DANIEL RUBIO DE SOUZA

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6
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Unidades Organizacionais
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina
IRLM, Hospital das Clínicas, Faculdade de Medicina
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina

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  • article 6 Citação(ões) na Scopus
    Electroencephalography as a Biomarker for Functional Recovery in Spinal Cord Injury Patients
    (2021) SIMIS, Marcel; CAMSARI, Deniz Doruk; IMAMURA, Marta; FILIPPO, Thais Raquel Martins; SOUZA, Daniel Rubio De; BATTISTELLA, Linamara Rizzo; FREGNI, Felipe
    Background Functional changes after spinal cord injury (SCI) are related to changes in cortical plasticity. These changes can be measured with electroencephalography (EEG) and has potential to be used as a clinical biomarker. Method In this longitudinal study participants underwent a total of 30 sessions of robotic-assisted gait training (RAGT) over a course of 6 weeks. The duration of each session was 30 min. Resting state EEG was recorded before and after 30-session rehabilitation therapy. To measure gait, we used the Walking Index for Spinal Cord Injury Scale, 10-Meter- Walking Test, Timed-Up-and-Go, and 6-Min-Walking Test. Balance was measured using Berg Balance Scale. Results Fifteen participants with incomplete SCI who had AIS C or D injuries based on American Spinal Cord Injury Association Impairment Scale classification were included in this study. Mean age was 35.7 years (range 17-51) and the mean time since injury was 17.08 (range 4-37) months. All participants showed clinical improvement with the rehabilitation program. EEG data revealed that high beta EEG activity in the central area had a negative correlation with gait (p = 0.049; beta coefficient: -0.351; and adj-R-2: 0.23) and balance (p = 0.043; beta coefficient: -0.158; and adj-R-2:0.24) measured at baseline, in a way that greater high beta EEG power was related to worse clinical function at baseline. Moreover, improvement in gait and balance had negative correlations with the change in alpha/theta ratio in the parietal area (Gait: p = 0.049; beta coefficient: -0.351; adj-R-2: 0.23; Balance: p = 0.043; beta coefficient: -0.158; and adj-R-2: 0.24). Conclusion In SCI, functional impairment and subsequent improvement following rehabilitation therapy with RAGT correlated with the change in cortical activity measured by EEG. Our results suggest that EEG alpha/theta ratio may be a potential surrogate marker of functional improvement during rehabilitation. Future studies are necessary to improve and validate these findings as a neurophysiological biomarker for SCI rehabilitation.
  • bookPart
    Princípios do tratamento e reabilitação da osteoartrite
    (2020) SOUZA, Daniel Rubio de; OSHIRO, Cláudia Sayuri Furukawa
  • bookPart
    Princípios do tratamento e reabilitação da osteoartrite
    (2023) SOUZA, Daniel Rubio de; OSHIRO, Claudia Sayuri Furukawa; SANTOS, Denise Junqueira dos
  • bookPart
    Lombalgias: princípios básicos, avaliação, tratamento e reabilitação
    (2023) SOUZA, Daniel Rubio de; NAKAMURA, Flávia Tiemi Tashiro
  • conferenceObject
    IMPACT OF SPINAL CORD INJURY IN FEMALE SEXUAL FUNCTION
    (2012) CASTRO, Jose; GOMES, Cristiano; BESSA JR., Jose; BRUSCHINI, Homero; ABDO, Carmita; ABREU, Luiz; ARAUJO FILHO, Julio; SOUZA, Daniel; SCAZUFCA, Marcia; BATTISTELLA, Linamara; BARROS, Tarcisio; SROUGI, Miguel
  • article 4 Citação(ões) na Scopus
    Relationship between the coronavirus disease 2019 pandemic and immobilization syndrome
    (2021) PLAPLER, Perola Grinberg; SOUZA, Daniel Rubio de; KAZIYAMA, Helena Hideko Seguchi; BATTISTELLA, Linamara Rizzo; BARROS-FILHO, Tarcisio Eloy Pessoa de
  • conferenceObject
    IMPACT OF SPINAL CORD INJURY IN MALE SEXUAL FUNCTION
    (2012) CASTRO, Jose; GOMES, Cristiano; BESSA JR., Jose; BRUSCHINI, Homero; ABDO, Carmita; ABREU, Luiz; ARAUJO FILHO, Julio; SOUZA, Daniel; SCAZUFCA, Marcia; MIRANDA, Eduardo; SROUGI, Victor; BATTISTELLA, Linamara; BARROS, Tarcisio; SROUGI, Miguel
  • article 27 Citação(ões) na Scopus
    Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology
    (2015) BELLUCCI, Carlos Henrique Suzuki; CASTRO FILHO, Jose Everton de; GOMES, Cristiano Mendes; BESSA JR., Jose de; BATTISTELLA, Linamara Rizzo; SOUZA, Daniel Rubio de; SCAZUFCA, Marcia; BRUSCHINI, Homero; SROUGI, Miguel; BARROS FILHO, Tarcisio E. P.
    Background: Epidemiological features of spinal cord injury (SCI) have been changing over the last decades. We evaluated the contemporary trends in the epidemiology of traumatic SCI patients from a rehabilitation center. Methods: In a cross-sectional study, a consecutive series of 348 patients with traumatic SCI were evaluated. Variables were collected through an epidemiological form, which included gender, age at injury, duration and cause of SCI. We investigated SCI epidemiological trends over time including the association between gender and age at injury with SCI features such as etiology, injury severity and level. Results: The mean age at SCI has increased from 26.0 +/- 11.8 in patients with SCI before 2003 to 37.9 +/- 15.7 in those with SCI after 2009 (p < 0.001). Gunshot wounds were the main cause of injury in patients with SCI before 2003, dropping from 40.6 to 16.9% after 2009 and being surpassed by road traffic injuries (38.6%) and falls (31.4%) after 2009 (p < 0.001). Gender, SCI severity and level have not changed significantly over the time. Conclusions: There was a major increase in the average age of patients as well as changes in the etiology of SCI over the past fifteen years, including a significant decrease in gunshot wounds and an increase in the frequency of road traffic injuries and falls. These changes and accompanying risk factors must be taken into consideration when planning measures to prevent SCI. (C) 2015 S. Karger AG, Basel
  • bookPart
  • bookPart 0 Citação(ões) na Scopus
    Rehabilitation and wheelchair users after spinal cord injury: An overview
    (2022) RIBERTO, M.; WU, L. J. L.; SOUZA, D. R. de
    Spinal cord injury (SCI) is one of the most complex clinical conditions that occur in humans involving physical aspects such as motor, sensory, and autonomic changes with great emotional, economic, and social implications. Considering the numerous consequences of SCI in human functioning, one must keep clear the objectives for the rehabilitation process, which may comprise motor achievements like gait, wheelchair abilities, transfers, selfcare, sphincter management, sexual and reproductive intentions, as well as social participation in education, leisure, and work. Robotic rehabilitation has proved to be highly efficient rehabilitation resources because of the elevated number of repetitions of movements and enhanced engagement through interactive interfaces. Powered exoskeletons have been used for exercises and socialization when available for nontherapeutic purposes. Numerous actions regarding clinical treatment and prevention of complications should be taken as soon as possible to facilitate clinical management and reduce morbidity and mortality. Among the most usual clinical complications of SCI are pressure ulcers, neurogenic bladder and bowel, spasticity, joint deformities, heterotopic ossification, musculoskeletal and neuropathic pain, pneumonia, and suicides. The SCI clinician must be aware of these problems and act toward their prevention and control. © 2022 Elsevier Inc. All rights reserved.