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A história mostra que, em tempos antigos, as pessoas com deficiência eram sacrificadas ou entregues a entidades assistenciais e, mesmo com a criação da ideia de amor materno e da compreensão da família como a principal instituição a se responsabilizar pelos cuidados dos filhos, foi necessário muito tempo para que a criança com deficiência pudesse fazer parte da família. A psicanálise contribuiu com a concepção contemporânea sobre a importância do papel da materno. Assim, para entender o desenvolvimento do sujeito, faz-se necessário olhar para os cuidados dispensados a ele no início da vida. Ao se tornar mãe, a mulher deve elaborar seus papeis nas diversas relações interpessoais, as divergências entre o bebê real e o imaginado e mudanças em sua dinâmica psíquica de forma que possa exercer a preocupação materna primária. Este trabalho lança olhar sobre a experiência emocional da maternidade de bebês com deficiência física, busca identificar e compreender fatores envolvidos neste contexto, a fim de contribuir para a prática de profissionais que atuam com esta população. Foi realizada uma pesquisa clínico-qualitativa com três mães cujos filhos frequentam um centro de reabilitação. Foi feita entrevista semi-dirigida e aplicação do Teste de Apercepção Temática (TAT). Os dados obtidos foram agrupados em categorias de análise e discutidos a partir da Psicanálise. Os resultados trazem temas que podem ser trabalhados com essas mães durante o período de reabilitação da criança, tais como sentimentos, mecanismos de defesa e sua relação com seu bebê. Conclui-se que é de extrema importância que o centro de reabilitação possa escutar a demanda emocional das mães e oferecer formas de cuidados adequadas / History shows that, in ancient times, people with disabilities were sacrificed or delivered to care entities and, even creating the idea of maternal love and familys understanding as the main institution to take responsibility for childcare, it was necessary much time for the child with disabilities to become part of their family. Psychoanalysis contributed to the contemporary conception of the importance of the mothers role. Thus, to understand the development of the subject, it is necessary to look at the care given to him at the beginning of his life. When becoming a mother, a woman must develop her role in many interpersonal relationships, such as divergences between the actual and imagined baby and changes in her psychic dynamics so that she can exercise the primary maternal concern. This study aims for the emotional experience of maternity in mothers of babies with physical disability; it seeks to identify and understand factors involved in this context in order to contribute to the practice of professionals who work with this population. A clinical-qualitative study was carried out with three mothers whose children attended a Rehab Center. A semi-guided interview and application of the Thematic Apperception (TAT) was made and the data obtained were grouped into categories of analysis and discussed from Psychoanalysis. The results bring themes that can be used with these mothers during the rehabilitation period of their child, such as feelings, defense mechanisms and their relationship with their baby. In conclusion, it is extremely important that the rehabilitation center attends the emotional demand of the mothers and provide them appropriate forms of care

A história mostra que, em tempos antigos, as pessoas com deficiência eram sacrificadas ou entregues a entidades assistenciais e, mesmo com a criação da ideia de amor materno e da compreensão da família como a principal instituição a se responsabilizar pelos cuidados dos filhos, foi necessário muito tempo para que a criança com deficiência pudesse fazer parte da família. A psicanálise contribuiu com a concepção contemporânea sobre a importância do papel da materno. Assim, para entender o desenvolvimento do sujeito, faz-se necessário olhar para os cuidados dispensados a ele no início da vida. Ao se tornar mãe, a mulher deve elaborar seus papeis nas diversas relações interpessoais, as divergências entre o bebê real e o imaginado e mudanças em sua dinâmica psíquica de forma que possa exercer a preocupação materna primária. Este trabalho lança olhar sobre a experiência emocional da maternidade de bebês com deficiência física, busca identificar e compreender fatores envolvidos neste contexto, a fim de contribuir para a prática de profissionais que atuam com esta população. Foi realizada uma pesquisa clínico-qualitativa com três mães cujos filhos frequentam um centro de reabilitação. Foi feita entrevista semi-dirigida e aplicação do Teste de Apercepção Temática (TAT). Os dados obtidos foram agrupados em categorias de análise e discutidos a partir da Psicanálise. Os resultados trazem temas que podem ser trabalhados com essas mães durante o período de reabilitação da criança, tais como sentimentos, mecanismos de defesa e sua relação com seu bebê. Conclui-se que é de extrema importância que o centro de reabilitação possa escutar a demanda emocional das mães e oferecer formas de cuidados adequadas / History shows that, in ancient times, people with disabilities were sacrificed or delivered to care entities and, even creating the idea of maternal love and familys understanding as the main institution to take responsibility for childcare, it was necessary much time for the child with disabilities to become part of their family. Psychoanalysis contributed to the contemporary conception of the importance of the mothers role. Thus, to understand the development of the subject, it is necessary to look at the care given to him at the beginning of his life. When becoming a mother, a woman must develop her role in many interpersonal relationships, such as divergences between the actual and imagined baby and changes in her psychic dynamics so that she can exercise the primary maternal concern. This study aims for the emotional experience of maternity in mothers of babies with physical disability; it seeks to identify and understand factors involved in this context in order to contribute to the practice of professionals who work with this population. A clinical-qualitative study was carried out with three mothers whose children attended a Rehab Center. A semi-guided interview and application of the Thematic Apperception (TAT) was made and the data obtained were grouped into categories of analysis and discussed from Psychoanalysis. The results bring themes that can be used with these mothers during the rehabilitation period of their child, such as feelings, defense mechanisms and their relationship with their baby. In conclusion, it is extremely important that the rehabilitation center attends the emotional demand of the mothers and provide them appropriate forms of care

Учитывая высокую распространенность травм верхней конечности, в настоящее время существует необходимость разработки методики реабилитации после перелома лучевой кости в типичном месте, которая позволит существенно сократить сроки восстановления трудоспособности, улучшит качество жизни пациентов и будет способствовать их психическому благополучию. Внедрение данной методики должно иметь высокую эффективность по сравнению с традиционными способами, используемыми в большинстве медицинских учреждений. Цель исследования: обосновать эффективность использования инновационных средств физической реабилитации. В исследовании приняло участие 30 человек с диагнозом – перелом лучевой кости в типичном месте. По результатам исследования была разработана эффективная комплексная методика для реабилитации после перелома лучевой кости в типичном месте. Разработаны рекомендации для врачей и специалистов физической реабилитации по внедрению программы восстановления после перелома лучевой кости в типичном месте. / Taking into consideration high prevalence of upper extremities injuries, there is a particular demand on development of effective methods of physical rehabilitation after typical radius fracture. This will enable significantly decrease the recovery time, improve quality of life and will promote psychological health of patients. Implementation of the proposed method will be more effective in comparison with traditional methods used in medical departments at the moment. The aim of the study is to justify effectiveness of innovative physical rehabilitation methods. Thirty patients with typical radius fracture were recruited for the study. The obtained research enabled to develop effective complex methodic for rehabilitation after radius fracture in typical place. Guidelines and recommendations for healthcare practitioners and physical rehabilitation specialists were proposed for implementation of this methodic in patients after radius fractures in typical place.

Damage to the functions of the shoulder joint in volleyball players, as a result of both acute and fatigue injuries, leads to prolonged withdrawal of an athlete from training and competitive activity, and sometimes the loss of promising athletes. While timely physical rehabilitation allows you to restore impaired functions as quickly as possible, return to the training process, and also reduce the risk of repeated injuries. The purpose of the study was to develop a physical rehabilitation program and evaluate its impact on the effectiveness of recovery of shoulder joint function after injuries in volleyball players. As a result of the study, the problem of injuries of the shoulder joint in volleyball players, factors that increase the risk of injuries, as well as modern methods of rehabilitation used for injuries of this kind were studied. The prevalence of injuries of the shoulder joint in student volleyball teams was estimated. The scientific novelty of the study is to develop an affordable program of physical rehabilitation of the functions of the shoulder joint after various injuries, including exercises to strengthen the muscles of the upper extremities. The practical significance of the work lies in the possibility of introducing this program of physical rehabilitation into the training process of student volleyball players. / Нарушение функций плечевого сустава у волейболистов, вследствие как острых, так и усталостных травам, приводит к длительному выбыванию спортсмена из тренировочной и соревновательной деятельности, а иногда и потере перспективных атлетов. В свою очередь, своевременная физическая реабилитация позволяет максимально быстро восстановить нарушенные функции, вернуться к тренировочному процессу, а также снизить риск повторного травматизма. Цель исследования – разработка программы физической реабилитации и оценка ее влияния на эффективность восстановления функции плечевого сустава после травм у волейболистов. В результате исследования была изучена проблема травм плечевого сустава у волейболистов, факторы повышающие риск травматизма, а также современные способы реабилитации, используемые при травмах такого рода. Оценена распространенность травм плечевого сустава у волейболистов студенческих команд. Научная новизна исследования состоит в разработке доступной программы физической реабилитации функций плечевого сустава после различных травм, включающей упражнения на укрепление мышц верхних конечностей. Практическая значимость работы заключается в возможности внедрения данной программы физической реабилитации в тренировочный процесс волейболистов студенческих сборных.

Гидроцефалия – это синдром или симптом нарушения ликвородинамики, вызванный самыми различными заболеваниями. Врожденная гидроцефалия ассоциируется с нарушениями двигательной активности у детей раннего возраста. Целью работы стала оценка влияния разработанной программы физической реабилитации на степень выраженности двигательных нарушений у детей от 6 месяцев до 2 лет с гидроцефалией. В исследовании приняли участие 38 детей с гидроцефалией после оперативной коррекции ликвородинамики. В качестве методов исследования степени выраженности двигательных нарушений использовали шкалу оценки моторных функций GMFCS, шкалу оценки мышечной силы, модифицированную шкалу Ашфорта, ортостатическую устойчивость гемодинамических параметров оценивали при вертикализации. Согласно полученным результатам, предложенная программа физической реабилитации позволила снизить степень выраженности двигательных нарушений, улучшить мышечный тонус, повысить двигательную активность у детей с гидроцефалией. Также результаты апробации программы позволили подтвердить значимость восстановления подвижности мелких суставов и мышцы, а также вертикализации для профилактики осложнений, обусловленных ограничениями двигательной активности у детей с гидроцефалией. / Hydrocephaly is a syndrome or symptom of impaired liquorodynamics caused by a variety of diseases. Congenital hydrocephalus is associated with movement disorders in young children. The aim of the work was to assess the impact of the developed program of physical rehabilitation on the severity of motor disorders in children from 6 months to 2 years old with hydrocephaly. The study involved 38 children with hydrocephaly after surgical correction. As methods for studying the severity of motor disorders, the GMFCS scale for assessing motor functions, the scale for assessing muscle strength, the modified Ashworth scale, and the orthostatic stability of hemodynamic parameters were assessed during verticalization. According to the results obtained, the proposed program of physical rehabilitation allowed to reduce the severity of movement disorders, improve muscle tone, and increase motor activity in children with hydrocephalus. Either, the results of approbation of the program made it possible to confirm the importance of restoring the mobility of small joints and muscles, as well as verticalization for the prevention of complications caused by restrictions on motor activity.

Осанка – привычное положение туловища в пространстве, поза, обусловленная конституционными, наследственными факторами, зависящая от тонуса мышц, состояния связочного аппарата, выраженности физиологических изгибов позвоночника. По данным мировой статистики 34-50% детей имеют разную степень нарушений осанки, а по данным ВОЗ – 80% детей и подростков имеют низкий уровень физической активности. Целью данной работы было разработать и оценить влияния программы физической реабилитации, с использованием йоги в гамаках, на степень выраженности нарушений осанки у детей младшего школьного возраста. В исследовании приняло участие 20 детей с такими нарушениями осанки как: плоская спина, плоско-вогнутая спина, сутулость, круглая спина. В качестве методов исследования степени выраженности нарушений осанки использовались: визуальный осмотр – асимметрия треугольников талии, высоты плеч и лопаток, измерение глубины шейного и поясничного лордозов, и вычисление плечевого индекса; функциональные тесты – силовая выносливость мышц спины и пресса, тест на определение подвижности позвоночника; динамометрия и координационный тест. Согласно полученным результатам, предложенная программа позволила снизить степень выраженности нарушений осанки и улучшить физическую подготовленность детей с нарушениями осанки. Так же результаты позволили подтвердить, что нарушения осанки у детей младшего дошкольного возраста поддаются физической реабилитации с использованием йоги в гамаках и могут успешно корректироваться данным методом. / Posture is the habitual position of the body in space, a posture determined by constitutional, hereditary factors, depending on muscle tone, the state of the ligamentous apparatus, and the severity of the physiological curves of the spine. According to world statistics, 34-50% of children have varying degrees of posture disorders, and according to WHO, 80% of children and adolescents have a low level of physical activity. The purpose of this work was to develop and evaluate the effects of a physical rehabilitation program using yoga in hammocks on the severity of posture disorders in children of primary school age. The study involved 20 children with such posture disorders as: flat back, flat-concave back, stoop, round back. As methods for studying the severity of postural disorders, the following were used: visual examination - asymmetry of the triangles of the waist, the height of the shoulders and shoulder blades, measuring the depth of the cervical and lumbar lordosis, and calculating the shoulder index; functional tests - strength endurance of the muscles of the back and press, a test to determine the mobility of the spine; dynamometry and coordination test. According to the results obtained, the proposed program allowed to reduce the severity of posture disorders and improve the physical fitness of children with posture disorders. The results also confirmed that posture disorders in children of primary preschool age are amenable to physical rehabilitation using yoga in hammocks and can be successfully corrected by this method.

Background Critical illness myopathy (CIM) and polyneuropathy (CIP) are a common complication of critical illness. Both cause intensive-care-unit-acquired (ICU-acquired) muscle weakness (ICUAW) which increases morbidity and delays rehabilitation and recovery of activities of daily living such as walking ability. Focused physical rehabilitation of people with ICUAW is, therefore, of great importance at both an individual and a societal level. A recent systematic Cochrane review found no randomised controlled trials (RCT), and thus no supporting evidence, for physical rehabilitation interventions for people with defined CIP and CIM to improve activities of daily living. Therefore, the aim of our study is to compare the effects of an additional physiotherapy programme with systematically augmented levels of mobilisation with additional in-bed cycling (as the parallel group) on walking and other activities of daily living.

Made available in DSpace on 2016-04-28T20:39:06Z (GMT). No. of bitstreams: 1 Maira Baldan Fechio Rodrigues Pereira.pdf: 1892837 bytes, checksum: 9bab69148b72ad87a2a4aa7160fd833d (MD5) Previous issue date: 2015-06-12 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / Through this study we sought to investigate the relationship health professional and patient with physical disabilities from the perception of professionals working in care in a physical rehabilitation program. Initially a review of concepts related to health was conducted; humanization concepts; Physical Rehabilitation; and theoretical concepts from theories focused on the issue of care and therapeutic bond. Seconded theorists in the study are Michael Balint and John Bowlby. The two authors were eminent psychoanalysts who have dedicated themselves to the study of human relations and more specifically, each in his own way, aspects of the bond in care relations. Later was presented the survey of 11 health professionals (social workers, psychologists, nurses, physiotherapists, speech therapists, nutritionists). The professionals participated in a semi-structured interview, focusing on issues relevant to theme. From this information contained in the speech of this group was able to discuss some important issues involved in this practice. Most individuals values listening, acceptance and empathy as important qualities and resources for the therapeutic encounter.. The academic internship experience is seen as an important tool for the preparation and training of professional, with regard to its contact with the patient, but most complained about the lack of larger space in the academic discussion related to the theme of professional-patient relationship, that all value as important to the quality of the performance and effectiveness of the service. The relationship established with patients, is for these professionals a help of offering opportunity to the next and also of growth and appreciation of life itself. However, they also report that often identify the emergence of fears, anguish and suffering before the sharing of patient experience. The group refers fears about their health and physical and mental integrity. Of these highlighted difficulties in dealing with the institutional aspects, the relationships between professionals and hierarchies, lack of time and workload. Shines the spotlight awareness of the need for health professionals to adopt measures and actions to ensure their own health in a comprehensive way, but through its investments you can see that part of these precautions are overlooked or excluded from their daily health care practices . Given the emotional impact many seek help and support with the spirituality, the contact with their families, friends and co-workers, but reinforce that participation in a structured and focused activity on this theme would offer a better personal resources development opportunity for more adequately cope with these subjective aspects that often find no room for discussion and elaboration in everyday reality. The speech expressed by this group of professionals does not allow generalizations, however justify the need for future studies and draws attention to the need for structuring resources and tools for many health professionals can develop and offer quality care through which can contribute even more effectively with the health of patients, while considering their own health and integrity / Por meio deste estudo buscou-se investigar a relação profissional de saúde e paciente com deficiência física a partir da percepção de profissionais que atuam na assistência em um programa de reabilitação física. Inicialmente foi realizada uma revisão de conceitos relacionados à saúde; conceitos de humanização; Reabilitação Física; e de conceitos teóricos oriundos de teorias voltadas para a questão do cuidado e vínculo terapêutico. Os teóricos destacados no estudo são Michael Balint e Jonh Bowlby. Os dois autores foram eminentes Psicanalistas que se dedicaram ao estudo das relações humanas e mais especificamente, cada um a seu modo, aos aspectos do vínculo nas relações de cuidado. Posteriormente foi apresentada a pesquisa realizada junto a 11 profissionais da área da saúde (Assistentes sociais, Psicólogos, Enfermeiros, Fisioterapeutas, Fonoaudiólogos, Nutricionistas). Os profissionais participaram de uma entrevista semi estruturada, com enfoque em questões pertinentes a temática. A partir destas informações contidas no discurso deste grupo foi possível discutir alguns aspectos relevantes presentes nesta prática. A maior parte dos indivíduos valoriza a escuta, o acolhimento e a empatia como importantes qualidades e recursos para o encontro terapêutico. A experiência de estágio acadêmico é apontada como uma importante ferramenta para a preparação e formação do profissional, no que se refere ao seu contato com o paciente, mas a maior parte se queixa da falta de maior espaço nos meios acadêmicos para discussão referente a temática da relação profissional-paciente, que todos valorizam como importante para a qualidade da atuação e efetividade do serviço. A relação estabelecida com os pacientes, representa para estes profissionais uma oportunidade de oferecimento de auxilio ao próximo e também de crescimento e valorização da própria vida. Entretanto, estes também descrevem que muitas vezes identificam o surgimento de medos, angustias e sofrimento diante do compartilhamento da experiência do paciente. O grupo refere receios em relação a própria saúde e integridade física e mental. Parte destes destacaram dificuldades em lidar com aspectos institucionais, relações entre profissionais , a falta de tempo e sobrecarga de trabalho . Todo o grupo evidencia consciência sobre a necessidade do profissional de saúde adotar medidas e ações que garantam a sua própria saúde de maneira integral, entretanto através de suas colocações é possível perceber que parte destes cuidados são negligenciados ou excluídos de suas práticas cotidianas de atenção à saúde. Diante do impacto emocional muitos procuram apoio e suporte junto à espiritualidade, ao contato com seus familiares, amigos e colegas de trabalho, mas reforçam que a participação em uma atividade estruturada e focada nesta temática poderia oferecer uma melhor oportunidade de desenvolvimento de recursos pessoais para o enfrentamento mais adequado destes aspectos subjetivos que muitas vezes não encontram espaço para discussão e elaboração na realidade cotidiana. O discurso expresso por este grupo de profissionais não permite generalizações, entretanto justifica a realização de estudos futuros e chama a atenção para a necessidade de estruturação de recursos e ferramentas para que os diversos profissionais de saúde possam se desenvolver e oferecerem um atendimento de qualidade através do qual possam contribuir de maneira ainda mais efetiva com a saúde de pacientes, sem deixar de considerar a sua própria saúde e integridade

Made available in DSpace on 2015-05-14T12:36:46Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 3225676 bytes, checksum: e3ecb38e47d11f19e58210311279820b (MD5) Previous issue date: 2013-07-30 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Physical therapy treatment could take advantage of the use of information systems based games to encourage the practice of rehabilitation exercises and monitor therapy. The popularization of devices that capture the motion as Kinect fostered the development of such applications to interact with patients to physical rehabilitation systems, allowing to be used remotely.For these applications could help with physical therapy in the clinic or in the patient s home, remotely, they shall provide motivational characteristics to assist the patient in the correct execution of movements, be adaptable to the needs of patients and help diagnose during the evolution of the treatment. Thus, from research and comparative analysis of published studies, this study aimed to specify and develop the most important elements that a system for physical therapy should include, looking of a complete system-based games. This research resulted in the development of a prototype containing all the desirable characteristics that have been identified and may be used by physical therapists to assist in physical therapy. The features were developed and evaluated by experienced physical therapists from questionnaires to describe the user experience and possible additional needs. The trial and the results of the questionnaire revealed that the system was well accepted among therapists and already could be used to treat various diseases. However, it is still necessary to develop more playful elements in games, to improve motivation; make small corrections in mechanical motion detection and generate a report about the treatment evolution. / O tratamento fisioterapêutico pode se beneficiar da utilização de sistemas de informação baseados em jogos para estimular a prática dos exercícios de reabilitação e gerenciar a terapia do paciente. A popularização de dispositivos de interface natural com o usuário, como o Kinect, fomentou o desenvolvimento destas aplicações, permitindo que o tratamento possa ser gerenciado por tais sistemas. Para que estas aplicações possam contribuir com o tratamento fisioterapêutico na clínica ou no domicílio do paciente, de forma remota, devem apresentar características motivacionais, auxiliar o paciente na execução correta dos movimentos, ser adaptável às necessidades do paciente, auxiliar no diagnóstico e gerenciar a evolução do tratamento. Desta forma, a partir de investigação e análise comparativa de trabalhos publicados na literatura, este trabalho buscou especificar, desenvolver, avaliar e analisar as funcionalidades necessárias para um sistema de informação baseado em jogos para o tratamento fisioterapêutico. O sistema desenvolvido contém todas as características desejáveis para ser utilizado por profissionais de fisioterapia no tratamento fisioterapêutico. A avaliação do sistema foi realizada por profissionais de fisioterapia, a partir de questionários, descrevendo a experiência de utilização. A análise da experimentação revelou que o sistema obteve boa aceitação entre os fisioterapeutas e que poderia ser utilizado no tratamento de diversas patologias. Entretanto, ainda é necessário modificar o comportamento de algumas funcionalidades, como aumentar a quantidade de elementos lúdicos para melhorar a motivação, ajustes dinâmicos na mecânica de detecção de movimentos e gerar relatórios sobre a evolução para um tratamento.