MARIANA CALLIL VOOS
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina
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- Relationship between the climbing up and climbing down stairs domain scores on the FES-DMD, the score on the Vignos Scale, age and timed performance of functional activities in boys with Duchenne muscular dystrophy(2014) FERNANDES, Lilian A. Y.; CAROMANO, Fatima A.; ASSIS, Silvana M. B.; HUKUDA, Michele E.; VOOS, Mariana C.; CARVALHO, Eduardo V.Background: Knowing the potential for and limitations of information generated using different evaluation instruments favors the development of more accurate functional diagnoses and therapeutic decision-making. Objective: To investigate the relationship between the number of compensatory movements when climbing up and going down stairs, age, functional classification and time taken to perform a tested activity (TA) of going up and down stairs in boys with Duchenne muscular dystrophy (DMD). Method: A bank of movies featuring 30 boys with DMD performing functional activities was evaluated. Compensatory movements were assessed using the climbing up and going down stairs domain of the Functional Evaluation Scale for Duchenne Muscular Dystrophy (FES-DMD); age in years; functional classification using the Vignos Scale (VS), and TA using a timer. Statistical analyses were performed using the Spearman correlation test. Results: There is a moderate relationship between the climbing up stairs domain of the FES-DMD and age (r=0.53, p=0.004) and strong relationships with VS (r=0.72, p=0.001) and TA for this task (r=0.83, p< 0.001). There were weak relationships between the going down stairs domain of the FES-DMD-going down stairs with age (r=0.40, p=0.032), VS (r=0.65, p=0.002) and TA for this task (r=0.40, p=0.034). Conclusion: These findings indicate that the evaluation of compensatory movements used when climbing up stairs can provide more relevant information about the evolution of the disease, although the activity of going down stairs should be investigated, with the aim of enriching guidance and strengthening accident prevention. Data from the FES-DMD, age, VS and TA can be used in a complementary way to formulate functional diagnoses. Longitudinal studies and with broader age groups may supplement this information. Keywords: disability; evaluation; neuromuscular diseases; rehabilitation; child; motor activity.
conferenceObject Improvement of gait in Parkinson's disease patients submitted to deep brain stimulation with use of visual and auditory cues in eyeglasses: A preliminary study(2014) SOUZA, C. O.; VOOS, M. C.; BRANT, R.; FONOFF, F. C.; BARBOSA, E. R.; FONOFF, E. T.- Learning and adherence to baby massage after two teaching strategies(2014) CRUZ, Claudia Marchetti; CAROMANO, Fatima Aparecida; GONCALVES, Lia Lopes; MACHADO, Thais Gaiad; VOOS, Mariana CallilPurpose. Little is known about learning/adherence after different baby massage teaching strategies. We compared the learning/adherence after two strategies. Design and Methods. Twenty mothers from the group manual-course (GMC) and 20 from the group manual-orientations (GMO) received a booklet. GMC participated in a course during the third trimester. GMO received verbal instructions during the postpartum hospital stay. Multiple-choice and practical tests assessed learning (GMC: performing strokes on a doll; GMO: on the baby). Adherence was measured 3 months after child-birth. Results. No differences were found between the groups in learning/adherence. Practice Implications. Both teaching strategies showed similar and positive results.
conferenceObject Educational status influences the cognitive-motor performance and learning in PD patients and healthy controls(2014) CHIEN, H. F.; VOOS, M. C.; SOUZA, C. O.; FREITAG, F.; LOBO, A. C.; BARBOSA, E. R.- The influence of educational status on motor performance and learning: a literature review(2014) VOOS, Mariana Callil; MANSUR, Letícia Lessa; CAROMANO, Fátima Aparecida; BRUCKI, Sonia Maria Dozzi; VALLE, Luiz Eduardo Ribeiro doMany studies have shown the impact of the educational status on cognitive and motor control. However, few studies in the area of Physical Therapy and Motor Behavior consider the educational status of the subjects. This study aimed to describe evidences about the influence of the educational status on motor behavior (and its repercussions on physiotherapeutic assessment) and on motor learning (and its repercussions on physiotherapeutic treatment). We included in this review national and international studies from 1998 to 2013 from SciELO, MEDLINE and LILACS databases. We used the keywords: educational status, schooling level, motor control, motor behavior, motor performance, and motor learning. Sixty studies were located and 28 were selected, because they followed the inclusion criteria: (1) to investigate the effect of education on motor performance; (2) be available in Portuguese or English; and (3) be available in Brazil. The review showed that the educational status of patients must be considered by the physiotherapists in experimental and clinical practice, because many studies have shown its influence on assessment and treatment of young and older adults.
- Compensatory movements during functional activities in ambulatory children with Duchenne muscular dystrophy(2014) MARTINI, Joyce; VOOS, Mariana Callil; HUKUDA, Michele Emy; RESENDE, Maria Bernadete Dutra de; CAROMANO, Fatima AparecidaObjective: During the transitional phase (ambulatory to non-ambulatory), synergies characterize the evolution of Duchenne muscular dystrophy (DMD). This study was performed to describe and quantify compensatory movements while sitting down on/rising from the floor and climbing up/down steps. Method: Eighty videos (5 children x 4 assessments x 4 tasks) were recorded quarterly in the year prior to gait loss. Compensatory movements from the videos were registered based on the Functional Evaluation Scale for DMD. Results: The most frequently observed compensatory movements were upper limb support on lower limbs/floor/handrail during all the tasks and lumbar hyperlordosis, trunk support on handrail, equinus foot, increased base of support, non-alternated descent, and pauses while climbing up/down steps. Conclusion: Climbing up/down steps showed a higher number of compensatory movements than sitting down on/rising from the floor, which seemed to be lost before climbing up/down steps in ambulatory children with DMD.
conferenceObject The effect of muscular strenghtening exercise in motor function and balance in Parkinson's disease patients(2014) CHIEN, H. F.; CHEN, J.; SOUZA, C. O.; VOOS, M. C.; FRQANCATO, D. V.; BARBOSA, A.; GREVE, J. M.; BARBOSA, E. R.conferenceObject Evaluation of motor and cognitive performance in Parkinson's disease patient with high and low educational status(2014) SOUZA, C. O.; VOOS, M. C.; CHIEN, H. F.; CHEN, J.; FRANCATTO, D. V.; BARBOSA, A.; FONOFF, E. T.; GREVE, J. M.; BARBOSA, E. R.- Case Report: Physical therapy management of axial dystonia(2014) VOOS, Mariana Callil; OLIVEIRA, Tatiana de Paula; PIEMONTE, Maria Elisa Pimentel; BARBOSA, Egberto ReisFew studies have described physical therapy approaches to provide functional independence and reduce pain in individuals with dystonia. This report describes the physical therapy treatment of a 46-year-old woman diagnosed with idiopathic segmental axial dystonia. For two years, the patient was treated with kinesiotherapy (active and resisted movements and stretching of neck and trunk muscles), abdominal taping (kinesiotaping techniques), functional training, and sensory tricks. She was assessed with parts I, II and III of Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS-I, TWSTRS-II and TWSTRS-III), Berg Balance Scale (BBS), Six-Minute Walk Test (6-MWT), and the motor domain of Functional Independence Measure (FIM-motor) before and after the two-year treatment and after the one year follow-up. Postural control and symmetry improved (TWSTRS-I: from 30 to 18), functional independence increased (TWSTRS-II: from 27 to 15; BBS: from 36 to 46; 6-MWT: from 0 to 480 meters (m); FIM-motor: from 59 to 81), and the pain diminished (TWSTRS-III: from 12 to 5). The functional improvement was retained after one year (TWSTRS-I: 14/35; TWRTRS-II: 12/30; TWRTRS-III: 5/20; BBS: 48/56; 6-MWT: 450 m; FIM-motor: 81/91). This program showed efficacy on providing a better control of the dystonic muscles and thus the doses of botulinum toxin needed to treat them could be reduced. Outcomes support the therapeutic strategies used to deal with this type of dystonia.
conferenceObject Is static posturography suitable to evaluate Parkinson's disease patients balance?(2014) SOUZA, C. O.; VOOS, M. C.; CHIEN, H. F.; CHEN, J.; FRANCATTO, D. V.; BARBOSA, A. F.; GREVE, J. M.; BARBOSA, E. R.