FATIMA APARECIDA CAROMANO

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Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina

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Autor: VOOS, Mariana Callil ×

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Agora exibindo 1 - 10 de 22
  • article
    Avaliação interdisciplinar da diadococinesia: um estudo piloto
    (2017) ALBUQUERQUE, Jessica Talita da Cruz; MACEDO, Tamara Passos; FAVERO, Francis Meire; BARBOSA, Alessandra Ferreira; CAROMANO, Fátima Aparecida; VOOS, Mariana Callil
    ABSTRACT Diadochokinesis is the ability to perform fast, repeated and alternate movements. Diadochokinesis tests can assess both speech and upper extremities. The primary objective was to present an interdisciplinary diadochokinesis assessment protocol. The secondary objectives were to compare the performance with different phonemes of the oral diadochokinesis test (/papapa/, /tatata/, /kakaka/ and /pataka/); to compare the performance with different conditions of the upper extremities diadochokinesis test (conducted with both upper extremities in a mirrored manner, only with the right upper extremity, only with the left upper extremity, with both upper extremities in an alternately manner); and to investigate possible relationships between oral and upper extremities diadochokinesis. A total of fifteen healthy adults/seniors from 40 to 70 years old participated. Data were represented by descriptive statistics. The syllable numbers in /papapa/, /tatata/, /kakaka/ and /pataka/ conditions and the numbers of movements in mirrored, right, left and alternated conditions were compared by ANOVA and correlated by Pearson test. There was no significant difference in results between the phonemes of oral diadochokinesis test (p<0.001). There was difference between the conditions assessed in the upper extremities diadochokinesis test (p<0.001). The number of repeated phonemes was correlated with the alternate performance of upper extremities. We concluded that the correlation between scores of oral and upper extremities diadochokinesis tests can be explained by the fact that motor and language programs are predominantly represented in the left hemisphere. Common/connected brain areas or motor programs in common can guide these tasks.
  • article 4 Citação(ões) na Scopus
    How often should sitting and rising from a chair be evaluated in patients with Duchenne muscular dystrophy?
    (2017) HUKUDA, Michele Emy; CAROMANO, Fatima Aparecida; ESCORCIO, Renato; CARVALHO, Eduardo Vital de; BLASCOVI-ASSIST, Silvana Maria; VOOS, Mariana Callil
    Objective: To determine how often sitting/rising from a chair should be assessed in Duchenne muscular dystrophy (DMD) patients to avoid redundant/missing data. Methods: Sitting/rising from a chair was evaluated in 26 DMD children (5-12 yrs), in three-month intervals, over twelve months, with the Functional Evaluation Scale (domain sitting/rising from a chair). Scores were compared by effect sizes (ES) and standardized response means (SRM) (responsiveness analysis). Results: Sit-to-stand showed low -to-moderate responsiveness in three-month intervals (ES:0.23-0.32; SRM:0.36-0.68), moderate-to-high responsiveness in six-month intervals (ES:0.52-0.65; SRM:0.76-1.28), high responsiveness at nine-month (ES:0.84-0.91; SRM:1.26-1.64) and twelve-month intervals (ES:1.27; SRM:1.48). Stand-to-sit showed low responsiveness in three-month intervals (ES:0.26-0.49; SRM:0.37-0.42), moderate responsiveness in six-month intervals (ES:0.50-0.78; SRM:0.56-0.71), high responsiveness in nine-month (ES:0.94-1.00; SRM:0.84-1.02) and twelve-month intervals (ES:1.13; SRM:1.52). Conclusion: Six months or longer intervals for reassessment are indicated to evaluate sitting/standing from a chair in DMD patients.
  • article 11 Citação(ões) na Scopus
    Functional performance and muscular strength in symptomatic female carriers of Duchenne muscular dystrophy
    (2020) SILVA, Thiago Henrique da; ANEQUINI, Isabela Pessa; FAVERO, Francis Meire; VOOS, Mariana Callil; OLIVEIRA, Acary Souza Bulle; TELLES, Juliana Aparecida Rhein; CAROMANO, Fatima Aparecida
    Duchenne muscular dystrophy (DMD) usually affects men. However, women are also affected in rare instances. Approximately 8% of female DMD carriers have muscle weakness and cardiomyopathy. The early identification of functional and motor impairments can support clinical decision making. Objective: To investigate the motor and functional impairments of 10 female patients with dystrophinopathy diagnosed with clinical, pathological, genetic and immunohistochemical studies. Methods: A descriptive study of a sample of symptomatic female carriers of DMD mutations. The studied variables were muscular strength and functional performance. Results: The prevalence was 10/118 (8.4%) symptomatic female carriers. Deletions were found in seven patients. The age of onset of symptoms in female carriers of DMD was quite variable. Pseudohypertrophy of calf muscles, muscular weakness, compensatory movements and longer timed performance on functional tasks were observed in most of the cases. Differently from males with DMD, seven female patients showed asymmetrical muscular weakness. The asymmetric presentation of muscle weakness was frequent and affected posture and functionality in some cases. The functional performance presents greater number of compensatory movements. Time of execution of activities was not a good biomarker of functionality for this population, because it does not change in the same proportion as the number of movement compensations. Conclusion: Clinical manifestation of asymmetrical muscle weakness and compensatory movements, or both can be found in female carriers of DMD mutations, which can adversely affect posture and functional performance of these patients.
  • article 1 Citação(ões) na Scopus
    Educational status influences cognitive-motor learning in older adults: going to university provides greater protection against aging than going to high school
    (2017) VOOS, Mariana Callil; PIEMONTE, Maria Elisa Pimentel; MANSUR, Leticia Lessa; CAROMANO, Fatima Aparecida; BRUCKI, Sonia Maria Dozzi; VALLE, Luiz Eduardo Ribeiro do
    Objective: To investigate if middle-aged and older adults with a higher education would differ from those with an average education in cognitive-motor tasks involving lower limb function. Methods: A walking version of the Trail Making Test (Walking Executive Function Task, [ WEFT]) was used. Eighty volunteers (40: 50-65 years; 40: 66-80 years) were subdivided into average (6-11years of education) and higher education (12-17 years). They received two training sessions (session 1: eight repetitions, session 2: four repetitions), with a one week-interval between them. The Timed Up and Go (TUG) test was performed before and after the training. Results: Volunteers with an average education showed longer times on the WEFT than those with a higher education. Older adults showed lower retention than middle-aged adults (p < 0.001). The TUG was faster after the WEFT training (p < 0.001). Conclusion: The impact of education was observed when locomotion was associated with cognitive tasks. Average education resulted in poorer performance and learning than higher education, mainly in older adults. Gait speed increased after training.
  • article
    Mudança na biomecânica da postura sentada afeta a função pulmonar
    (2019) CONTESINI, Adriana Maria; SILVA, Thiago Henrique da; FAVERO, Francis Meire; BLASCOVI-ASSIS, Silvana Maria; VOOS, Mariana Callil; CAROMANO, Fátima Aparecida
    ABSTRACT The objective of this study was to characterize the postures induced by two different chair-desk systems and analyze their effects on lung function. This was a cross-sectional, descriptive study of single subject with intra-series type analysis (A-B, B-A) during consecutive days of data collection. Fifteen volunteers participated using two chair-desk systems: conventional (A) and experimental (B). Postural evaluation was performed in both systems using photogrammetry. These images were analyzed using AutoCAD® 2010, estimating the average position of the joint angles of individuals in each system. These values were analyzed verifying the averages in each posture. Postural and respiratory data were compared by checking whether the different positions adopted by the participants resulted in changes in the spirometry values. Conventional chair-desk system promoted two different postural patterns, considering that one presented joint angles similar to experimental system, with similar spirometry results and the other presented body angles according to the reference of standards and spirometry results significantly lower in FEV1, FEV1/FVC and FEFmax. Experimental system differed from values of literature in standing posture only in FEFmax, suggesting similarity of postural situation. It was concluded that the experimental furniture proved a tool capable of benefiting respiratory function in sitting posture and may be an option to benefit people in special conditions such as pregnant women, obese individuals and people with chronic pulmonary diseases.
  • article 11 Citação(ões) na Scopus
    Pain characterization in Duchenne muscular dystrophy
    (2016) SILVA, Talita Dias da; MASSETTI, Thais; MONTEIRO, Carlos Bandeira de Mello; TREVIZAN, Isabela Lopes; ARAB, Claudia; CAROMANO, Fatima Aparecida; VOOS, Mariana Callil; OLIVEIRA, Acary Souza Bulle; FAVERO, Francis Meire
    Duchenne muscular dystrophy (DMD) is an X-linked recessive disorder, characterized by progressive muscle weakness. Historically, pain has not been considered to be a major symptom in DMD. Objective: To investigate the relationship between DMD and pain. Methods: We conducted a systematic review in Medline/PubMed and BVS (virtual library in health) databases. We searched for articles that showed the terms ""Muscular Dystrophy, Duchenne"" and ""Pain"" in all fields. All studies included boys diagnosed with DMD and the occurrence/amount of pain on this population. Results: Initially, there were 175 studies. 167 articles were excluded for not meeting the inclusion criteria. The remaining eight eligible studies, involving pain assessment in DMD, were analyzed. Conclusion: Pain is a frequent problem in this population and this symptom is potentially tractable. Studies conclude that pain can directly influence the quality of life of this population.
  • article 10 Citação(ões) na Scopus
    Reliability, validity and description of timed performance of the Jebsen-Taylor Test in patients with muscular dystrophies
    (2018) ARTILHEIRO, Mariana Cunha; FAVERO, Francis Meire; CAROMANO, Fatima Aparecida; OLIVEIRA, Acary de Souza Bulle; CARVAS JUNIOR, Nelson; VOOS, Mariana Callil; SA, Cristina dos Santos Cardoso de
    Background: The Jebsen-Taylor Test evaluates upper limb function by measuring timed performance on everyday activities. The test is used to assess and monitor the progression of patients with Parkinson disease, cerebral palsy, stroke and brain injury. Objectives: To analyze the reliability, internal consistency and validity of the Jebsen-Taylor Test in people with Muscular Dystrophy and to describe and classify upper limb timed performance of people with Muscular Dystrophy. Methods: Fifty patients with Muscular Dystrophy were assessed. Non-dominant and dominant upper limb performances on the Jebsen-Taylor Test were filmed. Two raters evaluated timed performance for inter-rater reliability analysis. Test-retest reliability was investigated by using intraclass correlation coefficients. Internal consistency was assessed using the Cronbach alpha. Construct validity was conducted by comparing the Jebsen-Taylor Test with the Performance of Upper Limb. Results: The internal consistency of Jebsen-Taylor Test was good (Cronbach's alpha=0.98). A very high inter-rater reliability (0.903-0.999), except for writing with an Intraclass correlation coefficient of 0.772-1.000. Strong correlations between the Jebsen-Taylor Test and the Performance of Upper Limb Module were found (rho = 0.712). Conclusion: The Jebsen-Taylor Test is a reliable and valid measure of timed performance for people with Muscular Dystrophy.
  • article 4 Citação(ões) na Scopus
    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 Callil
    Purpose. 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.
  • article 21 Citação(ões) na Scopus
    The competition with a concurrent cognitive task affects posturographic measures in patients with Parkinson disease
    (2015) BARBOSA, Alessandra Ferreira; SOUZA, Carolina de Oliveira; CHEN, Janini; FRANCATO, Debora Valente; CAROMANO, Fatima Aparecida; CHIEN, Hsin Fen; BARBOSA, Egberto Reis; GREVE, Julia Maria D'Andrea; VOOS, Mariana Callil
    Objectives: To estimate the impact of a sensory-motor-cognitive task on postural balance, in Parkinson disease patients (Hoehn and Yahr 2-3) and to investigate possible relationships between posturography and functional balance clinical scales. Method: Parkinson disease patients (n = 40) and healthy controls (n = 27) were evaluated with fluency tests, Berg Balance scale, Mini Best test and static posturography on the conditions eyes open, eyes closed and dual-task (simultaneous balance and fluency tasks). Results: Posturographic data showed that Parkinson disease patients performed worse than controls in all evaluations. In general, balance on dual-task was significantly poorer than balance with eyes closed. Posturographic data were weakly correlated to clinical balance scales. Conclusion: In clinical practice, Parkinson disease patients are commonly assessed with eyes closed, to sensitize balance. Our study showed that adding a cognitive task is even more effective. Static posturographic data should be carefully overgeneralized to infer functional balance impairments.
  • article
    Influence of severity of traumatic brain injury at hospital admission on clinical outcomes
    (2018) SILVA, Thiago Henrique da; MASSETTI, Thais; SILVA, Talita Dias da; PAIVA, Laercio da Silva; PAPA, Denise Cardoso Ribeiro; MONTEIRO, Carlos Bandeira de Mello; CAROMANO, Fatima Aparecida; VOOS, Mariana Callil; SILVA, Lucas Del Sarto
    ABSTRACT Traumatic brain injury (TBI) is a public health problem with high mortality and socioeconomic repercussions. We aimed to investigate the influence of TBI severity on the length of mechanical ventilation (MV) stay and length of hospital stay and on the prevalence of tracheostomy, pneumonia, neurosurgery and death. This retrospective, observational study evaluated medical records of 67 patients with TBI admitted to Irmandade da Santa Casa de Misericórdia de São Paulo. Severity was determined according to the Glasgow Coma Scale (GCS): mild (13-15 points; 36 patients; 53.7%), moderate (9-12 points; 14 patients; 20.9%) or severe (3-8 points; 17 patients; 25.4%). Severe TBI patients had higher prevalence of tracheostomy, pneumonia and neurosurgery. No significant differences were observed between TBI severity, mortality and length of MV stay. However, TBI severity influenced the length of hospital stay. TBI severity at admission, evaluated according to the GCS, influenced the prevalence of tracheostomy, pneumonia, neurosurgery and was associated to prolonged hospital stay.