RENATA HYDEE HASUE
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
24 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 24
- Effects of transcranial direct current stimulation (tDCS) on balance improvement: a systematic review and meta-analysis(2019) MOURA, Maria Clara D. Soares de; HAZIME, Fuad A.; APARICIO, Luana V. Marotti; GRECCO, Luanda A. C.; BRUNONI, Andre R.; HASUE, Renata HydeeBackground: Transcranial direct current stimulation (tDCS) has emerged as a promising therapeutic tool to improve balance and optimize rehabilitation strategies. However, current literature shows the methodological heterogeneity of tDCS protocols and results, hindering any clear conclusions about the effects of tDCS on postural control. Objective: Evaluate the effectiveness of tDCS on postural control, and identify the most beneficial target brain areas and the effect on different populations. Methods: Two independent reviewers selected randomized tDCS clinical-trials studies from PubMed, Scopus, Web of Science, and reference lists of retrieved articles published between 1998 and 2017. Most frequently reported centre of pressure (COP) variables were selected for meta-analysis. Other postural control outcomes were discussed in the review. Results: Thirty studies were included in the systematic review, and 11 were submitted to a meta-analysis. A reduction of COP displacement area has been significantly achieved by tDCS, evidencing an improvement in balance control. Individuals with cerebral palsy (CP) and healthy young adults are mostly affected by stimulation. The analysis of the impact of tDCS over different brain areas revealed a significant effect after primary motor cortex (M1) stimulation, however, with no clear results after cerebellar stimulation due to divergent results among studies. Conclusions: tDCS appears to improve balance control, more evident in healthy and CP subjects. Effects are observed when primary MI is stimulated. Cerebellar stimulation should be better investigated.
- The general movement checklist: A guide to the assessment of general movements during preterm and term age(2021) AIZAWA, Carolina Yuri Panvequio; EINSPIELER, Christa; GENOVESI, Fernanda Francoso; IBIDI, Silvia Maria; HASUE, Renata HydeeObjectives: To develop a checklist describing features of normal and abnormal general movements in order to guide General Movement Assessment novices through the assessment procedure, to provide a quantification of General Movement Assessment; and to demonstrate that normal and abnormal GMs can be distinguished on the basis of a metric checklist score. Methods: Three examiners used General Movement Assessment and the newly developed GM checklist to assess 20 videos of 16 infants (seven males) recorded at 31-45 weeks postmenstrual age (writhing general movements). Inter- and intra-scorer agreement was determined for General Movement Assessment (nominal data; Kappa values) and the checklist score (metric scale ranging from 0 to 26; Intraclass Correlation values). The scorers' satisfaction with the usefulness of the checklist was assessed by means of a short questionnaire (score 10 for maximum satisfaction). Results: The scorers' satisfaction ranged from 8.44 to 9.14, which indicates high satisfaction. The median checklist score of the nine videos showing normal general movements was significantly higher than that of the eleven videos showing abnormal general movements (26 vs. 11, p < 0.001). The checklist score also differentiated between poor-repertoire (median =13) and cramped synchronized general movements (median = 7; p =0.002). Inter- and intra-scorer agreement on (i) normal vs. abnormal general movements was good to excellent (Kappa =0.68-1.00); (ii) the distinction between the four general movement categories was considerable to excellent (Kappa = 0.56-0.93); (iii) the checklist was good to excellent (ICC =0.77-0.96). Conclusion: The general movement checklist proved an important tool for the evaluation of normal and abnormal general movements; its score may potentially document individual trajectories and the effect of therapeutic intervention. (C) 2020 Sociedade Brasileira de Pediatria.
- Hip Mobilization at Preterm Age May Accelerate Developmental Dysplasia Recovery(2018) VOOS, Mariana Callil; DRUMMOND, Soares de Moura Maria Clara; HASUE, Renata HydeePurpose. Few studies have described mobilization approaches in developmental dysplasia of the hip (DDH). The present study describes the hip mobilization of a preterm infant (born at 33 6/7 weeks of gestational age) diagnosed with DDH. Design and Methods. During the 43-day hospital stay, the infant was seen twice a week (ten sessions, 20 minutes each). All sessions included hip approximation maneuvers, with the hip positioned in abduction, lateral rotation and flexion, and lower limbs passive mobilization, which were taught to the mother. Early intervention with auditory, tactile, visual, and vestibular stimulations was also performed. The infant was assessed with hip ultrasound before and after treatment. Results. At 34 2/7 weeks of gestational age, she was classified as Graf IIa (left: alpha: 55 degrees, beta: 68 degrees; right: alpha: 59 degrees, beta: 64 degrees). At 40 5/7 weeks, she was classified as Graf I for left (alpha: 67 degrees; beta: 42 degrees) and right (alpha: 66 degrees; beta: 42 degrees) hips. Practical Implications. The intervention seemed to accelerate the acquisition of stability of dysplasic hips in a preterm infant. The outcome supports further investigation of hip approximation maneuvers as part of early stimulation in preterm infants with DDH during hospital stay.
- Conventional physical therapy and physical therapy based on reflex stimulation showed similar results in children with myelomeningocele(2017) AIZAWA, Carolina Y. P.; MORALES, Mariana P.; LUNDBERG, Carolina; MOURA, Maria Clara D. Soares de; PINTO, Fernando C. G.; VOOS, Mariana C.; HASUE, Renata H.We aimed to investigate whether infants with myelomeningocele would improve their motor ability and functional independence after ten sessions of physical therapy and compare the outcomes of conventional physical therapy (CPT) to a physical therapy program based on reflex stimulation (RPT). Twelve children were allocated to CPT (n = 6, age 18.3 months) or RPT (n = 6, age 18.2 months). The RPT involved proprioceptive neuromuscular facilitation. Children were assessed with the Gross Motor Function Measure and the Pediatric Evaluation of Disability Inventory before and after treatment. Mann-Whitney tests compared the improvement on the two scales of CPT versus RPT and the Wilcoxon test compared CPT to RPT (before vs. after treatment). Possible correlations between the two scales were tested with Spearman correlation coefficients. Both groups showed improvement on self-care and mobility domains of both scales. There were no differences between the groups, before, or after intervention. The CPT and RPT showed similar results after ten weeks of treatment.
- Neurodevelopment in the third year of life in children with antenatal ZIKV-exposure(2021) AIZAWA, Carolina Yuri Panvequio; CARON, Deyse Mayara Rodrigues; SOUZA, Carolina Barbosa de; KOZIMA, Paula Fernanda Augusto; DAMASCENO, Luana; EINSPIELER, Christa; MARSCHIK, Peter B.; BRASIL, Patricia; SCHMITT, Ana Carolina Basso; NIELSEN-SAINES, Karin; HASUE, Renata HydeeWe report cognitive, language and motor neurodevelopment, assessed by the Bayley-III test, in 31 non-microcephalic children at age 3 with PCR-confirmed maternal Zika virus exposure (Rio de Janeiro, 2015-2016). Most children had average neurodevelopmental scores, however, 8 children (26%) presented delay in some domain. Language was the most affected: 7 children (22.6%) had a delay in this domain (2 presenting severe delay). Moderate delay was detected in the cognitive (3.2%) and motor (10%) domains. Maternal illness in the third trimester of pregnancy and later gestational age at birth were associated with higher Bayley-III scores. Zika-exposed children require long-term follow-up until school age.
- Neurodevelopment in Infants Exposed to Zika Virus In Utero(2018) MOREIRA, M. Elisabeth Lopes; NIELSEN-SAINES, Karin; BRASIL, Patricia; KERIN, Tara; DAMASCENO, Luana; PONE, Marcos; CARVALHO, Liege M. A.; PONE, Sheila M.; VASCONCELOS, Zilton; RIBEIRO, Ieda P.; ZIN, Andrea A.; TSUI, Irena; ADACHI, Kristina; GAW, Stephanie L.; HALAI, Umme-Aiman; SALLES, Tania S.; CUNHA, Denise C. da; BONALDO, Myrna C.; GABAGLIA, Claudia Raja; GUIDA, Leticia; MALACARNE, Jociele; COSTA, Roozemerie P.; GOMES JR., S. Clair; REIS, A. Beatriz; SOARES, Fernanda V. M.; HASUE, Renata H.; AIZAWA, Carolina Y. P.; GENOVESI, Fernanda F.; AIBE, Mitsue; EINSPIELER, Christa; MARSCHIK, Peter B.; PEREIRA JR., J. Paulo; PORTARI, Elyzabeth A.; JANZEN, Carla; CHERRY, James D.
- Estimulação transcraniana por corrente contínua: uma ferramenta promissora para pessoas com paralisia cerebral(2020) MACHADO, Bibiana da Silveira dos Santos; MOURA, Maria Clara Drumond Soares de; SOUSA, Carolina Barbosa de; SILVA, Thuany Cristina Morais da; HASUE, Renata Hydee
- Attention deficit hyperactivity disorder and developmental coordination disorder: Two separate disorders or do they share a common etiology(2015) GOULARDINS, Juliana B.; RIGOLI, Daniela; LICARI, Melissa; PIEK, Jan P.; HASUE, Renata H.; OOSTERLAAN, Jaap; OLIVEIRA, Jorge A.Attention deficit hyperactivity disorder (ADHD) has been described as the most prevalent behavioral disorder in children. Developmental coordination disorder (DCD) is one of the most prevalent childhood movement disorders. The overlap between the two conditions is estimated to be around 50%, with both substantially interfering with functioning and development, and leading to poorer psychosocial outcomes. This review provides an overview of the relationship between ADHD and DCD, discussing the common presenting features, etiology, neural basis, as well as associated deficits in motor functioning, attention and executive functioning. It is currently unclear which specific motor and cognitive difficulties are intrinsic to each disorder as many studies of ADHD have not been screened for DCD and vice-versa. The evidence supporting common brain underpinnings is still very limited, but studies using well defined samples have pointed to non-shared underpinnings for ADHD and DCD. The current paper suggests that ADHD and DCD are separate disorders that may require different treatment approaches.
- Effects of a combined strengthening, stretching and functional training program versus usual-care on gait biomechanics and foot function for diabetic neuropathy: a randomized controlled trial(2012) SARTOR, Cristina Dallemole; WATARI, Ricky; PASSARO, Anice Campos; PICON, Andreja Paley; HASUE, Renata Haydee; SACCO, Isabel C. N.Background: Polyneuropathy is a complication of diabetes mellitus that has been very challenging for clinicians. It results in high public health costs and has a huge impact on patients' quality of life. Preventive interventions are still the most important approach to avoid plantar ulceration and amputation, which is the most devastating endpoint of the disease. Some therapeutic interventions improve gait quality, confidence, and quality of life; however, there is no evidence yet of an effective physical therapy treatment for recovering musculoskeletal function and foot rollover during gait that could potentially redistribute plantar pressure and reduce the risk of ulcer formation. Methods/Design: A randomised, controlled trial, with blind assessment, was designed to study the effect of a physiotherapy intervention on foot rollover during gait, range of motion, muscle strength and function of the foot and ankle, and balance confidence. The main outcome is plantar pressure during foot rollover, and the secondary outcomes are kinetic and kinematic parameters of gait, neuropathy signs and symptoms, foot and ankle range of motion and function, muscle strength, and balance confidence. The intervention is carried out for 12 weeks, twice a week, for 40-60 min each session. The follow-up period is 24 weeks from the baseline condition. Discussion: Herein, we present a more comprehensive and specific physiotherapy approach for foot and ankle function, by choosing simple tasks, focusing on recovering range of motion, strength, and functionality of the joints most impaired by diabetic polyneuropathy. In addition, this intervention aims to transfer these peripheral gains to the functional and more complex task of foot rollover during gait, in order to reduce risk of ulceration. If it shows any benefit, this protocol can be used in clinical practice and can be indicated as complementary treatment for this disease.
conferenceObject Correlation between vitamin D, parathormone, creatinine and functional capacity of patients with end stage renal disease(2013) FRACINI, America; ABENSUR, Hugo; HASUE, Renata; JOAO, Silvia; FU, Carolina
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