https://repositorio.ufpb.br/jspui/handle/123456789/22324 PPGFIS Sat, 31 Oct 2026 15:43:50 GMT 2026-10-31T15:43:50Z http://repositorio.ufpb.br:443/jspui/retrieve/105926/Logomarca_PPGFIS.png https://repositorio.ufpb.br/jspui/handle/123456789/22324 https://repositorio.ufpb.br/jspui/handle/123456789/39655 Título: Perspectivas e experiências de indivíduos com dor crônica de ombro tratados com terapia cognitivo funcional : estudo qualitativo Autor(es): Diniz, Raquel de Moura Campos Orientador: Kamonseki, Danilo Harudy Abstract: Introduction: Chronic shoulder pain is a highly prevalent musculoskeletal condition, characterized by a frequently persistent clinical course and a negative impact on individuals’ functionality, emotional aspects, and quality of life. Evidence indicates that psychosocial factors significantly influence the pain experience and clinical outcomes, reinforcing the need for biopsychosocial approaches in the management of this condition. In this context, Cognitive Functional Therapy (CFT) emerges as a patient-centered intervention aimed at modifying beliefs, behaviors, and coping strategies related to pain. Objective: To understand the experiences, perspectives, and perceived changes of individuals with chronic shoulder pain before and after treatment with Cognitive Functional Therapy. Method: This is a longitudinal qualitative study nested within a randomized controlled trial, conducted with adult individuals with chronic shoulder pain. Semi-structured interviews were carried out before the beginning of the intervention and after eight weeks of CFT treatment. Data were analyzed using reflexive thematic analysis, adopting a contextualist perspective to identify patterns of meaning related to perceptions, beliefs, behaviors, and pain management strategies over time. Results: Before treatment, participants presented predominantly biomedical understandings of shoulder pain, associated with fear of movement, functional limitations, emotional distress, and mainly passive pain management strategies. After the intervention, gradual changes were identified in the way pain was understood, with an expansion toward a biopsychosocial perspective, reduced fear, increased confidence in movement, resumption of functional activities, and a transition toward active self-care strategies. CFT was perceived as a space for listening, dialogue, and individualized care, fostering the strengthening of the therapeutic alliance and the development of autonomy. Conclusion: Cognitive Functional Therapy was associated with significant changes in the perceptions and experiences of individuals with chronic shoulder pain, contributing to a broader understanding of pain, greater active engagement in treatment, and strengthened self-management. These findings highlight the potential of biopsychosocial approaches for the care of chronic shoulder pain and reinforce the importance of patient-centered interventions in the rehabilitation context. Editor: Universidade Federal da Paraíba Tipo: Dissertação Thu, 26 Feb 2026 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/39655 2026-02-26T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/39456 Título: Terapia cognitivo-funcional versus exercícios terapêuticos para tratamento de indivíduos com dor crônica no ombro: estudo piloto e de viabilidade Autor(es): Eugênio, Jéssica Mayara da Silva Orientador: Oliveira, Valéria Mayaly Alves de Abstract: Shoulder pain is a potentially debilitating musculoskeletal condition with functional, physical, and psychological impact. Its chronicity has been primarily associated with the affective-emotional and cognitive dimensions of pain. In this context, interventions for individuals with chronic shoulder pain should be considered within the biopsychosocial model. Accordingly, Cognitive Functional Therapy (CFT) has emerged as a psychologically informed physiotherapeutic approach targeting the biopsychosocial and multidimensional nature of pain. This study investigated the operational feasibility of a randomized controlled trial (RCT) designed to compare the effects of CFT with a protocol consisting exclusively of therapeutic exercises in individuals with chronic shoulder pain. A pilot and feasibility study with a parallel design was conducted, including a total sample of 24 participants, equally allocated between the two groups. The sample comprised individuals of both sexes, with a mean age of 32.58 ± 11.53 years. Recruitment occurred at an average rate of 3.17 participants per week, with an eligibility rate of 63.15%. Retention reached 83.3%, while the overall protocol completion rate was 66.17%. The main challenges reported during the intervention included delayed onset muscle soreness, discomfort during strengthening exercises, pain associated with mobility and stretching exercises, and difficulties in load progression. The risk of selection bias was classified as low, considering the consistency between exclusion reasons and predefined criteria, as well as the balanced allocation of participants between groups. Treatment acceptability was high, reaching 91.7% in both groups. Clinical outcomes were assessed exploratorily, without the application of confirmatory inferential tests, due to the pilot nature of the study and the insufficient sample size to draw conclusions regarding efficacy. Overall, the findings indicate that the proposed protocol is feasible, with satisfactory rates of recruitment, retention, and acceptability, as well as a low risk of selection bias. However, the completion and usability rates suggest the need for adjustments related to load progression and the monitoring of adverse events in a future definitive trial. Editor: Universidade Federal da Paraíba Tipo: Dissertação Fri, 27 Feb 2026 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/39456 2026-02-27T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/38867 Título: Correlação entre sintomas gestacionais e temperatura cutânea : estudo observacional transversal Autor(es): Silva, Michele Alexandre da Orientador: Andrade, Palloma Rodrigues de Abstract: Introduction: During the gestational period, maternal physiological modifications manifest as signs and symptoms in the cardiovascular, integumentary, endocrine, musculoskeletal, and thermoregulation systems, potentially affecting skin temperature. However, evidence linking gestational symptoms to thermographic findings remains scarce. Objective: To correlate skin temperature with gestational symptoms across different trimesters. Methods: A cross-sectional observational study was conducted, evaluating gestational symptoms related to abdominal diastasis, pain, fatigue, and quality of life, as well as the skin temperature of 74 low-risk pregnant women, divided into three groups according to gestational trimester. Data were analyzed using one-way ANOVA with Tukey post hoc and Pearson correlations via SPSS 22.0 software. Results: Abdominal rectus diastasis showed moderate negative correlations with mean skin temperature (r =-0.40, p = 0.001), abdominal temperature (r=-0.38, p = 0.001), linea alba region (r = -0.30, p = 0.05), thoracic region (r = -0.31, p = 0.05), and lumbar region (r = -0.30, p = 0.05). Cervical pain also showed moderate negative correlations with mean skin temperature (r = -0.26, p = 0.05), abdominal temperature (r = -0.27, p = 0.05), and lumbar region temperature (r = -0.33, p = 0.001). Foot pain was negatively correlated with skin temperature in both legs (r = -0.28, p = 0.05). Quality of life showed moderate positive correlations with skin temperature in the breast region (r = 0.29, p = 0.05), diastasis region (r = 0.27, p = 0.05), and thoracic region (r = 0.30, p = 0.05). Conclusion: The correlations of gestational symptoms were reflected in changes in skin temperature, especially in the presence of pain and abdominal diastasis. Therefore, thermography can be considered an auxiliary resource for healthcare professionals in prenatal care, as temperature mapping in pregnant women at different gestational ages provides information on thermal patterns at each stage, which is important for guiding the best care during the gestational period. Editor: Universidade Federal da Paraíba Tipo: Dissertação Thu, 19 Dec 2024 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/38867 2024-12-19T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/38268 Título: Neuromodulação e treinamento de marcha na função motora e equilíbrio na Doença de Parkinson: um ensaio clínico randomizado, controlado e duplo-cego Autor(es): Férrer, Mayane Laís Veloso Orientador: Clementino, Adriana Carla Costa Ribeiro Abstract: Introduction: Bradykinesia, resting tremor, postural instability, rigidity, as well as anxiety and depression are motor and non-motor symptoms of Parkinson's Disease (PD). As a therapeutic alternative, treadmill training comprises a type of exercise considered safe and effective that allows the modification of gait speed, step length, cadence and postural stability in PD. It was hypothesized that the association of Transcranial Direct Current Stimulation (tDCS/tDCS) with treadmill gait training (TGT) would promote an increase in functional mobility, gait speed, motor function, balance and quality of life in people with PD. Objectives: To analyze the influence of the association of tDCS with TGT on functional mobility, gait speed, motor function, balance and quality of life of people with PD. Methods: People with idiopathic PD, aged 40-80 years, disease stage 1.5-3 on the modified Hoehn and Yahr scale were randomly allocated into two groups: 1) Experimental Group: application of tDCS for 20 minutes followed by 20 minutes of treadmill gait training and 2) Control Group: application of tDCS sham followed by the same gait training. Participants were evaluated at three moments (AV1, AV2 and AV3) by the Timed Up and Go (TUG), Ten meter walk test (10MWT), 5x Sit to Stand test (5XSTS), Unified Parkinson's Disease Scale part III (MDS-UPDRS-III), Mini Balance Evaluation Systems Test (Mini-BESTest), Activity-specific Balance Confidence Scale (ABC scale) and Parkinson's disease questionnaire-39 (PDQ-39). Outcome measures were analyzed using repeated measures ANOVA (3x2) in the statistical package Statistical Package for Social Sciences – SPSS 20.0 and a value of P≤0.05 was considered significant. Results: tDCS was able to potentiate the TGT by improving the balance of people with PD (P=0.043). Over time, both groups showed improvement in the TUG, 10MWT, 5XSTS, MDS-UPDRS III, Mini- BESTest and PDQ-39 tests. Conclusions: The association of tDCS with TME was superior to treadmill training alone to improve balance in people with PD, but it did not influence functional mobility, gait speed, motor function and quality of life in the sample studied. Editor: Universidade Federal da Paraíba Tipo: Dissertação Fri, 19 Nov 2021 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/38268 2021-11-19T00:00:00Z