfort (higher grades show more discomfort) when compared with free contraction. The cylindrical foam presented similar results to sand pads for the perception of PFM contraction (2.84±1.61 vs. 3.19±1.43; p=0.34) and facilitation of contraction (3.38±1.34 vs. 3.19±1.54; p=0.61), as well as for their discomfort (1.83±1.23 vs. 1.5±1.16; p=0.20). Of all women, 57% preferred sand pads. Thus, both sand pads (sciatic support) and the cylindrical foam (perineal support) improved the perception of PFM contraction and facilitation of contraction in the sitting position of women with PFM dysfunction when compared with sitting with no device. The two devices presented no difference between them.
- Adding positive airway pressure to mobilisation and respiratory techniques hastens pleural drainage: a randomised trial(2020) SANTOS, Elinaldo da Conceicao dos; SILVA, Juliana de Souza da; ASSIS FILHO, Marcus Titus Trindade de; VIDAL, Marcela Brito; MONTE, Moises de Castro; LUNARDI, Adriana ClaudiaQuestions: In patients with a collection of fluid in the pleural space, do mobilisation and respiratory techniques: shorten the drainage period and length of hospital stay; improve respiratory function and oxygenation; and prevent pulmonary complications? Does the addition of positive airway pressure to this regimen further improve the effects? Design: Randomised controlled trial with three intervention arms, concealed allocation, intention-to-treat analysis and blinded assessment. Participants: One hundred and fifty-six inpatients with a fluid collection in the pleural space and with chest drainage in situ. Intervention: Participants received usual care and were randomly assigned to: a control group that also received sham positive airway pressure (4 cmH(2)O) only (Con); an experimental group that received incentive spirometry, airway clearance, mobilisation and the same sham positive pressure (Exp1); or an experimental group that received the Exp1 regimen except that the positive airway pressure was 15 cmH(2)O (Exp2). Treatments were provided three times per day for 7 days. Outcome measures: Days of chest tube drainage, length of hospital stay, pulmonary complications and adverse events were recorded until hospital discharge. Costs in each group were estimated. Results: The Exp2 group had shorter duration of chest tube drainage and length of hospital stay compared with the Exp1 and Con groups. In addition, the Exp2 group had less antibiotic use (18% versus 43% versus 55%) and pneumonia incidence (0% versus 16% versus 20%) compared with the Exp1 and Con groups (all p < 0.01). The groups had similar rates of adverse events (10% versus 2% versus 6%, p > 0.05). Total treatment costs were lower in the Exp2 group than in the Exp1 and Con groups. Conclusions: In patients with a fluid collection in the pleural space, the addition of positive pressure to mobilisation and respiratory techniques decreased the duration of thoracic drainage, length of hospital stay, pulmonary complications, antibiotic use and treatment costs. (C) 2019 Australian Physiotherapy Association.