Dissertations / Theses on the topic 'Preventive physical rehabilitation'

Cancer is the second leading cause of death in America. It’s been suggested that regular physical activity (PA) can improve health outcomes in cancer survivors. An estimate from BRFSS data (2009) suggested that 47% of all cancer survivors met recommended guidelines and that this estimate was not different from the population at large (48%). Several factors were examined from these BRFSS data to determine whether subgroups of survivors existed who might benefit from interventions aimed at improving their PA status. The purpose of this investigation was to obtain more recent estimates of adherence to established PA guidelines for cancer survivors. Data from 2015 NHIS were obtained from the CDC website. Of the survivors, 40% met PA guidelines. Additionally, 79% were 54 years or older, more likely to be female (60%), predominantly white (80%), with more than 2 comorbidities (41%), and with some form of functional limitation (66%). Compared to a study based on 2009 BRFSS data, an even smaller proportion of survivors met PA guidelines in this study. This might be due to differences in age distributions and no limitation of the analysis according to time since diagnosis. Targeted interventions to increase activity in cancer survivors continue to be warranted.

Syftet med denna studie var att undersöka hur fyra olika aktörer med skilda yrkesroller upplevde organisationens befintliga rehabiliteringsprocess med dess möjligheter och begränsningar samt deras synpunkter på vad som kan förbättras för att undvika sjukskrivningar. En förhoppning var också att kunna ge konkreta förslag på hur man kan arbeta förebyggande i syfte att undvika sjukskrivningar inom organisationen. Fyra minifokusgruppintervjuer, bestående av två till fyra personer, genomfördes där två fiktiva fall användes som diskussionsgrund. Materialet analyserades med hjälp av en induktiv tematisk analys, vilket resulterade i de fyra temaområdena; Verktyg för att förbättra hälsoarbetet, Insatser för att motverka sjukskrivningar, Begränsningar i hälsoarbetet samt Chefens roll i hälsoarbetet. I studien framkom att deltagarna ansåg att rehabiliteringsprocessen är ett bra verktyg som förenklar rehabiliteringsarbetet, men att den behöver fortsatt utveckling. Resultatet visade även att deltagarna hade många förslag på åtgärder för att förbättra den fysiska och psykosociala arbetsmiljön.
The aim of this study was to examine the experience, of four different actors’ with diverse occupational roles, of the existing rehabilitation process in the organization, with its limitations and possibilities. A further aim was to examine the preventive work and hopefully contribute with some practical solutions to counteract sick leave within the organization. Four mini focus group interviews with two to four people were carried out with two fictitious cases as a base for discussion. Data was analyzed by an inductive thematic analysis and resulted in four thematic areas; Tools to improve the health work, Efforts to avoid sick leave, Health work limitations and The manager’s role in health work. The study showed that the participants considered that the rehabilitation process was a good tool that simplifies the rehabilitation work, but it needs further development. The results also showed that the participants had many suggestions of how to improve the physical and psychosocial work environment.

Магістерська дисертація викладена на 120 сторінках, літературних джерел 47; рис. 24, табл. 7, додатків 4. Мета – за результатами аналізу існуючих літературних і інформаційних джерел розробити та обґрунтувати програму превентивної фізичної реабілітації травм верхньої кінцівки в боксі із застосуванням сучасних технічних засобів і засобів фітнесу та визначити її ефективність. Актуальність роботи. В даний час спортивний травматизм, за різними джерелами, становить 2-5% від загального (побутового, виробничого та ін.). Деякі розбіжності в цифрах пов’язані з тим, що спортивний травматизм залежить, як від виду спорту, так і від ступеня залучення опитуваних людей до занять спортом. Бокс – популярний вид спорту, що відноситься до групи єдиноборств. Для спортсменів, які займаються боксом, характерним є високий атлетизм, спрямований на подолання опору супротивника, швидка реакція, витривалість, постійна зміна під час поєдинку статичних і динамічних напружень. Гострі травми опорно-рухового апарату у боксерів складають 66,16% від загальної кількості травм, причому значна їх частина припадає на руки. Зв’язок роботи з науковими програмами, планами, темами. Магістерська робота виконана відповідно до плану НДР «Розробка технологій фізичної терапії та технічних засобів їх здійснення» №01117U002933 від 01.04.2017 кафедри біобезпеки і здоров’я людини КПІ ім. Сікорського. Мета роботи: за результатами аналізу існуючих літературних і інформаційних джерел розробити та обґрунтувати програму превентивної фізичної реабілітації травм верхньої кінцівки в боксі із застосуванням сучасних технічних засобів і засобів фітнесу та визначити її ефективність. Завдання дослідження: 1. Провести аналіз існуючих програм превентивної фізичної реабілітації пошкоджень верхньої кінцівки в боксі традиційними засобами і різними технічними пристроями і засобами фітнесу з використанням наукової, науково-методичної та навчальної література, мережі Internet. 2. Навести анатомічні особливості будови великих суглобів верхньої кінцівки та механізмів їх травмування; особливості сучасних методів і засобів фізичної реабілітації після пошкоджень верхньої кінцівки в боксі за допомогою спеціальних фізичних вправ, в тому числі на різних типів технічних засобах. 3. Розробити програму превентивної фізичної реабілітації пошкоджень верхньої кінцівки в боксі засобами фітнесу зі структурною схемою і алгоритмом дії програми за допомогою спеціальних фізичних вправ, в тому числі на технічних засобах і засобах фітнесу. 4. Провести дослідження з виконанням констатувального і формувального педагогічного експерименту з представленням результатів. 5. Розробити техніку безпеки при проведенні реабілітаційних заходів з використанням спеціальних фізичних вправ, в тому числі на технічних засобах і засобах фітнесу. Об’єкт дослідження: травматизм верхньої кінцівки в боксі. Предмет дослідження: методи та засоби превентивної фізичної реабілітації травм верхніх кінцівок в боксі. Методи дослідження: аналіз науково-методичної літератури та інформаційних джерел, пов’язаних з превентивною фізичною реабілітацією травм верхніх кінцівок в боксі засобами фітнесу та технічними засобами; інструментальні методи дослідження (кистьова динамометрія); педагогічні методи дослідження – спостереження, педагогічний експеримент, методи математичної статистики. Наукова новизна роботи: – досліджені анатомічні та функціональні особливості великих суглобів верхньої кінцівки. За допомогою досліджень була розроблена програма превентивної фізичної реабілітації травм верхніх кінцівок в боксі засобами фітнесу; – після проведення дослідження було підтверджено позитивний вплив застосованих методів та засобів превентивної фізичної реабілітації травм верхньої кінцівки в боксі засобами фітнесу. Практичне значення отриманих результатів. Розроблена програма превентивної фізичної реабілітації травм верхніх кінцівок в боксі засобами фітнесу, за допомогою спеціальних вправ та технічних засобів. Програма, подана в роботі, може бути використана в діяльності спортивних клубів, спортивних залів, а також у навчальних курсах під час підготовки фахівців з фізичної терапії, на практичних заняттях студентів вищих навчальних закладів з фізичного виховання і спорту. За результатами досліджень було опубліковано1 тези та 2 статті. Отримано акт впровадження результатів в практику Громадської організації «Федерація боксу Києво-Святошинського району».
The master's thesis is presented on 120 pages and includes literary sources 47; Fig. 24, Table 7, Annexes 4. The purpose is to develop and substantiate a preventive physical rehabilitation program of upper limb injuries in boxing using modern technical and fitness equipment and to determine its effectiveness, as a result of the analysis of existing literary and information sources. Relevance of work. Currently, sports injuries, according to various sources, is 2-5% of the total (household, industrial, etc.). Some discrepancies in numbers are due to the fact that sports injuries depend on both the sport and the extent to which the respondents are involved in sports. Boxing is a popular type of martial arts. Athletes who practice boxing are characterized by high athleticism, aimed at overcoming the resistance of the opponent, rapid reaction, endurance, constant change during the fight of static and dynamic stresses. Acute musculoskeletal injuries in boxers account for 66.16% of the total number of injuries, with a considerable part of them being in the hands. Work relationship with scientific programs, plans, topics. The master's thesis was carried out in accordance with the plan of research and development of "Development of technologies of physical therapy and technical means of their implementation" №01117U002933 from 01.04.2017 Department of Biosafety and Human Health Sikorsky KPI. Purpose of the work: to develop and substantiate a preventive physical rehabilitation program of upper limb injuries in boxing with the use of modern technical and fitness equipment and to determine its effectiveness. Objectives of the study: 1. To analyze the existing preventive physical rehabilitation programs of upper limb injuries in boxing by traditional means and various technical devices and means of fitness using scientific, scientific-methodical and educational literature, Internet. 2. Give anatomical features large joints structure of the upper extremity and the mechanisms of their injury; features of modern methods and means of physical rehabilitation after damage of the upper limb in boxing by means of special physical exercises, including on different types of technical means. 3. To develop a preventive physical rehabilitation program of upper limb injuries in boxing by fitness means with a block diagram and action algorithm of the program by means of special physical exercises, including on technical means and fitness means. 4. To conduct research with performance of the ascertaining and forming pedagogical experiment with presentation of results. 5. To develop safety during rehabilitation activities with the use of special physical exercises, including technical and fitness equipment. Object of study: upper limb injuries in boxing. Subject of research: methods and means of preventive physical rehabilitation of upper limb injuries in boxing. Research methods: analysis of scientific and methodological literature and information sources related to the preventive physical rehabilitation of upper limb injuries in boxing by fitness means and technical means; instrumental research methods (wrist dynamometry); pedagogical methods of research - observation, pedagogical experiment, methods of mathematical statistics. Scientific novelty of the work: - the anatomical and functional features of the large joints of the upper extremity were investigated. Through research, a preventive physical rehabilitation program of upper limb injuries in boxing by fitness means was developed; - after the study, the positive impact of the applied methods and means of preventive physical rehabilitation of upper limb injuries in boxing by fitness means was confirmed. The practical significance of the results obtained. A preventive physical rehabilitation program of upper limb injuries in boxing by fitness means, with the help of special exercises and technical means. The program presented in the thesis can be used in the activities of sports clubs, gyms, as well as in training courses during the training of specialists in physical therapy, at practical classes of students of higher educational institutions in physical education and sports. As a result of the research, 1 theses and 2 articles were published. The act of putting the results into practice of the NGO Boxing Federation of Kyiv-Svyatoshinsky District was received.

Being involved in soccer in Rwanda at both national and international level exposes soccer players to the risk of injury. The aim of this study was to identify common soccer injuries among the 1st and 2nd division soccer teams in Rwanda and to establish the need for physiotherapy intervention. This deals with the first two stages of injury prevention, which included identification and description of the extent of the problem and the identification of factors and mechanisms that play a part in the occurrence of injuries.

Background: The development of an objective and comprehensive drug-based index of physical function for older adults has the potential to more accurately predict fall risk. Design: the index was developed using 862 adults (ages 57–85) from the National Social Life, Health, and Aging Project (NSHAP) Wave 1 study. The index was evaluated in 70 adults (ages 51–88) from a rehabilitation study of dizziness and balance. Methods: The prevalence among 601 drugs for 1,694 side effects was used with fall history to determine the magnitude of each side effect's contribution towards physical function. This information was used to calculate a Medication-based Index of Physical function (MedIP) score for each individual based on his or her medication profile. The MedIP was compared to the timed up and go (TUG) test as well as drug counts using receiver operating characteristic (ROC) analysis. The associations between various indices of physical function and MedIP were calculated. Results: Within the NSHAP data set, the MedIP was better than drug counts or TUG at predicting falls based on ROC analysis. Using scores above and below the cutpoint, the MedIP was a significant predictor of falls (OR = 2.61 [95% CI 1.83, 3.64]; P < 0.001). Using an external data set, it was shown that the MedIP was significantly correlated with fall number (P = 0.044), composite physical function (P = 0.026) and preferred gait speed (P = 0.043).

Результатом изучения онкологии через призму взаимоотношений опухоли и организма, больного с социумом возникла потребность создания одной из составных клинической дисциплины – физической реабилитации онкологических болезней [1]. Физические упражнения изменяют гормональный баланс, а также снижают избыток эстрогена и тестостерона, которые стимулируют рост раковых клеток. Двигательная активность снижает уровень сахара в крови и, как результат, секрецию инсулина и инсулиноподобного фактора роста (ИФР), что провоцирует воспаление тканей, а также рост и распространение опухолей. Исследования Джозефа Либонати, Гиту Матукумарани, Виктора Феррари и др., показывают, что физические упражнения действительно помогают телу бороться с раковыми заболеваниями. Однако нагрузка и продолжительность занятий для разных видов таких заболеваний – неодинаковые.

Syfte: Syftet med denna studie är att undersöka vad tränare inom truppgymnastik för barn mellan 8-12 år har för erfarenheter av skador och skadeförebyggande träning och hur man på bästa sätt främjar en stimulerande och motiverande träningsmiljö. Design och metod: Deskriptiv och explorativ kvalitativ design. Semistrukturerade intervjuer av fem tränare inom truppgymnastik för barn i åldern 8-12 år. Data bearbetades med kvalitativ innehållsanalys enligt Graneheim och Lundman. Resultat: Tränarna hade erfarenhet av fysiska skador och arbetade med skadeprevention genom preventiva övningar och att upprätthålla säkerhet i träningen. Tränarna fann utmaningar i att bedöma allvaret i en skada, hur man kan förebygga den och hur den ska rehabiliteras. De önskar ökad kunskap i form av riktlinjer, utbildning, ökat föreningsengagemang samt samarbete med fysioterapeuter. En positiv träningsmiljö ansågs bäst för trivsel och framgång i sin idrott. Tränarna ska vara förebilder, ge positiv feedback och främja träningsglädje och skapa god gruppgemenskap. Det viktigaste var slutligen att ha roligt och inte hur bra man presterar. Konklusion: Erfarenheter av skador fanns men kunskaperna var begränsade kring prevention och rehabilitering. Yytterligare utbildning önskades samt konsultation från exempelvis fysioterapeut. Tränarnas sätt att främja en god psykosocial träningsmiljö för unga gymnaster överensstämmer med riktlinjer från idrottsförbunden och har vetenskaplig evidens och bör därför bibehållas i fortsättningen.  TeamGym, coach, children, injury prevention, rehabilitation, psychosocial,  physical therapy
Purpose: To investigate the experiences of a group of TeamGym coaches regarding physical injuries, injury prevention and how to enhance a stimulating and motivating environment for  training and competition for children in the ages of 8-12, in the best way possible. Design and method: Descriptive and explorative qualitative design. Semi-structured interviews with five coaches in TeamGym. Data analysis was conducted by using a qualitative content analysis. Results: The coaches have experienced physical injuries and work with injury prevention such as using preventive exercises and maintaining safety at all times. They found it challenging to assess the severity of an injury, how to prevent it and how to pursue rehabilitation. They need increased knowledge through education, commitment from their clubs and cooperation with physical therapists. A positive environment for training was considered vital concerning well-being in sports. Coaches should be role models and provide positive feedback and maintain a good team spirit. The most important aspect is to have fun rather than the gymnastic performance. Conclusion: Coaches in Teamgym have perceived lacks of knowledge regarding injuries and a limited experience from injury prevention and rehabilitation. Possible solutions are increased education and consultation from physical therapists. The coaches are encouraging a rewarding psychosocial training environment in a way which is coherent with guidelines from Swedish sports federations and is supported by existent scientific evidence. Hence they ought to maintain it.

INTRODUÇÃO: O propósito deste estudo foi investigar a efetividade de um programa de treino de equilíbrio na mobilidade, no equilíbrio funcional e estático, e nas quedas em mulheres com osteoporose. MÉTODOS: foram selecionadas consecutivamente 66 mulheres idosas do Ambulatório de Doenças Osteometabólicas e randomizadas em 2 grupos: Intervenção - composto de 34 pacientes submetidas ao treino de equilíbrio, e Controle - composto de 32 pacientes sem intervenção. O equilíbrio funcional e estático, a mobilidade e as quedas foram avaliados antes e após 12 meses da intervenção utilizando-se: Berg Balance Scale (BBS), Clinical Test Sensory Interaction Balance (CTSIB) e Timed \"Up and Go\" Test (TUGT). A intervenção utilizou técnicas para melhorar o equilíbrio e a mobilidade, consistindo de 1 hora sessão/semana, e um programa de exercícios em casa. RESULTADOS: Sessenta mulheres completaram o estudo e foram analisadas. Uma diferença no escore da BBS foi significativamente maior no grupo Intervenção comparada ao Controle (5,5 ± 5,67 vs. -0,5 ± 4,88 e P<0,001). Semelhantemente, o número de pacientes no grupo Intervenção apresentou melhora em duas condições do CTSIB comparado com o Controle (condição 5 - olhos vendados e superfície instável: 13 vs. 1 paciente, P<0,001; e condição 6 - olhos abertos, superfície instável e cúpula visual 12 vs. 1 paciente, P=0,001). Adicionalmente, as diferenças entre o TU> foram reduzidas no grupo Intervenção comparado com o Controle (-3,65 ± 3,61 vs. 2,27 ± 7,18 segundos, P<0,001). Notavelmente, essa melhora foi paralela à redução do número de quedas/paciente no grupo Intervenção comparada ao Controle (-0,77 ± 1,76 vs. 0,33 ± 0, 96, P=0,018). CONCLUSÃO: este estudo prospectivo longitudinal demonstrou que uma intervenção utilizando o treino de equilíbrio é extremamente efetiva na melhora do equilíbrio funcional e estático, da mobilidade e redução das quedas em mulheres idosas com osteoporose.
INTRODUCTION: The purpose of this study was to investigate the effect of a 12-month Balance Training Program on balance, mobility and falling frequency in women with osteoporosis. METHODS: Sixty-six consecutive elderly women were selected from the Osteometabolic Disease Outpatient Clinic and randomized into 2 groups: the Intervention Group, submitted for balance training; and the Control, without intervention. Balance, mobility and falling frequency were evaluated before and at the end of the trial using: the Berg Balance Scale (BBS), the Clinical Test Sensory Interaction Balance (CTSIB) and the Timed \"Up & Go\" Test (TUGT). Intervention used techniques to improve balance consisting of one hour sessions/week and a home-based exercise program. RESULTS: Sixty women completed the study and were analyzed. The BBS difference was significant higher in the intervention compared to control (5.5 ± 5.67 vs. -0.5 ± 4.88 score, P<0.001). Similarly, the number of patients in intervention group presented improvement in 2 conditions of CTSIB compared to controls (eyes closed and compliance surface condition: 13 vs. 1 patient, P<0.001; eyes open, visual conflict and compliance condition: 12 vs. 1 patient, P=0.001). Additionally, the difference between the TUGT were reduced in the intervention group compared to control (-3.65 ± 3.61 vs. 2.27 ± 7.18 seconds, P<0.001). Notably, this improvement was paralleled by a reduction in the number of falls in the intervention group compared to control (-0.77 ± 1.76 vs. 0.33±0.96, P<0.018). CONCLUSION: This longitudinal prospective study demonstrated that a intervention using balance training is effective in improving functional and static balance, mobility and falling frequency in elderly women with osteoporosis.

博士
國立臺灣大學
流行病學與預防醫學研究所
101
Background and objectives Strokes are the third leading cause of death and the leading cause of disabilities among adults. While many advances have been made in stroke prevention and rehabilitation, some issues remain to be resolved. The aims of the thesis were to investigate the associations of occupational physical activity (OPA) and leisure-time physical activity (LTPA) with the risk of stroke and mortality; to investigate the association between acute glucose level and functional outcome after ischemic stroke 3 months later; to evaluate the relationship between acute glucose levels and mortality among patients with acute ischemic stroke; to investigate the relationship between the intensity of inpatient rehabilitation therapy and mortality among patients with acute ischemic stroke. Materials and Methods Studies I, were based on data from the Chin-Shan Community Cardiovascular Cohort study with 1,706 participants during a median follow-up period of 16.8 years. Studies II, and III were based on data from a hospital-based database with 1277 consecutive ischemic stroke patients admitted to Mackay Memorial Hospital in Taiwan between January 1, 2008 and June 30, 2009. Results: In the first study: During a median follow-up period of 16.8 years, 118 subjects had incident stroke events and 438 deaths were identified. With the lowest tertile as the reference, the relative risks (RRs) for stroke and mortality in the highest tertiles of LTPA were 0.71 (95% confidence interval [CI], 0.38-0.97) and 0.73 (95%CI, 0.58-0.92). In contrast, the RRs for stroke and mortality in the highest tertiles of OPA were 1.74 (95%CI, 0.90-2.78) and 1.53 (95%CI, 1.06-2.22). We found that LTPA decreased the risk of stroke and mortality, while OPA increased the risk of stroke and mortality. In study II: We collected data from 1277 patients with acute ischemic stroke. Patients within the highest quartile of admission glucose level had a 2.68-fold relative risks (RR) (95% confidence interval [CI], 1.87-3.85) for disability and a 2.18-fold RR (95% CI, 1.36-3.48) for mortality compared with those within the lowest quartile level. Higher acute glucose level was associated with disability and mortality. In addition, the association was relatively modest among non-diabetic patients. In study III, the intensity of inpatient rehabilitation therapy and disability and mortality were significantly inversely related in the ischemic stroke patients. Compared with the lowest tertile, the highest tertile of rehabilitation intensity was associated a 43% lower risk of disability (95% CI, 0.47–0.70), with a 55% lower risk of all-cause mortality (95% CI, 0.30–0.65). Conclusion: In the thesis, we found higher levels of OPA are associated with increased risk of stroke and mortality, while LTPA decreased the risk of stroke and mortality. Future studies need to confirm these associations. A significant association between acute glucose level and disability and mortality in non-diabetic ischemic stroke patients were established. Further study regarding the relationship of acute glucose levels and outcomes among ischemic stroke patients with diabetes is warranted. Besides, we found intensive rehabilitation therapy may benefit ischemic stroke patients.

Basketball is one of the most injury-risk team sports. Taking into consideration high frequency of knee joint injuries in both young and professional basketball-players and especially issues of overloads of locomotor apparatus in adult basketball, it is crucially important to develop and propose an effective prevention programs to avoid acute injuries and traumas of knee joints. The proposed study was focused on the development of special training prescriptions and recommendations for coaches and physical trainers aimed to implement prevention methods in the training process. The study was conducted in the Ural Federal University Sports Technologies Research Lab. Twenty young athletes born in 2002 from basketball youth sport schools (Yekaterinburg, Russia) were recruited for the study. The significant interrelations between functional state, oxygen transport and utilization systems and power of working muscles were established for the first time. A novel prevention program of knee joint injuries was introduced, effectiveness of which was proved during the study.
Баскетбол входит в пятерку самых травмоопасных командных, контактных видов спорта. Актуальность исследования обусловлена высокой частотой травматизма коленного сустава, как у молодых, так и у профессиональных баскетболистов. В особенности это грозит игрокам молодежных составов, так как при переходе в профессиональную команду растёт объем интенсивности нагрузки на опорно-двигательный аппарат и зачастую отсутствуют программы профилактики травматизма. Данная работа посвящена разработке рекомендаций по построению тренировочного процесса и внедрение в него программы профилактики травматизма для снижения степени риска повреждения коленного сустава. Исследование проводилось на базе лаборатории «Технологии восстановления и отбора в спорте» ЦКП ФГАОУ ВО УрФУ имени первого Президента России Б.Н. Ельцина. В исследовании приняли участие 20 юных спортсменов 2002 года рождения, воспитанники детско-юношеских спортивных школ (г. Екатеринбург). Впервые была установлена связь между общим функциональным состоянием организма спортсмена, системой транспорта и утилизации кислорода работающими мышцами и силой мышц нижних конечностей. Была разработана и внедрена в тренировочный процесс программа профилактики травматизма коленного сустава, эффективность которой была доказана в ходе исследования.

O presente relatório de estágio representa todo o trabalho desenvolvido durante um ano letivo na clínica Fisiogaspar. Este estágio está enquadrado no programa curricular de segundo ano do Mestrado em Exercício e Saúde e representa uma perspetiva real da prática profissional, enquanto fisiologista do exercício, no âmbito da prevenção, manutenção e reabilitação funcional. Sendo o tema principal deste relatório a prescrição de exercício físico em pessoas com algum tipo de lesão e/ou doença crónica, são apresentadas ao longo deste documento as lesões com as quais contactei ao nível da cervical, do membro superior, da região lombar e coxofemoral, assim como algumas doenças crónicas como a hipertensão arterial, a dislipidemia, a obesidade e a artrite. A realização da prática profissional passou inicialmente pela execução de estudos de caso onde era feita pesquisa, com base em evidência científica, das variáveis retiradas da avaliação física e funcional do cliente, por um dos fisiologistas, e elaborado um possível plano de treino. Na fase final do período de estágio a liberdade foi maior, para a execução das avaliações físicas e funcionais dos clientes, seguida da elaboração de planos de treino, o que permitiu a aquisição de novas competências e conhecimentos, possibilitando então a criação de bases para a futura vida profissional.
This internship report reflects all the work developed during two semesters at Fisiogaspar clinic. This internship is framed in the second year curriculum of the Master's Degree Exercise and Health and represents a real perspective of the professional practice, as an exercise physiologist, in the scope of prevention, maintenance and functional rehabilitation. As the main theme of this report is the prescription of physical exercise in people with some type of injury and / or chronic disease, the injuried regions with which i have contacted (cervical spine, upper limb, lumbar and hip) are presented throughout this document as well as some chronic diseases such as hypertension, dyslipidemia, obesity and arthritis. The accomplishment of the professional practice started with the analysis of case studies in which research was carried out, based on scientific evidence, of the variables taken from the physical and functional evaluation of the client, by one of the exercise physiologists. Afterwards, the exercise prescription and training plans were elaborated. In the final stage of the internship period, the freedom to perform physical and functional assessments of clients followed by the elaboration of training plans was greater, which allowed the acquisition of new skills and knowledge, thus enabling the creation of bases for future professional life.

O presente relatório ilustra o trabalho desenvolvido durante o estágio na clínica Fisiogaspar, integrado no Mestrado Exercício e Saúde. Sendo uma clínica de prevenção e reabilitação física e funcional, o principal tema abordado foi a prescrição de exercício em populações especiais, particularmente pacientes com patologias físicas e com doenças crónicas. Este relatório inicia-se com a caracterização do local de estágio, seguidamente com a apresentação das lesões, nomeadamente ao nível da articulação do ombro, coluna vertebral, articulação do joelho, articulação do tornozelo e pé, bem como das doenças crónicas mais comuns, presentes nos pacientes que frequentam a clínica, Num âmbito mais prático, ao longo do período de estágio, foram acompanhados vários pacientes, nos quais realizaram-se avaliações físicas e funcionais e, consoante os dados registados, elaboraram-se planos de treino específicos para cada um. E para um melhor conhecimento nesta área de lesões e patologias físicas, foram realizados documentos de pesquisa. O estágio permitiu a aquisição de novas competências e de novos conhecimentos, que juntamente com a aprendizagem académica, possibilitou a criação de bases para uma vida profissional futura.
This report ilustrates the work done during the traineeship in Fisiogaspar clinical, integrated in Exercise and Health Master. Being a clinical of physical and functional prevention and rehabilitation, the main theme adressed was the exercise prescription in special populations, particularly patients with physical injuries and chronic diseases. The report starts with the traineeship place characterization, then with the presentation of the most common injuries, including the shoulder joint, the spine, the knee joint, the ankle joint and foot, and chronic diseases in patients attending the clinic. On a more practical level, over the intership, patientes were followed, whom were realized physical and functional assessments and, depending on data recorded, is elaborated specific workouts plans for each patient. Also for a better understanding in this área of physical injuries, were performed research. The traineeship allowed the acquisition of new skills and knowledg, which together with the academic learning, enabled the creation of foundations for a profissional future life.