Dissertationen zum Thema „Participation in activity of daily living“
Geben Sie eine Quelle nach APA, MLA, Chicago, Harvard und anderen Zitierweisen an
Machen Sie sich mit Top-50 Dissertationen für die Forschung zum Thema "Participation in activity of daily living" bekannt.
Neben jedem Werk im Literaturverzeichnis ist die Option "Zur Bibliographie hinzufügen" verfügbar. Nutzen Sie sie, wird Ihre bibliographische Angabe des gewählten Werkes nach der nötigen Zitierweise (APA, MLA, Harvard, Chicago, Vancouver usw.) automatisch gestaltet.
Sie können auch den vollen Text der wissenschaftlichen Publikation im PDF-Format herunterladen und eine Online-Annotation der Arbeit lesen, wenn die relevanten Parameter in den Metadaten verfügbar sind.
Sehen Sie die Dissertationen für verschiedene Spezialgebieten durch und erstellen Sie Ihre Bibliographie auf korrekte Weise.
Sposito, Giovana 1981. „Engajamento em atividades avançadas de vida diária e o desempenho cognitivo em idosos da comunidade = estudo FIBRA-Unicamp = Engagement in advanced activities of daily living and cognitive performance in older adults: FIBRA Study-Unicamp“. [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312941.
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-27T17:29:07Z (GMT). No. of bitstreams: 1 Sposito_Giovana_D.pdf: 2581166 bytes, checksum: 5b2db24cb3b900af8525ab613c018eca (MD5) Previous issue date: 2015
Resumo: Este estudo teve como objetivo investigar as associações entre o engajamento em atividades avançadas de vida diária (AAVD) e o desempenho cognitivo em idosos da comunidade. Os dados foram extraídos do estudo de base populacional, intitulado Fragilidade em Idosos Brasileiros (FIBRA-Unicamp). A amostra foi composta por 2.549 idosos sem comprometimento cognitivo sugestivo de demência, sendo 65,71% mulheres, com idade média de 72,32 anos (±5,55) e escolaridade de 4,37 anos (±3,99). Foram coletadas informações sobre características sociodemográficas (gênero, idade, escolaridade e renda familiar) e condições de saúde (número de doenças relatadas e sintomas depressivos). As AAVD autorrelatadas foram agrupadas em físicas, sociais e intelectuais. O desempenho cognitivo foi avaliado pelo Mini Exame do Estado Mental (MEEM), considerando a pontuação global e os domínios de orientação, memória, atenção e cálculo, linguagem e praxia construtiva. Os escores médios do MEEM foram significativamente maiores entre os homens, os indivíduos mais jovens e aqueles que tinham maior escolaridade, maior renda, menos doenças relatadas e não apresentavam sintomas depressivos. As análises de regressão linear multivariada e análise de regressão hierárquica realizada em blocos (variáveis sociodemográficas, condições de saúde e AAVD físicas, sociais e intelectuais) mostraram que o engajamento em AAVD intelectuais foram associados positivamente com o escore total do MEEM (p=<0,01, R2=0,014 e p=<0,01, R2=0,013 respectivamente). Em relação aos domínios cognitivos, embora modesta, a análise de regressão multivariada mostrou associação entre as AAVDs intelectuais e os domínios de orientação, atenção/ cálculo, linguagem e praxia construtiva (p=0,017, R2=0,005; p=<0,042, R2=0,008; p=<0,001, R2=0,021 e p=<0,001, R2=0,021 respectivamente). As AAVD sociais se associaram aos domínios de memória (p=0,024, R2=0,002) e linguagem (p=0,023, R2=0.004). Não houve associação entre o engajamento em AAVD físicas e o desempenho cognitivo. Anos de escolaridade e maior renda familiar foram as variáveis que se associaram de forma mais robusta ao escore total do MEEM e seus domínios (com exceção apenas entre renda familiar e memória). Os resultados sugerem que o engajamento em AAVD sociais e intelectuais podem ter um papel protetor no envelhecimento cognitivo e que o engajamento em AAVD pode representar uma estratégia viável para a promoção da saúde mental entre os idosos
Abstract: This study aimed to investigate the relationship between the engagement in advanced activities of daily living (AADL) and cognitive performance in community-dwelling seniors. The data presented is drawn from the population-based study Frailty Profile of Elderly Brazilians (FIBRA-Unicamp). The sample comprised 2.549 older adults without cognitive impairment suggestive of dementia, and 65.71% females, mean age of 72.32 years (±5.55) and education of 4.37 years (±3.99). Information on sociodemographic characteristics were collected (gender, age, education and family income) and health conditions (number of diseases and depressive symptoms). The self-reported AADL were grouped into physical, social and intellectual. Cognitive performance was assessed using the Mini Mental State Examination (MMSE), considering the global score and guidance fields, memory, attention and calculation, language and constructive praxis. The mean scores of MMEE were significantly higher among men, younger individuals and those who had more education, higher income, less related diseases and had no depressive symptoms. The analysis of multivariate linear regression and hierarchical regression analysis performed in blocks (sociodemographic variables, health and physical, social and intellectual AADL) have shown that engaging in intellectual AADL were positively associated with total MMSE score (p=<0.01, R2=0.014 and p=<0.01, R2=0.013 respectively). Regarding cognitive domains, though modest, multivariate regression analysis showed an association between the intellectual AADL and guidance fields, attention / calculation, language and constructive praxis (p=0.017, R2=0.005; p=<0.042, R2=0.008; p=<0.001, R2=0.021 e p=<0.001, R2=0.021 respectively). Social AADL joined the domains of memory (p=0.024, R2=0.002) e language (p=0,023, R2=0.004). There was no association between engaging in vigorous physical AADL and cognitive performance. Years of education and family income were the variables associated more robustly to the total MMSE score and your domains (except only between family income and memory). The results suggest that engagement in social and intellectual AADL may have a protective role in cognitive aging and engaging in AADL may represent a viable strategy for promoting mental health among the elderly
Doutorado
Gerontologia
Doutora em Gerontologia
Masovic, Sanela. „Äldre personers erfarenheter kring användning av digital teknik samt dess betydelse för deras delaktighet i vardagen : Metasyntes“. Thesis, Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-85672.
The purpose of this study was to synthesize older people's experiences of using digital technology and its significance in their participation in everyday life. The study is a Meta-synthesis that was performed through a systematic search of qualitative scientific literature and it’s analysis. The literature search was conducted in four databases and resulted in twelve scientific articles that were included in the study. The data analysis began with a quality review of the articles and ended with a synthesis of the data that answered the purpose of the study. The synthesis led to 34 first-level themes as well as three second-level themes; 1. Perceived benefit and willingness to use digital technology in the everyday lives of the elderly, 2. The impact of technology provides a sense of community and increased support for participation, 3. Perceived limitation and unwillingness to use digital technology. Second level themes were highlighted and resulted in two third level themes; Older enthusiasts embrace the possibilities of technology for the feeling of security and participation in everyday life, despite the challenges surrounding its use. 2. Experience of one's own existence in life outside the world of technology and obstacles or opportunity to participate in a digital society. The results demonstrated varying experiences of using digital technology. Older people highlighted great opportunities to get involved in and to manage certain everyday activities with the help of digital technology. Despite functional limitations and physical barriers, there is potential to perform errands digitally. Positive experiences that dominated the studies were elderly's opportunity to communicate with healthcare providers and agencies but also opportunity to participation in their social life. In addition to this, it turned out that some older people felt that digital technology was unnecessary in their lives, which was due to lack of interest or difficulties in dealing with it. Not being able or unwilling to handle digital technology has led to the experience of exclusion and reduced participation in society.
Wimmer, Jodi B. „Validation of Activity Trackers in a Daily Living Setting in Young Adults“. BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/8652.
Garg, Shobhit. „Daily Activity Monitoring and Health Assessment of the Elderly using Smappee“. University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1480328873499744.
Li, Yunjie. „Applying Data Mining Techniques on Continuous Sensed Data : For daily living activity recognition“. Thesis, Mittuniversitetet, Avdelningen för informations- och kommunikationssystem, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-23424.
Delaguila, Michael Anthony. „Assessment of physical activity in patients with diabetes /“. Thesis, Connect to this title online; UW restricted, 1998. http://hdl.handle.net/1773/10935.
Phillips, Jennifer Ann. „Time trends in overall daily physical activity and cardiovascular disease risk factors by organized physical activity participation in adolescent girls“. College Park, Md. : University of Maryland, 2009. http://hdl.handle.net/1903/9898.
Thesis research directed by: Dept of Kinesiology. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
Larsson, Lund Maria. „Living with physical disability : experiences of the rehabilitation process, occupations and participation in everyday life“. Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-317.
Bisca, Gianna Kelren Waldrich. „Mínima mudança detectável na escala London Chest Activity of Daily Living em pacientes com doença pulmonar obstrutiva crônica“. Universidade Estadual de Londrina. Centro de Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde, 2013. http://www.bibliotecadigital.uel.br/document/?code=vtls000189118.
Background: Dyspnea and fatigue frequently impair the ability to perform activities of daily living (ADL) in patients with chronic obstructive pulmonary disease (COPD). Questionnaires and scales have been used to assess limitations in ADL; among them, the London Chest Activity of Daily Living (LCADL) scale is responsive to intervention to a higher extent when compared to other tools. However, the Minimal Detectable Change (MDC) for this scale remains unknown. Objective: To determine the MDC for functional status improvement measured by the LCADL scale in patients with COPD. Methods: Forty patients with COPD (20 male, 66±7 years, FEV1 44±16% predicted) participated in a 3-month high-intensity exercise training program (3x/week). Before and after the protocol, participants responded to the LCADL scale and the Saint George Respiratory Questionnaire (SGRQ). In order to calculate the MDC, we used the standard error of measurement and the effect size (distribution-based estimates). Results: There was improvement in the LCADL self-care, domestic and leisure domains and in the total score after the training program, besides a strong trend for improvement in the physical activity domain The MDC estimated for the LCADL were 0.89, 2.60, 0.44, 0.58 and 3.88 points for self-care, domestic, physical and leisure domains and total score, respectively. Correlations between changes in LCADL and in SGRQ were weak (r<0.40 for all). Conclusion: This study provided the MDC for the domains and total score of the LCADL. A change of 4 points in the total score of the LCADL can be interpreted as a meaningful change.
Patrick, Marsha B. „Effectiveness of community-based physical activity programs for older adults /“. Thesis, Connect to this title online; UW restricted, 2003. http://hdl.handle.net/1773/5412.
Norrström, Annika, und Cecilia Weslien. „Äldres vardag i hemmiljö i ett aktivitetsperspektiv : En litteraturstudie om betydelse av tillgänglighet och uppfattning av delaktighet“. Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-150644.
Flantua, Elise. „Applications to enhance participation in everyday life for children/adolescents with ID and ASD : A systematic literature review“. Thesis, Jönköping University, HLK, CHILD, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-53663.
Einarsson, Ulrika. „People with multiple sclerosis in Stockholm - aspects of motor and cognitive function, activities of daily living and social/lifestyle activities /“. Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-613-1/.
Horgen, Christopher. „En svensk version av I-HOPE : En undersökning om hur personer över 65 år i ordinärt boende upplever aktivitetskorten i bedömningsinstrumentet I-HOPE utifrån svenska förhållanden“. Thesis, Luleå tekniska universitet, Hälsa och rehabilitering, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-63747.
Crabb, Jennifer A. „Physical activity maintenance trends, predictors, and cardiovascular outcomes /“. Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2006. https://www.mhsl.uab.edu/dt/2009r/crabb.pdf.
Crabb, Brooke Evangeline. „Perceptions of the transition to assisted living as a function of psychological well-being, instrumental activities of daily living, and coping: A prospective study“. CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2439.
Chan, Wai-ping Ivy, und 陳慧萍. „The effect of cognitive function and depressive mood on the activity of daily living and quality of life in Chinese patients withAlzheimer's disease“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971490.
Eriksson, Gunilla. „Occupational gaps after acquired brain injury : an exploration of participation in everyday occupations and the relation to life satisfaction /“. Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-422-8/.
Larsson, Eva-Lena. „Pre- and postoperative evaluation of function and activity in patients with paralytic scoliosis“. Doctoral thesis, Linköping : Univ, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5236.
Chan, Wai-ping Ivy. „The effect of cognitive function and depressive mood on the activity of daily living and quality of life in Chinese patients with Alzheimer's disease“. Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31971490.
Caneppele, Maria Cristina Garcia de Lima. „Capacidade funcional e qualidade de vida de indivíduos idosos de Porto Alegre“. reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2007. http://hdl.handle.net/10183/13580.
Background: The growth of the elderly population is a worldwide phenomenon. The elderly have chronic diseases that lead to various degrees of incapacity, which increases with age and makes them dependent in their activities of the daily living (ADLs), and in the instrumental activities of the daily living (IADLs). Objectives: the objective of the present study was to assess the functional capacity, verifing the prevalence of functional independence in a representative sample from southern Brazil, as well as to identify its association with life quality. The present research is one of the subprojects of the study of Syndrome of Obesity and Risk Fators (SOFT). Participants and methods: This cross-sectional population-based study of elderly individuals, aged 60 to 90 years old, was selected through a multistage probability sample including participants from 106, out of 2157, census sectors of Porto Alegre. A standard questionnaire was applied in the household in order to investigate socioeconomic and demographic characteristics, life habits, risk factors for cardiovascular disease, as well as the Index of Independence in the activities of the daily living, developed by Katz (1969) and the Instrumental Activities of Daily Living Scale created by Lawton and Brody (1983). The questionnaire Short Form-12 of quality of life (Ware, 1996) was also administered. Complex Samples module of SPSS was used for data analysis in order to take into account the design effect. The differences between proportions were tested by Pearson’s chi-square test; the variance and covariance analyses were used to compare the averages and the multiple logistic regression analysis to calculate the odds ratio and 95% confidence interval. Results: the age average was similar between elderly man and women, and the sex and age distribution was similar to the one of the census of the Brazilian Institute of Geography and Statistics. Besides higher scholarity (8,8 vs. 6,6 years), men referred to being married more frequently (75,7%) than women (31,9%), which were mainly widows or were separated and residing alone more often than men. Except for the color of the skin and the fact of residing alone or not, all the researched characteristics were significantly associated with age. An inverse relationship between age and scholarity and between age and being married or residing with a companion was identified, as well as a direct relationship between age and being retired, being separated or a widow, and needing a walking assistance device. Also, it was observed a direct relationship, regardless of age and sex, between scholarity and independence to perform instrumental activities of the daily living, not however, to the activities of daily living. The practice of regular physical activity was a predicting factor for functional independence in both ADLs and IADLs. This study verified a larger tendency for independence among men for the total of the ADLs (94% vs. 89% for women; p=0,09) and IADLs(94% vs. 88% for women; p=0,04) domains. The reduction of functional independence with age among men was observed in most of the ADLs and IADLs. Among women there was a reduction of functional independence in every activity, except the use of the telephone. The masculine sex was associated, regardless of age, to higher scores on the physical and mental components of quality of life. Age associated inversely with the physical component, while scholarity made it directly, but none of those characteristics showed any relationship with the mental component. Being physically active and possessing a lower number of chronic diseases associated significantly with both mental and physical scores. Conclusion: the elderly individuals investigated in the SOFT study are representative of the elderly population of Porto Alegre. The differences between elderly man and women include: socio-economical characteristics, life habits and functional independence. Men present a higher quality of life than women regardless of age.
McCeney, Melissa Kay. „Biobehavioral triggers of cardiac arrhythmia during daily life : the role of emotion, physical activity, and heart rate variability /“. Download the dissertation in PDF, 2004. http://www.lrc.usuhs.mil/dissertations/pdf/McCeney2004.pdf.
Sommerfeld, Disa. „Body function and activity after acute stroke : physiotherapy perspectives /“. Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-828-9/.
Mokhlespour, Esfahani Mohammad Iman. „Development and Assessment of Smart Textile Systems for Human Activity Classification“. Diss., Virginia Tech, 2018. http://hdl.handle.net/10919/97249.
PHD
Wressle, Ewa. „Client participation in the rehabilitation process“. Doctoral thesis, Linköping : Univ, 2002. http://www.bibl.liu.se/liupubl/disp/disp2002/med722s.pdf.
Roberts, Amy Restorick. „A LONGITUDINAL STUDY OF THE INFLUENCE OF SOCIAL ENGAGEMENTON QUALITY OF LIFE AMONG OLDER ADULTS LIVING IN SENIOR HOUSING“. Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1374677674.
Sulin, Jennifer P. „Psychometric measurement of physical performance in older adults“. Thesis, This resource online, 1996. http://scholar.lib.vt.edu/theses/available/etd-08292008-063609/.
Metcalfe-Bliss, Caitlin. „Feelings of inclusion and community activities : A study into the feelings of social inclusion and sense of belonging for migrants living in Sweden“. Thesis, Stockholms universitet, Kulturgeografiska institutionen, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-182383.
Liedberg, Gunilla. „Women with fibromyalgia : Employment and daily life“. Doctoral thesis, Linköping, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5184.
Johansson, Ulla. „Long-term outcome after brain injury with a focus on return to work, life satisfaction and participation“. Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-375.
Ferreira, Maria Dilailça Trigueiro de Oliveira. „Efeitos da atividade física nas atividades da vida diária em indivíduos com doença de Parkinson /“. Rio Claro : [s.n.], 2008. http://hdl.handle.net/11449/87370.
Banca: Maria Elisa Pimentel Piemonte
Banca: Henrique Luiz Monteiro
Resumo: A doença de Parkinson (DP) é uma doença crônica e progressiva do SNC caracterizada pela perda progressiva (regional), acima de 60%, dos neurônios dopaminérgicos, que acomete principalmente o sistema motor. A perda desses neurônios acarreta diminuição progressiva da dopamina, ocasionando o surgimento dos principais sinais/sintomas que são: tremor de repouso, bradicinesia, rigidez muscular e instabilidade postural. Esses sinais/sintomas podem diminuir a capacidade de indivíduos com DP em movimentar-se normal e independentemente, alterando sua qualidade de vida. A atividade física tem se mostrado essencial para prevenir e reabilitar problemas de saúde e até proteger contra a perda das células neuronais. Para tanto, foram realizados 2 estudos. O Estudo 1 pretendeu observar os efeitos de uma programa de atividade física generalizada (PAFG) na mobilidade funcional na realização das AVDs de indivíduos em estágios iniciais da DP. Vinte e um indivíduos com DP em estágios de 1 a 2 da escala da Hoehn e Yahr iniciaram o treinamento e somente doze indivíduos com DP (65,92 ± 7 anos) foram reavaliados. O Estudo 2 verificou os efeitos de um programa de exercícios de manutenção (PEM) na mobilidade funcional na realização das AVDs de indivíduos em estágios mais avançados da DP. Dez indivíduos com DP em estágios de 1 a 3 da escala da Hoehn e Yahr iniciaram as atividades e somente oito (71,13 ± 8 anos) foram reavaliados. Foram analisadas as seguintes variáveis para ambos os estudos: 1) variáveis de controle: clínicas, o acometimento da doença e o estado mental; funcionais: equilíbrio funcional e as capacidades funcionais; nível de atividade física e a qualidade de vida; 2) variáveis dependentes: tempo gasto e número de passos no desempenho motor das tarefas Timed "Up and Go" (TUGt e TUGp) e Postural Locomotion Manual (PLMt e PLMp) antes e após os programas de... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The Parkinson's disease (PD) is a chronic and progressive illness of central nervous system. It is characterized by gradual loss (regional), over 60% of dopaminergic neurons, which mainly affects the motor system. The loss of these neurons causes a progressive reduction of dopamine with the appearance of the main signs/symptoms: rest tremor, bradykinesia, muscle stiffness and postural instability. These signs/symptoms may reduce the ability of PD individuals in moving independently, changing their quality of life. The physical activity is essential to prevent and rehabilitate health problems and to protect against the loss of neural cells. Two studies were designed and developed. The Study 1 aimed to observe the effects of a multimode physical activity program (MPAP) on the functional mobility of individuals in initial stages of PD to perform the DLAs. Twenty one individuals with PD in Stages 1 to 2 of Hoehn & Yahr scale started the MPAP and only 12 (65.92 ± 7 years of age) were reevaluated. The Study 2 verified the effects of a maintenance exercises program (MEP) on the functional mobility of individuals in advanced stages of PD to perform the DLAs. Ten individuals with PD in Stages 1 to 3 of Hoehn & Yahr scale initiated the program and only 8 (71.13 ± 8 years of age) were reevaluated. We analyzed the following variables in both studies: 1) control: anthropometric; age; clinical stage (Hoehn & Yahr scale and Unifiyng Parkinson's Disease Rating Scale), the mental state (Mini-Examination Mental State); functional: balance (Functional Balance Berg) and the functional capacities (flexibility, coordination, agility/balance, strength and endurance) through the AAHPERD; physical activity (Baecke Modified for the Elderly) and the quality of life (WHOQOL-Focus questionnaire) level; 2) dependents variables: time spent and number of steps in the motor performance of the Timed Up and Go (TUG)... (Complete abstract click electronic access below)
Mestre
Kåremark, Jessika, und Miranda Karlsson. „Upplevelsen av att vara informell vårdgivare till en förälder med demenssjukdom : En litteraturstudie ur ett aktivitetsperspektiv“. Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-36021.
The population is getting older and more people are likely to suffer from dementia. In society of today relatives of people with dementia need to take a greater responsibility for the care. Increased responsibility leads to changes in everyday life and can contribute to ill health. In Sweden the most common informal caregivers are husbands or wives, but adult children are taking an increased responsibility for the care. The aim of this study was to describe the experiences of being an informal caregiver to a parent with dementia and how it affects daily living. A scoping review was used as a method and 20 articles were included in this study. Inclusion criteria for the articles were publication after year 2007, written in English, qualitative studies, adult children who were informal caregivers, and that the parent was living in regular housing. The results showed experiences of changed roles, insufficient occupational balance and changed social participation. Both positive and negative experiences of being an informal caregiver emerged. The conclusion is that the overall perspective of the occupational therapist can help relatives to find strategies to manage their daily living in a long-term perspective. The occupational therapist's competence can be utilized in preventive work to reduce the risk of limited activity and participation among adult children who take care of a parent with dementia.
Enochsson, Rebecca, und Cecilia Castell. „Upplevelsen av aktivitet efter höftfraktur ur den äldre patientens perspektiv“. Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-39321.
The number of hip fractures increases with an aging population. For the individual, it can have psychological and physical consequences with the risk of permanent disability. The recovery and rehabilitation is not completed at discharge but continues for a longer time. The aim of the study was to investigate how the elderly patient with hip fracture after returning home experienced daily activities focusing on physical activity. The method used was a general literature study with inspiration from qualitative analysis in the article processing. The result was described based on the categories The experience of perceived limitations, The experience of reduced independence and The experience of required adaptation. The elderly experienced limitations on hip fractures such as reduced mobility and fear of falling, which could result in an isolated existence with reduced independence in daily- and physical activity. The mental attitude was adversely affected by limitations with feelings of frustration and depression. Information about the time after the hip fracture was considered lacking. A need to adapt occurred with the application of different strategies to cope with activities. The results of the literature study shows that the recovery was a long process, characterized by the limitations in the performance of activities.
Evaldsson, Elin, und Amanda Börjesson. „Upplevd delaktighet i vardagliga aktiviteter vid skiftarbete“. Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30954.
Bakgrund: Skiftarbete är arbete som utförs på rullande schema, ofta under kväll och helger. Den fysiska hälsan påverkas negativt vid denna typ av arbete. Skiftarbete bidrar även till nedsatt delaktighet i vardagliga aktiviteter som därmed påverkar bland annat livskvalitet och familjeliv. Syfte: Att beskriva aktivitetsutförande och upplevelse av delaktighet i vardagliga aktiviteter bland skiftarbetare. Metod: En enkätstudie gjordes på en industriarbetsplats i Jönköping där 30 skiftarbetare deltog. Enkäten var konstruerad från det arbetsterapeutiska instrumentet ”GAP i vardagens aktiviteter” (GAP). Instrumentet avser att studera delaktighet i vardagliga aktiviteter genom att mäta vad en person gör samt i vilken grad personen vill utföra aktiviteten. Skiftarbetare delades in i respektive skift för att se variationer i aktivitetsutförande. Insamlad och bearbetad data presenterades via deskriptiv statistik. Resultat: Skiftarbetarna utförde alla aktiviteter som ingick i instrumentet men upplevde olika nivåer av delaktighet. Flest aktivitetsgap fanns inom aktivitetskategorin I-ADL. Slutsats: Skiftarbetarna i studien upplever god delaktighet i sina vardagliga aktiviteter trots skiftarbete.
Du, Wenjie (James). „EXAMINING THE INCREMENTAL EFFECTS OF PARTICIPANT SPORTING EVENTS IN PROMOTING ACTIVE LIVING: CREATING ACTIONABLE KNOWLEDGE TO TACKLE A PUBLIC HEALTH CRISIS“. Diss., Temple University Libraries, 2017. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/428449.
Ph.D.
Using a theoretical synergy between the Psychological Continuum Model (PCM) and Behavioral Ecological Model (BEM), the current dissertation research provides empirical evidence to support that organized participant sporting events can play a significant role in building a healthier community. First, using a proprietary U.S. community-based panel data from 2008 to 2014, study 1 examines the incremental effects of participant sporting events (PSE) in promoting active living at the population level. Panel regression with an instrumental variable approach and Multigroup Latent Growth Curve Analysis were administered. The key findings included (1) these population-based interventions have the capacity to impact population health at the state level; (2) such an influence significantly varies across the United States contingent upon a state’s economic development and the geographical region to which a state belongs. In study 2, the Multilevel Mediation Analysis was conducted with a spatially clustered cross-sectional data in 2014. The findings revealed that the access to exercise opportunities at the state level represents the underlying mechanism through which various forms of participant sporting events have the ability to elicit positive effects on health with respects to mental health, physical health, and physical activity participation at the county level. The findings suggested that PSEs represent effective public health platform to create healthier communities through integrating physically active leisure into population’s everyday routines. Overall, empirical results also help us better understand the importance of effectively leveraging community sporting events to deliver required health benefits to the general public and create practical guidelines to inform policy formation on resource allocation.
Temple University--Theses
Oliveira, Alexandra Martini de. „Ensaio clínico randomizado e controlado para avaliar a versão brasileira ambulatorial do método TAP (Tailored Activity Program - Programa Personalizado de Atividades) no tratamento de sintomas neuropsiquiátricos em indivíduos com demência“. Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5142/tde-05122018-132604/.
INTRODUCTION: Although dementia is characterized mainly by cognitive and functional deficits, many patients present behavioral changes or neuropsychiatric symptoms (NPS) at some stage of their clinical evolution. According to the current literature, NPS are very frequent and may occur in up to 90% of dementia cases. The most common NPS are aggression, apathy, agitation, wandering, disinhibition, anxiety, depressed mood and psychotic symptoms (hallucinations and delusions). International guidelines have suggested that non-pharmacological treatments should be the first option in clinical approaching to NPS. Recently, studies have shown that nonpharmacological interventions are as effective as pharmacological treatments, however without the side effects and risks of medications. A promising nonpharmacological approach is the use of activities. An Occupational Therapy method, called Tailored Activity Program (TAP), was developed with the objective of reducing and preventing NPS in the elderly with moderate to severe dementia and, according to published studies, has shown to be effective. In Brazil, there are few studies on non-pharmacological approaches in the treatment of NPSs in individuals with dementia. OBJECTIVES: To perform the translation and transcultural adaptation of the TAP method to Brazilian Portuguese, as well as its adequacy for outpatient use. To evaluate the efficacy of the TAP (Brazilian outpatient version) method in the treatment of NPS in individuals with moderate to severe dementia and in the burden reduction of their caregivers. METHOD: This is a randomized, double-blind, controlled clinical trial for the treatment of NPS in elderly with moderate to severe dementia., using the transcultural translation and adaptation of the outpatient TAP method. The experimental group received eight sessions based on the TAP method, on an outpatient basis, and the control group received eight sessions based on a psychoeducational program with orientations about dementia. Outcome measures consisted of assessing the NPS of individuals with dementia, through the Neuropsychiatric Inventory-Clinician rating scale (NPI-C), and assessing the burden on their caregivers, using the Zarit Scale. All the participants were evaluated at pre (T0) and post-intervention (T1). RESULTS: We included 54 individuals with dementia, who were allocated to the experimental (n=28) and control (n=26) groups. There was improvement of the following NPS in the experimental group: delusions (p=0.05), agitation (p=0.001), aggressiveness (p=0.007), depression (p=0.008), anxiety (p=0.006), euphoria (p=0.007), apathy (p=0.02), disinhibition (p=0.03), irritability (p=0.03), motor disturbance (p=0.007) and aberrant vocalization (p=0.03). No improvement was observed in the following NPS: hallucinations (p=0.06), sleep disturbances (p=0.06) and appetite disorders (p=0.5). The TAP method for outpatient use was also clinically effective in reducing burden in the caregivers of the experimental group (p=0.01). CONCLUSION: This clinical trial is the first controlled study of the efficacy of an Occupational Therapy intervention based on the outpatient version of the TAP method to relieve NPS in patients with moderate to severe dementia. The results showed that the use of personalized prescribed activities, coupled with the caregiver training, may be a clinically effective approach to reduce NPS and caregiver burden of individuals with dementia
Pettersson, Ingvor. „Significance of assistive devices in the daily life of persons with stroke and their spouses /“. Doctoral thesis, Örebro : Örebro University : Universitetsbiblioteket, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-460.
Silva, Fernanda Pereira dos Santos. „Avaliação dos hábitos de vida segundo a Assessment of Life Habits (LIFE-H) : adaptação cultural e valores normativos para crianças brasileiras“. Universidade Federal de São Carlos, 2015. https://repositorio.ufscar.br/handle/ufscar/7637.
Approved for entry into archive by Marina Freitas (marinapf@ufscar.br) on 2016-10-04T18:09:16Z (GMT) No. of bitstreams: 1 TeseFPSS.pdf: 2345274 bytes, checksum: 1c552955b2632b0a8e9f331d13000261 (MD5)
Approved for entry into archive by Marina Freitas (marinapf@ufscar.br) on 2016-10-04T18:09:26Z (GMT) No. of bitstreams: 1 TeseFPSS.pdf: 2345274 bytes, checksum: 1c552955b2632b0a8e9f331d13000261 (MD5)
Made available in DSpace on 2016-10-04T18:09:35Z (GMT). No. of bitstreams: 1 TeseFPSS.pdf: 2345274 bytes, checksum: 1c552955b2632b0a8e9f331d13000261 (MD5) Previous issue date: 2015-09-14
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Rating scales of infant development have been increasingly used in clinical and scientific research. However, the challenge of accurately identifying changes is compounded by the lack of standardized assessment tools and validated for the Brazilian population. Furthermore, to assess the child's life habits have been increasingly promoted in clinical and scientific research. Thus, the first study identified the child assessment tools developed in Portuguese or translated into Portuguese; characteristics of the aspects evaluated by them were presented, and identified their clinical utility and quality. In conclusion, still need to be developed or translated and validated instruments for children under 4 years, with the matter of activities of daily living and children's social participation and that take into account the context and family issues. Thus, the second study was conducted to present the process of translation and cultural adaptation of the Assessment of Life Habits for children to Brazilian Portuguese. In the process of translation, the Brazilian version was called LIFE-H_BR (Avaliação dos Hábitos de Vida, para crianças do nascimento aos 4 anos de idade). The results obtained in this study demonstrated high concordance (<94%) and similarity between the technical judges in the translation process and that 29 items had to be modified in the process of cultural adaptation. However, it is necessary that the evaluation is performed with valid instruments for the studied population. Therefore the third and fourth studies were performed. Study 3 determined the percentage of items LIFE-H_BR adapted for children from 0-4 years that are directly related to the items of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) and reported that areas of ICF-CY are represented in LIFE-H_BR. In addition, the percentage of items in the Activities and Participation ICF-CY that can be evaluated using the LIFE-H_BR was determined, and if the LIFE-H_BR is limited to evaluate all components of the ICF-CY. The results showed that the LIFE-H_BR evaluates the participation of children and in this criterion it meets what is proposed, i.e., it has construct validity. Study 4 aimed to verify the concurrent and predictive criterion validity of the LIFEH_ BR, and demonstrated strong and positive correlation between the raw score of LIFE-H_BR and PEDI (Pediatric Evaluation of Disability Inventory), confirming the concurrent validity between the two instruments. The similarity between the raw score of LIFE-H_BR and PEDI was also considered strong and positive, scores confirming the predictive validity of the LIFEH_BR. Thus, the Brazilian version of the LIFE-H is an instrument that has strong concurrent and predictive validation with PEDI and is considered valid for the evaluation of Brazilian children. Thus, it is expected that the LIFE-H_BR can be an important tool for evaluation, development and monitoring of lifestyle conditions of child patients. In addition, it is a tool for clinicians and researchers to assess the life habits of Brazilian children, allowing future comparative studies of children with disorders and disabilities. It is noteworthy that the LIFE-H_BR has the advantage of observation and evaluation of family satisfaction level regarding the independence and participation of children in society, one more data that can guide the intervention in children's rehabilitation process.
Escalas de avaliação do desenvolvimento infantil têm sido cada vez mais utilizadas na clínica e pesquisa científica. Contudo, o desafio da identificação precisa de alterações é agravado pela escassez de instrumentos de avaliação padronizados e validados para a população brasileira. Além disso, avaliar os hábitos da vida de crianças tem sido cada vez mais incentivado na clínica e como tema de estudos. Sendo assim, o primeiro estudo identificou os instrumentos de avaliação infantil desenvolvidos em português ou traduzidos para o português; apresentou as características avaliadas por eles, bem como, identificou a utilidade clínica e a qualidade dos mesmos. O que permitiu concluir que ainda precisam ser desenvolvidos ou traduzidos e validados instrumentos para faixa etária abaixo de 4 anos, com o tema de atividades da vida diária e participação social da criança e, que leve em consideração o contexto e questões familiares. Assim, o segundo estudo foi realizado para apresentar o processo de tradução e adaptação cultural da Assessment of Life Habits for children para o português brasileiro. No processo de tradução, a versão brasileira foi denominada LIFE-H_BR (Avaliação dos Hábitos de Vida, para crianças do nascimento aos 4 anos de idade). Os resultados obtidos, neste estudo, demonstraram alta concordância (<94%), bem como similaridade entre os juízes técnicos no processo de tradução e que 29 itens precisaram ser modificados no processo de adaptação cultural. Contudo, é necessário que a avaliação seja realizada com instrumentos válidos para a população avaliada. Para tanto foram realizados o terceiro e quarto estudos. O Estudo 3 determinou que a porcentagem de itens da LIFE-H_BR, adaptada para crianças de 0-4 anos, estão diretamente relacionados com os itens da Classificação Internacional de Funcionalidade, Incapacidade e Saúde para Crianças e Jovens (CIF-CJ) e reportou quais domínios da CIF-CJ estão representados na LIFE-H_BR. Além disso, determinou a porcentagem de itens em Atividades e Participação da CIF-CJ podem ser avaliados usando a LIFE-H_BR, e se, a LIFE-H_BR é limitada para avaliar todos os componentes da CIF-CJ. Os resultados encontrados apontaram que a LIFE-H_BR avalia a participação da criança e neste critério ele cumpre o que se propõe, ou seja, apresenta validade de construto. O Estudo 4, teve por objetivo verificar a validade de critério concorrente e preditiva do instrumento LIFE-H_BR, e demonstrou correlação forte e positiva entre o escore bruto da LIFE-H_BR e do PEDI (Inventário de Avaliação Pediátrica de Incapacidade), confirmando a validade concorrente entre os dois instrumentos. A similaridade entre o escore bruto da LIFE-H_BR e PEDI foi igualmente considerada forte e positiva, confirmando a validade preditiva da LIFE-H_BR. Assim, a versão brasileira da LIFE-H é um instrumento que possui forte validação concorrente e preditiva com o PEDI, sendo considerada válida para a avaliação de crianças brasileiras. Desta forma, espera-se que a LIFE-H_BR possa servir como um instrumento importante para avaliação, evolução e acompanhamento das condições de hábitos de vida de crianças de risco e atípicas. Além de ser uma ferramenta para clínicos e pesquisadores avaliarem os hábitos de vida da criança brasileira, permitindo futuros estudos comparativos de crianças com disfunções e incapacidades. Vale ressaltar ainda que, a LIFE-H_BR apresenta como vantagem a possibilidade de observar e avaliar o grau de satisfação da familia em relação à independencia e participação da criança na sociedade, mais um dado que poderá nortear a intervenção no processo de reabilitação infantil.
Black, Ross Arthur Graduate School of Biomedical Engineering Faculty of Engineering UNSW. „Compensatory strategies in humans performing active and passive gaze fixation and re-fixation tasks after unilateral vestibular deafferentation“. Publisher:University of New South Wales. Graduate School of Biomedical Engineering, 2009. http://handle.unsw.edu.au/1959.4/43541.
Sernheim, Åsa-Sara. „Time for Activities for Girls and Women with Rett Syndrome“. Licentiate thesis, Linköpings universitet, Avdelningen för arbetsterapi, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-149823.
Funding:
Linnéa and Josef Carlsson’s Foundation, Helsingborg, Sweden and the Folke Bernadotte Foundation, Stockholm, Sweden.
Batista, Fernanda Sotello. „Força muscular de membros inferiores : relações entre indepencia funcional e criterios de fragilidade em idosos ambulatoriais“. [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311026.
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-14T22:27:01Z (GMT). No. of bitstreams: 1 Batista_FernandaSotello_M.pdf: 986936 bytes, checksum: e2448ae1ac1e3c01564dfdcb88a786bc (MD5) Previous issue date: 2009
Resumo: A sarcopenia é o principal fator envolvido no desenvolvimento de dependência funcional e de síndrome de fragilidade. A literatura mostra associação entre o teste de levantar e sentar cinco vezes consecutivas da cadeira e independência funcional e fragilidade. Objetivo geral: Investigar a relação entre força muscular de membros inferiores e independência funcional e critérios de fragilidade. Método: estudo transversal, quantitativo, realizado com 150 (cento e cinqüenta) idosos de ambos os sexos em acompanhamento ambulatorial, sendo utilizados os seguintes instrumentos para coleta de dados: teste de levantar e sentar da cadeira cinco vezes consecutivas (TLSC5), Medida de Independência Funcional (MIFm) e Escala de Atividades Instrumentais (AIVDt) de Lawton. Foram realizadas as análises: descritiva, de comparação, de regressão logística multivariada, de variância multi e univariada e coeficiente alfa de Cronbach. Resultados: Os idosos exibiram tempo médio no TLSC5 de 21,7 segundos e pontuação média da MIFm de 82,2 e da AIVDt de 21,2, 55,3% apresentaram 3 ou mais critérios de fragilidade. Verificou-se associação significativa entre a força muscular de membros inferiores e número de critérios de fragilidade e independência funcional. Conclusões: Os sujeitos com maior FM de MMII apresentaram maior independência funcional e menor número de critérios de fragilidade.
Abstract: Sarcopenia is the main factor in the development of functional dependency and the fragility syndrome. Studies attest to the association between the standing/sitting chair test, in a number of five times in a row, and functional independency and fragility. General goal: To research the relation between lower strength muscle strength and functional independency and fragility criteria. Method: Transversal study, quantitative, using 150 elderly outpatients of both sexes, using the following instruments for data collecting: the standing/sitting chair test, in a number of five times in a row, Functional Independence Measure e Lawton Instrumental Activity Index. The following analyses were applied: descriptive, comparative and multivaried logistic regression, multi and univaried and Cronbach alfa coefficient. Results: The patients presented an average time of 21,7 seconds in the standing/sitting chair test, in a number of five times in a row and average scoring in the Functional Independence Measure of 82,2 and in the Instrumental Activity Index of 21,2; 55,3% presented 3 or more fragility criteria. It was observed a significant association between the lower extremity muscle strength and the number of fragility criteria and functional independency. Conclusions: The patients with higher lower extremity muscle strength presented better functional independence and less fragility criteria score.
Mestrado
Mestre em Gerontologia
Barriga, Susana Miguel dos Santos. „Factores que influenciam a actividade física na vida diária dos doentes com doença pulmonar obstrutiva crónica“. Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2010. http://hdl.handle.net/10362/5566.
Lindström, Maria. „Promoting agency among people with severe psychiatric disability : occupation-oriented interventions in home and community settings“. Doctoral thesis, Umeå universitet, Arbetsterapi, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-50038.
Vardagslivets Rehabilitering (Everyday Life Rehabilitation)
Ferreira, Maria Dilailça Trigueiro de Oliveira [UNESP]. „Efeitos da atividade física nas atividades da vida diária em indivíduos com doença de Parkinson“. Universidade Estadual Paulista (UNESP), 2008. http://hdl.handle.net/11449/87370.
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
A doença de Parkinson (DP) é uma doença crônica e progressiva do SNC caracterizada pela perda progressiva (regional), acima de 60%, dos neurônios dopaminérgicos, que acomete principalmente o sistema motor. A perda desses neurônios acarreta diminuição progressiva da dopamina, ocasionando o surgimento dos principais sinais/sintomas que são: tremor de repouso, bradicinesia, rigidez muscular e instabilidade postural. Esses sinais/sintomas podem diminuir a capacidade de indivíduos com DP em movimentar-se normal e independentemente, alterando sua qualidade de vida. A atividade física tem se mostrado essencial para prevenir e reabilitar problemas de saúde e até proteger contra a perda das células neuronais. Para tanto, foram realizados 2 estudos. O Estudo 1 pretendeu observar os efeitos de uma programa de atividade física generalizada (PAFG) na mobilidade funcional na realização das AVDs de indivíduos em estágios iniciais da DP. Vinte e um indivíduos com DP em estágios de 1 a 2 da escala da Hoehn e Yahr iniciaram o treinamento e somente doze indivíduos com DP (65,92 ± 7 anos) foram reavaliados. O Estudo 2 verificou os efeitos de um programa de exercícios de manutenção (PEM) na mobilidade funcional na realização das AVDs de indivíduos em estágios mais avançados da DP. Dez indivíduos com DP em estágios de 1 a 3 da escala da Hoehn e Yahr iniciaram as atividades e somente oito (71,13 ± 8 anos) foram reavaliados. Foram analisadas as seguintes variáveis para ambos os estudos: 1) variáveis de controle: clínicas, o acometimento da doença e o estado mental; funcionais: equilíbrio funcional e as capacidades funcionais; nível de atividade física e a qualidade de vida; 2) variáveis dependentes: tempo gasto e número de passos no desempenho motor das tarefas Timed “Up and Go” (TUGt e TUGp) e Postural Locomotion Manual (PLMt e PLMp) antes e após os programas de...
The Parkinson's disease (PD) is a chronic and progressive illness of central nervous system. It is characterized by gradual loss (regional), over 60% of dopaminergic neurons, which mainly affects the motor system. The loss of these neurons causes a progressive reduction of dopamine with the appearance of the main signs/symptoms: rest tremor, bradykinesia, muscle stiffness and postural instability. These signs/symptoms may reduce the ability of PD individuals in moving independently, changing their quality of life. The physical activity is essential to prevent and rehabilitate health problems and to protect against the loss of neural cells. Two studies were designed and developed. The Study 1 aimed to observe the effects of a multimode physical activity program (MPAP) on the functional mobility of individuals in initial stages of PD to perform the DLAs. Twenty one individuals with PD in Stages 1 to 2 of Hoehn & Yahr scale started the MPAP and only 12 (65.92 ± 7 years of age) were reevaluated. The Study 2 verified the effects of a maintenance exercises program (MEP) on the functional mobility of individuals in advanced stages of PD to perform the DLAs. Ten individuals with PD in Stages 1 to 3 of Hoehn & Yahr scale initiated the program and only 8 (71.13 ± 8 years of age) were reevaluated. We analyzed the following variables in both studies: 1) control: anthropometric; age; clinical stage (Hoehn & Yahr scale and Unifiyng Parkinson's Disease Rating Scale), the mental state (Mini-Examination Mental State); functional: balance (Functional Balance Berg) and the functional capacities (flexibility, coordination, agility/balance, strength and endurance) through the AAHPERD; physical activity (Baecke Modified for the Elderly) and the quality of life (WHOQOL-Focus questionnaire) level; 2) dependents variables: time spent and number of steps in the motor performance of the Timed Up and Go (TUG)... (Complete abstract click electronic access below)
Oliveira, Aide Angelica de. „Velhice e atividade física aquática: investigação sobre a hidroginástica em idosos“. Pontifícia Universidade Católica de São Paulo, 2012. https://tede2.pucsp.br/handle/handle/12420.
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
The practice of aquatic physical activity for the elderly is an important and strategic topic for both people, as in social terms. Among the aquatic physical activities, water aerobics has been receiving an increasing number of fans contributing, and when offered in a proper manner, to the improvement of the quality of life and for the rescue of the autonomy of the elderly. In water aerobics is the theme of this essay. This is a descriptive and exploratory study that aimed to investigate the relationship between aging, aquatic physical activity (gym) and the quality of life among the elderly. The research was developed in the Municipal sports Center located in Caieiras SP. The study population was made up of 100 subject, with equal or greater age of 60 years and practitioners of water aerobics for at least one year. For quantitative data collection was used a questionnaire covering personal and socioeconomic data; These data were collected through semi-structured interviews which had the objective of deepening aspects related to the regular practice of this kind of physical activity, the choice of the place and the perception of the subject about quality of life . Quantitative data were organized and worked by means of Statistical Package for Social Sciences (SPSS) for Windows. As for the interviews, Bardin (2009) provided the framework for the analysis of the content (AC) of the lines of the subjects. Among the subjects, the predominant age was 60 to 69 years. On the other hand, the prevalence of women was significant (86%). These data were added to the collection of information about education, income, occupation, retirement, family status, marital status, religion, leisure and health conditions. The analysis of the data revealed not only the benefits of physical activity for the elderly population, as the importance of a multidisciplinary work
A prática da atividade física aquática para idosos é um tema relevante e estratégico, tanto para as pessoas, como em termos sociais. Dentre as atividades físicas aquáticas, a hidroginástica vem recebendo um número crescente de adeptos contribuindo, cada vez mais e quando oferecida de forma adequada, para a melhoria da qualidade de vida e para o resgate da autonomia dos idosos. Na hidroginástica situa-se o tema dessa dissertação. Trata-se de um estudo descritivo e exploratório que teve por objetivo investigar a relação entre o envelhecimento, a atividade física aquática (hidroginástica) e a qualidade de vida entre idosos. A investigação foi desenvolvida no Centro Esportivo Municipal localizado na cidade de Caieiras-SP. A população deste estudo foi composta por 100 sujeitos, com idade igual ou maior de 60 anos e praticantes de hidroginástica há pelo menos um ano. Para a coleta de dados quantitativa foi utilizado um questionário contemplando dados pessoais e socioeconômicos; estes dados foram obtidos através de entrevistas semiestruturadas que tiveram o objetivo de aprofundar aspectos relacionados à prática regular desta modalidade de atividade física, à escolha do local e à percepção dos sujeitos sobre qualidade de vida . Os dados quantitativos foram organizados e trabalhados por meio do programa Statistical Package for Social Sciences (SPSS) for Windows. Quanto às entrevistas, Bardin (2009) forneceu os referenciais para a análise do conteúdo (AC) das falas dos sujeitos. Entre os sujeitos, a faixa etária predominante foi de 60 a 69 anos. Por outro lado, a predominância das mulheres foi expressiva (86%). A estes dados somou-se a coleta de informações sobre escolaridade, renda, ocupação, aposentadoria, condição na família, estado civil, religião, lazer e condições de saúde. A análise dos dados revelou não só os benefícios desta atividade física para a população idosa, como a importância um trabalho multidisciplinar
Silva, José Messias Rodrigues da [UNESP]. „Efeito de um programa educacional promovendo a prática regular de exercício físico em indivíduos com osteoartrite de joelho“. Universidade Estadual Paulista (UNESP), 2016. http://hdl.handle.net/11449/144260.
Rejected by Ana Paula Grisoto (grisotoana@reitoria.unesp.br), reason: Solicitamos que realize uma nova submissão seguindo a orientação abaixo: O arquivo submetido não contém a folha de aprovação. A versão submetida por você é considerada a versão final da dissertação/tese, portanto não poderá ocorrer qualquer alteração em seu conteúdo após a aprovação. Corrija esta informação e realize uma nova submissão contendo o arquivo correto. Agradecemos a compreensão. on 2016-08-19T19:27:17Z (GMT)
Submitted by JOSÉ MESSIAS RODRIGUES DA SILVA null (capoeiragafa@hotmail.com) on 2016-09-28T17:57:20Z No. of bitstreams: 1 Auto arquivamento atualizado setembro 2016.pdf: 2991741 bytes, checksum: e8d15b2c8b20846c23972e0f216d38c6 (MD5)
Rejected by Ana Paula Grisoto (grisotoana@reitoria.unesp.br), reason: Solicitamos que realize uma nova submissão seguindo as orientações abaixo: A data (mês) que consta na capa e folha de rosto do trabalho deve ser a mesma que consta na folha de aprovação. Corrija estas informações e realize uma nova submissão com o arquivo correto. Agradecemos a compreensão. on 2016-09-29T18:18:13Z (GMT)
Submitted by JOSÉ MESSIAS RODRIGUES DA SILVA null (capoeiragafa@hotmail.com) on 2016-09-29T20:48:55Z No. of bitstreams: 1 Auto arquivamento corrigido setembro 2016.pdf: 2991186 bytes, checksum: c7fc9aa27d4bc6423a804ca35e134afa (MD5)
Approved for entry into archive by Ana Paula Grisoto (grisotoana@reitoria.unesp.br) on 2016-09-30T18:16:34Z (GMT) No. of bitstreams: 1 silva_jmr_me_rcla.pdf: 2991186 bytes, checksum: c7fc9aa27d4bc6423a804ca35e134afa (MD5)
Made available in DSpace on 2016-09-30T18:16:34Z (GMT). No. of bitstreams: 1 silva_jmr_me_rcla.pdf: 2991186 bytes, checksum: c7fc9aa27d4bc6423a804ca35e134afa (MD5) Previous issue date: 2016-07-01
O objetivo do presente estudo foi investigar os efeitos de um programa educacional promovendo a prática regular de exercícios físicos sobre a capacidade física, capacidade funcional e nível de atividade física diária de indivíduos com osteoartrite (OA) de joelho. Duzentos e trinta e nove pacientes da rede pública, de ambos os sexos, com diagnóstico de OA primária ou secundária de joelho, classificados como Grau I a IV de Kelgreen e Lawrence, e com indicação de tratamento clínico da OA foram distribuídos aleatoriamente em grupo intervenção (GI; n = 112) e controle (GC; n = 127). Todos os voluntários do GI e GC foram submetidos à avaliação da capacidade física (teste isocinético e teste de caminhada de 6 min - TC6), capacidade funcional (teste de subir e descer escadas, teste de sentar e levantar 5 vezes e Time Up and Go) e nível de atividade física diária (IPAQ versão curta), antes (pré), durante (6 meses) e após (12 meses) o período de seguimento. Após 6 meses de seguimento, o GI demonstrou melhora significativa (P < 0,05) na performance dos testes de subir e descer escadas (19%), sentar e levantar da cadeira (30%) e Time Up and Go (32,5%), bem como redução no índice de massa corpórea (P < 0,05), as quais se mantiveram após 12 meses seguimento. Também houve aumento no percentual de indivíduos muito ativos e ativos, bem como redução no percentual de indivíduos sedentários no GI ao longo do seguimento (P < 0,05). Dentre os testes funcionais, o GC melhorou apenas a performance para subir e descer escadas (12%, P < 0,05) após 6 meses de seguimento, mas a mesma não se manteve após 12 meses de seguimento. Também foi observado aumento no percentual de indivíduos muito ativos no GC ao longo do seguimento, porém este aumento foi de menor magnitude à observada no GI. Não foi observada alteração na capacidade muscular, capacidade aeróbia e flexibilidade após 12 meses de seguimento em ambos os grupos. Estes resultados sugerem que um programa educacional promovendo a prática regular de exercícios físicos pode ser efetivo para melhora da capacidade funcional de indivíduos com OA de joelho.
The purpose of present study was to investigate the effects of an educational program emphasizing the regular practice of physical exercise on physical fitness, functional capacity and daily living physical activity levels in patients with knee osteoarthritis (OA). Two hundred and thirty-nine patients of the public health system (male and female), with primary or secondary knee OA (degree I to IV in the Kelgreen and Lawrence scale), and with indication for OA clinical treatment was randomly allocated in intervention (IG; n = 112) and control group (CG; n = 127). All subjects of both groups underwent assessment of physical fitness (isokinetic and six minute walking tests), functional capacity (seat-to-stand, stair climbing and Time Up and Go tests) and daily living physical activity (IPAQ short version), before (pre), during (6 month) and after (12 month) the follow-up. During 6 month of follow-up, the IG showed significant improvements (P < 0,05) on stair climbing (19%), seat-to-stand (30%) and Time Up and Go (32,5%) tests, as well as reduction on body mass index (P < 0,05), which were maintained during the 12 month of follow-up. There was also an increase in the percentage of actives and very actives subjects, as well as a reduction in the percentage of sedentary subjects in the IG during follow-up (P < 0,05). The CG improved only the stair climbing tests during the 6 month follow-up (12%, P < 0,05), but the improvement was not maintained during the 12 month of follow-up. There was also an increase in the percentage of very actives subjects in GC during follow-up; however, this increase was lower than the observed in the IG. There was no significant improvements on muscular capacity, aerobic capacity and flexibility during the 2 month follow-up in both groups. These results suggest that an educational program promoting the regular practice of physical exercise may be an effective tool for improving functional capacity in patients with knee OA.
Barbosa, Jaqueline Caracas. „Pós-alta em hanseníase no Ceará: olhares sobre políticas, rede de atenção à saúde, limitação funcional, de atividades e participação social das pessoas atingidas“. Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-09042009-102619/.
Objective: To characterize the performance of actions of the Hansens Disease Control Programs in Sobral and Fortaleza municipalities, Ceará State, regarding health policy planning, organization of health care networks, activity and functional limitation and safety awareness, and social participation in affected people after release from treatment. Methods: Descriptive and cross-sectional study performed from August 2006 to September 2007. In total, 304 affected residents of both municipalities were included a sample of 10% of cases released from treatment between 2003 and 2005. Besides the analysis of technical and political scenarios, the following data were collected: dermatological and neurological examination, simplified assessment of neural deficits, socio-demographic characterization, assessment of activity limitation and safety awareness, and characterization of social participation. Results: The majority of the population was male, coloured, of low socio-economic status and performing jobs with increased vulnerability for development of physical disabilities. The majority of patients presenting with a high degree of physical disability were multibacillary (87%, Sobral; 62.6%, Fortaleza). The access to specific health care after release from treatment was limited, especially to surgeries and psychological care. Most cases attended were due to Hansens disease reactions. About 30% of people followed up after release from treatment needed additional evaluations by other specialists. Guidelines were not used when following up patients. There was a low risk perception of study participants (score 0: 60.1%, Fortaleza; 56.5%, Sobral) and no clear relation between SALSA scale and age or EHF score. Most participants did not present any significant participation restriction; if restrictions were present, work-related aspects were most frequently involved. Considering operational and political aspects, a progress was observed in these questions after release from treatment. Conclusions: Problems were identified related to application of health care after release from treatment. The present comprehensive and integrated analysis detected the fragility of measures focusing on Hansens disease patients after release from treatment in both municipalities. The assessment of these people continues to be an important challenge for Brazils Unified Health System.
Talmelli, Luana Flávia da Silva. „Nível de independência funcional de idosos com Doença de Alzheimer“. Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-07102009-153748/.
Functional capacity emerges as a new concept in elderly health, mainly with respect to elderly people with Alzheimers disease (AD), when a cognitive deficit is expected, connected with a functional deficit. Thus, research on functional capacity in elderly people with AD is relevant for elderly care delivery. This observational, crosssectional study aimed to identify co-morbidities of elderly people with AD, to measure the functional independence level according to the Functional Independence Measure (FIM), in comparison with the dementia staging according to the Clinical Dementia Rating scale (CDR). The sample consisted of 67 elderly. Data were collected during interviews at the elderlys home, using an identification and sociodemographic profile instrument, the Mini-Mental State Examination (MMSE) to assess cognitive deficit; the Functional Independence Measure (FIM) for functional assessment, and CDR to asses dementia staging. The mean age was 79 years (+ 7.2), with 41.8% between 75 and 79 years old. Women 77.6% and widowed people 49.3% were predominant. The elderlys mean education level was 5.6 years, 73.1% gained their own income, 46.3% gained a family income of up to 5 minimum wages and lived with an average of 3.5 people. As to existing co-morbidities, 23.9 had none and 53.7% had arterial hypertension. The cognitive deficit was 82% and the mean MMSE score 9.3. In dementia staging, 46.3% presented severe, 22.4%% moderate and 31.3% light dementia. With respect to functionality, the variation in FIM scores was equal to the possible variation for motor FIM. The mean global general FIM score was 71.1, the mean global FIM scores were 107.9 for light; 84.5 for moderate and 39.7 for severe dementia. Elderly with light dementia displayed modified independence or needed supervision; those with moderate dementia showed minimal dependence or supervision and elderly with severe dementia were fully dependent. A strong correlation was found between the functional independence level (global FIM) and dementia stage and with cognitive performance (p<0.001). No statistically significant correlations were found between functionality and age, gender and presence of co-morbidities. It was concluded that the functional capacity of elderly people with AD is related with the stage of dementia, that is, the more severe the dementia, the higher the level of dependence will be.
Faria, Fernanda Roberta. „Influência da congestão pulmonar leve na atividade física de vida diária de pacientes em hemodiálise“. Universidade do Estado de Santa Catarina, 2015. http://tede.udesc.br/handle/handle/1839.
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Introduction: Chronic kidney disease (CKD) is a systemic disease, which can compromise several organs and tissues in its advanced stage. In CKD patients on hemodialysis (HD) is commonly observed the decline in physical activity and the specific involvement of the respiratory system that can be affected by both the disease and by the treatment. Pulmonary congestion is a frequent change in patients with CKD. However there are no studies that have analyzed the influence of mild pulmonary congestion in physical activity of daily living (PADL) by an activity monitor. Objective: The objective of this study was to investigate the influence of mild pulmonary congestion in physical activity of daily living of patients with CKD undergoing HD, as well as to know the behavior of these patients compared to PADL in the days of HD and non HD. Methods: This was a cross-sectional study that evaluated 30 patients with CKD stage 5, of both sexes, mean age 49 ± 15 years. Patients were evaluated on two different days and all the evaluations were conducted in pre- HD period. On the first day, patients underwent the examination of thoracic ultrasound to assess pulmonary congestion. On the second day, they underwent the following ratings: anthropometry, pulmonary function test, test respiratory muscle strength, grip strength, functional classification of symptoms and physical functioning domain of the questionnaire of quality of life. The evaluation of AVFD was held for 7 consecutive days, from Monday to Sunday for 12 hours. Results: the linear regression was observed that mild pulmonary congestion influenced PADL (F = 0.009 p = 7.97). The active time and the number of steps were significantly lower (p <0.05) HD in days (113 ± 55 and 161 ± 69, respectively) compared to those without HD days (3286 ± 1798 and 4422 ± 2202, respectively) . The PADL correlated with physical functioning domain (r = 0.35; p = 0.05). In multiple regression analysis, the variables that explain the domain "physical functioning" were age (B = -0.96 p <0.001), functional classification of symptoms (B = -13.48 p <0.001), and grip strength Manual (B = 1.07 p = 0.005). Conclusion: mild pulmonary congestion influences PADL CKD patients in stage 5, contributing to the injury of PADL. Patients are less active in hemodialysis day than in those without hemodialysis days.
Introdução: A doença renal crônica (DRC) é uma doença sistêmica, que pode comprometer diversos órgãos e tecidos na sua fase avançada. Em pacientes com DRC em hemodiálise (HD) é comumente observado o declínio do nível de atividade física e o acometimento específico do sistema respiratório que pode ser afetado tanto pela doença como pelo tratamento. A congestão pulmonar é uma alteração frequente nos pacientes com DRC. Contudo não há estudos que tenham analisado a influência da congestão pulmonar leve na atividade física de vida diária (AFVD) por meio de um monitor de atividades. Objetivo: O objetivo do presente estudo foi verificar a influência da congestão pulmonar leve na atividade física de vida diária dos pacientes com DRC submetidos a HD, assim como, conhecer o comportamento desses pacientes em relação à AFVD nos dias de HD e sem HD. Métodos: Tratou-se de um estudo com delineamento transversal no qual foram avaliados 30 pacientes com DRC estágio 5, de ambos os sexos e idade média de 49 ± 15 anos. Os pacientes foram avaliados em dois dias distintos e todas as avaliações foram realizadas no período pré-HD. No primeiro dia, os pacientes realizaram o exame de ultrassom torácico para avaliar a congestão pulmonar. No segundo dia, foram submetidos às seguintes avaliações: antropometria, prova de função pulmonar, prova de força muscular respiratória, força de preensão manual, classificação funcional de sintomas e o domínio funcionamento físico do questionário de qualidade de vida. A avaliação da AVFD foi realizada durante 7 dias consecutivos, de segunda a domingo por 12 horas diárias. Resultados: na análise de regressão linear observou-se que a congestão pulmonar leve influenciou a AFVD (p=0,009 F=7,97). O tempo ativo e o número de passos foram significativamente menores (p<0,05) nos dias de HD (113 ± 55 e 161 ± 69; respectivamente) quando comparados aos dias sem HD (3286 ± 1798 e 4422 ± 2202; respectivamente). A AFVD apresentou correlação com o domínio funcionamento físico (r= 0,35; p= 0,05). Na análise de regressão múltipla as variáveis que explicam o domínio funcionamento físico foram: idade (B= -0,96 p<0,001), classificação funcional de sintomas (B= -13,48 p<0,001), e força de preensão manual (B= 1,07 p=0,005). Conclusão: a congestão pulmonar leve influencia a AFVD de pacientes com DRC em estágio 5, contribuindo para o prejuízo da AFVD. Os pacientes são menos ativos nos dias de hemodiálise do que nos dias sem hemodiálise.
Dutra, Fab?ola Canal Merlin. „Desenvolvimento de prot?tipo de cadeira de banho para indiv?duos com paralisia cerebral tetrapar?tica esp?stica“. Universidade Federal do Rio Grande do Norte, 2008. http://repositorio.ufrn.br:8080/jspui/handle/123456789/14921.
This study proposes to develop an equipment that attends the demands of tetraplegic people due to cerebral palsy and that promotes an adequate caregivers postural biomechanics during the shower activity of daily living. First, a bibliographic review was performed to define the terms refering to cerebral palsy, activity of daily living (specifically shower), and assistive technology, besides listing the wheelchairs made on the mainly national assistive technology companies. Therefore, this is a descriptive-exploratory study based on a literature review and on a based-field exploration research. On the field research a survey was adopted as a methodological procedure as it is related to a direct investigation related to a phenomenon, on the case, represented by the current shower situation of the people investigated in this study. Data were collected with the application of a form to the caregivers and consumers of the medical-therapeutic treatment and place used by the participants. Such form, which was made up of open and close questions, tried to identify, besides the personal data of evaluated users and consumers, the characteristics of the current shower activity, such as the place where it takes place in the house, the used equipmentS, in the case there is any, and how often it occurs. The form also was used to identify the caregivers and consumers desires and perceptions in relation to the present characteristics of the new dispositive besides the users and consumers anthropometric data. The evaluation of the results obtained through the form, together with the practice and clinical experience of the researchers and engineers involved in this study, made it possible to develop and make up a real shower chair prototype with the specific adjusts destined to adequate the equipment to be used according to the needs of each user and consumer
Esta pesquisa tem como proposta desenvolver um equipamento que atenda as exig?ncias motoras de indiv?duos com paralisia cerebral tetrapar?tica esp?stica e promova biomec?nica postural adequada aos cuidadores para a atividade da vida di?ria referente ao banho. Inicialmente, o levantamento bibliogr?fico buscou definir os termos referentes ? paralisia cerebral, atividade da vida di?ria especificando o banho, e tecnologia assistiva, al?m de listar cadeiras de banho fabricadas nas principais ind?strias de produtos de tecnologia assistiva do mercado nacional. Desta forma, o trabalho tem sua forma??o baseada na pesquisa do tipo descritiva-explorat?ria atrav?s de investiga??o em fontes bibliogr?ficas e em pesquisa de campo. Na pesquisa de campo foi adotado como procedimento metodol?gico o levantamento, por se tratar de uma investiga??o direta relativa a um fen?meno que se deseja aprofundar, no caso, representado pela situa??o atual do banho dos indiv?duos deste estudo. Os dados foram coletados com a aplica??o de formul?rio junto aos cuidadores/consumidores em locais de tratamento m?dico-terap?utico freq?entados pelos indiv?duos participantes. O formul?rio, atrav?s de perguntas abertas e fechadas buscou identificar, al?m dos dados pessoais dos usu?rios e consumidores, as caracter?sticas da atividade do banho atual, como o local da casa onde o banho ? realizado; qual o equipamento utilizado, no caso de haver algum; e com que freq??ncia este ocorre. Tamb?m buscou identificar os desejos e percep??es dos cuidadores/consumidores em rela??o ?s caracter?sticas presentes no novo dispositivo, al?m de dados antropom?tricos dos usu?rios e consumidores. A avalia??o dos resultados obtidos atrav?s do formul?rio, somada a experi?ncia pr?tica-cl?nica do pesquisador e da equipe de engenheiros envolvidas no projeto, possibilitou o desenvolvimento e confec??o do prot?tipo real da cadeira de banho, com ajustes espec?ficos destinados a adequar o equipamento ao uso de acordo com as necessidades individuais de cada usu?rio e consumidor