Programa de Pós-Graduação em Ciências do Movimento Humano - PPGCMH/ICS
URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/15816
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Navegando Programa de Pós-Graduação em Ciências do Movimento Humano - PPGCMH/ICS por Orientadores "MELO NETO, João Simão de"
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Item Acesso aberto (Open Access) Atividade bioelétrica dos músculos do assoalho pélvico durante o uso de educador vaginal inovador: estudo transversal(Universidade Federal do Pará, 2022-11-08) DUARTE, Natália de Souza; MELO NETO, João Simão de; http://lattes.cnpq.br/1547661999153615; https://orcid.org/0000-0002-4681-8532The pelvic floor needs an integral anatomical structure due to its multiple functions. Therefore, innovative equipment is needed to improve this structure. The aim of this study was to analyze the effects of using the innovative iGeni vaginal trainer on the bioelectrical activity of the pelvic floor muscles, in addition to analyzing the different hip positions and interference factors such as age group, childbirth, sexual activity, urinary incontinence and menopause. For this, a cross-sectional study was designed, composed of 30 women, who were evaluated using the following instruments: evaluation form, International Consultation On Incontinence Questionnaire - Short Form and surface electromyography. The collected findings were: RMS of the 5-second period of contraction, peak RMS values, area values, %MVC (RMS normalized by peak signal) and median frequency. These findings were compared without and with the use of iGeni, in anteversion, neutral and retroversion pelvic positions. The results showed that the use of iGeni increased the electromyographic activity of the pelvic floor muscles in the neutral position. Women in conditions of greater tendency to dysfunction of this musculature also benefited, increasing bioelectrical activity under specific conditions. It was then concluded that this innovative biofeedback equipment was effective in the greater recruitment of muscle fibers and that it has greater effectiveness in the neutral position of the hip, being able to be an effective ally in the training of this musculature.Item Acesso aberto (Open Access) Câncer de mama: aspectos epidemiológicos sobre a mortalidade e os efeitos da fisioterapia na sintomatologia e amplitude de movimento(Universidade Federal do Pará, 2021-04-07) COSTA, Thalita da Luz; MELO NETO, João Simão de; http://lattes.cnpq.br/1547661999153615; https://orcid.org/0000-0002-4681-8532INTRODUCTION: Breast cancer is the most commonly diagnosed cancer, and the most common cause of death from cancer, in women worldwide. Despite the advancement of treatment, there are still many associated complications. OBJECTIVE: to analyze the influence of social, demographic factors, screening procedures and population coverage of primary care on breast cancer mortality in Brazil, and to verify the effect of physical therapy on clinical symptoms and range of motion in women undergoing mastectomy with axillary lymphadenectomy, after chemotherapy and radiotherapy. METHOD: Available and open access secondary data from the SUS Information and Informatics Department, SIDRA (IBGE Automatic Recovery System) and eGestor AB (Primary Care Information and Management) were analyzed. The medical records of 25 women (mean age 55 ± 14 years) after surgical treatment of mastectomy with axillary lymphadenectomy for the diagnosis of breast cancer were also analyzed. The signs and symptoms evaluated were pain, tenderness, phantom breast syndrome, heavy and swollen arm, lymphedema and axillary web syndrome. The range of motion of flexion, abduction, internal rotation and external rotation of the glenohumeral joint was also assessed. RESULTS: It was observed that the mortality rate is higher in brown women; in the Southeast and South regions; and it grows with increasing age. The North region has lower mortality and lower survival. The mortality rate did not decrease with the increase in the coverage of primary health care coverage and the number of biopsy procedures. However, the rate decreased with the increased execution of cytopathological analysis. In addition, physical therapy contributed to the reduction of pain resulting from the clinical-surgical treatment of breast cancer, and promoted an increase in the range of motion of the glenohumeral joint. CONCLUSION: The coverage of health services and the number of screening procedures are not correlated with the breast cancer mortality rate and physical therapy contributes to the improvement of pain and range of motion.Item Acesso aberto (Open Access) Mortalidade por câncer colorretal no Brasil e medidas inerciais baseadas em smartphones durante o teste do degrau de Chester como preditor de tempo de internação no pós-operatório de câncer abdominopélvico(Universidade Federal do Pará, 2023-03-24) NASCIMENTO, Ananda Quaresma; MELO NETO, João Simão de; http://lattes.cnpq.br/1547661999153615; https://orcid.org/0000-0002-4681-8532INTRODUCTION: Cancers involving the abdominal and pelvic regions are among the main causes of mortality in Brazil, among which the colorectal type (CRC) is the third leading cause of death in the world. OBJECTIVE: To analyze the social and demographic factors that predict higher mortality from colorectal cancer and worse survival rates, as well as to verify whether screening, diagnosis and treatment procedures have an impact on mortality reduction. In addition, to evaluate whether the Chester Step Test (CST), through work, estimated VO2max and analysis of movement through the gyroscope, is a predictor of postoperative hospital stay of cancer patients undergoing abdominopelvic surgeries. METHOD: Secondary and open access data from the Department of Information and Informatics of the SUS and the IBGE Automatic Recovery System were analyzed. 51 cancer patients were also evaluated in the preoperative period of abdominopelvic surgery through CST associated with a smartphone gyroscope. RESULTS: In Brazil, CRC mortality increased after 45 years of age. The highest adjusted mortality rates were found among whites and in the South of the country. A higher risk of death was observed among single, married and widowed people in the North and Northeast than those legally separated in the South. Lower survival rates were observed among brown individuals, those legally separated and residents of the North region. High mortality in the North was associated with an increase in rates of first-line chemotherapy and a decrease in second-line chemotherapy, and in the South, with second-line chemotherapy and abdominoperineal resection of the rectum. For patients in the preoperative period of abdominopelvic surgery, the length of stay 30 days after the operation was longer when those who underwent CST level 1 had less mobility and greater energy expenditure. In addition, the work rate increased with the progression of the test from level 3 onwards. High VO2max is a predictor of length of stay for those who completed levels 3 and 4 of the test. CONCLUSION: Regional differences in sociodemographic and clinical factors can serve as guidelines for adjusting public health policies. In addition, the use of the gyroscope was more accurate in detecting lower mobility and higher energy expenditure. VO2max was able to predict longer postoperative hospital stays and the work variable was less sensitive in assessing patients' physical capacity.