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PATRICK KERVIN DE ALMEIDA CHAVES
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Immediate Effect Of Open Kinetic Chain And Closed Kinetic Chain Resistance Exercise On Skin Temperature In Individuals With Knee Osteoarthritis: A Crossover Study
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Asesor : JOSE JAMACY DE ALMEIDA FERREIRA
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Fecha: 21-dic-2023
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Hora: 09:00
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Introduction: Knee osteoarthritis (KOA) is a joint degeneration with an underlying inflammatory process, resulting in pain, joint stiffness, and loss of functionality in affected individuals. Among the inflammatory signs of the inflammatory process, an increase in skin temperature (Tsk) in the region can be observed, which can be evaluated using Infrared Thermography (IT). The main treatment guidelines indicate primary management through physical exercise to maintain the functionality and quality of life of these individuals. Objective: The objective of this study is to investigate the main thermographic changes in the knees of individuals affected by KOA, subjected to two exercise modalities: open kinetic chain (OKC) and closed kinetic chain (CKC). Methodology: This is a crossover study with individuals with KOA (GO; n=16) and without KOA (GSO; n=14), who performed exercises in OKC and CKC with a one-week interval between interventions. Participants answered the WOMAC questionnaire and the visual analog pain scale (VAS), and underwent thermographic evaluation of the thigh and knee region during the execution of the exercise protocols at 7 different time points: T1 - initial resting time; immediately after the 1st set (T2), 2nd set (T3), 3rd set (T4), and 1 minute (T5), 2 minutes (T6), and 3 minutes (T7) after the last set, respectively. For data analysis, Friedman's ANOVA was performed to analyze the temperature of the region of interest (ROI) in the thigh (ROI1), Patellar Tendon (ROI2), and Knee (ROI3) during the intervention, for each group over time, and the Wilcoxon test was used to locate differences from T1 to T7 for each ROI. Results: GO showed a difference in WOMAC with a mean of 36.3±22.2 compared to 6.5±14 in GSO (p=0.001). The temperature of ROI 1 and 3 during OKC showed a significant change only for GO (p=0.001 and 0.03). In ROI 2, both GO (p=0.002) and GSO (p=0.04) had temperature differences during the assessment in OKC, and in CKC, the groups did not show significance. Conclusion: Both exercises had an influence on increasing the temperature, with CKC having a greater influence on the change in knee and thigh skin temperature in individuals from both groups, and OKC showing a greater influence in the same areas only in the group with KOA.
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JERSSICA MAYARA AGUSTINHO DA SILVA
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ACTIONS CARRIED OUT IN PRIMARY CARE AS A COMPONENT OF THE CARE NETWORK FOR PEOPLE WITH DISABILITIES
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Fecha: 24-nov-2023
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Hora: 14:00
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The Care Network for People with Disabilities concerns the promotion, inclusion and acceptance of people with disabilities, with guaranteed access and quality of services, offering under the interdisciplinary logic pointing to Basic Care. Objective: To analyze the actions carried out by the Primary Care Teams and the Expanded Family Health Center aimed at people with disabilities. Methodology: This is a descriptive, inferential, cross-sectional, multicenter study with a quantitative approach. The study was carried out in eight Brazilian states. Professionals from the primary care teams and the expanded family health center participated in this study. Results: The Expanded Family Health Center has more knowledge about the Network than the Primary Care teams, so both teams sometimes meet the needs and demands of this public as well as guide and carry out home monitoring. The study presents a lower prevalence for the Expanded Family Health Center in terms of specific Primary Care actions such as early identification of deficiencies through prenatal care, reception and risk classification. Conclusion: The actions carried out by the two teams promote and collaborate with patients in relation to the care network for people with disabilities.
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LETÍCIA MYLENA GUEDES SOUZA GOMES
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THE EXPERIENCE OF PHYSIOTHERAPISTS AT NASF-AB DE JOÃO PESSOA/PB IN THE FIRST YEAR OF THE COVID-19 PANDEMIC
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Fecha: 21-nov-2023
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Hora: 08:00
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Within the scope of Primary Health Care (PHC), the Expanded Center for Family Health and Primary Care (NASF-AB), in which the physiotherapist is inserted, acts in an integrated manner to provide clinical, sanitary and pedagogical support to professionals of the Family Health teams and Primary Care teams, as well as to establish the longitudinality of care and the provision of direct services to the population. in order to increase the problem-solving capacity of health care. With the advent of the COVID-19 pandemic, many challenges for physical therapy in PHC were imposed. The objective of this study was to analyze the professional and personal experiences that physiotherapists experienced in their work at the NASF-AB in João Pessoa/PB during the first year of the COVID-19 pandemic. This is a qualitative and exploratory research, which was guided by the general theory of discourse and has in Content Analysis its fundamental analytical bases. The research was carried out in the municipality of João Pessoa-PB, from June 24 to July 7, 2020. For the composition of the corpus, interviews were conducted through Google Meet®, guided by a semi-structured interview script. The final sample was established by criteria of convenience of access and theoretical saturation. The study included 7 physical therapists enrolled in the NASF-AB who had at least one year of experience in the position. Three categories emerged: Difficulties faced by physiotherapists in the context of the pandemic: professional overload, vulnerability, and devaluation; Impacts of COVID-19 on the work routine of physiotherapists: the changes and the feeling of 'hands tied' and; the tools for the humanization of care and the non-place of health education in physical therapy practices in the pandemic period. The professional and personal experiences of the physiotherapists revealed changes in the work routine, necessary adjustments to cope with the pandemic and challenges faced in this context. It can be seen that physical therapists still do not understand the range of practices that can be developed by physical therapy in PHC and have more valued the core actions of physical therapy. Therefore, physical therapists need to improve their care practices within PHC, so that their health responsibility in PHC is further solidified. In this sense, continuing education is one of the suggested strategies to achieve this level of excellence in the provision of care in PHC.
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JONATHAN DAVID BIU DA SILVA
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TRENDS IN THE INCIDENCE OF CHIKUNGUNYA FEVER DURING THE COVID-19 PANDEMIC IN NORTHEAST BRAZIL
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Fecha: 31-oct-2023
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Hora: 10:00
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Introduction: CHIKV is an arbovirus transmitted by mosquitoes of the Aedes family, its signs and symptoms are similar to other arboviruses, with its striking characteristic being symmetrical polyarthalgia. The diagnosis is made based on clinical signs and through blood testing. The virus transmission period is longer during rainy periods due to the vector's life cycle. On the other hand, Brazil went through a pandemic at the same time as Covid-19, its clinical signs are often very similar to those of arboviruses, which can lead to erroneous diagnoses, but Covid-19 has a greater respiratory characteristic. The objective of this study was to analyze temporal trends in the incidence of chikungunya fever during the COVID-19 pandemic in northeastern Brazil. Method: This is a descriptive, ecological study of time series analysis, through the analysis of computerized secondary data from the Information Technology Department of the Unified Health System (DATASUS), in addition to notification forms through the SINAN online notification and health problems system. /Web. Data was extracted and the Joinpoint regression model was chosen to analyze CHIKV infection rate trends during the COVID-19 pandemic. Results: Among the findings, a decrease in the number of cases was observed in 2020, with evolution and growth in 2022, a period that can be traced back to the beginning and end of the covid-19 pandemic. Furthermore, the results showed a higher incidence rate in the months of March-June. Conclusions: CHIKV is not directly related to the covid-19 virus, however some similar symptoms can lead to diagnostic errors, since with the active pandemic period attention has turned to this disease. Furthermore, this study shows us the difficulty of testing, since the incidence rate in the population is low, but the reality in terms of the number of hospitalizations and sequelae of chikungunya fever does not match the reported quantity.
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JONATHAN DAVID BIU DA SILVA
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TRENDS IN THE INCIDENCE OF CHIKUNGUNYA FEVER DURING THE COVID-19 PANDEMIC IN NORTHEAST BRAZIL
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Fecha: 31-oct-2023
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Hora: 10:00
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Introduction: CHIKV is an arbovirus transmitted by mosquitoes of the Aedes family, its signs and symptoms are similar to other arboviruses, with its striking characteristic being symmetrical polyarthalgia. The diagnosis is made based on clinical signs and through blood testing. The virus transmission period is longer during rainy periods due to the vector's life cycle. On the other hand, Brazil went through a pandemic at the same time as Covid-19, its clinical signs are often very similar to those of arboviruses, which can lead to erroneous diagnoses, but Covid-19 has a greater respiratory characteristic. The objective of this study was to analyze temporal trends in the incidence of chikungunya fever during the COVID-19 pandemic in northeastern Brazil. Method: This is a descriptive, ecological study of time
series analysis, through the analysis of computerized secondary data from the Information Technology Department of the Unified Health System (DATASUS), in addition to notification forms through the SINAN online notification and health problems system. /Web. Data was extracted and the Joinpoint regression model was chosen to analyze CHIKV infection rate trends during the COVID-19 pandemic. Results: Among the findings, a decrease in the number of cases was observed in 2020, with evolution and growth in 2022, a period that can be traced back to the beginning and end of the covid-19 pandemic. Furthermore, the results showed a higher incidence rate in the months of March-June. Conclusions: CHIKV is not directly related to the covid-19 virus, however some similar symptoms can lead to diagnostic errors, since with the active pandemic period attention has turned to this disease. Furthermore, this study shows us the difficulty of testing, since the incidence rate in the population is low, but the reality in terms of the number of hospitalizations and sequelae of chikungunya fever does not match the reported quantity
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CAROLINA DIAS DE CARVALHO
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Effects of Transcranial Direct Current Stimulation Treatment for Neuropathic Pain: A Meta-Analysis and Meta-Regression of Randomized Controlled Trials
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Fecha: 30-ago-2023
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Hora: 09:00
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Context: The analgesic effects of Transcranial Direct Current Stimulation (tDCS) have been
well reported in populations with chronic pain in the literature. However, in Neuropathic Pain (NP), results remain contrasting, with previous reviews showing small effect sizes and some factors that may influence the efficacy of tDCS. Objective: to evaluate the effects of tDCS on pain intensity, disability, and psychological aspects in patients with chronic NP, and determining the predictive effect of patient characteristics, study design, and intervention parameters. Methods: A systematic search of electronic databases including MEDLINE, CINAHL, EMBASE, and CENTRAL was conducted in July 2021. Controlled clinical trials involving patients with chronic NP applying tDCS were included. The effect
size was measured using the Standardized Mean Difference (SMD) with a 95% confidence interval, calculated based on post-intervention values between the active and control groups. The level of evidence was assessed using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework, and meta-regression analyses were conducted to explore potential moderating factors. Results: Based on 16 controlled clinical trials encompassing a total of 432 individuals, tDCS was superior to sham for pain improvement (SMD = -0.41; 95% CI (-0.72, -0.11); p=0.007). The metaanalysis did not show statistically significant favorability towards the active intervention for improving
disability. Regarding psychosocial outcomes, only for the level of depression, active tDCS proved more effective. These results were based on a low level of evidence. Meta-regression analyses demonstrated that pain duration is negatively correlated with effect size [diff SMD=0.003 (0.001; 0.012), p=0.02], R²=1.00. The stimulation target accounted for 86% of variability, while randomization description contributed to 15% of heterogeneity [diff SMD=0.385 (-1.749; -0.239), p=0.009], along with study design [diff SMD=0.380 (-0.033; 1.457), p=0.03]. Conclusion: Low level of evidence indicated that tDCS may have beneficial effects on pain intensity and depression. Symptom duration, tDCS application site, and methodological quality act as moderators of tDCS effects. Future studies are required to enhance the quality of evidence
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CAROLINA DIAS DE CARVALHO
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Effects of Transcranial Direct Current Stimulation Treatment for Neuropathic Pain: A Meta-Analysis and Meta-Regression of Randomized Controlled Trials
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Fecha: 30-ago-2023
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Hora: 09:00
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Background: The analgesic effects of Transcranial Direct Current Stimulation (tDCS) have been well reported in populations with chronic pain in the literature. However, in Neuropathic Pain (NP), results remain contrasting, with previous reviews showing small effect sizes and some factors that may influence the efficacy of tDCS. Objective: to evaluate the effects of tDCS on pain intensity, disability, and psychological aspects in patients with chronic NP, and determining the predictive effect of patient characteristics, study design, and intervention parameters. Methods: A systematic search of electronic databases including MEDLINE, CINAHL, EMBASE, and CENTRAL was conducted in July 2021. Controlled clinical trials involving patients with chronic NP applying tDCS were included. The effect size was measured using the Standardized Mean Difference (SMD) with a 95% confidence interval, calculated based on post-intervention values between the active and control groups. The level of evidence was assessed using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework, and meta-regression analyses were conducted to explore potential moderating factors. Results: Based on 16 controlled clinical trials encompassing a total of 432 individuals, tDCS was superior to sham for pain improvement (SMD = -0.41; 95% CI (-0.72, -0.11); p=0.007). The meta-analysis did not show statistically significant favorability towards the active intervention for improving disability. Regarding psychosocial outcomes, only for the level of depression, active tDCS proved more effective. These results were based on a low level of evidence. Meta-regression analyses demonstrated that pain duration is negatively correlated with effect size [diff SMD=0.003 (0.001; 0.012), p=0.02], R²= 1.00. The stimulation target accounted for 86% of variability, while randomization description contributed to 15% of heterogeneity [diff SMD=0.385 (-1.749; -0.239), p=0.009], along with study design [diff SMD=0.380 (-0.033; 1.457), p=0.03]. Conclusion: Low level of evidence indicated that tDCS may have beneficial effects on pain intensity and depression. Symptom duration, tDCS application site, and methodological quality act as moderators of tDCS effects. Future studies are required to enhance the quality of evidence.
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DENISE ALVES DE ALMEIDA ALCANTARA
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Kinesiotaping in treating edema: a systematic review and meta-analysis
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Fecha: 29-ago-2023
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Hora: 08:00
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Introduction. Edema is a dysfunction that occurs due to a local or systemic defect in 300 million people worldwide, causing pain and fatigue and affecting the quality of life. Kinesiotaping (KT) has emerged as an option as it presents benefits related to these signs and symptoms. Objective. Summarize the scientific evidence of the effects of KT on edema through a systematic literature search. Method. A systematic review will be carried out, searching for studies in the following databases: Pubmed, Central, CINAHL, PEDro and Embase; without time restriction, with a health search strategy or three blocks of description: intervention, condition and type of study randomized clinical trials, comparing studies of other types of control without edema, and any literature studies, case reports, experimental, personal comments, not complete by peers, books, studies that use compression bands will be excluded. The articles were selected title, abstract and full text by two reviewers and when in disagreement, a third auxiliary reviewer as a judge. Information was collected on the use of KT to reduce the quality of edema, use of an elaboration form to receive information from the studies, which contains items to characterize the study, how to use KT and term studies, seeking to summarize in mean and standard deviation. Risk was assessed, using the PED scale, confidence in the measure, while according to the GRADE. The analyzes presented in graphs, with the summary and the results detailed through a met, using Revman. Results. A total of 3,750 articles were identified, of which 70 were included in the review, and they were divided by area into face/head, upper limbs (UL), and lower limbs (LL); and by treatment duration into short and long term. It was observed that in short-term protocols, KT was superior to the comparators for the face region (Std mean -1.07; 95% CI -1.48, -0.65) and LL (-0.55; 95% CI -1.06, -0.05). On the other hand, for long-term protocols, KT was superior to the comparators for LL (-0.72; 95% CI -1.25, -0.18). Regarding the UL, KT was not superior to the comparators in short-term protocols (Std mean -0.05; 95% CI -0.89, 0.80), nor in long-term protocols (-0.04; 95% CI -0.31, 0.24). Conclusion. KT is an interesting resource for reducing acute edema in protocols for the face and LL, both in short and long-term protocols, but it does not appear to be effective for chronic edema in the UL.
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ERICK MICHELL BEZERRA OLIVEIRA
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FACTORS ASSOCIATED WITH THE SATISFACTION OF PHYSIOTHERAPISTS WITH THEIR WORK
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Fecha: 28-ago-2023
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Hora: 14:00
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Abstract: Introduction: A continuous reflection on the work process and its frequent modification, as in the case of Physiotherapy, is that it is an important element in the evolution of the development of humanity. The problematic level of this reflection grows due to the complexity of the work and mainly due to the few studies developed on the subject, mainly in the field of health and again, in the field of Physiotherapy. Objective: To analyze the factors associated with the satisfaction of Brazilian physiotherapists with their own work. Method: This is a descriptive, exploratory, quantitative study, with data collection performed through an online semi-structured instrument. With the objective of originating data for the structuring of this research, it was decided to send an online semi-structured instrument via WhatsApp to physiotherapists throughout Brazil, through the snowball strategy. The study contains 19 variables. Results: The process of attracting subjects, through invitations sent via whatsapp, took place on November 22, 23 and 29, 2021.
After three months of the instrument being open online, a total of 620 people accessed the quiz. Of these, one did not answer the questionnaire in full (0.16%), two (0.32%) did not accept to participate in the study and 123 (19.83%) declared that they were not practicing Physiotherapy in care activities (patient care). and/or teaching and/or management. Thus, 126 subjects (20.16%) were excluded from the database and the total number of participants in this study was 495 Physiotherapists. The characteristics evaluated by the regression model, with a set of data, aimed to analyze the statistically significant factors related to satisfaction. Thus, the following variables were considered: Satisfied with Remuneration with a value of OR1 3.89, Satisfied with Education OR1 3.51, Attended or be studying a Doctorate OR1 3.31, Growth in Physiotherapy OR1 2.91, Satisfied with Work conditions OR1 2.53, Attended or be in Specialization OR1 2.47, Satisfied with graduate OR1 2.16, Gender: Women OR1 1.71. In total, 8 characteristics were evaluated. Conclusion: The physiotherapist has been conquering his space in several fields of action, acquiring his importance in all levels of health care. Its work process is still under continuous construction, and a reflection of an entire social context suffered for years is observed. This process has a significant impact on the satisfaction of this professional, mediating new reflections on work and satisfaction. Even though the study obtained a significant number of participants, the characteristics found do not allow a
generalization. Some factors were highlighted in the influence of this satisfaction, such as: education, training, postgraduate programs, working conditions, sex and others. It is worth mentioning that this is an unprecedented study, with a highly relevant approach not only for Physiotherapy, but the entire field of health. The development of future research addressing gaps in this research will greatly contribute to the advancement of the theme.
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FRANCIELLY NATANAELLY ANDRADE DOS SANTOS
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LYMPHATIC DRAINAGE AND TAPING IN THE EDEMA TREATMENT IN PREGNANT WOMEN: a randomized and controlled clinical trial
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Fecha: 28-ago-2023
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Hora: 09:00
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Introduction: Gestational edema affects between 50 and 80% of pregnant women, especially between the 27th and 40th weeks of pregnancy. Manual lymphatic drainage (MLD) is one of the resources for relieving gestational edema and, in recent years, taping has emerged as an alternative therapy, although evidence of its effectiveness in this type of edema is scarce. Objective: To compare the volume of the lower limbs in the third trimester of pregnancy before and after treatment with DLM (GC), with taping (GT), and with the combination of DLM and taping (GA). Methods: A controlled, randomized, parallel and factorial clinical trial was carried out in the laboratory of the Dermatofunctional Physiotherapy Studies League (LEFIDEF) of the Physiotherapy Department of the Federal University of Paraíba (UFPB). Lower limb volume, pain, fatigue and quality of life were measured in 37 pregnant women from the third trimester of pregnancy, aged between 18 and 35, who had lower limb edema. The volunteers received one session of an intervention and were randomly allocated to three groups according to the treatment protocol: Taping Group (GT), Taping Group associated with DLM (GA) and DLM Group (GC). The dependent variables were measured before and after the session, while the independent variable was the treatment group. Results: With regard to the intra-group analysis, there were no statistically significant changes in lower limb volume in any of the intervention groups [F(1.0, 34)=0.73, p=0.40], but there was an increase in quality of life (P=0.01), a decrease in pain (p=0.0001) and fatigue (P=0.01) in the GA. As for the inter-group comparison, none of the outcomes showed statistically significant differences between the interventions at reassessment. Furthermore, there was a positive correlation between fatigue and pain (r=0.34, p=0.04), and a negative correlation between these and quality of life (r=-0.52, p=0.001; and r=-0.36, p=0.03, respectively). Conclusion: Taping, DLM and the combination of both have no impact on gestational edema 48 hours after their application. However, the combination of these resources seems to help improve symptoms such as pain and fatigue, increasing the quality of life of pregnant women.
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TAYNÁ BERNARDINO GOMES
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JOBS AND PHYSIOTHERAPY ACTIONS IN CARE PRIMARY BRAZIL: a temporary trend analysis
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Fecha: 28-ago-2023
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Hora: 09:00
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Introduction: Primary Health Care (PHC) represents a set of diversified services with health actions of low technological density that were created to be users' first contact with the health system. Physiotherapy became formally integrated into primary care only in 2008 through the creation of the Family Health Support Center (NASF). The insertion of professionals brings challenges to their work process, as the genesis of their professional conception is traditionally linked to the field of rehabilitation. However, health care in primary care services contributes to the system's resolution and comprehensive care. Therefore, reflections on the situation of physiotherapists within the scope of PHC become of fundamental importance. Objective: To analyze the insertion and production of physiotherapists professionals in primary care health services in Brazil and its regions from 2008 to 2021. Methodology: This is a quantitative approach study with temporal trend assessment, obtained through a database data from the Information Technology Department of the Unified Health System (DATASUS) and the Primary Care Information System (SISAB). The data were analyzed using the Joinpoint regression model and temporal trends were obtained for the number of jobs for physiotherapists working in PHC and their production in Brazil and its regions. Conclusion: There was a percentage increase in the number of jobs occupied by physiotherapists working in PHC among all health establishments. UBS/CS obtained the highest number of jobs occupied by physiotherapists working in PHC. The production of the physiotherapist assigned to PHC is expressively of individual services. The analyzes of temporal trends for Academia da Saúde and UBS/CS only obtained growth trends for Brazil and its regions. Analysis of temporal trends in the total period (2014-2022) showed a significant increase in the total quantity and all types of individual services.
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RENATA DE LIMA MARTINS
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EFFECT OF TELEREHABILITATION ON FUNCTIONAL EXERCISE CAPACITY, LUNG FUNCTION, PHYSICAL FITNESS, DYSPNEA, FATIGUE AND QUALITY OF LIFE IN PATIENTS WITH COVID-19: A systematic review and meta-analysis
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Fecha: 24-ago-2023
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Hora: 13:00
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Introduction: COVID-19 can cause systemic problems and complications in various organs, leaving sequelae in those affected. In order to treat the functions impaired by COVID-19, physical rehabilitation has set out to restore or minimize the damage caused by the disease. Rehabilitation via digital resources or telerehabilitation is indicated as a branch of telehealth that characterizes a remote rehabilitation control system through telecommunication technologies, which has proven to be effective, saving time and resources for health care. Objective: To identify the effects of remote rehabilitation interventions on functional and physical capacity, lung function, dyspnea, fatigue and quality of life in patients affected by COVID-19. Methods: This study was registered in the PROSPERO systematic review protocol database with registration CRD42022347642 The PICO strategy used the following inclusion criteria: people of both sexes, aged ≥ 18 years with and after COVID-19, hospitalized or not, who were undergoing telerehabilitation protocols compared or not to in-person treatments or usual care. The outcomes assessed were functional capacity, lung function, respiratory muscle strength, physical fitness parameters, quality of life, dyspnea and fatigue. The search was carried out on the following databases: PubMed/MEDLINE, Cochrane Library, PEDro Physiotherapy Evidence Database, CINAHL Database/EBSCO and Web of Science. Books, meta-analyses, reviews and systematic reviews were excluded. The quality and reporting of the studies were analyzed using the TESTEX scale. Quantitative synthesis was carried out in Review Manager (RevMan 5.4) with analyses to measure the standardized mean difference (SMD) or mean difference (MD) between trials, with 95% confidence intervals (95% CI). Heterogeneity was assessed by
I2, and random or fixed effects were applied according to the heterogeneity of the study. Results: Thirty- four articles evaluating 1,344 individuals with and after COVID-19 were included for the qualitative synthesis, and fourteen studies went on to the meta-analysis. The data revealed that telerehabilitation improved functional capacity [MD 79.65 [63.57, 95.73m], I2 = 52%, P < 0.00001), agility [MD -0.69 [95%CI -1.33, -0. 04], I2 = 0%, P < 0.04], lower limb strength and endurance [DMP 0.74 [95%CI 0.52, 0.96Kg], I2 = 10%, P < 0.00001], FEV1 [MD 0.20 [95%CI 0.04, 0.37L], I2 = 55%, P = 0.02], and dyspnea [DMP -0.94 [95%CI -1.64, -0.24], I2 = 90%, P = 0.009]. It was also found that telerehabilitation improved inspiratory muscle strength [MD 13.71 [95%CI 5.41, 22.00cmH2O], I2 = 0%, P = 0.001] but was not favorable for improving lung function. In the subgroup analysis, the telerehabilitation protocols with RMT associated or not with other physical modalities were favorable for increasing handgrip strength [MD 4.69 [95%CI 0.44, 8.94kg], I2 = 0%, P = 0.03] and fatigue [MPD -0.97 [95%CI -1.74, -0.20], I2 = 74%, P = 0.01], P < 0.00001]. On the other hand, quality of life improved with the offer of telerehabilitation during the COVID-19 contagion phase. Conclusion: Telerehabilitation is favorable for improving functional capacity, inspiratory muscle strength, lower limb aerobic strength and endurance, agility and dyspnea. The subgroup analysis showed a reduction in fatigue, an improvement in handgrip strength and FEV1 in the protocols with MDRT alone or combined with other exercise modalities. Quality of life was improved in the protocols used in the contagious phase of the disease and the improvement in functional capacity was independent of the time and type of intervention carried out.
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IARA TAINÁ CORDEIRO DE SOUZA
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: EFFECTS OF HD-tDCS ASSOCIATED WITH INSPIRATORY MUSCLE TRAINING IN PATIENTS WITH LONG-TERM COVID: A DOUBLE-BLIND RANDOMIZED CLINICAL TRIAL.
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Fecha: 23-ago-2023
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Hora: 09:00
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INTRODUCTION: Long-term COVID begins three weeks after the acute infection, with persistence of symptoms for a period of 12 weeks or more, after resolution of the infection. The variation in the spectrum of symptoms demonstrates the multifaceted nature of COVID long in reaching multiple organs, regardless of disease intensity. In addition to the primary involvement, the pathophysiology of long-term COVID involves the central nervous system, which can cause long-lasting neurological complications. METHODS: This is a double-blind, randomized, controlled clinical trial, where 32 participants with long-term COVID were divided into an active and sham group, to receive an inspiratory muscle training protocol associated with transcranial stimulation in the diaphragmatic motor cortex through HD-tDCS, while the sham group did not receive stimulation, only the introduction of electrodes. RESULTS: No changes were observed in the variables of respiratory muscle function and lung function when comparing the groups, however, the active group improved compared to the baseline in the following variables: maximum inspiratory pressure, pressure generated by the inspiratory muscles in the first 100 milliseconds, ratio forced expiratory volume by forced vital capacity and peak expiratory flow. CONCLUSION: HD-tDCs could be an adjunctive therapy to be introduced to a post-COVID-19 rehabilitation protocol, however, more research is needed.
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EWERTON GRAZIANE GOMES DOS SANTOS
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EFFECTS OF A CARDIOPULMONARY REHABILITATION PROTOCOL ON FUNCTIONAL CAPACITY, DYSPNEA, FATIGUE AND BODY COMPOSITION IN INDIVIDUALS WITH POST-COVID-19 SYNDROME: a clinical, controlled and randomized trial
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Fecha: 21-ago-2023
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Hora: 14:00
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Introduction: Individuals infected with COVID-19 may suffer from the persistence of one or more
symptoms after the acute period of infection, these medium to long-term symptoms characterize a condition called Post COVID-19 Syndrome (PCS) or COVID long, the symptoms are diverse, such as: fatigue, dyspnea, loss of muscle mass and reduced functional capacity. Thus, cardiopulmonary rehabilitation emerges as a viable, effective, safe and low-cost therapy for the treatment of this clinical condition. Objective: To analyze the effects of a cardiopulmonary rehabilitation protocol on functional capacity, dyspnea, fatigue and body composition in patients with PCS. Methods: This is a clinical, controlled and randomized trial, composed of individuals with PCS. 33 individuals were recruited, divided into two groups, cardiopulmonary rehabilitation group (n=17) and control group (n=16). The cardiopulmonary rehabilitation group performed a protocol consisting of respiratory, aerobic and resistance muscle training. Functional capacity, dyspnea, fatigue and body composition were evaluated before and after the protocol. Results: After six weeks, the cardiopulmonary rehabilitation group had increased functional capacity, with a difference of 100.46 m (95% confidence interval [CI]: 7.40 to 193 m) in the distance covered in the sixminute walk test minutes, reduced dyspnea (-1.45, 95% CI: -1.98 to -0.92) in the modified Medical Research Council, and increased by 0.63 kg (95% CI: 0.09 to 1.18 kg) of muscle mass in the upper limbs compared to the control group. Conclusion: Cardiopulmonary rehabilitation improved functional capacity, reduced the sensation of dyspnea and promoted muscle mass gain in the upper limbs of individuals with PCS.
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IRLLANNA KETLEY SANTOS DO NASCIMENTO
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MULTIPROFESSIONAL HOME CARE TEAMS (EMADS) AND MULTIPROFESSIONAL SUPPORT TEAMS (EMAPS): PERSPECTIVES AND ACTIVITIES OF PROFESSIONALS, ESPECIALLY PHYSIOTHERAPISTS, BEFORE AND DURING THE COVID-19 PANDEMIC
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Fecha: 15-ago-2023
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Hora: 14:00
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Introduction: The Unified Health System (SUS) is a public health system that aims to promote, prevent and rehabilitate health, therefore, very important for the health of the population.
Among the levels of care, there is Primary Care, which is responsible for most of the care, reducing
possible hospitalization needs. Also within the SUS, there is the Home Care Service (SAD), which is
responsible for organizing the teams: Multiprofessional Home Care Team (EMAD) and Multiprofessional Support Team (EMAP), for home care of the population, which for some reason reason you cannot go to the Assistance Unit. These teams are made up of different professionals, among them is the Physiotherapist, who works directly on the disorders of some systems of the human body, who generally accompanies eligible users for this service. The physiotherapist works together with the other professionals, so it is interesting that everyone works together, that they discuss the cases, monitor the services in each area to better manage patients, especially during the COVID-19 pandemic. Objective: To evaluate the perception of professionals from EMADs and EMAPs in João Pessoa/PB about the differences in the performance, perspectives, demands and difficulties of Physiotherapists in home care before and during the COVID-19 pandemic. Method: this is a descriptive, observational and quantitative study, which was carried out through a questionnaire applied to the following professionals: social worker, physiotherapist, speech therapist, nutritionist, dentist, nursing technicians, psychologist, pharmacist, occupational therapist, doctors and nurses from the EMAD and EMAP teams in João Pessoa. Results: As some of the results, all physiotherapists who participated were from the EMADs, the teams reported that the pandemic had a negative impact on the consultations, that the professionals work together and that, at present, the consultations are calmer. There was not much difference in the pathologies treated before and after the pandemic and currently, physiotherapy care is mainly focused on the motor part. In addition, the teams see the physiotherapist as important and that the difficulties faced by them, perceived by the whole team, were mainly the fear of COVID-19, the lack of equipment and information, as well as the difficulty with the transport to be used. Conclusions: the professionals of the teams have a good understanding of physiotherapeutic actions and, as in other services, the SAD in João Pessoa also had its difficulties, but managed to keep the services working together, however, there is still a need for greater interaction among professionals who can contribute to better care and service performance.
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RICARDO RODRIGUES DA SILVA
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TRENDS ANALYSIS IN CARDIOVASCULAR DISEASE IN BRAZIL AND PHYSIOTHERAPY CARE IN THE THREE LEVELS OF COMPLEXITY: Time series of the Unified Health System between 2011 and 2021
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Fecha: 27-jul-2023
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Hora: 16:00
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Introduction: Cardiovascular disease (CVD) is the main cause of morbidity and mortality in the world, in Brazil there is a prevalence of approximately 35% of the population. In Brazil, the
contingent of care provided by the Unified Health System in cardiovascular care represented 0.27% of all procedures in the early 2000s. The overload of the tertiary sector due to hospitalizations of patients with heart failure in regions with low outpatient coverage has already been reported in the literature. According to cardiovascular rehabilitation guidelines, professional physiotherapists are trained in the prevention, outpatient care, and intensive care. There are still no analyses on cardiovascular physiotherapy in view of the demands for care in the SUS. Based on the above, it is necessary to observe the impacts of cardiovascular disease and production in low, medium, and high complexities of physiotherapy in cardiovascular disease in Brazil. Objective: To analyze data on cardiovascular disease and the production of physiotherapy in cardiovascular disease at the three levels of complexity between 2011 and 2021. Method: This is a descriptive and epidemiological observational study using DATASUS with raw extraction by TabWin, being collected by SIH/ SUS and SIA/SUS, transforming the variables into rates and making a temporal analysis of trends with joinpoint regression® software. Results and discussion: in the decade 2011 to 2021, a. mortality and permanence in Brazil remained stable while hospitalizations, hospital costs, and professional services tended to increase, by region, the North and Northeast showed more aggravated rates in relation to the Southeast, South and Midwest. Nationally, low-complexity physiotherapy has tended to decrease, while medium-complexity has increased and highcomplexity stability. Conclusion: Regional asymmetries are perceived in cardiovascular disease, to the point that in Brazil physiotherapy in low complexity suffered a sharp inflection, an increase in medium complexity, and stability in high complexity.
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BEATRIZ ROZENDO DA SILVA
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IMPACTS OF SOCIAL ISOLATION ON THE FUNCTIONALITY AND QUALITY OF LIFE OF ELDERLY PEOPLE DURING THE COVID-19 PANDEMIC: a systematic review
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Fecha: 27-jul-2023
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Hora: 14:00
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Introduction: The World Health Organization (WHO) considers an elderly person to be an inhabitant of a developing country who is 60 years old or older and an inhabitant of a developed country who is 65 years old or older. An important fact to mention is that aging can lead to certain reductions in functional reserves. Thus, it is essential to seek means to provide the elderly with functional autonomy. With the emergence of the new coronavirus, SARS-CoV-2, social isolation has become the most recommended means of preventing its transmissibility, with the elderly being the most vulnerable population. Objective: To analyze the impacts that social isolation carried out during the COVID-19 pandemic promoted on the functionality and quality of life of the elderly population. Method: A systematic literature review was carried out using the following databases: PubMed, EMBASE, CENTRAL, CINAHL, Web of Science, Science Direct, PEDro and BVS. Articles were published between 2020-2022 and there was no language restriction. Completed or ongoing randomized clinical trials evaluating the impacts of social isolation during COVID-19 on functionality and quality of life of the elderly were accepted. The risk of bias in the studies was assessed using the Cochrane Risk of Bias Tool. The quality of evidence was analyzed using the GRADE system. Results: 11,391 articles were found, of which 2,801 were excluded due to duplicates; 8,590 remained analyzed in the first screening by title and abstract, and of these 8,484 were excluded for not addressing the topic suggested for this review. Finally, the remaining 106 studies were submitted to a second screening by reading the full text. Thus, 97 studies were excluded for not being randomized clinical trials, not being in the context of social isolation and pandemic, and not having evaluated the main outcomes of this review. Therefore, only 9 articles were included in this review, in which the risk of bias was classified as high risk and the GRADE analysis was classified as very low. Conclusions: Although the studies included in this review were classified with a poor methodological and evidence level, in the end it was observed that social isolation, during the
COVID-19 pandemic, brought changes to the health of the elderly, in particular, in physical health,
mental and quality of life, and that remote intervention strategies were beneficial for the outcomes
evaluated in this review.
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GERALDO CARVALHO MAGALHÃES
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The additional effect of percutaneous microelectrolysis in patients with rotator cuff tendinopathy: a randomized controlled clinical trial.
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Fecha: 14-jul-2023
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Hora: 09:00
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Introduction: Rotator cuff tendinopathy is the main cause of shoulder pain and functional loss
in adults in Brazil. It is estimated that its prevalence in the Brazilian population is between 5%
and 33%. Studies show that conservative treatment may involve physical exercises and
electrotherapy. Percutaneous microelectrolysis (MEP) is a minimally invasive therapeutic
method that has been used with good results in tendinopathies, although the evidence about its
use alone or associated with physical exercises is still not well defined. Objective: To compare
a shoulder-specific exercise program with and without the addition of MEP on shoulder pain
and function in people with rotator cuff tendinopathy. Materials and methods: This is a randomized, controlled, parallel, single-blind clinical trial in which forty-two subjects diagnosed with rotator cuff tendinopathy were randomly allocated into 2 groups: experimental group (EG) with 21 subjects and control group (CG) with other 21 subjects. Both underwent a clinical protocol of therapeutic exercises, but only GE received additional treatment with MEP. To evaluate the outcomes of this study, the questionnaire for shoulder function SPADI (Shoulder Pain and Disability Index) and the EN (Numeric Scale) for pain assessment were used, applied before and 8 weeks after the treatment protocol of 6 face-to-face and supervised sessions by professional. All participants were recommended to practice therapeutic exercises at home. Results: Positive changes were observed both in the outcome pain and in function in both groups, with a decrease in the SPADI score and in the NE in the EG (MD= -3.19; CI95%= -4.45 to -1.94; p<0.001 for pain and DM= -35.76; CI95%= -47.77 to -23.76; p<0.001 for function) and in the CG (DM= -3.99; CI95%= -5.27 to -2.72; <0.001 for pain and DM=- 38.26; CI95%= -50.45 to -26.07; p<0.001 for function), however there were no statistically significant differences between groups, both for pain (MD= 1,23; CI95%= -2,54 a 0,07; p=0,064) and for function (MD= 7,17: CI95%= -7,02 a 21,35; p=0,317). Conclusion: The findings of this study do not allow us to state that the addition of MEP to a therapeutic exercise program is more effective than the isolated use of the latter, although both protocols have positively altered pain and function variables.
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ISLANE FREIRE RODRIGUES
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QUALITY OF LIFE AT WORK: PERCEPTIONS OF PHYSIOTHERAPISTS WHO WORKED ON THE FRONT LINE IN THE COVID-19 PANDEMIC IN THE STATE OF PARAÍBA
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Fecha: 28-feb-2023
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Hora: 14:00
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Health professionals who work on the front lines of COVID-19 have numerous risk factors that compete not only for the physical and mental health of these professionals, as their occupation at work and their conditions end up being potential sources of of exposure to the virus. Problems such as physical fatigue and psychological stress, anxiety about losing patients and colleagues, lack of resources to protect professionals at work, risk of infection and transmission to family members, are health care for these professionals, in order to avoid reducing the ability to work, quality of life and care provided to patients. Objective: To analyze the impact on the quality of work life of physiotherapists working on the front line in the fight against the COVID-19 pandemic in the State of Paraíba. Methods: This is a quantitative, cross-sectional, descriptive study. The sample consisted of physiotherapists from the public and private network of the State of Paraíba-PB, working on the front line in the fight against COVID19 in hospitals, UPAS, COVID-19 care center, specialized home care services, with responses volunteers to the questionnaire with closed questions. The online collection was applied from August to December 2022. Results: The sample extended to 68 physiotherapists, in relation to symptomatology for both Normal result variables: stress (39.7%), anxiety (38.2%) and depression (41.2%); it was found that the average quality of life at work was 59.77%, which is considered satisfactory. The domains with the greatest satisfaction, when compared, were personal (66.91%) and psychological (61.64%). Conclusion: The results showed that the quality of life at work of physiotherapists working on the front line of COVID-19 is satisfactory, with good performance. These results point to aspects to be considered by health services to improve knowledge about workers' health.
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NATASHA FELIPE DA SILVA
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THE ORGANIZATION OF THE WORK OF PHYSIOTHERAPISTS IN A CENTER SPECIALIZED IN REHABILITATION
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Fecha: 28-feb-2023
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Hora: 14:00
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Physical therapist practices have undergone transformations over the years in the search for the primacy of comprehensive care, directed towards the biopsychosocial approach in rehabilitation
services. Objective: Understand the relationship between the care practices and actions carried out by physiotherapists aimed at Persons with Disabilities and the organization of their work at the Specialized Rehabilitation Center. Methodology: This is a qualitative, descriptive study, taking the case study as a guiding model, based on ethnographic analysis resources. The study was developed with the association of three data collection strategies: document analysis, direct observation with conversational approaches and interviews with Specialized Rehabilitation Center physiotherapists in the state of Paraíba-PB. Results: The study reveals that there are differences and nuances between the prescribed work and the real work, the physiotherapists partially present, or do not present in their routine, elements such as the practice of reassessing assisted users, elaboration and execution of the Singular Therapeutic Project, and periodic meetings in team, as recommended by the instruction, and that there are obstacles in the organization of their work that imply the care practices provided to People with Disabilities. Conclusion: Knowledge of the practices allowed identifying the distance between the prescribed work and the concrete conditions for carrying it out, which makes it possible to adopt strategies to improve the process and organization of work in the CER.
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ANNY RAFAELLY DE CARVALHO QUEIROZ SILVA
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ACUTE EFFECTS OF DIFFERENT ISCHEMIC PRECONDITIONING PROTOCOLS ON PERFORMANCE, STRENGTH AND SKIN SURFACE TEMPERATURE IN CROSSFIT PRACTITIONERS: CROSSOVER STUDY
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Fecha: 28-feb-2023
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Hora: 10:00
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CrossFit is a modality that is characterized by high-intensity intervals, providing practitioners with the development of skills that promote improved sports performance. Similarly, ischemic preconditioning (ICP) is a form of training that aims to optimize muscle performance by increasing tissue tolerance to episodes of ischemia followed by reperfusion. Objective: To compare the acute effects of different PCI protocols on muscle performance and superficial thermal response in
amateur CrossFit athletes. Methodology: The study included 15 subjects (10 men and 5 women), of both genders, aged between 18 and 35 years, with no history of metabolic, cardiovascular, or locomotor system diseases with Ankle Brachial Index (ABI) between 0.91 and 1.30 and who responded negatively to all items of the Physical Activity Readiness Questionnaire/PAR-Q. After selection, they randomly performed one of the following three protocols: 1) ischemic preconditioning with 2 limb ischemia cycles (PCI-2C);
2) ischemic preconditioning with 4 cycles of limb ischemia (PCI-4C); 3) control ischemic preconditioning (PCI-CONT). Isometric strength measurements of elbow and knee extensors were
performed before and after (WOD) and infrared thermography, at baseline, after PCI and WOD. Data
were analyzed using SP analyze the time of execution of the WOD, and to analyze the isometric strength of the elbow and knee extensors, in addition to repeated measures ANOVA to compare the averages, normalized, of the temperatures throughout the moments of evaluation. Results: No significant differences were found between the protocols regarding the WOD execution time (F:2;12=0.09; P=0.916), as well as for the isometric strength of elbow extensors (F:2; 12=0.248; P=0.781) and knee (F:2;12=0.827; P=0.439). For the upper, lower and facial ROI thermograms, no significant differences were observed between the protocols (P>0.05); however, there were significant differences between assessments (P<0.05). Conclusion: The protocols behaved similarly in terms of execution time and isometric strength of elbow and knee extensors, however the normalized temperature means decreased over the course of the evaluations.
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JOSÉ ERIVONALDO FERREIRA PAIVA JÚNIOR
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THE EXPERIENCE OF PHYSIOTHERAPISTS AT THE SPECIALIZED REHABILITATION CENTER ABOUT THE APPROACH TO CARE FOR PEOPLE WITH DISABILITIES
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Fecha: 28-feb-2023
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Hora: 08:00
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The physiotherapist's practices for Persons with Disabilities (PwD), over time, have been undergoing transformations in the quest to offer comprehensive care centered on the ideas of the biopsychosocial approach. Objective: To know the meanings that emerge from the personal contexts of physiotherapists who work in the care of PwD at the Specialized Rehabilitation Center (ERC).
Methodology: This is a qualitative, descriptive and exploratory study, theoretically and methodologically supported by the content analysis proposed by Bardin. For this research, participant observation and interviews were adopted as fieldwork techniques, guided by a previously defined script. The locator context of the research was a CER in the state of Paraíba - PB. Thirteen physiotherapists were interviewed. Results: The study shows that there are still difficulties in offering comprehensive care to users in the CER. CER physiotherapists have problems with internal communication and with the care network, in addition to difficulties in operationalizing interprofessional work; and the physical therapy practice in the CER is still very dependent on equipment and technologies. Conclusion: The knowledge of the particular contexts contained in the physiotherapists' experiences allowed us to identify that there are still barriers to providing expanded and comprehensive care focused on the biopsychosocial model for PwD.
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SILVANA CRISTINA DE ARAÚJO PEREIRA VENCESLAU
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EFFECTS OF PHOTOBIOMODULATION ON TISSUE REPAIR OF SECOND DEGREE BURNS INJURIES: RANDOMIZED CLINICAL TRIAL, CONTROLLED AND DOUBLE BLIND
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Asesor : HELEODORIO HONORATO DOS SANTOS
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Fecha: 27-feb-2023
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Hora: 16:00
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Burn is a tissue injury caused by thermal, chemical, electrical, biological or radioactive agents, which has been treated through photobiomodulation because it is a low-cost option to accelerate the healing of this type of injury, as has been demonstrated in research experiments with animals. Objective: To compare the effect of red LED photobiomodulation, infrared LED and sham therapy on the rate of re-epithelialization, presence of pain, pruritus, skin temperature, healing quality and scar mobility among individuals with second-degree burns. Methods: This is a randomized and controlled
double-blind clinical trial. Twelve burn injuries were treated, divided into 3 groups: Red Led Group (n = 2), Infrared LED Group (n = 5), and Sham Group (n = 4). The presence of pain, itching, skin temperature and wound size were evaluated daily until healing, and at the end of healing, the mobility and quality of the scar were evaluated. Data were analyzed using descriptive statistics, reptelization rate, skin temperature and scar mobility, ANOVA was performed for repeated measures, followed by Bonferroni post-hoc. a one-way anova and for Kruskall wallis scar quality considering a significance level of P0.05.
Results: Although the results do not show a significant change with regard to the rate of reepithelialization, pain, itching and scar quality, it is possible to observe a clinical improvement in the volunteers who were treated with led therapy.
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EMANOEL DOS SANTOS NASCIMENTO
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THE PHYSIOTHERAPIST PROFESSIONAL'S SELF IDENTITY: an initial approach
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Fecha: 27-feb-2023
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Hora: 14:00
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INTRODUCTION: In 1969, Physiotherapy is recognized as a profession in Brazil, becoming
one of the 14 regulated professions in the health field. Based on the biomedical model and the discourse of professionalism as a statutory and ideological form of work organization, the profession has been (re)writing its path based on professional autonomy, in search of its own professional identity based on a scientifically oriented practice. OBJECTIVE: The objective of the research will be to analyze the selfidentity of the professional of physical therapists working in Brazil. METHODOLOGY: It was a descriptive, exploratory and non-probabilistic study, operationalized through the combined use of qualitative and quantitative methods, with the use of the technique of data collection through an online semi-structured questionnaire. Quantitative data were analyzed using descriptive statistics and qualitative data, from the evocations of words, through the frequency of semantic groups, average order of evocations and word clouds. RESULTS: 495 physiotherapists participated in the study, predominantly female, white, graduated from private higher education institutions, who had the physiotherapy course as their first choice, had attended or were studying specialization and were satisfied with their work. Considering the categories proposed by Claude Dubar, the participants characterized training as difficult and demanding knowledge; the career as difficult and rewarding; the labor market as difficult and competitive; and the work process as rewarding and tiring. CONCLUSION: Although Physiotherapy is a recent profession in the field of health, presenting weaknesses in its insertion in the labor market and in its way of acting, the profession tends to gain new spaces, especially to be recognized with its own identity, breaking the paradigm of a rehabilitative and crystallized image in the biomedical model.
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ADALBERTO GOMES PEREIRA JUNIOR
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LEVEL OF SATISFACTION, QUALITY OF SLEEP AND LIFE OF PATIENTS TREATED WITH ACUPUNCTURE AND AURICULOPUNCTURE IN A SPECIALIZED PUBLIC SERVICE.
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Fecha: 27-feb-2023
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Hora: 09:00
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Health-Related Quality of Life can be defined as how much the patient's condition of life is being deteriorated, modifying the physical and mental components. Sleep is a physiological state that
takes place repairs, disorders in it, can cause non-consolidation of memory, immunosuppression, physical and mental stress. The National Policy of Integrative and Complementary Practices was instituted in the Unified Health System in order to prevent injuries, promote health and recover the sick. The objective of the study was to analyze the influence of the use of Acupuncture and/or Auriculoacupuncture on the Level of Satisfaction, Health-Related Quality of Life (HRQOL) and Sleep of patients treated at a specialized service in the city of João Pessoa PB. This is a field research, descriptive, with a qualiquantitative approach, of a longitudinal nature, carried out at CPICS Equilíbrio do Ser between Oct/22 and Jan/23. The sample was obtained by accessibility, with a total of twenty patients, initially submitted to a Sociodemographic and Clinical Profile Questionnaire, SF-36 Quality of Life Questionnaire and Pittsburg Sleep Index (Pre and post intervention) and Questionnaire Customer Satisfaction (CSQ-8), after discharge. Therapists were also given a questionnaire on their clinical profile and relationship with Integrative Practices. For the descriptive and inferential statistical analysis of the data, the statistical program IBM SPSS Statistics, version 22.0, was used. The Shapiro-Wilk test was used to verify the normality of the variables, the Student's t test to compare the means of continuous variables and the Wilcoxon test for the medians of discrete variables, considering a significant test (P<0.05). The vast majority of patients are women (90%), aged between 60 and 69 years (45%) and single (45%). There were 148 sessions, with Auriculopuncture being the most widespread technique (93.1%). The SF36
Functional Capacity (P=0.004), Mental Health (P=0.018), Social Aspects (P=0.041), Vitality (P= 0.043) and general score (P=0.025) domains had a statistically significant change. At the end of the treatment, 90% of the subjects were very satisfied. As for therapists, half earn between 1SM and 2SM in this relationship and had no contact with Acupuncture during graduation. The specialized service was effective, providing a significant improvement in HRQoL and a high level of satisfaction with the Acupuncture/Auriculoacupuncture sessions in its patients.
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