MARIA CANDIDA DE MIRANDA LUZO
Índice h a partir de 2011
3
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina
9 resultados
Resultados de Busca
Agora exibindo 1 - 9 de 9
- MANAGEMENT OF INFANTILE BLOUNT'S DISEASE WITH MOLDED ORTHOSES: A NEW PERSPECTIVE (vol 24, pg 85, 2016)(2016) LUZO, Maria Candida de Miranda; MONTENEGRO, Nei Botter; MASSA, Bruno Sergio Ferreira; ANGELI, Luiz Renato Agrizzi de; CORDEIRO, Felippi Guizardi; GUARNIERO, Roberto
- Seating and positioning system in wheelchairs of people with disabilities: a retrospective study(2021) PONTES, Fernando Vicente de; LUZO, Maria Candida de Miranda; SILVA, Talita Dias da; LANCMAN, SelmaObjective: To characterize and quantify the seating and positioning items in wheelchairs prescribed and dispensed from 2005-2018 in relation to the necessities of the diagnoses served. Methods: A convenience cross-sectional sample survey was used in the setting of an occupational therapy service from a specialized orthopaedic hospital. Records of people with disabilities who use a wheelchair (n = 1730) were surveyed for the following data: sociodemographic information (gender and age), diagnosis, whether a new wheelchair was received, whether wheelchair seating and positioning system were received, and the prescribed items. Results: Of the 1730 users, 73.7% received a new wheelchair and 26.3% already had one donated by other services and/or purchased by the patient. Almost all the wheelchairs needed seating and positioning system in their structure (82.3%), and only 307 wheelchairs (17.7%) did not require any. The most frequent item was the hip belt (82.3%), followed by the removable solid wooden seat, and removable solid wooden backrest (81.3 and 80.9%, respectively). Conclusions: It is noted that the sample studied required many seating and positioning items for their wheelchairs. Despite the high demand for these assistive technological resources, research in this area is scarce. Little is known about which seating and positioning system is ideal for each user profile, which makes it difficult to organize the services that act in the provision of such equipment and the professional practice based on evidence.
- THE ROLE OF FUNCTIONAL ORTHOSIS IN PATELLOFEMORAL OSTEOARTHRITIS: A CONTROLLED RANDOMIZED CLINICAL TRIAL(2019) SR., G. P. Ocampos; REZENDE, M. U. de; SR., G. J. Yamamoto; LUZO, M. M.; FARIAS, F. E. de; SILVA, C. A. da
- ONE-YEAR RESULTS OF BRACING FOR PATELLO-FEMORAL OSTEOARTHRITIS. PROSPECTIVE RANDOMIZED STUDY(2021) MERINO, Matheus Garcia Lopes; MORALE, Victor; OCAMPOS, Guilherme Pereira; LUZO, Maria Candida Miranda; CAMARGO, Olavo Pires de; REZENDE, Marcia Uchoa deObjective: To compare the long-term effects of a brace designed to stabilize the patellofemoral (PF) joint in comparison to a standard neoprene sleeve for the knee with patellar hole in patients with patellofemoral osteoarthritis (PFOA). Methods: 38 patients with PFOA and comorbidities received either a functional PF brace (Study Group, SG) or a neoprene sleeve for the knee (Control Group, CG). Both groups received clinical treatment to OA and comorbidities according to a program from the institution. Patients were evaluated with Western Ontario and MacMaster (WOMAC) and Lequesne questionnaires, 30-second chair stand test (30CST), Timed Up and Go (TUG), anthropometric measures and self-reported physical activity in minutes/week at inclusion, one, three and twelve months after placing the brace. X-Rays were taken to measure the angles. Results: At one year there was more abandonment in the CG without differences in weight and body mass index between groups during the study. The SG maintained improvements in Lequesne and WOMAC total and subsets during the year, whereas the CG returned to baseline values for pain, function and total (p < 0.01). TUG and 30CST results were always better in the study group without any clinically important improvement in both groups. Conclusion: Long-term use of functional brace added to self-management program improves pain and function in patients with PFOA.
conferenceObject OSTEOARTHRITIS OF THE HAND: THE USE OF JOINTS PROTECTION, ASSISTIVE TECHNOLOGY WITH AND WITHOUT EXERCISES(2020) SCARCELLA, D.; SILVA, T. Da; MASSETTI, T.; LUZO, M.; OCAMPOS, G.; REZENDE, M. De; LACMAN, S.; MONTEIRO, C.- Randomized trial for the treatment of post-traumatic elbow stiffness: surgical release vs. rehabilitation(2020) GUGLIELMETTI, Cesar L. B.; GRACITELLI, Mauro E. C.; ASSUNCAO, Jorge H.; ANDRADE-SILVA, Fernando B.; PESSA, Mariana M. Nicolosi; LUZO, Maria Candida; NETO, Arnaldo A. Ferreira; MALAVOLTA, Eduardo A.Background: There are no previous randomized trials comparing surgical to conservative treatment for post-traumatic elbow stiffness. The aim of our study was to compare elbow range of motion (ROM) and clinical outcomes among patients undergoing surgical treatment or a standardized rehabilitation for post-traumatic elbow stiffness. Methods: Randomized clinical trial of patients with post-traumatic elbow stiffness for more than 6 months who failed conventional physical therapy for 4 months. Patients were randomized into 2 treatment groups. The conservative group underwent the rehabilitation protocol associated with the use of orthoses (static progressive for extension and dynamic for flexion) and continuous passive motion. The surgical group underwent surgical release by a posterior approach without triceps detachment, followed by a rehabilitation protocol similar to the conservative group. The primary outcome of the study was flexion-extension ROM at 6 months of follow-up. Secondary outcomes included the visual analog scale for pain, the Mayo Elbow Performance Score, the Disabilities of the Arm, Shoulder, and Hand score, absolute and relative increase in flexion-extension ROM, and complication rates. Results: Thirty patients were analyzed in the study, 15 in each group. The mean elbow flexion-extension ROM at the end of 6 months of follow-up was 108 degrees in the surgical group and 88 degrees in the conservative group (P = .002). The mean absolute and the relative increase of elbow flexion-extension at 6 months were, respectively, 17 degrees and 27% in the conservative group and 41 degrees and 59% in the surgical group (P<.001). Conclusion: Surgical elbow release associated with the rehabilitation protocol resulted in a greater flexion-extension ROM, as well as a greater absolute and relative increase compared with rehabilitation alone at 6 months of follow-up. The groups did not differ regarding clinical scores and complication rates.
- RANDOMIZED PROSPECTIVE STUDY ON THE TREATMENT OF FEMORO-PATELLAR OSTEOARTHRITIS USING BRACING(2019) YAMAMOTO, Gustavo Jum; CAMPOS, Guilherme Pereira; LUZO, Maria Candidade Miranda; SILVA, Cleidneia Aparecida Clemente da; FARIAS, Fabiane Elize Sabino de; REZENDE, Marcia Uchoa deObjective: To compare the effect of a brace designed to stabilize the patellofemoral joint to that of a patella-shaped neoprene sleeve with patella cut out in patients with patellofemoral osteoarthritis. Methods: Fifty-seven patients with femoro-patellar osteoarthritis were allocated to two groups: patients with femoro-patellar functional brace and those with a neoprene knee with a patellar orifice. Both groups underwent clinical treatment of osteoarthritis and used medications daily 1 month before and up to 3 months after brace placement. They were evaluated with the WOMAC and Lequesne questionnaires and performed five times sit to stand test, Timed Up and Go test, and six minutes walk test immediately before and 1 and 3 months after brace placement. Results: Both groups had improved pain, stiffness, and function with no difference between groups. Drug use decreased in both groups in the first month but increased in the third month. Naproxen use was progressively higher in the control group. Conclusion: Both knee orthoses improved pain and function and altered drug use only in the first month. Functional knee brace provided analgesia without increased use of naproxen.
conferenceObject COMPARISON OF TWO ORTHOSES IN THE TREATMENT OF FEMORO-PATELLAR OSTEOARTHRITIS(2019) OCAMPOS, G. P.; DEREZENDE, M. U.; YAMAMOTO, G. J.; LUZO, M. C. M.; SILVA, C. A. C. Da; DEFARIAS, F. E. S.; DECAMARGO, O. P.conferenceObject RADIOGRAPHIC ASSESSMENT OF THE SEVERITY OF THUMB CARPOMETACARPAL OSTEOARTHRITIS IN THE DOMINANT AND NON-DOMINANT HAND: A DESCRIPTIVE, CROSS-SECTIONAL STUDY(2013) SUZUKI, R. M.; ALMEIDA, L. C. de; SCARCELLA, D. D.; SOUZA, J. M.; IMAMURA, A.; LUZO, M. D.; REZENDE, M. U.a. Purpose: thumb carpometacarpal osteoarthritis is a disabling condition that can lead to pain at the base of the thumb and impairment of hand function. Considering that usage of the hand is within the risk factors for hand osteoarthritis and that the dominant hand is more demanded in occupational activities, especially during tasks that require precision pinches, the purpose of this study was to compare the radiographic changes at the carpometacarpal (CMC) thumb in the dominant and non-dominant hand. b. Methods: we studied 108 (19 male and 89 female) subjects, between 40 and 80 years old, with radiographic changes of the thumb CMC joint. The individuals represented 65% of the participants enrolled in a group education programme for patients with knee osteoarthritis (OA) in the Institute of Orthopaedics and Traumatology of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Patterns of the use of the hand was varied among the subjects, including occupations such as housekeepers, secretaries, seamstress, teachers, nursing assistants, workers of metallurgical plant, etc. Two orthopedic surgeons assessed bilateral thumb CMC joint radiographs according to Kellgren and Lawrence (KL) scale. The participants were asked by telephone call or in their follow up visit which was their dominant hand and what was the main occupational activity they did most during the last years. We examined the data for correlation between the grades of severity of osteoarthritis in the thumb CMC, handedness and occupational usage of the hand. c. Results: 25% (95% CI: 18-33) of the 108 subjects had a higher KL grade in the thumb CMC of the dominant hand comparing with the non-dominant (dominant KL mean: 2; non-dominant KL mean: 0,75; range1 to 4) ; 18% (95% CI:10-25) had a higher KL grade in the thumb CMC of the non-dominant hand (non-dominant KL mean: 2,35; dominant KL mean: 1; range 1 to 4); and 55% (95% CI: 45-64) had no difference in the severity of the thumb CMC comparing the dominant with non-dominant hand (KL mean 1,7; range 1-4). We did not find an association between occupational use of the hand and severity OA of the thumb CMC joint because there were too many subgroups of occupational activities and patterns of use of the hand. d. Conclusion: The results suggest that there is no association between joint destruction and the overuse of the thumb CMC of the dominant hand comparing with the non-dominant hand in individuals with thumb CMC and knee osteoarthritis. In this sense, our initial hypothesis seems to be not true. Comparison and analysis of pain and hand function in dominant and non-dominant hand will possibly show different findings. Correlation between occupational use of the hand (work activities) and thumb CMC severity OA should be done with a bigger or more homogenous sample.