https://repositorio.ufpb.br/jspui/handle/123456789/22324 PPGFIS Thu, 11 Jun 2026 20:10:40 GMT 2026-06-11T20:10:40Z https://repositorio.ufpb.br/jspui/handle/123456789/38076 Título: Acurácia da termografia infravermelha na detecção da tendinopatia ou risco de lesão tendínea: revisão sistemática com metanálise Autor(es): Lacerda, Angélica Palitot Dias de Orientador: Ferreira, José Jamacy de Almeida Abstract: Introduction: The sympathetic nervous system (SNS) plays a role as a component of tendinopathy, increasing its innervation and intervening in local blood flow. This alteration can be directly portrayed by the skin temperature in the pathological tendon area. Due to its ability to detect variations in skin temperature, infrared thermography (IRT) can be a tool used to evaluate these alterations caused by tendinopathy processes. Objective: To systematically review the evidence on the use of IRT in the diagnosis of tendinopathy and in the detection of risk of tendon injury. Methods: This is a systematic review with meta- analysis based on the PRISMA 2020 methodological guidelines, carried out from January to December 2021 in the PubMed, PEDro, SciELO, Embase, CENTRAL and CINAHL databases, using descriptors for tendon injury and IRT. The screening, selection and information collection steps in the primary studies were performed concurrently by two independent researchers. The included studies were assessed for risk of bias using the QUADAS-2 tool. Evidence synthesis was performed quantitatively, through the analysis of sensitivity, specificity, summary ROC curve (SROC) and diagnostic odds ratio (DOR), using the Meta-DiSc 1.4 software. Results: Eight studies were selected for the qualitative synthesis, while for the meta-analysis only seven studies were included, which showed that the IRT has a sensitivity of 72% (CI 95%: 67% - 77%), specificity of 95% (CI 95 %: 92% - 98%) DOR of 75.94 (CI 95%: 12.04 - 479.14), with an accuracy (SROC) of 97%. When performing a sensitivity analysis, this review suggests that for lateral epicondylitis, IRT has a detection capacity with a sensitivity of 93% (CI 95%: 86% - 97%), specificity of 97% (CI 95%: 93% - 99 %) and DOR of 221.38 (CI 95%: 21.09 – 2321.13). As for tendinopathies of the shoulder region, IRT also demonstrated accuracy with a sensitivity of 63% (CI 95%: 56% - 70%), 100% specificity (CI 95%: 91% - 100%) and DOR of 60.71 (CI 95%: 8.10 - 454.87). Conclusion: The IRT constitutes an accurate tool to detect tendon injuries, with a high power of specificity, both in the evaluation of lateral epicondylitis and for tendonitis in the shoulder region. Editor: Universidade Federal da Paraíba Tipo: Dissertação Fri, 21 Jan 2022 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/38076 2022-01-21T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/38071 Título: O clima de trabalho em equipe dos Núcleos Ampliados de Saúde da Família e Atenção Básica Autor(es): Cruz, Angélica Pereira da Orientador: Brito, Geraldo Eduardo Guedes de Abstract: Introduction: The consolidation of Primary Health Care (PHC) in recent decades represents one of the most relevant advances of the Unified Health System as a public policy and universal health system in Brazil. This advance is largely due to the scope of the Family Health Strategy, its main care model. However, given the increase in demands and limitations, the Support Center for Family Health and Primary Care (NASF-AB) was created to expand the scope of actions in primary care, through teams formed by different professions. The study of the Team Work Climate allows the evaluation of teams to monitor the effectiveness of teamwork, in the production of results in the care of users and population. Objective: To analyze the NASF-AB teamwork climate. Methods: This is a cross-sectional quantitative study of multiple cases (João Pessoa/PB and Campo Grande/MS). The sample consisted of 182 professionals from the NASF-AB in these two capitals. In order to obtain the data, from January to March 2020, a structured questionnaire with questions that characterized the participants and their work process and the Team Climate Scale (ECE) was applied. For storage, processing and analysis, using the Excel program and the R statistical package. Respondents were grouped by teams and their total score was calculated (mean of the individual scores of the ECE). From this, teams were classified into 4 types. Results: The NASF-AB consisted of 10 different professions, with physical therapists being the most prevalent. Young adult professionals, women, specialists, who wanted to work at NASF-AB, graduated about 9 years ago, with an average of 4 years of experience in PHC and with an average of 2 years of relationship with their current teams, predominated. The professionals were satisfied with their own work and with that of their team, with the relationship and communication with other team members, with the unit manager and with how much their work was centered on the users' needs, but dissatisfied with the infrastructure of the units. The services provided were predominantly individual and with curative actions. An analytical model of the characteristics of physiotherapists and their work process at NASF-AB was developed, showing that it is centered on the needs of users. It was seen that teams that support new ideas, are clear about the team's objectives, have adequate task orientation and that develop fewer activities with other professionals from the NASF-AB and the ESF, are those that had the best teamwork climate. Conclusions: In order for there to be a good teamwork climate and for interprofessional collaboration to take place in practice, the involvement of professionals is paramount. Thus, permanent education is fundamental for the transformation of professional practice, in an integrated and collaborative way. Furthermore, the development of dialogic spaces, the implementation of strategies, institutional support, the meeting of teams, the exchange of knowledge, the sharing of practices and the definition of action plans with a functioning counter-referral system must be promoted. Editor: Universidade Federal da Paraíba Tipo: Dissertação Fri, 06 Aug 2021 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/38071 2021-08-06T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/35601 Título: Efeito agudo da neuromodulação não invasiva na função cardiovascular, percepção subjetiva de esforço e capacidade funcional de pessoas com insuficiência cardíaca : ensaio clínico randomizado e controlado Autor(es): Nunes, Kaio Emanuel de Souza Orientador: Lima, José Heriston de Morais Abstract: Introduction: Heart failure is a chronic condition associated with high rates of morbidity and mortality, significantly impacting the quality of life of affected individuals. High-definition transcranial direct current stimulation (HD-tDCS) has emerged as a promising neuromodulatory approach with potential influence on cardiovascular function. However, its effects on heart failure are still poorly understood. Objective: To evaluate the effects of HD-tDCS on cardiovascular function, subjective perception of effort and functional capacity of individuals with heart failure. Methods: A randomized clinical trial was conducted with individuals diagnosed with heart failure functional class II and III according to the New York Heart Association (NYHA). Participants underwent three 20-minute sessions of HD-tDCS (stimulation, inhibition and sham) applied to the left temporal and insular cortex at an intensity of 3 mA. After each session, a six-minute walk test was performed. The variables analyzed included heart rate variability through Holter monitoring, heart rate, distance covered in the 6-minute walk test, perceived exertion, blood pressure and partial oxygen saturation. The data were analyzed using the Shapiro-Wilk test and the Friedman test, given the non-normal distribution of the data. Results: There was a difference in the power of high-frequency heart rate variability in the cathodal current group (55.90 Hz) compared to the anodal (172 Hz) and sham (219 Hz) groups (p=0.003). In addition, the cathodal group had a lower heart rate (85 bpm) compared to the anodal (92 bpm) and sham (91 bpm) groups (p=0.045). The other variables did not show significant differences between the groups. Conclusion: The findings suggest that HD-tDCS can influence autonomic modulation, particularly in high-frequency heart rate variability and in the heart rate response to exercise, with faster recovery after physical exertion. Although no significant effects were observed in other physiological variables, the results indicate a therapeutic potential for the technique in autonomic regulation in heart failure. Additional studies are needed to better elucidate the underlying mechanisms and optimize stimulation parameters for future clinical applications. Editor: Universidade Federal da Paraíba Tipo: Dissertação Fri, 21 Mar 2025 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/35601 2025-03-21T00:00:00Z https://repositorio.ufpb.br/jspui/handle/123456789/35295 Título: Análise do tempo de latência de doenças da coluna relacionadas ao trabalho : um recorte a partir de processos trabalhistas Autor(es): Araujo, Gilvane de Lima Orientador: Vieira, Elamara Marama de Araújo Abstract: Background: Most Work-Related Musculoskeletal Disorders (WRMDs) emerge gradually over time. The period required for such conditions to manifest can be affected by the intensity and frequency of exposure to occupational risks. Objective: To build a regression model to analyze the latency time of work-related spinal disorders in litigation in labor courts. Methods: This is a documentary study obtained from lawsuits filed with the 13th Regional Labor Court. The sample included data obtained from lawsuits with expert reports prepared by a physician and/or physiotherapist, whose results indicate the presence of a causal or co-causal link. Only lawsuits from the last five years were considered, excluding those with a percentage of missing data (greater than 10%), as well as lawsuits that contained more than one expert report with divergent results in terms of causality. The data obtained were initially analyzed descriptively, considering measures of central tendency. Latency time modeling was performed using Survival Analysis, with the event of interest being the time between the start of the activity and the onset of symptoms of work-related spinal diseases. The analyses were performed using the R Core Team software, considering a significance level of 5%. Results: he results indicate that male workers have a significant reduction in the time until the onset of symptoms. In addition, increasing age is associated with an increase in the time until the onset of symptoms related to spinal diseases. Performing manual activities was observed as a factor that reduces the survival time of workers. On the other hand, it was found that, for each additional month of activity performed in the company, there is an increase in the time until the onset of the first symptoms in the spinal column. Conclusion: The final adjusted models pointed out relevant factors that influence the onset of symptoms of spinal diseases, enabling a comprehensive discussion that includes several aspects intrinsic to the work environment and the worker, by identifying those different variables influenced the time until the onset of symptoms of spinal diseases. Editor: Universidade Federal da Paraíba Tipo: Dissertação Mon, 09 Dec 2024 00:00:00 GMT https://repositorio.ufpb.br/jspui/handle/123456789/35295 2024-12-09T00:00:00Z