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
14 resultados
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Agora exibindo 1 - 10 de 14
- ADVANCING ACADEMIC CAPACITY IN PHYSICAL AND REHABILITATION MEDICINE TO STRENGTHEN REHABILITATION IN HEALTH SYSTEMS WORLDWIDE: A JOINT EFFORT BY THE EUROPEAN ACADEMY OF REHABILITATION MEDICINE, THE ASSOCIATION OF ACADEMIC PHYSIATRISTS, AND THE INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE(2022) FRONTERA, Walter R.; STUCKI, Gerold; ENGKASAN, Julia P.; FRANCISCO, Gerard E.; GUTENBRUNNER, Christoph; HASNAN, Nazirah; LAINS, Jorge; YUSOF, Yusniza Mohd; NEGRINI, Stefano; OMAR, Zaliha; BATTISTELLA, Linamara R.; SOWA, Gwen; STAM, Henk; BICKENBACH, Jerome
- EXPLORING A LONG-TERM GLOBAL APPROACH FOR MUSCULOSKELETAL ULTRASOUND TRAINING: WORLD-MUSCULUS(2012) IMAMURA, Marta; OZCAKAR, Levent; FREGNI, Felipe; HSING, Wu Tu; BATTISTELLA, Linamara Rizzo
- 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.
- Functional Changes in Cortical Activity of Patients Submitted to Knee Osteoarthritis Treatment An Exploratory Pilot Study(2022) IUAMOTO, Leandro Ryuchi; IMAMURA, Marta; SAMESHIMA, Koichi; MEYER, Alberto; SIMIS, Marcel; BATTISTELLA, Linamara Rizzo; FREGNI, FelipeIntroduction There is evidence that brain plasticity is the central mechanism involved in the functional recovery process of patients with knee osteoarthritis. Studies involving the analysis of central nervous system mechanisms of pain control and recovery could provide more data on future therapeutic approaches. Objective The aim of the study was to explore possible functional changes in cortical activity of patients submitted to knee osteoarthritis standardized pain treatment using electroencephalography. Methodology Ten patients with clinical and radiological diagnosis of painful knee unilateral or bilateral osteoarthritis were recruited to participate in clinical (Pain's Visual Analog Scale), radiological (Kellgren-Lawrence Scale), and neurophysiological (electroencephalography) assessments to evaluate cortical activity during cortical pain modulation activity. The clinical and neurophysiological analyses were performed before and after standardized pain treatment. Results Eight patients participated in this study. A significant improvement in pain perception and relative increase in interhemispheric connectivity after therapies was observed. In electroencephalography analysis, tests with real movement showed a relative increase in density directed at Graph's analysis. Conclusions Relative increase density directed measures at connectivity analysis in electroencephalography after pain treatment can be possible parameters to be explored in future research with a larger number of patients.
- 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.
- The International Spinal Cord Injury Survey: The Way Forward(2020) BICKENBACH, Jerome; BATISTELLA, Linamara; GUTENBRUNNER, Christoph; MIDDLETON, James; POST, Marcel W.; STUCKI, GeroldAs a community survey of individuals living with spinal cord injury in 22 countries, representing all 6 of the World Health Organization regions, the International Spinal Cord Injury (InSCI) community survey is one of the few surveys that highlights not only basic medical issues, but also the impact of spinal cord injury (SCI) on the everyday lives of people. The InSCI survey is part of a much larger project known as the Learning Health System for SCI Initiative (LHS-SCI). The objective of this article is to highlight some of the ongoing and planned next steps at the national and international levels. The implementation phase of the LHS-SCI initiative, beginning with the publication of primary results and extending until 2023, will use the results of the InSCI survey as evidence for implementation of recommendations for improving the societal response to the needs of individuals with SCI at the national level. To illustrate the variety of implementation activities currently underway, we provide country examples from Australia, Morocco, Malaysia, and Germany to demonstrate the diversity of approaches to the implementation of InSCI data. The implementation phase of the LHS-SCI initiative promises to usher in a new era of SCI research that will be seamlessly linked to ongoing and effective implementation actions, at both international and national levels and across settings from clinical practice, health systems management, and national policy. (C) 2020 by the American Congress of Rehabilitation Medicine
- RADIAL EXTRACORPOREAL SHOCK WAVE THERAPY FOR DISABLING PAIN DUE TO SEVERE PRIMARY KNEE OSTEOARTHRITIS(2017) IMAMURA, Marta; ALAMINO, Sandra; HSING, Wu Tu; ALFIERI, Fabio Marcon; SCHMITZ, Christoph; BATTISTELLA, Linamara RizzoObjective: To assess the efficacy and safety of radial extracorporeal shock wave therapy (rESWT) for disabling pain due to primary knee osteoarthritis. Design: Randomized, placebo-controlled trial (level of evidence, 1). Subjects: A total of 105 women with disabling pain due to primary knee osteoarthritis lasting for a mean of 103 months (range 3-480 months). Methods: Patients received either rESWT (3 sessions, each one week apart, 2,000 rESWT impulses per session, positive energy flux density 0.10-0.16 mJ/mm(2)) or placebo treatment. Primary outcome measure was pain on movement 3 months after the final treatment session. Secondary outcomes were pain, stiffness and limitations in physical function on the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index and the level of tolerance to pressure over muscles, tendons, ligaments and skin at both the treated and the untreated side at 1 week and 3 months follow-up examinations. Results: Compared with placebo treatment, rESWT led to a statistically significant improvement only in mean WOMAC scores for pain and a few of the pressure measurements. Conclusion: rESWT, as performed in the present study, is not efficient for treating patients with disabling pain due to primary knee osteoarthritis. Published data indicate that substantially higher energy flux densities are necessary for treatment success in this condition.
- Slow Versus Fast Robot-Assisted Locomotor Training After Severe Stroke A Randomized Controlled Trial(2017) RODRIGUES, Thais Amanda; GOROSO, Daniel Gustavo; WESTGATE, Philip M.; CARRICO, Cheryl; BATISTELLA, Linamara R.; SAWAKI, LumyBackground and Purpose: Robot-assisted locomotor training on a bodyweight-supported treadmill is a rehabilitation intervention that compels repetitive practice of gait movements. Standard treadmill speed may elicit rhythmic movements generated primarily by spinal circuits. Slower-than-standard treadmill speed may elicit discrete movements, which are more complex than rhythmic movements and involve cortical areas. Objective: Compare effects of fast (i.e., rhythmic) versus slow (i.e., discrete) robot-assisted locomotor training on a bodyweight-supported treadmill in subjects with chronic, severe gait deficit after stroke. Methods: Subjects (N = 18) were randomized to receive 30 sessions (5 d/wk) of either fast or slow robot-assisted locomotor training on a bodyweight-supported treadmill in an inpatient setting. Functional ambulation category, time up and go, 6-min walk test, 10-m walk test, Berg Balance Scale, and Fugl-Meyer Assessment were administered at baseline and postintervention. Results: The slow group had statistically significant improvement on functional ambulation category (first quartile-third quartile, P = 0.004), 6-min walk test (95% confidence interval [CI] = 1.8 to 49.0, P = 0.040), Berg Balance Scale (95% CI = 7.4 to 14.8, P < 0.0001), time up and go (95% CI = -79.1 to 5.0, P < 0.0030), and Fugl-Meyer Assessment (95% CI = 24.1 to 45.1, P < 0.0001). The fast group had statistically significant improvement on Berg Balance Scale (95% CI = 1.5 to 10.5, P = 0.02). Conclusions: In initial stages of robot-assisted locomotor training on a bodyweight-supported treadmill after severe stroke, slow training targeting discrete movement may yield greater benefit than fast training.
- RESULTS FROM THE INTERNATIONAL SPINAL CORD INJURY COMMUNITY SURVEY: THE LIVED EXPERIENCE OF PEOPLE WITH SPINAL CORD INJURY IN SOUTH-EASTERN BRAZIL(2022) UTIYAMA, Daniela Mitiyo Odagiri; ALFIERI, Fabio Marcon; RAMOS, Vinicius Delgado; BATTISTELLA, Linamara RizzoObjective: The incidence of spinal cord injury in Brazil is increasing. It is important to understand more about how individuals are living with spinal cord injury. Design: Cross-sectional, observational study of indivi-duals with spinal cord injury in south-eastern Brazil. Subjects: A questionnaire with 125 questions was applied to individuals diagnosed with spinal cord injury. Participants were recruited by survey team from 2 rehabilitation centres (both in south-eastern Brazil) that treat persons diagnosed with SCI. Perso-nal characteristics, associated health conditions, qua-lity of life, work status, environmental factors, and other functioning-related aspects were evaluated. Results: A total of 201 individuals participated in the survey. Of these, 79% were male, mean age 44 years, 60% were considered paraplegic, and the major cau-ses of impairment were firearm injuries and road traffic accidents. Spasticity was the most frequently reported health condition, followed by neuropathic pain. 50% of subjects did not report any difficulty with participa-tion in activities of daily living. However, only approx-imately 10% of subjects returned to work after spinal trauma. Their quality of life is reported 44% as good. Conclusion: Most people with spinal cord injury in south-eastern Brazil are male and paraplegic, health problems and spasticity is considered their most pro-blematic health condition. Although they report having a good quality of life, they still encounter disabling environmental barriers that make their life more dif-ficult, such as poor accessibility of public spaces, and only a small proportion (10%) returned to work after their injury. This study provides an initial overview of the lived experience of people with spinal cord injury in south-eastern Brazil and should serve as a starting point for future research on this population.
- Advancing Academic Capacity in Physical and Rehabilitation Medicine to Strengthen Rehabilitation in Health Systems Worldwide A Joint Effort by the European Academy of Rehabilitation Medicine, the Association of Academic Physiatrists, and the International Society of Physical and Rehabilitation Medicine(2022) FRONTERA, Walter R.; STUCKI, Gerold; ENGKASAN, Julia P.; FRANCISCO, Gerard E.; GUTENBRUNNER, Christoph; HASNAN, Nazirah; LAINS, Jorge; YUSOF, Yusniza Mohd; NEGRINI, Stefano; OMAR, Zaliha; BATTISTELLA, Linamara Rizzo; SOWA, Gwen; STAM, Henk; BICKENBACH, Jerome