AMELIA PASQUAL MARQUES
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
44 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 44
- Prevalence of low back pain in the elderly population: a systematic review(2019) SOUZA, Ingred Merllin Batista de; SAKAGUCHI, Tina Fujii; YUAN, Susan Lee King; MATSUTANI, Luciana Akemi; ESPIRITO-SANTO, Adriana de Sousa do; PEREIRA, Carlos Alberto de Braganca; MARQUES, Amelia PasqualThe aim of this study was to estimate the prevalence of low-back pain (LBP) and to identify the level of functional disability in elderly individuals in different populations. From January 1985 to October 2018, a search was performed using the following databases: Embase, LILACS, SciELO, Scopus, Medline, and the Web of Science. The descriptors were low-back pain, back pain, lower-back pain, prevalence, and elderly in Portuguese and English. Two independent reviewers conducted a search for studies and evaluated their methodological quality. The search strategy returned 2186 titles, and 35 were included in this review. The studies evaluated 135,059 elderly individuals aged between 60 and 102 years, and the prevalence of LBP ranged from 21% to 75%. The levels of functional disability, as well as functional difficulties, activities of daily living, and physical capacity, were identified in 60% of the studies. This review indicated a high prevalence of LBP in elderly individuals and functional disability that affects factors important for independence. However, the studies used different methodologies, suggesting that more studies be conducted with scientific accuracy, methodological quality, and low risk of bias to contribute to the proposal of preventive actions for elderly populations.
- Effectiveness of two physical therapy interventions, relative to dental treatment in individuals with bruxism: study protocol of a randomized clinical trial(2014) AMORIM, Cinthia Santos Miotto; FIRSOFF, Eliete Ferreira Osses; VIEIRA, Glauco Fioranelli; COSTA, Jecilene Rosana; MARQUES, Amelia PasqualBackground: Bruxism is a parafunctional habit characterized by grinding and/or clenching of the teeth. It may happen while awake (awake bruxism) or while sleeping (sleep bruxism). In adults, the prevalence is 20% for the awake bruxism and 8% for the sleep bruxism. Peripheral, central, and psychosocial factors influence the disorder, which may predispose to pain in the masticatory muscles and neck, headache, decreased pain thresholds in the masticatory and cervical muscles, limitation mandibular range of motion, sleep disorders, stress, anxiety, depression, and overall impairment of oral health. The aim of this study is to compare two distinct physical therapy interventions with dental treatment in pain, mandibular range of motion, sleep quality, anxiety, stress, depression, and oral health in individuals with bruxism. Methods/Design: Participants will be randomized into one of three groups: Group 1 (n = 24) intervention will consist of massage and stretching exercises; Group 2 (n = 24) will consist of relaxation and imagination therapies; and Group 3 (n = 24) will receive dental treatment. The evaluations will be performed at baseline, immediately after treatment, and at 2-month follow-up. Pain intensity will be assessed using the visual analogical scale, while pain thresholds will be determined using dolorimetry. Mandibular range of motion will be assessed using digital pachymeter. Sleep quality will be assessed by the Pittsburgh Sleep Quality Index, anxiety by the State-Trait Anxiety Inventory, stress by the Perceived Stress Scale-10, depression by the Beck Depression Inventory, and oral health will be assessed using the Oral Health Impact Profile - 14. Significance level will be determined at the 5% level. Discussion: This project describes the randomization method that will be used to compare two physical therapy interventions with dental treatment in the management of pain, mandibular range of motion, sleep quality, anxiety, stress, depression, and oral health in individuals with bruxism. The study will support the practice of evidence-based physical therapy for individuals with bruxism. Data will be published after study is completed.
- Brazilian-Portuguese translation and cross cultural adaptation of the activities-specific balance confidence (ABC) scale(2013) MARQUES, Amelia P.; MENDES, Yuri C.; TADDEI, Ulisses; PEREIRA, Carlos A. B.; ASSUMPCAO, AnaBackground: The Activities-specific Balance Confidence (ABC) scale was developed to quantify the self-perceived level of confidence in performing specific activities without losing balance or becoming unsteady. The ABC scale has been adopted in clinical practice and in research, although cross-cultural differences may impose difficulties in its use. Objective: To translate, cross-culturally adapt and verify the intra-and inter-rater reliability of the Brazilian-Portuguese version of the ABC scale and describe the self-perceived balance confidence of elderly Brazilian people. Method: The ABC scale was translated and culturally adapted. To verify the intra-and inter-rater reliability, 40 elderly individuals with ages ranging from 60 to 88 years were interviewed. The scale was administered by two raters on the same day and readministered after seven days by rater 1. To test the reliability, we used the intraclass correlation coefficient (ICC). Results: Six items from the ABC scale were considered culturally, semantically or regionally inappropriate and were modified. The intra-rater reproducibility was excellent (ICC= 0.94), and the inter-rater reproducibility was very good (ICC= 0.80). The self-perception of balance in specific activities of the elderly was considered very good, with an average of 81.7 and scores ranging from 61.2 to 96.7. Conclusion: The ABC scale was translated and culturally adapted for the Brazilian population and presents good intra-and inter-rater reliability. The self-perceived balance confidence in elderly Brazilian people evaluated with the ABC scale is moderate.
- Comparison of the effects of low-level laser and pulsed and continuous ultrasound on pain and physical disability in chronic non-specific low back pain: a randomized controlled clinical trial(2019) RUBIRA, Ana Paula Fernandes De Angelis; RUBIRA, Marcelo Custodio; RUBIRA, Lucas De Angelis; COMACHIO, Josielli; MAGALHAES, Mauricio Oliveira; MARQUES, Amelia PasqualObjective To compare the short-term effects of pulsed laser and pulsed and continuous ultrasound on pain and functional disability in women with chronic non-specific low back pain. Methods The sample was composed of 100 volunteers randomly allocated into four groups: The Pulsed Laser Group (n = 26) was treated with 3 J/cm(2); the Pulsed Ultrasound Group (n = 24; 3 MHz) was treated with 1 W/cm(2); the Continuous Ultrasound Group (n = 26; 1 MHz) was treated with 1 W/cm(2); and a Control Group (n = 24), where the patients were still waiting for treatment. Before and after 10 sessions of treatment, the intensity of pain was assessed using the visual analogue scale (VAS), the quality of pain was evaluated using the McGill pain questionnaire and functional disability was investigated using the Roland-Morris questionnaire. Results The three treated groups exhibited a decrease in pain (p < 0.001); the Pulsed Laser Group showed the greater relative gain (91.2%), Meanwhile, the Control Group exhibited a worsening of - 5.8%. The three treated groups demonstrated improvement in the quality of pain (McGill) in the total, sensory and affective dimensions (p < 0.005; p < 0.002; p < 0.013, respectively). All treated groups showed a decrease in functional disability (p < 0.001), but the Pulsed Ultrasound Group showed the highest relative gain (83.3%). Conclusions The three modalities have significant effects to decreasing low back pain and improving functional disability in women with non-specific chronic low back pain, but the pulsed low-level laser had the best results on pain while the pulsed ultrasound had the best results on improve the functional disability.
- A web-based educational therapy intervention associated with physical exercise to promote health in fibromyalgia in Brazil: the Amigos De Fibro (Fibro Friends) study protocol(2023) ANTUNES, Mateus Dias; LOURES, Felipe Cayres Nogueira da Rocha; SOUZA, Ingred Merllin Batista de; CRUZ, Ariela Torres; JANUARIO, Priscila de Oliveira; PINHEIRO, Mara Maria Lisboa Santana; SCHMITT, Ana Carolina Basso; FRUTOS-BERNAL, Elisa; MARTIN-NOGUERAS, Ana Maria; MARQUES, Amelia PasqualBackground Health education is one of the main items to enable health promotion to patients with fibromyalgia. The objective of the study ""Amigos de Fibro (Fibro Friends)"" is to evaluate the impact of an educational intervention associated with physical exercise based on the web in promoting health and quality of life of patients with fibromyalgia in Brazil.Methods A study with a randomized controlled trial approach will be carried out. The sample will consist of 24 participants, divided into two groups, with 12 individuals each. The experimental group will participate in meetings with lectures, debates, conversation rounds and exercises by a multidisciplinary team. Physical exercises will also be performed in an online environment. On the other hand, the control group will receive an e-book of education and self-care. Primary outcomes will be quality of life. The secondary outcomes will be sociodemographic and health profile, pain intensity, sleep quality, self-care agency, usage and costs of health and social care services, viability of the program and program participation. In addition, a qualitative evaluation process will be carried out with the participants. After the intervention, the data of both groups will be collected again, as well as after 3, 6, and 12 months to verify the effect and the maintenance of the intervention.Discussion The results will provide data for studies to consider the use of this tool in the future by professionals working in the field of rheumatology.
- Fisioterapia: a importância da união para a valorização da profissão(2015) MARQUES, Amelia Pasqual
- Amigos de Fibro (Fibro Friends): validation of an e-book to promote health in fibromyalgia(2023) ANTUNES, Mateus Dias; SCHMITT, Ana Carolina Basso; MARQUES, Amelia PasqualBackground:Educational strategies are necessary for the care of patients with fibromyalgia. The objective was to develop and validate an e-book to promote the health of individuals with fibromyalgia. Methods:Methodological research in which, initially, through a bibliographic survey, the available publications on the subject were analyzed. Then, this knowledge was used to build the theoretical content addressed, and the art and layout of the e-book were elaborated. In the third phase, validation of the constructed material, content specialists (n = 23), technicians (n = 23) and design specialists (n = 23), and individuals with fibromyalgia (n = 45) evaluated the e-book through the Delphi technique. For data collection, different questionnaires were used, according to the evaluation focus of each participant group, analyzed for reliability using Cronbach's Alpha (& alpha;C) and agreement using the Content Validity Index (CVI). Results:In the global assessment of agreement from all groups of judges, the CVI presented a considerable minimum: content (0.79), technical (0.89), design (0.92), and target audience (0.97). Regarding reliability, all groups also had a & alpha;C within the acceptable range: content (0.960), technical (0.963), design (0.977), and target audience (1.08). Conclusions:The e-book was developed and validated in terms of content and relevance and can be used to promote the health of individuals with fibromyalgia.
- Inter- and intra-rater reliability of computerized photogrammetry and universal goniometer in the measurement of hip flexion and abduction(2017) MARQUES, Amélia Pasqual; MARCOLAN, Juliana Naomi Oshima; PRADO, Juliana Nucci Nogueira; BURKE, Thomaz Nogueira; FERREIRA, Elizabeth Alves GonçalvesABSTRACT The universal goniometer (UG) is the most frequently used tool for measuring range of motion (ROM), with demonstrated reliability. Computerized photogrammetry (CP) is widely used for postural assessment, but its role in the measurement of ROM of hip flexion and abduction has not yet been fully explored. This study aimed to test inter- and intra-rater reliability for measuring ROM of hip flexion and abduction using UG and CP, as well as the reliability between the instruments. Our sample consisted of 40 healthy volunteers (aged from 18 to 28 years). Measurements of ROM were conducted by two independent raters, 15 minutes apart, using UG and CP to assess inter-rater reliability. The procedures were repeated one week later by the first rater (intra-rater reliability). Using UG, inter-rater reliability was excellent for flexion and abduction (ICC=0.92 and 0.91, respectively); using CP, it was rated as very good (ICC=0.77 and 0.80, respectively). Intra-rater reliability using UG was excellent for flexion and abduction (ICC=0.95 and 0.92), and very good using CP (ICC= 0.81 and 0.89). The correlation between the instruments was excellent for flexion and very good for abduction (r=0.92 and r=0.82). Future investigations should seek a more diversified sample and symptomatic patients. Inter- and intra-rater reliability is high when measuring range of motion of hip flexion and abduction using both UG and CP, and the correlation between instruments is excellent for flexion and very good for abduction, meaning that both are valid.
- Cultural adaptation and reliability of the questionnaire of sex education in schools(2019) PASSARO, Anice de Campos; REGRA, Mariana Cristina; SERRAO, Carla; MARQUES, Amelia PasqualSexuality is embedded in a social and cultural origin and its approach must go beyond biological aspects. Questionnaire on Sex Education in Schools (QUSES) assesses the knowledge, comfort, motivation and involvement of teachers in relation to sex education. This article aims to culturally adapt and verify the reliability of QUSES. The Experts Committee realized the Cultural adaptation and content validation. The Cronbach's alpha and its stratification were tested for reliability. It was applied to 100 teachers with an average of 44.45 (9.62) years of age. Words and phrases were modified, maintaining the equivalences of the original version. Question of knowledge was the most modified due to regulatory differences between countries. Reliability data was similar to the original instruments and were considered good. The lowest values were alpha = 0.741 for subscale of efficacy of results, alpha = 0.812 and alpha = 0.849 for subscale of involvement (cognitive). QUSES was culturally adapted for Brazilian elementary schools teachers presenting good reliability. It is relevant, because it evaluates sex education fully and may support in implementation and monitoring public policies related to health promotion in schools.
- Amigos de Fibro (Fibro Friends): development of an educational program for the health promotion of fibromyalgia patients(2022) ANTUNES, Mateus Dias; SCHMITT, Ana Carolina Basso; MARQUES, Amelia PasqualBackground: Educational practices are indicated to promote the health of people with fibromyalgia in primary health care. We aimed to develop an educative interdisciplinary program intended at the health promotion of individuals with fibromyalgia. Methods: It is a study protocol that was developed following three phases in the city of Sao Paulo city, Brazil. Qualitative research was carried out, through a focal group, with 12 individuals with fibromyalgia and 10 health professionals. A thematic content analysis was made according to the content proposed by Bardin. Results: Fibro Friends is an interdisciplinary program with educational approaches that must be performed in 15 meetings, once a week for 1 h and 20 min. Participants were the following professionals: a Physiotherapist, a Doctor, a Psychologist, a Nutritionist, a Nurse, a Pharmacist/Druggist, a Speech Therapist, an Occupational Therapist, a Naturopath, and a Social Worker. A physical exercise program will also be carried out. The professionals must discuss in a lecture, conversation hearing, and/or group dynamic, about strategies to promote health and pain control in fibromyalgia. Conclusion: Fibro Friends is a program presenting educational interdisciplinary information to individuals with fibromyalgia, being considered a trend to future care. Fibro Friends is a practical guide, logical, and efficient to patients with fibromyalgia at the basic attention to health.