No description available.

No description available.

No description available.

Philosophiae Doctor - PhD / The aim of this study was to prospectively, evaluate the effectiveness of an individually designed home-based physical activity programme in combination with massage therapy, on motor and cognitive development in children infected with HIV. This study used a randomized controlled trial design. One hundred and twenty-eight infants and toddlers (children) were recruited between March 2010 and September 2010 and randomly allocated to receive either an individually designed home-based physical activity programme in combination with massage therapy or standard treatment and massage on a 1:1 ratio. Motor and cognitive development was measured using the Bayley Scales of Infant Development third edition (Bayley-III)

Contextualização. A Fisioterapia carece de programas de intervenção previamente testados para aplicação, em meio aquático, visando indução de relaxamento muscular. Estudos prévios fornecem bases suficientes para a construção de programas. Delineamento e objetivo: Estudo quase experimental visando: 1. Desenvolver e descrever, em manual, um programa de massagem em imersão visando relaxamento denominado Programa de Relaxamento, Massagem e Mobilização em Imersão (RMI); 2. Avaliar pertinência e qualidade técnica da RMI pela submissão a pareceristas; 3. Avaliar a usabilidade e a autoaprendizagem a partir do estudo do manual da RMI; 4. Avaliar o efeito da intervenção fisioterapêutica com RMI em mulheres idosas e saudáveis. Método: 1. Desenvolvimento do Programa de Relaxamento, Massagem e Mobilização em Imersão (RMI), com base em revisão de literatura, reuniões dos pesquisadores e construção do manual. 2. Avalição da técnica por 20 pareceristas por meio de ficha de avaliação. 3. Análise de usabilidade do manual para autoaprendizagem teórico-prática por 10 graduandos em Fisioterapia. A atividade prática foi avaliada, pelo pesquisador e examinador independente, utilizando roteiro de avaliação baseado na descrição do programa. 4. Análise do efeito nos indicadores de relaxamento (frequência cardíaca, pressão arterial, flexibilidade, mobilidade, dor e qualidade de vida) em 12 mulheres idosas e saudáveis, após programa RMI de 10 sessões com duração de uma hora e meia cada. O estudo foi realizado no Laboratório de Fisioterapia e Comportamento do Curso de Fisioterapia da Faculdade de Medicina da Universidade de São Paulo e na piscina de reabilitação da Clínica Integrada Simmm. A análise constou de 1. Organização de respostas dos pareceristas por categoria e análise descritiva por questão; 2. Análise estatística descritiva das notas de desempenho dos estudantes e análise de confiabilidade interexaminadores; 3. Análise descritiva e comparativa dos dados pré e pós-intervenção das variáveis de flexibilidade, mobilidade articular, resposta cardiovascular, escores nos questionários DASH, FAOS e WHOQOL e por categorização das respostas sobre relatos para análise de efeito de programa em mulheres idosas. Resultados: Foi possível desenvolver o programa de intervenção e construir o manual descritivo e ilustrativo de massagem em imersão visando relaxamento, enriquecido com as sugestões dos pareceristas. O manual mostrou-se usável e suficiente para autoaprendizagem teórico-prática. O estudo de casos em série indicou que a prática da RMI melhora a mobilidade articular do ombro (rotação medial e lateral direita e esquerda com p=0,001) e tornozelo (extensão à esquerda p<0,001,extensão à direita p=0,0017 e flexão esquerda p=0,001). Afeta as respostas cardiovasculares indicando relaxamento com p=0,04. Houve melhora na função motora dos membros superiores, avaliada pelo questionário DASH. Na avaliação pelo questionário WHOQOL-bref, encontramos melhora no domínio psicológico, consequente à intervenção. Cada participante do programa de intervenção RMI relatou pelo menos um estado de relaxamento e satisfação. Conclusão: Foi possível desenvolver e descrever um método de massagem em imersão visando relaxamento, utilizável por graduandos em Fisioterapia, a partir de seu manual, e apropriado para induzir adequações nos sistemas musculoesquelético e cardiovascular, como indicadores de resposta fisiológica de relaxamento muscular. Estes dados são compatíveis com os relatos das participantes / Contextualization: Physiotherapy lacks intervention programs previously tested to be used in the aquatic environment aiming muscle relaxation induction. Previous studies provide sufficient basis for build programs. Design and purpose: quasi-experimental study with four objectives: 1. Develop and describe in descriptive and illustrated manual a Technique of Massage and Mobilization during Immersion for Relaxation (RMI); 2. Evaluate the relevance and technical quality of RMI through submission to referees; 3. Evaluate usability and self learning through the study of the RMI manual; 4. To evaluate the effect of physiotherapy intervention with RMI in healthy older women. Methods: In order to achieve these goals the study was executed in four phases: 1. Development of Technique of Massage and Mobilization during Immersion for Relaxation (RMI), carried out through literature review, meetings of researchers and construction of descriptive and illustrated manual. 2. Evaluation of the manual by 20 referees using a form. 3. Usability and self-learning analysis. Participated 10 Physiotherapy undergraduate. The student applied the RMI in healthy volunteers. The practical activity was assessed by the research and independent examiner using valuation script based on the program description. 4. Analysis on the effect of the RMI in relaxation indicators, applied in 12 healthy elderly women. The intervention consisted of 10 sessions lasting an hour and a half each one, once a week. The study was conducted at Laboratory of Physiotherapy and Behaviour of Physiotherapy Course, Medical School, University of São Paulo and in the SIMMM Integrated Rehabilitation Clinic\'s pool. Statistical analysis was pertinent to each phase of the study: 1. Development of physiotherapy intervention program based on literature and manual writing; 2. Organization of responses from referees by category of answers and statistical descriptive analysis of the degrees from referees; 3. Analysis of the statistical analysis of degrees and inter-rater reliability analysis of the evaluation executed by the examinators; 4. Descriptive and comparative analysis of pre and post-intervention data of flexibility, joint mobility, cardiovascular response, scores in the DASH, FAOS and WOGOOL questionnaires and categorization of answers. Results: The methodology applied allowed the development of the RMI and construction of descriptive manual, enriched with suggestions from referees. The manual proved to be usable and sufficient to convey practical knowledge, no third part intervention, targeting education. The number of case studies showed that the practice of RMI improved shoulder joint mobility (medial and lateral rotation right and left with p=0,001) and ankle joint mobility (extension - left p < 0.001, extension - right p=0,0017 and bending left p=0,001) and affected the cardiovascular response showing relaxation (p=0,04). Each participant in the RMI intervention program reported at least one state of relaxation and satisfaction. Conclusion: It was possible to develop and describe a method of massage and mobilization in immersion to induced relaxation usable by students in Physiotherapy from its manual (with adjustments by referees) appropriate for change musculoskeletal and cardiovascular systems, as response indicators of physiological muscular relaxation. There was improvement in motor function of the upper limbs, assessed by DASH questionnaire. In the evaluation by WHOQOL-bref questionnaire it was found an improvement in the psychological domain, consequent to the intervention. These data are consistent with the reports from the participants

Massage therapy is often used to treat musculoskeletal symptoms and to promote wellness. While evidence regarding its effectiveness is increasing, research related to actual practice and studies seeking to understand the mechanisms of massage therapy are needed. The purpose of this research was to describe the characteristics of massage therapists and their clients and to understand the role of communication in massage therapy outcomes. The first study examined the outcome expectations, expectancies, and behaviors of a random sample of massage therapists in Iowa (n=151) using a cross-sectional survey. The second study used a practice-based research design incorporating two samples of massage therapy clients (n=320 and n=321) to develop and validate a measure of client expectations of massage, the Client Expectations of Massage Scale (CEMS). The third study examined the influence of client expectations and massage therapists' interpersonal attractiveness on pain and satisfaction following massage. Social Cognitive Theory and Expectancy Violation Theory were used as frameworks to demonstrate how health behavior and communication theories can provide insight to massage therapy research. Results indicated that massage therapists had high expectations regarding the benefits of massage therapy and engaged in a variety of behaviors that reflect the clinical, educational, and interpersonal nature of massage therapy. In addition to using a variety of manual therapies, the massage therapists educated their clients in areas such as diet, stress management, and exercise to improve client health. Similarly, clients had positive expectations as measured by the outcome, clinical, educational, and interpersonal subscales of the CEMS. Positive outcome expectations predicted significant improvements in pain and serenity. High interpersonal expectations were related to negative changes in serenity. The third study revealed that high satisfaction was influenced by positive interpersonal attractiveness but more research is needed to understand the influence of client expectations being met on satisfaction. Initially high educational expectations, exceeded educational expectations, violated interpersonal expectations, and positive interpersonal attractiveness were related to less pain following massage. In conclusion, this research demonstrated that client expectations and massage therapist interpersonal attractiveness are important constructs to consider when evaluating the effects of massage therapy.

The diploma thesis deals with the design of a multi-storey boarding house with a restaurant and an apartment for the boarding house manager in Velké Losi-ny. The building has two floors and one underground floor. The building is intended for accommodation of persons, for recreation, catering in a restaurant and for living in one accommodation unit. There will be 15 accommodation rooms with a capacity of 38 persons, massages in 1S and a restaurant with kitchen in the 1st floor. Air-conditioning units will be designed in the kitchen and restaurant. The main entrance to the boarding house is from the north side, the entrance to the restaurant is oriented to the southeast, the entrance to the household and the housing unit on the south-east side. Apart from the entrance to the accommodation unit, all entrances are accessible by wheelchair access. The house has a regular rectangular letter shape and is behind the roof pitched gable roof. The roof construction consists of wooden trusses. Residential rooms are oriented to the southwest and southeast. The building is built of ceramic blocks on the above-ground floor and concrete blocks lost in the bed on the underground floor. The horizontal structures consist of reinforced concrete cross-reinforced and one-side reinforced ceiling slabs. The project was developed using the educational version of the computer program AutoCad and Archicad. Emphasis was placed on the layout, architectural appearance, static requirements and safety of use.

The project design processes multifunctional building - a sports center for sports. Multifunctional building is situated in Česká Skalice and its capacity is about 140 people. In building are these spaces: 2 squash courts, massage room, snacks, fitness rooms, boulder wall, sporting goods store. In the area of property are also situated tennis courts. From an architectural point of view the building acts as a breaking right angle. Documentation is processed at the level of documentation for building permit.

The purpose of this study was to examine whether mother-administered moderate pressure massage intervention could improve self-regulation, which would result in improvements in play outcomes. It was posited that a child who is self-regulated may be more successful in his/her play and that moderate pressure massage could be an effective tool to improve self-regulation in preterm infants with decreased self-regulation. Participants in the study were five preterm children ranging from 12 to 18 months corrected age and their mothers. The study utilized an A-B nonconcurrent multiple baselines across subjects design in which each participant acted as his/her own control as well as a pretesting and posttesting component with objective measures. Baselines were of varying lengths, ranging from 3 to 7 weeks. Intervention of mother-administered massage was 6 weeks long for all participants. Three objective standardized measures were used in pretesting and posttesting. These measures included the Infant Toddler Social Emotional Assessment to measure self-regulation, the Revised Knox Preschool Play Scale to measure play age, and the Test of Playfulness to measure playfulness. Visual analogue scales, with mother generated behavioral goals related to the three standardized assessments, were scored weekly by the mothers. The results indicated that moderate pressure massage had a calming and regulating effect on the child and resulted in improvements in the child’s play skills and playfulness over the course of the 6 weeks of intervention. The important clinical implications are that this cost-effective, parent-administered technique can positively affect outcomes of improved self-regulation, playfulness, and play skills. In addition, the study contributes important information about the influence of self-regulation on the development of play and playfulness in preterm babies and on mothers’ participation in their baby’s intervention, which contributes to a family-centered approach.

This study examined Neuro-Reflex Therapy, a type of reflexology, and effleurage massage for the treatment of diabetic neuropathy in men and women 40-73 years old with Type II diabetes. Participants were physician-referred to an alternative medicine clinic and were randomly assigned to Neuro-Reflex Therapy, effleurage massage, or a wait-list control group. The treatment groups received 12 individual 30 min sessions scheduled once a week for 12 weeks, and the control group received treatment after the study was completed. Scores on the Neuropathic Pain Scale, Section III of the Multidimensional Pain Inventory, the Profile of Mood States, the Short-Form McGill Pain Questionnaire, changes in foot temperature, and changes in scores on a Visual Analogue Scale (VAS) were analyzed. As hypothesized, pain for both treatment groups significantly decreased from the control group; however, mood states, participation in daily activities, and temperature for the treatment groups did not significantly increase, compared to the control group, as expected.