LINAMARA RIZZO BATTISTELLA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de MedicinaLegal, Ética Médica e Medicina Social e do Trabalho, Faculdade de Medicina - Docente
Instituto de Medicina Física e de Reabilitação, Hospital das Clínicas, Faculdade de Medicina
FMUSP, Hospital das Clínicas, Faculdade de Medicina
LIM/40 - Laboratório de Imunohematologia e Hematologia Forense, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto de Medicina Física e de Reabilitação, Hospital das Clínicas, Faculdade de Medicina
FMUSP, Hospital das Clínicas, Faculdade de Medicina
LIM/40 - Laboratório de Imunohematologia e Hematologia Forense, Hospital das Clínicas, Faculdade de Medicina - Líder
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bookPart Modelo assistencial do serviço de reabilitação(2014) BRITO, Christina May Moran de; BATTISTELLA, Linamara Rizzo; BAIA, Wania Regina Molloarticle 5 Citação(ões) na Scopus A transversal multicenter study assessing functioning, disability and environmental factors with the comprehensive ICF core set for low back pain in Brazil(2014) RIBERTO, M.; CHIAPPETTA, L. M.; LOPES, K. A. T.; BATTISTELLA, L. R.Background. Low back pain is a leading cause of disability in Brazil. The multiple aspects of disability in these patients require comprehensive tools for their assessment. The International Classification of Functioning, Disability, and Health (ICF) core set for low back pain is designed to comprehensively describe the experience of such patients with their functioning. Aim. This study aimed to describe functioning and contextual factors and to empirically validate the ICF core set for low back pain. Design. Cross sectional study. Setting. Three outpatient clinics in Manaus, Maceio and Sao Paulo, Brazil. Population. 135 low back pain outpatients under rehabilitation. Methods. Data concerning diagnosis, personal features, and the 78 ICF core set categories for low back pain were collected from clinical charts, physical examinations, tests, and interviews with patients from rehabilitation services in three parts of Brazil. Results. 7.7% of the categories (6 body functions and 10 activity and participation) were affected in less than 20% of the sample, and were thus considered not validated. Pain and other sensations related to the musculoskeletal system were the body most frequently impaired functions. Mobility and domestic life were the chapters of activity and limitation most often described as limited. All environmental factors were qualified as either facilitators or barriers and acted as modulators of disability. Conclusion. The comprehensive ICF core sets for low back pain can be used to describe the living experience of such individuals, although efforts to make it operational and enhance the reproducibility of the results are needed to warrant its reliable routine use. Clinical Rehabilitation Impact. This study highlights the importance of a complete assessment of chronic low back pain and demonstrate the need for multidisciplinary approach.- Concentration of cytokines in patients with osteoarthritis of the knee and fibromyalgia(2014) IMAMURA, Marta; TARGINO, Rosa Alves; HSING, Wu Tu; IMAMURA, Satiko; AZEVEDO, Raymundo Soares; BOAS, Lucy Santos Villas; TOZETTO-MENDOZA, Tania Regina; ALFIERI, Fabio Marcon; FILIPPO, Thais Raquel; BATTISTELLA, Linamara RizzoIntroduction: Fibromyalgia and osteoarthritis may present a relationship with the -concentration of cytokines. The aim of this study was to compare the serum concentrations of IL-12p70, tumor necrosis factor, IL-10, IL-6, IL-1 beta, and IL-8 in patients with knee osteoarthritis and fibromyalgia. Materials and methods: The study included 53 women (71.2 +/- 7.6 years old) diagnosed with knee osteoarthritis with moderate-to-severe pain (visual analog scale. 4) for at least 3 months. Sixty women (54.1 +/- 8.1 years old) diagnosed with fibromyalgia according to the American College of Rheumatology criteria and with moderate-to-severe pain (visual analog scale. 4) also participated in this study. For the dosage of cytokines, blood was collected in the morning: 5 mL from the cubital vein. The material was centrifuged at 4 degrees C, separated into 100 mu L aliquots and stored at -80 degrees C until processing. Serum concentrations of the studied cytokines were assessed using the BD Cytometric Bead Array method. Data were analyzed with Student's t-test and the Mann-Whitney U test. Results: We found higher levels of IL-6, IL-10, and IL-1 beta in fibromyalgia patients. After adjustment of age as a covariate, there was no statistically significant difference in the concentration of any cytokine between fibromyalgia and knee osteoarthritis patients. Conclusion: Patients with knee osteoarthritis and fibromyalgia with the same duration and intensity of pain demonstrate similar concentrations of cytokines. Aging may play a role in cytokine profile, a finding not so extensively addressed in the literature and one that should be further investigated.
- CONFERENCES AND CONVENTION CENTRES' ACCESSIBILITY TO PEOPLE WITH DISABILITIES(2014) DOSHI, Jasmine Khandhar; FURLAN, Andrea Dompieri; LOPES, Luiz Carlos; DELISA, Joel; BATTISTELLA, Linamara RizzoObjective: The purposes of this manuscript are to create awareness of problems of accessibility at meetings and conferences for people with disabilities, and to provide a checklist for organizers of conferences to make the event more accessible to people with disabilities. Methods: We conducted a search of the grey literature for conference centres and venues that had recommendations for making the event more accessible. The types of disability included in this manuscript are those as a consequence of visual, hearing and mobility impairments. Results: We provide a checklist to make meetings accessible to people with disabilities. The checklist is divided into sections related to event planning, venue accessibility, venue staff, invitations/registrations, greeting people with a disability, actions during the event, and suggestions for effective presenters. Conclusions: The checklist can be used by prospective organizers of conferences to plan an event and to ensure inclusion and participation of people with disabilities.
- THE INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE: THE WAY FORWARD - II(2014) IMAMURA, Marta; GUTENBRUNNER, Christoph; STUCKI, Gerold; LI, Jianan; LAINS, Jorge; FRONTERA, Walter; OLVER, John; OZCAKAR, Levent; DELISA, Joel; BATTISTELLA, Linamara Rizzo; MELVIN, JohnThis paper reports on recent changes and future plans concerning the International Society of Physical and Rehabilitation Medicine. Issues discussed are its structural organization, collaboration and recognition, liaison with the World Health Organization, work in strengthening science, and its future agenda.
- Validation of the Brazilian version of the Spinal Cord Independence Measure III(2014) RIBERTO, Marcelo; TAVARES, Daniel Amorim; RIMOLI, Jose Ragide Jamal; CASTINEIRA, Carolina Pastorin; DIAS, Rodrigo Vasconcelos; FRANZOI, Ana Cristina; VALL, Janaina; LOPES, Kathya Augusta Thome; CHUEIRE, Regina Helena M. Fornari; BATTISTELLA, Linamara RizzoIntroduction: The Spinal Cord Independence Measure (SCIM III) specifically assesses individuals with spinal cord injuries. Objective: To translate and validate the Brazilian version of SCIM III. Method: SCIM III was translated, back-translated and adapted to the Portuguese language. Two interviewers assessed 83 subjects with spinal cord injuries in each one of seven collaborating rehabilitation centers. Functional Independence Measure (FIM (TM)) and ASIA motor and sensory indices were also used. After six months, subjects were reevaluated with the same instruments. Results: Examiners clearly understood the Brazilian version of SCIM III. Inter-rater intraclass correlation coefficient (ICC) was 0.918, and test-retest ICC was 0.991. After six months, the variation of gains in the FIM (TM) positively correlated with gains in SCIM III. Conclusion: The Brazilian version of the SCIM III is easy to understand, has good psychometric properties, and is valid.
- Prevalence of Atlanto-Occipital and Atlantoaxial Instability in Adults with Down Syndrome(2014) EL-KHOURI, Marcelo; MOURAO, Marcelo Alves; TOBO, Andrea; BATTISTELLA, Linamara Rizzo; HERRERO, Carlos Fernando Pereira; RIBERTO, MarceloOBJECTIVE: This study sought to evaluate the presence of atlanto-occipital and atlantoaxial instabilities as well as their clinical significance in patients with Down syndrome. METHODS: The present study retrospectively evaluated 80 adults with Down syndrome for the presence of atlanto-occipital and atlantoaxial instability in lateral craniocervical radiographic images. Atlanto-occipital instability was defined by the Rules of 12 or Harris measurements, using the values of the basion-dens interval or the basion-axial interval. Atlantoaxial instability was radiologically identified by the space between the anterior border of the odontoid apophysis and the posterior border of the atlas arch, as well as by the Wiesel-Rothman line. RESULTS: Eighty patients were assessed; 14 (17.5%) presented with atlanto-occipital instability and 9 (11.2%) with atlantoaxial instability. Only 3 patients (3.8%) had specific symptoms for cervical instability. There was no statistical correlation with patient age or gender. CONCLUSIONS: High cervical instability in patients with Down syndrome can also be observed among adults, and there is a low correlation between the radiological findings and symptoms. These findings emphasize the importance of periodic follow-up on these patients, particularly when sports activities are considered.
- WORLD CONGRESSES OF THE INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE 2013-2015: THE WAY FORWARD - FROM BEIJING TO BERLIN(2014) GUTENBRUNNER, Christoph; FIALKA-MOSER, Veronika; LI, Leonard S. W.; PATERNOSTRO-SLUGA, Tatjana; STUCKI, Gerold; NUGRAHA, Boya; GUZMAN, Juan Manuel; IMAMURA, Marta; BATTISTELLA, Linamara Rizzo; LI, JiananScientific congresses are an important tool to support communication among scientists, enabling exchange of knowledge and discussion of research results. They can also provide specialist education and allow a forum in which to develop the goals and policies of scientific societies. The World Congresses of the International Society of Physical and Rehabilitation Medicine (ISPRM) aims at continuous improvement of congress quality. The programme development aims are: to operate at the highest possible scientific level; to guarantee continuous communication within the main areas of science in the field; and to invite experts to present topics of recent interest. The first section, the basic programme, largely comprises original papers selected from submitted abstracts. The second section covers topics of recent interest in more depth. Other sessions include recent topics arising from the ISPRM-World Health Organization (ISPRM-WHO) liaison, collaborative sessions with other societies, including national societies special interest sessions and ISPRM partners, and sessions organized by young scientists and students. These aims and programme guide the organizers of the 9th World Congress, which will be held on 19-23 June 2015 in Berlin. The concepts described here will be developed further for use in future ISPRM World Congresses.