Den här undersökningen av Alfta Rehab Centers rehabiliteringskurs har gjorts med syftet att ta reda på hur några deltagare upplever att kursen påverkat deras rehabilitering. Kvalitativ metod i form av semistrukturerade intervjuer har använts och sex deltagare som gått kursen har intervjuats. En latent innehållsanalys genomfördes på materialet som gav två huvudteman; upplevelse av att kunna påverka sin egen situation och upplevelse av att självbilden förändrats. Därtill utmynnade analysen i tio underteman.

As the older adults of Ontario go through the phases of aging, some might experience functional deficiency and loss of independence in Activities of Daily Living (ADL). With rehabilitation and facilitation of essential health services, older adults will have tremendous opportunities in the pursuit of self-sufficiency and functional independence. The current study focused on detailing a quick-paced rehabilitation program provided to older adults in northeastern Ontario. The program of interest was the Assess-Restore program provided by the St. Joseph’s Continuing Care Centre (SJCCC) in Sudbury, Ontario. The study involved a retrospective chart review of 144 patients treated in the past four years, which facilitated the examination of patient charts, as well as the extraction and analysis of their functional status and capabilities prior to admission (PTA) and at discharge. Data were extracted from the Resident Assessment Instrument-Minimum Data Set Version 2.0 (RAI-MDS), which is part of the “PointClickCare” system. Although the study did not find significant changes in the level of functionality and self-sufficiency, it succeeded in effectively promoting functional restoration allowing the majority of patients to return to a level of independence in the community and avert subsequent need for residential care rather than risk further functional deterioration.

Thesis (MScMedSc)--Stellenbosch University, 2012. / ENGLISH ABSTRACT: Lower limb amputations cause multiple physical, psychological, environmental and socioeconomic barriers. Individuals who have suffered a lower limb amputation require comprehensive rehabilitation to ensure social integration and economic self-sufficiency. In addition, constant monitoring and evaluation is an essential part of human service delivery programmes. However, the amputation rehabilitation programme offered at Elangeni an outpatient rehabilitation centre for clients with physical disabilities in Paarl, Western Cape, South Africa is not monitored, and has not been evaluated since its inception in 2000. Thus, the current study evolved to describe and evaluate the rehabilitation programme for persons with lower limb amputations at Elangeni. A mixed method descriptive design was implemented. All persons who received rehabilitation, after a major lower limb amputation at Elangeni, between 2000 to 2011, were included in the study population. In addition, the physiotherapist and occupational therapist that provided amputation rehabilitation at Elangeni, at the time of the study, were interviewed. Thirty participants who met the study inclusion criteria were identified. Quantitative data was collected using a researcher designed, structured demographic questionnaire, an International Classification of Function checklist based questionnaire and a participant rehabilitation folder audit form. Two interview schedules one for clients and one for therapists were used for guidance during semi structured interviews. Quantitative data was entered onto a spread sheet and analysed by a statistician using Statistica, version 8. Qualitative data was thematically analysed according to predetermined themes. No programme vision, mission or objectives could be identified for the amputation rehabilitation programme. Poor record keeping practices and a lack of statistics were found. Rehabilitation was impairment focused with no attention given to social integration. Clients who received prosthetic rehabilitation showed improved functional ability with regard to picking up objects from the floor (p = 0.031) getting up from the floor (p = 0.00069), getting out of the house (p = 0.023), going up and down stairs with a handrail (p = 0.037) and moving around in the yard (p = 0.0069), climbing stairs without a handrail (p = 0.037), going up and down a kerb (p = 0.0082) walking or propelling a wheelchair more than 1km (0.0089) and walking in inclement weather (0.017). A lack of indoor mobility training had a statistically significant negative impact on the participants’ ability to lift and carry objects (p 0.011), standing up from sitting (p = 0.042), getting around inside the house (p = 0.00023), picking up objects from the floor (p = 0.00068), getting up from the floor (p = 0.0072), getting out of the house (p = 0.0016), going up and down stairs with a handrail (p = 0.019), moving around in the yard (0.0013), going up and down stairs with-out a hand-rail (p = 0.019), getting up and down a kerb (p = 0.0022), walking or wheeling 1km or more (p = 0.0032) and using transport (p = 0.0034). Failure to address community mobility during rehabilitation had a statistically significant negative impact on all aspects of community mobility scores except doing transfers and driving. In conclusion, for the study participants, Elangeni failed to provide rehabilitation according to the social model of disability and Community Based Rehabilitation principles. It is recommended that managers, service providers, and clients re-consider the purpose of Elangeni and develop a vision and objectives for that service. In addition, management should take an active role in service monitoring and evaluation and provide guidance and mentorship to therapists. / AFRIKAANSE OPSOMMING: Onderste ledemate amputasies impak negatief op `n persoon se fisiese, sielkundige en sosiale funksionering. Individue wat ’n amputasie ondergaan het benodig omvattende rehabilitasie om sosiale integrasie en ekonomiese onafhanklikheid te verseker. Konstante monitering en evaluasie is ’n essensiële deel van rehabilitasie programme. Nietemin die amputasie rehabilitasie program wat by Elangeni aangebied word, word nie gemoniteer nie en was nog nooit geëvalueer nie. Dus het hierdie studie dit ten doel om die rehabilitasie programme vir persone met onderste ledemate amputasies by Elangeni te beskryf en te evalueer. Kwantitatiewe en kwalitatiewe navorsingsmetodes is in kombinasie gebruik in die studie. Alle persone wat rehabilitasie by Elangeni ontvang het na ’n onderste ledemaat amputasie, sowel as die terapeute wat by Elangeni werk, het die studie populasie gevorm. In totaal het 32 persone aan die studie deelgeneem. Kwantitatiewe data is met behulp van `ʼn demografiese vraelys, `ʼn ICF gebaseerde vraelys, en `ʼn leer oudit vorm ingesamel. Twee onderhoud skedules, een vir die kliënte en een vir die terapeute, is gebruik as riglyn tydens insameling van kwalitatiewe data. Kwantitatiewe data is statisties ontleed deur ʼn statistikus wat gebruik gemaak het van Statistica 8. Voorafbepaalde temas is gebruik tydens tematies ontleding van kwalitatiewe data. Geen program visie, missie of doelwitte kon geïdentifiseer word nie. Swak rekord houdings praktyke was gevind. Rehabilitasie het gefokus op die fisiese en nie op sosiale integrasie nie. Die kliënte wat prostetiese rehabilitasie ontvang het, het statisties beduidend beter gevaar ten opsigte van optel van voorwerpe van die vloer af (p = 0.031), om van die vloer af op te staan (p = 0.00069), om uit die huis uit te kom (p = 0.023), om trappe met `ʼn handreling te klim (p = 0.037), om op die erf rond te beweeg (p = 0.0069), om trappe sonder `ʼn reling te klim (p = 0.037), om by sypaadjies op en af te gaan (p = 0.0082), om meer as `ʼn kilometer te loop of met die rolstoele te ry (0.0089) en om in ongure weer te loop (0.017). `ʼn Tekort aan heropleiding van mobiliteit binne die huis het `ʼn statisties beduidende impak gehad op die vermoë om goed te dra (p 0.011), op te staan van sit af (p = 0.042), in die huis rond te beweeg (p = 0.00023), voorwerpe van die vloer af op te tel (p = 0.00068), van die vloer af op te staan (p = 0.0072), uit die huis uit te kom (p = 0.0016), trappe met `ʼn handreling te klim (p = 0.019), in die erf rond te beweeg (0.0013), trappe sonder `ʼn handreling te klim (p = 0.019), by `n sypaadjie op en af te gaan (p = 0.0022), meer as 1km te loop of met die rystoel te ry (p = 0.0032) en om vervoer te gebruik (p = 0.0034). `ʼn Gebrek aan heropleiding van gemeenskapsmobiliteit het `ʼn statisties negatiewe impak gehad op alle aspekte van gemeenskapsintegrasie behalwe die doen van oorplasings en bestuur. Rehabilitasie praktyke was nie gebaseer op die sosiale model van gestremdheid en Gemeenskap Gebaseerde Rehabilitasie beginsels nie. Dit word aanbeveel dat diens verskaffers, kliënte en bestuurders oor die fokus van rehabilitasie by Elangeni moet besin. Daar moet ʼn visie en doelwitte vir die diens ontwikkel word. Voorts moet bestuurders van distrik vlak ʼn aktiewe rol speel in die monitering en evaluasie van dienste en mentorskap aan terapeute verseker.

Traditional Canadian pavement construction contracts provide detailed specifications for the work that needs to be carried out. This is the case for both maintenance and rehabilitation contracts. However, for many road agencies around the world, this traditional way of contracting had shortcomings. These agencies have been proactive in changing their contracts to maintain the road networks while reducing the cost. The challenge of maintaining the road networks to the highest possible condition while investing the minimal amount of money has promoted innovative contracting approaches. Furthermore, road agencies have increased the private sector involvement through warranty contracts. According to road agencies around the world, there has been a movement over the last two decades towards Performance Based Contracts (PBCs); a long term warranty contract. In PBCs, the client agency specifies certain clearly defined minimal performance measures to be met or exceeded during the contract period and payments are explicitly linked to the contractor successfully meeting or exceeding those performance measures. Therefore, the PBC maintenance and rehabilitation selection differs significantly from that of traditional asset management contracts and more complex due to the pavement deterioration process and probability of failure to achieve the specified level of service for various performance measures along the contract period. This thesis involves the development of a novel framework that facilitates the selection of maintenance and rehabilitation activities for pavement assets under PBCs. The framework consists of two phases. Phase-One, called the Initial Program, uses historical data, performance modeling, and optimization to establish and select the maintenance and rehabilitation program for the bidding stage. Phase-Two, called Project Asset Management, is implemented after the contract is awarded. This phase uses the contract performance monitoring data and the cost estimate from Phase-One as a baseline budget to update and validate the established program through performance modeling and optimization. A case study using data from the Ministry of Transportation Ontario (MTO) second generation Pavement Management System (PMS2) is used to illustrate the framework.

Traditional Canadian pavement construction contracts provide detailed specifications for the work that needs to be carried out. This is the case for both maintenance and rehabilitation contracts. However, for many road agencies around the world, this traditional way of contracting had shortcomings. These agencies have been proactive in changing their contracts to maintain the road networks while reducing the cost. The challenge of maintaining the road networks to the highest possible condition while investing the minimal amount of money has promoted innovative contracting approaches. Furthermore, road agencies have increased the private sector involvement through warranty contracts. According to road agencies around the world, there has been a movement over the last two decades towards Performance Based Contracts (PBCs); a long term warranty contract. In PBCs, the client agency specifies certain clearly defined minimal performance measures to be met or exceeded during the contract period and payments are explicitly linked to the contractor successfully meeting or exceeding those performance measures. Therefore, the PBC maintenance and rehabilitation selection differs significantly from that of traditional asset management contracts and more complex due to the pavement deterioration process and probability of failure to achieve the specified level of service for various performance measures along the contract period. This thesis involves the development of a novel framework that facilitates the selection of maintenance and rehabilitation activities for pavement assets under PBCs. The framework consists of two phases. Phase-One, called the Initial Program, uses historical data, performance modeling, and optimization to establish and select the maintenance and rehabilitation program for the bidding stage. Phase-Two, called Project Asset Management, is implemented after the contract is awarded. This phase uses the contract performance monitoring data and the cost estimate from Phase-One as a baseline budget to update and validate the established program through performance modeling and optimization. A case study using data from the Ministry of Transportation Ontario (MTO) second generation Pavement Management System (PMS2) is used to illustrate the framework.

Submitted by Geyciane Santos (geyciane_thamires@hotmail.com) on 2015-11-27T21:17:43Z No. of bitstreams: 1 Dissertação - Ellen Belmonte Barros.pdf: 1913961 bytes, checksum: f07c6aaa0f92b35292f4098fc8801572 (MD5) / Approved for entry into archive by Divisão de Documentação/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-11-30T19:38:56Z (GMT) No. of bitstreams: 1 Dissertação - Ellen Belmonte Barros.pdf: 1913961 bytes, checksum: f07c6aaa0f92b35292f4098fc8801572 (MD5) / Approved for entry into archive by Divisão de Documentação/BC Biblioteca Central (ddbc@ufam.edu.br) on 2015-11-30T19:48:21Z (GMT) No. of bitstreams: 1 Dissertação - Ellen Belmonte Barros.pdf: 1913961 bytes, checksum: f07c6aaa0f92b35292f4098fc8801572 (MD5) / Made available in DSpace on 2015-11-30T19:48:21Z (GMT). No. of bitstreams: 1 Dissertação - Ellen Belmonte Barros.pdf: 1913961 bytes, checksum: f07c6aaa0f92b35292f4098fc8801572 (MD5) Previous issue date: 2015-10-30 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The work is very present in the life of man, which has built his routine in favor of this practice. However, in cases of occupational accidents, this routine can be interrupted in order to perform medical treatments and sometimes it is necessary to participate of a vocational rehabilitation. In this process of adaptation, it is common that many workers have difficulty preparing for their return to the workplace. Those who can overcome adversity experienced in the process, redefining the experience, we consider resilient. This study aims to determine how the actions taken in the Vocational Rehabilitation Program (PRP) of the National Social Security Institute (INSS) of Amazonas state are related to the resilience factor in insured worker. It is a qualitative and quantitative research. The participants were eleven INSS insured workers attended by the PRP in the city of Manaus. Data collection was conducted through individual meetings in which each participant answered the Socio Demographic questionnaire, Resilience Scale for Adults (RSA) and a semi-structured interview, which was audio recorded. After transcription, the analysis of data obtained through the interviews was made according to the guidelines on Bardin’s content analysis (2006). The data obtained by the RSA and the Social Demographic Questionnaire, were tabulated and analyzed with the help of SPSS statistical software, version 22. The results showed that the actions developed by PRP promote resilience to injured workers as they contribute to the elevation of their self-esteem and self-efficacy, and favor the ability to handle changes and adaptations. / O trabalho está muito presente na vida do ser humano, o qual constrói sua rotina em favor desta prática. Contudo, em casos de acidente do trabalho, esta rotina pode ser interrompida para a realização de tratamentos médicos e, por vezes, faz-se necessária a reabilitação profissional. Nesse processo de adaptação, é comum que muitos trabalhadores tenham dificuldades em preparar-se para seu retorno ao ambiente de trabalho. Aqueles que conseguem superar as adversidades vivenciadas nesse processo, resignificando esta experiência, consideramos resilientes. O presente estudo tem como objetivo constatar como as ações realizadas no Programa de Reabilitação Profissional (PRP) do Instituto Nacional de Seguridade Social (INSS) do Estado do Amazonas se relacionam com o fator resiliência no segurado. Trata-se de uma pesquisa de natureza qualitativa e quantitativa. Participaram da pesquisa onze segurados do INSS atendidos pelo PRP na cidade de Manaus. A obtenção dos dados foi realizada através de encontros individuais no qual cada participante respondeu ao Questionário Sócio Demográfico, a Escala de Resiliência para Adultos (RSA) e a uma entrevista semi-estruturada, a qual foi áudio gravada. Após a transcrição, a análise dos dados obtidos por meio das entrevistas foi feita de acordo com as orientações sobre análise de conteúdo de Bardin (2006). Os dados obtidos pelo RSA e pelo Questionário Sócio Demográfico, foram tabulados e analisados com o auxílio do Software estatístico SPSS, versão 22. Os resultados evidenciaram que as ações desenvolvidas pelo PRP promovem resiliência aos trabalhadores acidentados à medida em que contribuem para a elevação de sua autoestima e autoeficácia, bem como favorecem a capacidade de lidar com mudanças e adaptações.

According to the Macro, Meso, and Micro levels (3Ms), the 3Ms of Occupational Engagement: Awareness of Entitlement and Support Programs for People with Disabilities (People of Determination) in the United Arab Emirates (AESPPD) is an educational program focused on educational programs designed to increase awareness of policies, regulations, and entitlements in the United Arab Emirates (UAE). Promoting occupational justice, social justice, and improving employment are ways to break down social stigmas for people with disabilities (people of determination). Using a hybrid model of in-person and telehealth, the 24-week program proposed in this doctoral program will provide education on and facilitate access to entitlement and support programs for clients, caregivers, and occupational therapy students in the UAE and globally. The author aims to reduce the environmental barriers, including the lack of accessible community locations and transportation, as well as limited access to rehabilitation programs (WHO, 2001; WHO, 2006; Zhou et al., 2020). Reduced limitation to often necessary services results in success with paid employment (Andersen & Olsen, 2019; Bondia, 2019; Haza, 2019; Silva et al., 2019). Environmental barriers result in challenges in an individual's ability to support themselves financially, maintain healthy social participation, and engage in meaningful occupations (Adams et al., 2012; Marshall, 2009; Sheppard & Frost, 2016; WHO, 2011; WHO RCWP, 2018). The program will promote access, independence, opportunity, and change for this target population through awareness of occupational injustice and barriers to engagement (Hammell, 2008); collective occupations for change (Frank & Santos, 2020); awareness of cultural norms (Frank & Santos, 2020); policies and civil rights act change (WHO, 2011); developing intentional attendance using telehealth (Fogelberg & Frauwirth, 2010; Frank & Muriithi, 2015). Consequently, corresponding to the 3Ms telehealth program, the author can engage in employment and social participation for people with disabilities (people of determination) in the UAE and globally.

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Made available in DSpace on 2016-04-27T18:12:40Z (GMT). No. of bitstreams: 1 Christiane Mara Lombardi.pdf: 1385912 bytes, checksum: 328011c61fba9727cf9df90c8404a529 (MD5) Previous issue date: 2009-02-27 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Theme: The majority of the elderly people with presbycusis can benefit from group hearing rehabilitation. The literature on this subject evaluated those programs as effective. Therefore, the literature does not point the origin of this effectiveness. Based on the information collected from these literature, a private hospital located in São Paulo created the Hearing Aid User Support Group GAUAA, which consists of four monthly meetings. Purpose: To find out the effectivness of a group hearing rehabilitation program for the elderly through shifting from quantitative data to qualitative data. Method: Thirty subjects, hearing aid users with monoaural adaptation, showing moderate to severe hearing loss with ages between seventy and ninety-two years old have participated in this research. This study provided two situations: on situation I, the International Outcome Inventory for Hearing Aids questionnaire (IOI-HÁ) was applied before and after the program. The objetive was to evaluate the user degree of satisfaction. The collected data were submeted to the Wilcoxon test method analysis and analysed through the Spearman correlation method. The situation II was divided in two phases: on phase I, the subjects statements were collected and analysed after the program. At phase II, the subjects statements were analysed during the GAUAA meetings. These data were analysed by the french line of the speech analysis proposed by Orlandi(1996). Results: The data found at situation I were statistically significant, but they could not indicate what would be the reason for the positive effectiveness responses from the clinical perpective. Thus, the situation II through the qualitative analysis, made possible to observe the subjects singularities, which suggested that the effectiveness of a hearing rehabilitation program is due to the identification among the participants and by transference, sustained by the coordinator´s position. The GAUAA effectiveness derives from the ludical speech dominance, which its effects promote the effectiveness of the hearing aid use / Tema: possíveis benefícios de um grupo de apoio voltado a idosos com presbiacusia e usuários de auxiliar auditivo. Objetivo: por meio da articulação entre dados quantitativos e dados qualitativos, localizar a origem da eficácia de um programa de reabilitação auditiva em grupo de idosos. No geral, embora a literatura sobre o tema aborde esse aspecto, não há ainda estudos que propõem parâmetros de atuação e estratégias que levem ao uso sistemático do auxiliar auditivo por parte dessa população. Método: participaram deste estudo 30 sujeitos com perda auditiva de grau moderado a severo, na faixa etária de 70 a 92 anos, usuários de auxiliar auditivo com adaptação monoaural e participantes do Grupo de Apoio ao Usuário de Auxiliar Auditivo GAUAA, criado em um hospital privado de São Paulo, sendo o trabalho desenvolvido em quatro encontros mensais. Foram analisadas duas situações: a Situação I, em que foi aplicado o questionário QI-AASI (Questionário Internacional-Aparelho De Amplificação Sonora Individual), antes e depois do programa, para avaliar o grau de satisfação do usuário. Os achados foram submetidos ao método de análise dos Testes dos Postos Sinalizados de Wilcoxon. A situação II foi dividida em duas etapas: na 1ª etapa procedeu-se à coleta e análise de depoimentos dos usuários após o programa, e na 2ª etapa, à análise dos dizeres dos participantes durante as reuniões do GAUAA. Esses dados foram analisados à luz da metodologia de Análise de Discurso de linha francesa, articulada à tipologia do discurso proposta por Orlandi(1996). Resultados: Os achados da situação I mostraram-se estatisticamente significantes, mas, clinicamente, não indicaram o que provocava as respostas positivas sobre a participação no GAUAA. Já a situação II, em que foi utilizada a metodologia qualitativa, possibilitou observar a singularidade dos sujeitos, sugerindo que a eficácia de um programa de reabilitação auditiva se dá pela identificação entre os participantes e pela transferência sustentada pela posição do coordenador. Concluiu-se que a eficácia do GAUAA deriva da dominância do discurso lúdico, cujos efeitos promovem a efetividade do uso do auxiliar auditivo

O aumento no número de células inflamatórias, a produção anormal de citocinas pró-inflamatórias e o desequilíbrio entre a formação de radicais livres e a capacidade antioxidante geram alterações locais e sistêmicas na doença pulmonar obstrutiva crônica (DPOC), associada com disfunção e perda da massa muscular. A reabilitação pulmonar é uma modalidade de tratamento com evidência A, cujos desfechos são medidos através da melhora da capacidade de exercício físico e qualidade de vida, mas estudos recentes demonstram uma redução no estresse oxidativo induzido pelo exercício, o que potencialmente também reduziria o dano tecidual. A análise do dano de DNA em linfócitos de sangue periférico foi utilizada como possível medida de desfecho em 13 de 39 portadores de DPOC submetidos a um programa de reabilitação pulmonar (PRP) com duração de 4 meses. Todos os pacientes foram submetidos ao teste da caminhada dos seis minutos (TC6) e ao questionário de qualidade de vida Saint George (QQVSG), sendo que 13 pacientes coletaram sangue antes e depois do PRP para análise do dano de DNA pela técnica de micronúcleos. Do total de 39 portadores de DPOC, 69,23% eram do sexo masculino com idades de 63,33 ± 8,60 anos e média de VEF1 de 1,06 ± 0,55L. Após o PRP, ocorreu aumento significativo na distância percorrida no TC6 (366,84±108,42 [pré PRP] vs. 400,76±94,55 [pós PRP], p=0,001) e melhora em todos os domínios do QQVSG (Sintomas: 47,05±21,28 [pré PRP] vs. 35,28±16,92 [pós PRP], p=0,005; Atividades: 62,84±27,07 [pré PRP] vs. 56,02±24,09 [pós PRP], p=0,038; Impacto: 33,30±18,71 [pré PRP] vs. 19,97±12,11 [pós PRP], p<0,001; Total: 49,41±21,99 [pré PRP] vs. 37,61±18,96 [pós PRP], p<0,001). Quanto à avaliação do dano genético, obteve-se uma diminuição estatisticamente significativa (p=0,014) na freqüência de micronúcleos (5,53±2,14 [pré PRP] vs. 3,07±2,13 [pós PRP] ), o que não ocorreu na análise das pontes nucleoplasmáticas e buds nucleares (1,15±0,89 [pré PRP] vs. 0,76±1,01 [pós PRP], p=0,244 e 1,69±1,43 [pré PRP] vs. 1,69±2,13 [pós PRP], p=0,804, respectivamente). A redução na freqüência de micronúcleos demonstrou que o PRP não somente melhorou a qualidade de vida e o desempenho na capacidade de exercício, mas também foi capaz de reduzir o dano de DNA. / Pulmonary rehabilitation is a treatment supported by level A evidence, and its outcomes are measured by the improvement in physical exercise capacity and quality of life. The objective of this study is to investigate if pulmonary rehabilitation reduces DNA damage in peripheral blood of patients with chronic obstructive pulmonary disease. DNA damage in peripheral blood lymphocytes was used as an outcome measure in 13 of 39 patients with chronic obstructive pulmonary disease who underwent a 4-month pulmonary rehabilitation program. All patients underwent the 6- minute walk test and answered the Saint George’s respiratory questionnaire to assess quality of life. Blood was collected from 13 patients before and after pulmonary rehabilitation program to analyze DNA damage using the micronucleus technique. After pulmonary rehabilitation program, there was a significant increase in 6- minute walk distance and improvement in all the Saint George’s respiratory questionnaire domains. The evaluation of genetic damage revealed a statistically significant decrease (p = 0.014) of micronucleus frequency. No significant differences were found in the analysis of nucleoplasmic bridges or nuclear buds. The decrease of micronucleus frequency demonstrated that PRP not only improved quality of life and performance in work capacity exercises, but also reduced DNA damage.