Browsing by Author "Cardoso, Ricardo Manuel Tavares"
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- Intervenção da fisioterapia na fibrose quística: uma revisão sistemáticaPublication . Cardoso, Ricardo Manuel Tavares; Viana, RuiObjectivo: Determinar a efectividade da Fisioterapia no tratamento de pacientes com Fibrose Quística (FQ). Metodologia: Pesquisa computadorizada nas bases de dados Pubmed/Medline, B-on e PEDro para identificar estudos randomizados controlados que avaliam várias intervenções de Fisioterapia na FQ. Resultados: Nesta revisão foram incluídos 22 estudos envolvendo 1049 pacientes, com classificação metodológica de média aritmética 4.7 na escala de PEDro. Dos estudos incluídos nesta revisão, 15 avaliaram a Fisioterapia com a aplicação de técnicas manuais, 9 têm em conta a aplicação de Ventilação Não Invasiva (VNI), 8 referem a utilização de ortóteses ventilatórias e 4 avaliam a Fisioterapia através de actividade física. Conclusões: A evidência consultada nesta revisão sistemática sugere que a Fisioterapia desempenha um papel fundamental no tratamento da FQ, nomeadamente através a utilização de técnicas manuais, VNI, ortóteses ventilatórias e com o auxílio da actividade física. Da pesquisa efectuada, sugere-se a relevância de novas investigações sobre o tratamento de Fisioterapia com efeitos a longo prazo. Objective: To determine the effectiveness of Physiotherapy treatment in patients with Cystic Fibrosis (FC). Methodology: Research on computerized databases on Pubmed/Medline, B-on and PEDro to identify randomized controlled trials that evaluates various Physiotherapy interventions in CF. Results: This review included 22 studies involving 1049 patients, with arithmetic mean methodology classification of 4.7 on the PEDro scale. From the studies included in this review, 15 evaluated the Physiotherapy with manual techniques application, 9 take into account the non-invasive positive-pressure ventilation (NPPV), 8 refer the use of ventilatory devices and 4 evaluate the Physiotherapy through physical activity. Conclusions: The evidence found in this systematic review suggest that Physiotherapy plays an fundamental role in the treatment of CF, namely through the use of manual techniques (NPPV), ventilatory devices and with the aid of physical activity. From the research carried, we suggest the relevance of new research about Physiotherapy treatments with long-term effects.
- Voice, posture and autonomic nervous system: relations and treatmentPublication . Cardoso, Ricardo Manuel Tavares; Meneses, Rute; Lumini-Oliveira, JoséVoice is the tool of excellence for verbal communication. For teachers, voice is their main instrument of work, since it allows them to transmit knowledge, thus being of great importance in the teaching-learning process. When used improperly, voice quality can suffer great damages and it can lead to serious health consequences. The theoretical framework of this PhD thesis is comprised of three systematic review articles covering the associations between posture, voice and dysphonia (paper 1), the associations between autonomic nervous system function, voice and dysphonia (paper 2), and the effectiveness of physiotherapy and complementary therapies on voice disorders (paper 3). The thesis also integrates three experimental articles. The first aimed to verify if there were differences in posture, muscle tension and voice between teachers with (n=13) and without (n=11) voice complaints (assessed by photogrammetry, muscle tension through palpation, algometry, aerodynamic assessment of voice, acoustic and auditory-perceptual analysis of voice - paper 4). The second analyzed if there were differences in autonomic nervous system function and voice between teachers with (n=13) and without (n=11) voice complaints (assessed by heart rate variability, The Questionnaire of Autonomic Dysfunction, aerodynamic assessment of voice, acoustic and auditory-perceptual analysis of voice - paper 5). Finally, a randomized controlled trial that was undertaken to verify the effects of myofascial release in teachers’ posture, muscle tension and voice (n=12), compared to a control group (n=12), is presented (assessed by photogrammetry, muscle tension through palpation, algometry, aerodynamic assessment of voice, acoustic and auditory-perceptual analysis of voice - paper 6). With this investigation it was found that in teachers and/or in other samples there is a close relationship between body posture, muscle tension, laryngeal musculature, voice production, voice complaints and dysphonia, as well as autonomic dysfunctions related to voice and dysphonia, where participants with dysphonia tend to present more symptoms of autonomic dysfunction concomitant with activation of the laryngeal musculature (papers 1, 2, 4, 5). It has also been found that myofascial release in teachers, as well as massage, transcutaneous electrical nerve stimulation and acupuncture in other samples, appear to be effective treatments to reduce muscle tension, voice complaints and improve voice quality, supporting the inclusion of these therapies in the treatment of patients with voice disorders, promoting a transdisciplinary action that can optimize assessment and treatment in order to provide benefits to patients with voice problems (papers 3, 6).