Movement intervention in a Gestalt therapeutic setting using structured activities and free improvisation is a successful method in creating awareness of contact-making styles for late adolescents. An overview of the existing literature regarding the theoretical aspects of the interrelatedness of movement therapy, awareness, contact-making styles and the use of movement as a therapeutic intervention within a Gestalt context was presented. This included a description of the meta-theoretical assumptions that underpinned the research. A case-study consisting of eight late-adolescent females using the exploratory and descriptive nature within the qualitative research model was applied. All participants reported growth and awareness within themselves. The researcher concludes that movement intervention within a Gestalt therapeutic context can support an approach that adapts itself to the developmental phase of the individual and is a creative way of maintaining interest and focus. / Social Work / M. Diac. (Play Therapy)

Bibliographic identification METLICKÁ, Martina. Testing dyspraxia of children and adolescents dancing acrobatic rock'n'roll and of children and adolescents with specific abnormalities. Prague: Charles University, 2nd Faculty of Medicine, Department of rehabilitation and sports medicine, 2015. 91p. Supervisor MUDr. Josef Kraus, CSc. Abstract The theoretical part of this thesis briefly summarizes the findings of developmental dyspraxia and briefly characterizes different diseases encountered by tested subjects from a test sample of children with specific abnormalities, neurofibromatosis type 1 and Asperger's syndrome, and explores their relationship with developmental dyspraxia. The possibility of using dance therapy is also mentioned. The practical part is focused on evaluating the level of motor skills of children with specific abnormalities and children's rock and roll dancers using the Movement Assessment Battery for Children 2. Another objective is to determine whether the level of motor skills correlates with the level of attention tested by the Test of attention d2. The final goal is to assess the degree of physical activity of rock and roll dancers using the accelerometer ActiGraph GT3X. We confirm the presence of motor difficulties of children with specific abnormalities, however we did not confirm...

Denna studies syfte är att undersöka empatins betydelse inom tre olika konstnärliga terapier. I denna studie används en hermeneutisk ansats både i metoden och i den analytiska tolkningen. Underlaget för analysen har varit tre intervjuer med tre terapeuter. Empatibegreppet beskrivs utifrån ett utvecklingspsykologiskt perspektiv och dels ur ett psykodynamiskt perspektiv. Utifrån intervjuerna formades fem sammanfattande teman. 1 Det empatiska syftet. 2 Terapeuten som förebild. 3 Konstnärligt skapande. 4 Intersubjektivitet. 5 Förändringsprocess. I diskussionen problematiseras hur empatibegreppet kan användas och om behovet av att beskriva de intersubjektiva processer som är en förutsättning för empati. Den grundläggande intersubjektiva samspelsväven har nära samband med de konstnärliga interaktionsformerna som terapeuterna använder både på ett praktiskt och teoretiskt plan. / The purpose of this study is to investigate the importance of empathy in different artistic therapies. A hermeneutic approach is used in both the method and the analytical reading. The foundation for the analysis has been three interviewers with three therapists. The concept of empathy is described throw a development- psychological perspective and a psychodynamic perspective. Five summarize themes where found from the interviews. 1 The empathic purpose. 2 The therapist as a good example. 3 Artistic creativity. 4 Intersubjectivity. 5 Process of change. In the discussion the empathy-concept is being studied. How it is being used. And a need of describing intersubjective processes which is a prerequisite for empathy. The basic intersubjective interaction has a close relation to the artistic interactionforms which the therapists are using practically and theoretically.

INTRODUÇÃO: A lombalgia crônica inespecífica (LCI) é um problema de saúde pública e socioeconômico responsável pela redução da capacidade funcional de trabalhadores, sendo as mulheres mais acometidas. Danças Circulares (DC) vem sendo utilizadas na atenção primária a saúde como prática integrativa e complementar para melhorar diversos aspectos referentes a flexibilidade, a postura, a força e a resistência muscular, reduzindo dores e tensões. Os exercícios de estabilização segmentar lombar (ESL) têm sido utilizados como padrão ouro na abordagem terapêutica desta alteração. OBJETIVO: Comparar o efeito das DC com os exercícios de ESL na dor e incapacidade funcional de mulheres com dor lombar crônica inespecífica (DLCI). MÉTODO: Trinta e oito mulheres, na faixa etária de 35 a 60 anos, foram distribuídas aleatoriamente em dois grupos: 1) grupo de Dança Circular (gDC); 2) grupo de Exercício de Estabilização Lombar (gESL). Os desfechos clínicos primários foram dor, avaliada com a Escala Numérica de Dor e incapacidade funcional pelo Questionário de Incapacidade Roland Morris e os desfechos secundários foram: Depressão avaliada pelo Inventário de Depressão de Beck; Ansiedade pela Escala Numérica de Ansiedade; Percepção Global com a Escala de Percepção do Efeito Global, Sinais e Sintomas de Efeitos Adversos analisados pelo método do Discurso do Sujeito Coletivo e Qualidade de Vida por meio Short-Form Health Survey Questionnaire (SF-36). Os grupos foram tratados duas vezes por semana com a duração de 60 minutos, durante 8 semanas totalizando 16 sessões. Cada participante foi avaliada a antes e após o tratamento e no follow up 12ª e 24ª semanas. RESULTADOS: Os resultados mostram que não houve diferenças significativas em nenhuma variável relacionada aos desfechos primários e secundários entre os grupos estudados, exceto na variável dor no SF-36 (p < 0,05) na 24ª semana de follow-up. CONCLUSÃO: Os resultados apontam que as danças circulares são tão eficazes quanto os exercícios de estabilização lombar no tratamento de dor lombar crônica inespecífica / INTRODUCTION: Nonspecific chronic low back pain (NSCLCP) is a public health and socioeconomic problem responsible for the reduction of worker\'s functional capacity, and women are more affected. Circular Dance (CD) have been used in primary health care as an integrative and complementary practice to improve several aspects like flexibility, posture, strength and muscular endurance, reducing pain and tension. Lumbar Segmental Stabilization (LSS) exercises have been used as gold standard in the therapeutic approach of this alteration. OBJECTIVE: To compare the effect of CD with LSS exercises on pain and functional disability in women with nonspecific chronic low back pain (NSCLBP). METHOD: Thirty-eight women, aged 35-60 years, were randomly assigned to two groups: 1) Circular Dance group (CDg); 2) Lumbar Stabilization Exercise group (LSEg). The primary clinical outcomes were pain, assessed using the Numerical Pain Scale and functional disability by the Roland Morris Disability Questionnaire and the secondary outcomes were: Depression assessed by the Beck Depression Inventory; Anxiety by the Numerical Anxiety Scale; Global Perception with the Global Effect Perception Scale, Signs and Symptoms of Adverse Effects analyzed by the Collective Subject Discourse and Quality of Life method using the Short-Form Health Survey Questionnaire (SF-36). The groups were treated twice a week for 60 minutes, for 8 weeks, in total 16 sessions. Each participant was assessed before and after treatment and at follow-up 12 and 24 weeks. RESULTS: The results showed that there were no significant differences in any variables related to the primary and secondary outcomes between the groups studied, except for the pain variable in the SF-36 (p < 0.05) at the 24th week of follow-up. CONCLUSION: The results indicate that circular dances are as effective as lumbar stabilization exercises in the treatment of non-specific chronic low back pain

Introdução: A doença de Parkinson (DP), caracterizada por ser crônica, progressiva e neurodegenerativa, é uma das enfermidades neurológicas mais frequentes na atualidade. Pacientes com DP apresentam prejuízos motores, como rigidez muscular, tremor de repouso, lentidão de movimentos, instabilidade postural, e alterações na marcha e no equilíbrio; e distúrbios não-motores, como fatores cognitivos e neuropsiquiátricos, depressão, e uma consequente diminuição da qualidade de vida (QV). Apesar de a caminhada ser considerada tradicionalmente uma recomendação médica no tratamento não farmacológico da DP, a dança vem surgindo como uma importante ferramenta no tratamento complementar destes pacientes, quando somada a terapias medicamentosas tradicionais. Objetivo: Verificar e comparar os efeitos de um programa de dança e de caminhada na mobilidade funcional, nos parâmetros motores e na QV de pessoas com DP. Métodos: foi elaborado um protocolo de aulas de dança inspirado em ritmos musicais brasileiros: forró e samba. A amostra foi composta por 18 participantes com DP, divididos de forma não randomizada, em dois grupos: grupo dança (GD; n = 12) e grupo caminhada (GC; n = 6), expostos a 24 aulas de dança ou caminhada, com duração de uma hora e frequência de duas vezes por semana. Os instrumentos de coletas de dados utilizados foram uma ficha de dados pessoais dos pacientes, a Escala de Hoehn e Yahr (H&Y), o teste Timed Up and Go (TUG), a parte motora da Escala Unificada de Avaliação da DP (UPDRS III), o Índice de reabilitação (IR), a análise cinemática da caminhada e o Parkinson Disease Questionnaire (PDQ-39). A normalidade dos dados descritivos no momento inicial da pesquisa foi verificada através do Teste Shapiro-Wilk, foi utilizado o Teste Wilcoxon para dados não paramétricos e o Teste t pareado para dados paramétricos. Para os desfechos da pesquisa foram utilizados a análise de Equações de Estimativas Generalizadas (GEE), para a comparação entre os grupos GD e GC, os tempos PRÉ e PÓS intervenção, e interação tempo*grupo. Foi utilizado um posthoc de Bonferroni, para identificar as diferenças entre as médias em todas as variáveis. Para a análise dos dados foi utilizado o software Statistical Package for Social Sciences (SPSS) versão 20.0. O nível de significância adotado para ambos os testes foi de α<0,05. Resultados: Foi realizado um protocolo detalhado das intervenções. Os dois grupos apresentaram melhorias significativas após a intervenção em relação a mobilidade funcional na velocidade autosselecionada (VAS) (p = 0,02) e na velocidade rápida (VR) (p = 0,02), ao tempo de contato (TC) (perna esquerda VAS, p = 0,0028; perna direita VR, p = 0,009; perna esquerda, VR p = 0,025), ao tempo de balanço (TB) (perna esquerda VAS, p = 0,0028), a fase de duplo apoio (FDA) (perna direita VR, p < 0,001), a QV geral (p = 0,004), e aos domínios de bemestar emocional (p = 0,001), cognição (p = 0,020) e desconforto corporal (p = 0,008). O GD apresentou melhores resultados em comparação com o GC para os desfechos de Frequência de passos (FP) (p = 0,011) e o domínio de atividades de vida diária (AVDs) (p = 0,049). Conclusão: Ambos os grupos, GD e GC, apresentaram melhorias significativas após o período de intervenção, demonstrando que a dança é tão eficiente quanto a caminhada para a mobilidade funcional, parâmetros motores e a qualidade de vida de indivíduos com DP. / Background: Parkinson's disease (PD), characterized as progressive and neurodegenerative, is one of the most frequent neurological diseases of the present time. Patients with PD present motor impairment, such as muscle stiffness, rest tremor, slow movements, postural instability, and gait and balance alterations; And non-motor factors, such as cognitive and neuropsychiatric disorders, depressive symptoms, and a consequent decrease in quality of life (QL). Although walking is traditionally considered a medical recommendation in the non-pharmacological treatment of PD, dance has emerged as an important tool in the complementary treatment of these patients when added to traditional drug therapies.Objective: Verify and compare the effects of a program of dance and walking in functional mobility, motor parameters and QL of people with PD. Methods: the sample was composed of 18 participants with PD, divided into two non-randomized groups: dance group (DG; n = 12) and walking group (WG; n = 6). The data collection instruments used were be a personal data sheet of the patients, the Hoehn and Yahr Scale (HY), the Timed Up and Go test (TUG), the motor part of the Unified PD Rating Scale (UPDRS III), locomotor rehabilitation index (LRI), the kinematic walk analysis and the Parkinson's Disease Questionnaire (PDQ- 39). The normality of the descriptive data at the initial time of the research was verified through the Shapiro-Wilk Test, using the Wilcoxon Test for non-parametric data and the paired t-test for parametric data. For the research outcomes, the Generalized Estimating Equations (GEE) analysis was used to compare the GD and GC groups, the pre and post intervention moments, and the time group interaction. A Bonferroni post-hoc was used to identify the differences between means in all variables. Statistical Package for Social Sciences (SPSS) software version 20.0 was used to analyze the data. The significance level adopted for both tests was α <0.05. Results: A detailed protocol of interventions was performed. The two groups showed significant improvements after the intervention in relation to functional mobility in comfortable velocity (CV) (p = 0.02) and in fast velocity (FV) (p = 0.02), at stance time (StT) (Left leg CV, p = 0.0028); right leg FV, p = 0.009; left leg, FV p = 0.025), and swing time (SwT) (left leg CV, p = 0,0028), at double support phase (DSF) (rigth leg FV, p < 0,001), a general QL (p = 0,004), and to emotional well-being (p = 0.001), cognition (p = 0.020) and body discomfort (p = 0.008). The DG presented better results in comparison to the WG for the outcomes of Frequency of steps (FS) (p = 0.011) and the domain of activities of daily living (ADLs) (p = 0.049). The two interventions showed significant improvements regarding functional mobility, time of contact (TC), time of balance (TB), the perception of general QL, and domains of emotional well-being, cognition and body discomfort. The DG presented better results compared to the WG for the step frequency, double support phase and the domain of daily living activities. Conclusion: Both groups, DG and WG, showed significant improvements after the intervention period, demonstrating that dance is as efficient than walking for functional mobility, motor parameters and the QL for individuals with PD.

Submitted by Fabíola Silva (fabiola.silva@famerp.br) on 2017-05-31T12:25:41Z No. of bitstreams: 1 joselenemariamcarvalho_dissert.pdf: 748828 bytes, checksum: be23fa7402d3e64433e03db364a48b57 (MD5) / Made available in DSpace on 2017-05-31T12:25:41Z (GMT). No. of bitstreams: 1 joselenemariamcarvalho_dissert.pdf: 748828 bytes, checksum: be23fa7402d3e64433e03db364a48b57 (MD5) Previous issue date: 2015-11-06 / Caregivers of chronically ill patients change their habits to care of the patient who needs care, but often fails to maintain their own health. Objective: To analyze changes in the quality of life and burden arising from the physical activity in caregivers of chronic patients. Methods: In this study we performed a field research with the use of twice a week ballroom dance classes in 16 caregivers of patients of chemotherapy and base Hospital hemodialysis São José do Rio Preto - SP. To evaluate the quality of life we used the Quality of life Questionnaire World Health Organization - WHOQOL - BREF and to evaluate the burden we used the Zarit scale and a semi-structured interview. Results: Positive changes were found in the perception of individuals in reports and interview after the intervention. Conclusion: Physical activity can be a resource used for the improvement of Caregivers of health indicators. / Cuidadores de pacientes com doenças crônicas alteram seus hábitos para cuidar do doente que necessita de cuidados, porém muitas vezes não consegue manter a própria saúde. Objetivo: Analisar alterações na qualidade de vida e na sobrecarga oriundas da atividade física em cuidadores de doentes crônicos. Métodos: Neste estudo foi realizada uma pesquisa de campo com intervenção de duas vezes por semana com dança de salão em 16 cuidadores de pacientes da quimioterapia e da hemodiálise do Hospital de base de São José do Rio Preto – SP. Para avaliar a qualidade de vida foi utilizado o Questionário de Qualidade de Vida da Organização Mundial da Saúde – WHOQOL – BREF e para avaliar a sobrecarga utilizamos a Escala de Zarit e uma entrevista semiestruturada. Resultados: Alterações positivas foram encontradas na percepção dos indivíduos, nos relatos e na entrevista realizada, após a intervenção. Conclusão: Atividade física pode ser um recurso utilizado para a melhora dos indicadores de saúde de Cuidadores.

Dissertation title: Dancing and movement programme for seniors with specific needs. Dissertation objectives: The aim of the Dissertation is A) within the framework of a prospective study, to assess the dancing therapy influence on mobility, self-sufficiency, cognitive state, consumption of psycho-pharmaceutical drugs, depressiveness and quality of life of seniors in institutions. If a significant positive effect is proven, then B) to create an easy-to-implement dancing and movement programme for seniors in institutions with a special regard to seniors suffering of dementia and wheelchair-bound seniors who account for 60%-70% of inhabitants of old people's homes. Besides this, also to verify its efficiency on the health condition of seniors, improvement of quality of life, reduction of healthcare consumption, as well as on improvement of communication between clients and treatment staff. Method: A) The three-year prospective randomised controlled study made use of the method of quantitative and qualitative research. It was using the technique of analysis of questionnaire surveys (both ex-ante and ex-post) of intervention, comparison of development in the intervened and control groups, making of video records and their analysis, semi-structured interviews. B) Altogether 3 descriptive methodological...

Possibilities of prevention reflecting geriatric principles: Functional status and depressivity in old age Hana Vaňková, MD Abstract Background: Given the population ageing in Europe and in the Czech Republic, strategies aiming to prevent functional decline in older age are of great importance. Depression in old age increases functional decline and is also associated with increased morbidity, mortality and deterioration of quality of life (Anstey et al., 2007; Karakaya et al., 2009). Therefore, there is a need for a comprehensive intervention addressing both functional status and depressive symptoms. Methods: Using comprehensive geriatric assessment, the relationship between functional status and depressive symptoms was examined in 308 residents of long-term care facilities (RCFs) in the Czech Republic. Depressive symptoms were measured using the 15-item Geriatric Depression Scale. An additional randomized control trial (RCT) evaluated the effect of a dance-based therapy on depressive symptoms in 162 institutionalized older adults with average age over 80 years. Results: A multiple regression analyses adjusted for sociodemographic factors and for taking antidepressants found that cognitive function and functional limitation by pain were most strongly associated with depressive symptoms. The ability to...

Orientadores: Sérgio Resende Carvalho, Flávia Liberman Caldas / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-25T16:24:28Z (GMT). No. of bitstreams: 1 Reis_BrunaMartins_M.pdf: 337705140 bytes, checksum: 6e35c77fd8de3ec0325f78443192d183 (MD5) Previous issue date: 2014 / Resumo: O presente trabalho se esboça a partir de uma formação híbrida em arte e psicologia - mais especificamente em dança e na clínica da psicologia - e propõe uma reflexão sobre um modo de intervenção no campo da Saúde Mental, situando-se na interseção entre clínica e dança, considerando ambas as práticas como disparadoras de experiências e dispositivos para a criação de estratégias de invenção de si e de outros modos de existência. Nesse sentido, buscamos cartografar a experiência de uma prática/intervenção, que ocorreu no contexto de trabalho em um Centro de Atenção Psicossocial (CAPS), serviço de Saúde Mental destinado ao tratamento e à reabilitação psicossocial de sujeitos portadores de transtornos mentais graves, da cidade de Campinas. A partir do referencial da cartografia como metodologia de pesquisa, buscamos compor um mapa dos processos criativos experimentados, trabalhando com as reverberações desta experiência como possíveis condutoras a novos territórios subjetivos. Em nosso método, mergulhamos na materialidade da experiência vivida, tentando dar visibilidade ao campo intensivo criado como vestígios dos encontros que nos fazem transformar antigas concepções e produzir novos sentidos para a vida. Alteramos os modos de trabalhar com a loucura e com a pesquisa, em um olhar atravessado pela estética dos acontecimentos sutis. De profissionais e usuários a dançarinos, saboreamos os efeitos dessa entrega, suportando suas alegrias e silêncios, ao mesmo tempo em que fazemos girar nossas dores e medos. Sustentamos, em tal experiência, a invenção de um outro tempo para os encontros no CAPS, semeando novas paisagens ¿ seja no cuidado em saúde, seja nas linguagens expressivas ¿, a fim de disparar uma clínica que insiste em desinstitucionalizar seus fazeres e amar o transitório. Assim, o texto propõe uma reflexão sobre as práticas de reinvenção do trabalho em serviços de Saúde, apontando a interseção com linguagens artísticas como potencializadora em processos de criação de práticas e intervenções mestiças, que ampliem os limites da clínica e das estratégias de produção de saúde / Abstract: This work is outlined from a hybrid education in art and psychology - specifically in dance and clinical psychology - and reflects upon a mode of intervention in the mental health field, acting at the intersection between clinical and dance considering both practices as experiments triggering for creating strategies invention of self and other modes of existence. In this sense, we seek to map the experience of a practice / intervention that occurred in a Psychosocial Care Center (CAPS), Mental Health Service for the treatment and psychosocial rehabilitation of individuals with severe mental disorders. From the cartography as a research methodology, we seek compose a map of creative processes, working with the reverberations of this experience as possible conductive to new territories subjective. In our method we dived in the materiality of lived experience, trying to give visibility to the intensive field created as traces of encounters that make us turn old concepts and produce new meanings to life. We changed our ways of working with madness and with research in a marked look for the esthetic of subtle events; we savor the effects of this delivery, supporting their joys and silences, while we rotate our sorrows and fears. We invented another time for meetings in the CAPS, seeding new landscapes. Thus, the paper proposes a reflection on the practices of reinvention of work in health services, pointing to intersection with artistic languages as extension of power in creating practical interventions and crossbreed processes that expand the boundaries of clinical and strategies of health production / Mestrado / Política, Planejamento e Gestão em Saúde / Mestra em Saúde Coletiva

Dissertation title: Dancing and movement programme for seniors with specific needs. Dissertation objectives: The aim of the Dissertation is A) within the framework of a prospective study, to assess the dancing therapy influence on mobility, self-sufficiency, cognitive state, consumption of psycho-pharmaceutical drugs, depressiveness and quality of life of seniors in institutions. If a significant positive effect is proven, then B) to create an easy-to-implement dancing and movement programme for seniors in institutions with a special regard to seniors suffering of dementia and wheelchair-bound seniors who account for 60%-70% of inhabitants of old people's homes. Besides this, also to verify its efficiency on the health condition of seniors, improvement of quality of life, reduction of healthcare consumption, as well as on improvement of communication between clients and treatment staff. Method: A) The three-year prospective randomised controlled study made use of the method of quantitative and qualitative research. It was using the technique of analysis of questionnaire surveys (both ex-ante and ex-post) of intervention, comparison of development in the intervened and control groups, making of video records and their analysis, semi-structured interviews. B) Altogether 3 descriptive methodological...