ANA PAULA MONTEIRO
Índice h a partir de 2011
1
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina
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conferenceObject TUG AND SRT IN PATIENTS OF PARQVE: PROJECT ARTHRITIS RECOVERING QUALITY OF LIFE BY MEANS OF EDUCATION(2013) FARIAS, Fabiane; MONTEIRO, Ana Paula; CERNIGOY, Claudia Helena De Azevedo; SILVA, Cleidneia Aparecida Clemente; REZENDE, Marcia Uchoa De- Massage application for occupational low back pain in nursing staff(2012) BORGES, Talita Pavarini; GREVE, Julia Maria D'Andrea; MONTEIRO, Ana Paula; SILVA, Rodrigo Emmanuel Sabbag da; GIOVANI, Arlete Mazzini Miranda; SILVA, Maria Julia Paes daThis is a clinical trial which aims to evaluate the efficiency of massage in the reduction of occupational low back pain, and its influence on the performance of work and life activities for the nursing team. The sample consisted of 18 employees who received seven to eight sessions after their work period. From the Numerical Pain Rating Scale, significant improvements were found between the 3rd and 1st evaluations (p=0.000) and between the 3rd and 2nd (p=0.004), using the Wilcoxon test. Regarding the Oswestry Disability Index, the paired t test showed a statistical difference (p=0.02) between the baseline, with a mean of 21.33% and the second evaluation (18.78%), which was also seen between the second and third evaluation (16.67%). The score for the Handling and Transfer Risk Evaluation Scale was 18 points (medium risk). It is concluded that massage was effective in reducing occupational low back pain, and provided improvement in activities of work and life. Clinical Trials Identifier: NCT01315197.
conferenceObject PARQVE - PROJECT ARTHRITIS RECOVERING QUALITY OF LIFE BY MEANS OF EDUCATION - A PILOT STUDY IN BRAZIL(2013) REZENDE, M. U.; CAMPOS, G. C.; PAILO, A. F.; FRUCCHI, R.; PASQUALIN, T.; HISSADOMI, M. I.; BRITO, N. L.; FARIAS, F. E.; MONTEIRO, A. P.; SILVA, C. A.; CERNIGOY, C. H.Purpose: The primary objective was to evaluate the improvement of pain and function of patients with knee OA exposed to a multidisciplinary education program. Secondary Objectives were to evaluate patients’ weight loss and increase in physical activity. Methods: Two hundred and twenty-two patients (54 men and 168 women) with knee OA were randomly divided into four groups. Patients underwent pre-assessment and two days of workshops with a multidisciplinary team composed of psychologists; nutritionist; social workers; physiotherapists; occupational therapists and orthopedic surgeons. Patients answered evaluation questionnaires (VAS, WOMAC, LEQUESNE) at inclusion and one year after classes. Three groups participated in two workshops with varying time interval between each workshop (Group 1, 3 months apart; Group 2, 2 months apart; Group 3, 1 month apart. Group 4, control, only received handouts and video as all patients. Patients responded how many times a week they exercised during the year.To compare the means between the groups in the assessments of VAS, WOMAC, Lequesne and BMI, ANOVA was used with repeated measures. To compare the average weekly exercises between groups ANOVA was used. The Tukey test was used for multiple comparisons when significance was found. The data were processed in SPSS V. 18.0 and the significance level used for the tests was α = 0.05. Data are presented as mean (standard deviation) at baseline and after 1 year. Results: Baseline VAS was 53.33 (±27.45) in Group 1, 64.58 (±25.96) in Group 2; 57.81 (±24.91); Group 3; and 55.70 (±26.71) in Group 4. At one year the average VAS was according to groups: 1: 55.81(±22.90); 2: 52.42(±25.93); 3: 52.87(±21.78); 4: 57.27(±24.72). There was a difference between groups after one year (p=0.03) but the Tukey test was not able to verify which group was different. Baseline WOMAC was 1:43.37(±19.15); 2: 46.69(±18.65); 3: 45.33(±18.33); 4:42.33(±18.68) and at one year: 1:43.29(±18.08); 2: 42.33(±20.86); 3: 42.65(±13.67); 4:43.97(±19.43). There was no difference between groups (p=0.53).Baseline LEQUESNE: 1:12.16(6.29); 2: 13.46(9.57); 3: 11.81(4.08); 4: 11.89(4.40) and at one year 1: 11.74(4.05); 2: 11.41(4.63); 3: 11.68(3.62); 4: 11.86(4.30) also showed no difference (p=0.53). Patientes from group 4 exercised less average 1.34(±2.11) times a week than the others: 1: 2.96 (±2.52) p=0.00; 2: 2.75(±2.58); p=0.01; 3: 2.76(±2.95); p=(0.015). BMI was measured at baseline and after a year. There were significant defference between groups: (1 and 4) average =-7.19; CI95%=[-9.94; -4.44]; p=0.00; (2 and 4) average = -4.60; CI95%= [-7.35; -1.849]; p=0.000; (3 and 4) average = -3.55; CI95%= [-6.27; -0.83]; p=0.00. Conclusions: The educational program (handouts, video, and workshops) diminished BMI and increased physical activity of the subjects. Participating in the workshops did not improve functional measures but diminished pain more than just receiving handouts.