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ESSA - DF - Artigos em revistas científicas

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  • Adaptação transcultural e validação da versão moçambicana da Stroke Rehabilitation Assessment of Movement
    Publication . Valente, F; Martins, Maria Elisabete; Antunes, M; Pereira, José Pascoalinho
    Introdução: A utilização de instrumentos de medida padronizados e fidedignos é um pré-requisito das boas práticas da Fisioterapia e permite monitorizar os resultados da intervenção e reclamar credibilidade científica para a profissão. A Stroke Rehabilitation Assessment of Movement (STREAM) é um instrumento muito utilizado na avaliação das limitações a nível do movimento voluntário e da mobilidade básica em utentes com sequelas de Acidente Vascular Cerebral (AVC). Objetivo: Contribuir para a adaptação transcultural e validação da versão portuguesa da STREAM, ao contexto cultural e linguístico Moçambicano. Materiais e Métodos: Foram utilizadas duas amostras distintas: 1) 9 peritos analisaram a validade de conteúdo; 2) 70 utentes com sequelas de AVC selecionados por conveniência do Hospital Central de Nampula (HCN) e do Hospital Geral de Mavalane (HGM), foram submetidos à aplicação da escala STREAM por 6 observadores independentes, com a finalidade de analisar a fiabilidade do instrumento. Resultados: A versão Moçambicana da STREAM, revelou para a validade de conteúdo, um consenso absoluto (100%) entre os elementos do painel de peritos; para a reprodutibilidade inter-observador, os valores do Coeficiente de Correlação Intraclasse (CCI) indicaram um índice de concordância perfeita, com valores de CCI que variaram entre 0,980-0,993 no HCN e entre 0,980-1,000 no HGM e, uma boa consistência interna com valores de alfa de Cronbach entre 0,904-0,998 no HCN e entre 0,881-1,000 no HGM, para cada uma das 3 subescalas e para o total da escala. Conclusão: A versão Moçambicana da escala STREAM revelou ser válida e fiável para as propriedades psicométricas investigadas. Sugere-se a realização de futuros estudos que reforcem os nossos resultados.
    2020Journal article Open access Show more
  • Artificial intelligence in the education of health professions: a descriptive analysis through bibliometrics
    Publication . Alves Lopes, António
    Introduction and Objectives: Artificial intelligence (AI) refers to a branch of computer science that focuses on creating machines and software programs that can perform tasks that typically require human-like intelligence, such as learning, problem-solving, decision making, and language understanding. AI technologies include machine learning, deep learning, natural language processing, and computer vision, among others. AI has applications in various fields, including healthcare, finance, education, among others, and has the potential to transform how we live, work, and interact with technology. AI has the potential to revolutionize the education of healthcare professionals by providing new tools and resources for teaching and training, such as personalized learning, intelligent tutoring, virtual simulation, and automated grading. The use of AI in healthcare education is growing, and it has the potential to impact research as well. However, the vast amount of scientific literature in this field makes it challenging to understand its scientific structure and development. Visualization techniques based on bibliometric data can be helpful in comprehending scientific fields. Material and Methods: This is a bibliometric, descriptive, and retrospective study. The author identified publications from the Pubmed database from 1990 till 2023 related to the use of Artificial Intelligence in Health Professions Education using this search string (AI OR "Artificial Intelligence"[Mesh]) AND "Education"[Mesh] AND "Health Personnel"[Mesh]. From the titles and abstracts of these publications, was selected the main terms related to the field, extracted by VOSviewer software, to create a visualization of the most important trends referred to in the literature. Results: The researchers identified a total of 576 relevant references, including 36 clinical trials and randomized controlled trials, as well as 57 meta-analyses and systematic reviews. Upon examining the co-occurrence of Mesh terms associated with AI and healthcare professionals' education, it was found that the most common usage of this approach was in various medical fields and educational levels, followed by allied health personnel. Another noteworthy observation was the emergence of the use of AI in healthcare education in surgery, which began to gain traction after 2018. Conclusions: Overall, as shown by published research, the interest in AI has grown exponentially, influencing all aspects related to the use of this approach in the education and training of healthcare professions. The use of AI in healthcare education has the potential to enhance the learning experience for students, improve their clinical skills and decision-making abilities, and ultimately lead to better patient outcomes. However, it is important to ensure that these technologies are designed and implemented in an ethical and responsible manner, with appropriate consideration given to issues such as bias, privacy, and transparency.
    2023-07-03Journal article Open access Show more
  • Beyond pain and disability: an explanatory mixed methods study exploring outcomes after physiotherapy intervention in patients with chronic low back pain
    Publication . Pires, Diogo; Cruz, Eduardo; Costa, Daniela; Nunes, Carla
    Purpose: The primary aim of this study was to explore relevant outcome domains for patients with chronic low back pain (CLBP) undergoing physiotherapy. A secondary aim was to examine potential discrepancies between meaningful changes in pain and disability and the global perception of improvement. Methods: An explanatory mixed methods design was employed. Twenty-two patients with CLBP completed self-reported measures before and after a physiotherapy programme. After the intervention, three focus groups were conducted with patients who perceived an overall improvement. Discussions were recorded, transcribed and analysed using thematic analysis. Results: Quantitative analysis showed an inconsistent relationship between changes in pain and disability measures and global improvements as perceived by patients. Two main themes emerged from the thematic analysis: “pain relief” (subthemes: reducing pain intensity and other symptoms; reducing medication intake; improving sleep quality) and “gaining control over the LBP condition” (subthemes: ability to selfmanage; return to function; and sense of well-being and normality). Conclusion: Patients with CLBP perceived multiple outcomes from physiotherapy treatment that cover the domains of global, physical, mental and social health. These study findings suggest that the targets of measurement for physiotherapy need to be expanded in order to reflect outcome domains valued by patients.
    2020-06-24Journal article Restricted access Show more
  • Brain Activity during Lower-Limb Movement with Manual Facilitation: An fMRI Study
    Publication . Almeida, Patrícia; Vieira, Ana Isabel; Canário, Nádia; Castelo-Branco, Miguel; Castro-Caldas, Alexandre
    Brain activity knowledge of healthy subjects is an important reference in the context of motor control and reeducation. While the normal brain behavior for upper-limb motor control has been widely explored, the same is not true for lower-limb control. Also the effects that different stimuli can evoke on movement and respective brain activity are important in the context of motor potentialization and reeducation. For a better understanding of these processes, a functional magnetic resonance imaging (fMRI) was used to collect data of 10 healthy subjects performing lower-limb multijoint functional movement under three stimuli: verbal stimulus, manual facilitation, and verbal +manual facilitation. Results showed that, with verbal stimulus, both lower limbs elicit bilateral cortical brain activation; with manual facilitation, only the left lower limb (LLL) elicits bilateral activation while the right lower limb (RLL) elicits contralateral activation; verbal + manual facilitation elicits bilateral activation for the LLL and contralateral activation for the RLL. Manual facilitation also elicits subcortical activation in white matter, the thalamus, pons, and cerebellum. Deactivations were also found for lower-limb movement. Manual facilitation is stimulus capable of generating brain activity in healthy subjects. Stimuli need to be specific for bilateral activation and regarding which brain areas we aim to activate.
    2014-12-17Journal article Open access Show more
  • Categorização CIF de instrumentos de medida e intervenções utilizados na Fisioterapia em sujeitos com AVC
    Publication . Almeida, Patrícia; Pereira, Carla; Santos, Hugo; Martins, Anabela; Vital, Emanuel; Noronha, Teresinha; Costa, Rui; Jacobsohn, Lia; Castro-Caldas, Alexandre
    De forma a melhor programar e obter resultados em investigação e planos de intervenção clínicos, no contexto da Fisioterapia, é necessária uma relação clara entre tipologias de intervenção, problemas a resolver, resultados esperados e instrumentos de avaliação aplicados. A Classificação Internacional de Funcionalidade (CIF) e os Core Sets já desenvolvidos são uma estrutura que facilita esta relação e organização. A aplicação das regras de correspondência entre as categorias da CIF, as intervenções e os instrumentos de medida poderão ser a forma facilitadora para este processo. O objetivo deste estudo é propor a categorização dos instrumentos de medida e intervenções da Fisioterapia, no contexto da reabilitação de sujeitos com Acidente Vascular Cerebral (AVC). Quarenta e três intervenções e 65 instrumentos de medida foram categorizados em 43 categorias e códigos relacionados com o movimento, pertencentes ao Core Set para AVC, de acordo com as regras de correspondência. Foi feita uma proposta inicial de categorização e a sua validação foi feita por sete Fisioterapeutas peritos no uso da CIF e em neurologia, através do método de Delphi modificado. Os resultados demonstram que os instrumentos de medida foram categorizados num total de 243 categorias de 2.º nível da CIF: “funções” – 86; “estruturas” – 11; “atividade” – 125, e “participação” – 20. As intervenções foram categorizadas num total de 223 categorias de 2.º nível da CIF: “funções” – 97; “estruturas” – 18; “atividade” – 106, e “participação” – 2. Conclui-se que é consensual, para este painel de peritos, que são os construtos das “funções do corpo” e “atividades” que melhor expressam a caracterização dos instrumentos de medida e as intervenções realizadas no contexto da Fisioterapia a sujeitos que sofreram AVC. Esta categorização deve ser validada ao nível internacional.
    2016Journal article Open access Show more
  • Contributo para a adaptação e validação do instrumento de medida, Foot And Ankle Outcome Score (FAOS), para a realidade Portuguesa
    Publication . Domingues, Filipe; Esteves, José Manuel; Pereira, José Pascoalinho
    Introdução: Sendo as lesões do complexo articular pé e tíbio-társica das mais comuns na sociedade, torna-se necessária a existência de um instrumento de medida adaptado e validado que permita avaliar a funcionalidade do pé e tíbio-társica. Objectivo: Contribuir para a validação e adaptação cultural e linguística de um instrumento de medida, a escala de avaliação da funcionalidade da articulação tíbio-társica e pé “Foot and Ankle Outcome Score (FAOS)” desenvolvida por Roos EM, Brandsson S, Karlsson J. (2001). Relevância:Permitir a utilização deste instrumento de medida validado e adaptado à população/realidade Portuguesa. Metodologia: Numa primeira fase procedeu-se à tradução por intermédio de 2 tradutores bilingues, seguido da retroversão por intermédio de 2 tradutores bilingues e posterior aprovação da autora original Ewa Roos da versão consenso Inglesa obtida. Na 2ª fase realizou-se a adaptação cultural através da verificação das características métricas validade de conteúdo pelo painel de peritos, e da fiabilidade intra-observador porteste-reteste através do intraclass correlation (ICC) e da consistência interna através do Alpha de Cronbach (á) numa amostra de 35 utentes. Resultados: Cada sub-escala (sintomas; dor; funcionalidade, vida diária; funcionalidade, desporto e actividades de lazer;qualidade de vida), obteve bons indicadores de fiabilidade intra-observador (ICC = 0,876, 0,828, 0,909, 0,894 e 0,936) e bons indicadores de consistência interna (á = 0,821, 0,909, 0,956, 0,896 e 0,893). Conclusão: A versão final portuguesa da FAOS na amostra utilizada possui bons índices de validade de conteúdo, de fiabilidade intra-observador e de consistência interna.
    2008-01Journal article Open access Show more
  • Cross-cultural adaptation and psychometric properties of the european portuguese version of the Global Perceived Effect Scale in patients with chronic low back pain
    Publication . Freitas, Petra; Pires, Diogo; Nunes, Carla; Cruz, Eduardo
    Purpose: To cross-culturally adapt the Global Perceived Effect Scale (GPES) into Portuguese and investigate its psychometric properties in patients with chronic low back pain. Methods: Cross-cultural adaptation was carried out according to published guidelines. Along with measures for pain and disability, GPES was administered at baseline, 48-h later and post-intervention. To estimate test-retest reliability, the intraclass correlation coefficient was used. The validity was examined through the correlation between the GPES and the Patient Global Improvement Change Scale and the contribution of baseline status to GPES scores. Responsiveness was assessed by analyzing hypotheses regarding areas under the curve and correlations with changes in other measures. Results: The test-retest reliability, the convergent validity and the contribution of the baseline status to GPES scores were demonstrated. The EPES correlated strongly with global perception of change (r=0.677), and moderately with pain and disability changes (r=0.457 and r=0.452, respectively). Areas under the curve values of 0.71(95% CI = 0.607–0.825) and 0.83 (95% CI = 0.749–922) were found. Conclusion: The GPES demonstrated adequate psychometric properties. This study’s findings supported its use in clinical and research studies with patients with chronic low back pain.
    2019-08-06Journal article Restricted access Show more
  • Defining a competency framework for health and social professionals to promote healthy ageing throughout the lifespan: an international Delphi study
    Publication . Rodríguez-Monforte, Míriam; Fernández-Jané, Carles; Bracha, Marietta; Bartoszewska, Adrianna; Kozakiewicz, Mariusz; Leclerc, Mariel; Nimani, Endrit; Soanvaara, Pauliina; Jarvinen, Sari; Sherpenseel, Meike van; Valde, Miriam van der; Alves Lopes, António; Handgraaf, Marietta; Grüneberg, Christian; Carrillo-Alvarez, Elena
    Abstract Purpose: The promotion of healthy ageing has become a priority in most parts of the world, and it should be promoted at all ages. However, baseline training of health and social professionals is currently not adequately tailored to face these challenges. This paper reports the results of a Delphi study conducted to reach expert agreement about health and social professionals’ competencies to promote healthy ageing throughout the lifespan within the SIENHA project. Materials and Methods: This study was developed following the CREDES standards. The initial version of the competence framework was based on the results of a scoping review and built following the CanMEDS model. The expert panel consisted of a purposive sample of twenty-two experts in healthy ageing with diverse academic and clinical backgrounds, fields and years of expertise from seven European countries. Agreement was reached after three rounds. Results: The final framework consisted of a set of 18 key competencies and 80 enabling competencies distributed across six domains. Conclusions: The SIENHA competence framework for healthy ageing may help students, and educators, to enrich their learning, and the academic content of their subjects or/and programmes and incentivize innovation.
    2023-10-01Preprint Restricted access Show more
  • Defining a competency framework for health and social professionals to promote healthy aging throughout the lifespan: an international Delphi study
    Publication . Rodríguez-Monforte, Míriam; Fernández-Jané, Carles; Marietta, Bracha; Bartoszewska, Adrianna; Kozakiewicz, Mariusz; Leclerc, Mariel; Nimani, Endrit; Soanvaara, Pauliina; Jarvinen, Sari; Sherpenseel, Meike Van; Velde, Miriam van der; Alves Lopes, António; Handgraaf, Marietta; Grüneberg, Christian; Carrillo-Alvarez, Elena
    The promotion of healthy aging has become a priority in most parts of the world and should be promoted at all ages. However, the baseline training of health and social professionals is currently not adequately tailored to these challenges. This paper reports the results of a Delphi study conducted to reach expert agreement about health and social professionals’ competencies to promote healthy aging throughout the lifespan within the SIENHA project. Materials and methods: This study was developed following the CREDES standards. The initial version of the competence framework was based on the results of a scoping review and following the CanMEDS model. The expert panel consisted of a purposive sample of twenty-two experts in healthy aging with diverse academic and clinical backgrounds, fields and years of expertise from seven European countries. Agreement was reached after three rounds. The final framework consisted of a set of 18 key competencies and 80 enabling competencies distributed across six domains. The SIENHA competence framework for healthy aging may help students and educators enrich their learning and the academic content of their subjects and/or programs and incentivize innovation.
    2024-03-05Journal article Open access Show more
  • Die wirkungen des funktionellen sprunggelenk-tapes auf die propriozeption
    Publication . Cabri, Jan; Esteves, José Manuel; Sousa, João Paulo; Oliveira, Raul; Donaghy, Marie
    2006-06Journal article Open access Show more