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Jackson, Anne Margaret. "Explaining hydrotherapy outcomes : quality in health care". Thesis, University of Surrey, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324076.
Pełny tekst źródłaHall, Jane. "Efficacy and mechanisms of hydrotherapy in rheumatoid arthritis". Thesis, University of Bath, 2002. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.248094.
Pełny tekst źródłaStridh, Karolina. "Bassängträning, patientupplevelser och mål. : Hydrotherapy, patients´ experiences and goals". Thesis, Örebro University, Academy of Health Science, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-2157.
Pełny tekst źródłaSammanfattning: Bassängträning är en vanlig träningsmetod som många patienter efterfrågar. Fördelar med att träna i varmt vatten är bland annat vattnets tyngdavlastande effekt samt värmens smärtlindrande och muskelavslappnande effekt. Efterfrågan på bassängträning är ibland större än tillgången, vilket kan innebära att sjukgymnasten behöver prioritera vilka patienter som ska få tillgång till bassäng. Tydliga och jämlika rutiner och riktlinjer vid bassängträning behöver finnas. I samband med arbete för att ta fram riktlinjer vid bassängträning är det också viktigt att ha kunskap om patienternas egna upplevelser och behov för att kunna förbättra rehabiliteringen. En enkätundersökning genomfördes med syfte att beskriva hur patienterna upplever bassängträningen, vilka mål de har och hur målet med träningen bestäms samt uppnås. Syftet var också att undersöka vilka faktorer patienterna anser som viktiga för bassängträningens kvalitet. Resultaten visar att de vanligaste målen vid bassängträning är ökad rörlighet och minskad smärta. Nästan alla patienter har varit delaktiga att sätta målen och en övervägande del av patienterna anser att de till stor del uppnår målen. Positiva effekter som upplevs med bassängträningen är fysiska förbättringar och psykiskt välbefinnande. Patienterna anser att det som är viktigast för bassängträningens kvalitet är att ha bra och utbildad personal samt att få gå kontinuerligt på bassängträning.
Vaile, Joanna. "Effect of hydrotherapy on recovery of muscle-damage and exercise-induced fatigue". University of Western Australia. School of Sport Science, Exercise and Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0221.
Pełny tekst źródłaDadd, Lisa Maureen. "Hydrotherapy versus standard physical therapy in the treatment of acute ankle sprains". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0014/MQ30663.pdf.
Pełny tekst źródłaAntelo, Patricia Scarpa. "O novo termalismo hoteleiro". Master's thesis, Universidade de Lisboa. Faculdade de Arquitetura, 2016. http://hdl.handle.net/10400.5/12655.
Pełny tekst źródłaBirmanns, Jürgen. "Die Geschichte des Kneippheilbades Münstereifel : von den Anfängen bis zur Gegenwart unter besonderer Berücksichtigung der Heilpersonen und -institutionen, die sich der Kneippschen Heilweise widmeten und widmen /". Lahnstein : emu-Verl. GmbH, 2000. http://www.gbv.de/dms/bs/toc/327974559.pdf.
Pełny tekst źródłaPinto, Glenda Feldberg Andrade 1974. "Respostas funcionais e eletromiográficas em pacientes com hemofilia submetidos a atividades aquáticas funcionais". [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310743.
Pełny tekst źródłaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-26T23:10:22Z (GMT). No. of bitstreams: 1 Pinto_GlendaFeldbergAndrade_M.pdf: 9864752 bytes, checksum: 5d43b3d80ecd27b3c366ad3012943bbc (MD5) Previous issue date: 2015
Resumo: A hemofilia é uma doença hemorrágica hereditária ligada ao cromossomo X caracterizada pela deficiência do fator VIII (hemofilia A) ou fator IX (hemofilia B). As principais manifestações clínicas da hemofilia são as hemorragias articulares (hemartroses) e musculares (hematomas). Os sangramentos recorrentes frequentemente provocam comprometimentos musculoesqueléticos que desencadeiam a artropatia hemofílica e causam limitações na capacidade funcional desses pacientes. O presente estudo tem como objetivo avaliar o efeito das atividades aquáticas visando melhorar a capacidade funcional dos pacientes com hemofilia. Este estudo foi do tipo intervenção, com pacientes com hemofilia do Hemocentro da UNICAMP, maiores de 6 anos e que apresentassem pelo menos um dos joelhos afetados. Os pacientes selecionados foram avaliados pré- e pós-intervenção através dos instrumentos de avaliação clínica desenvolvidos e validados para hemofilia, incluindo o escore funcional de hemofilia (Functional Independence Score, FISH), o escore de saúde articular na hemofilia (Haemophilia Joint Health Score - HJHS), o questionário de atividades funcionais para pacientes hemofílicos (Haemophilia Activities List, HAL), ou questionário de atividades funcionais para pacientes com menos de 18 anos (Pediatric Haemophilia Activities List, PedHAL). Foi utilizado a eletromiografia de superfície (EMGs) dos músculos da coxa bilateralmente (vasto lateral, vasto medial e bíceps femoral), avaliação da força muscular através da célula de carga dos músculos extensores e flexores e avaliação eletromiográfica da atividade funcional de levantar e sentar. A atividade aquática consistiu na realização de pelo menos 24 sessões do protocolo de hidroterapia desenvolvido e realizado no serviço de fisioterapia do Hemocentro da UNICAMP, ou como alternativa os pacientes foram encaminhados para frequentar pelo menos 24 aulas regulares de natação. O período médio da atividade aquática foi de 12 semanas. Trinta e dois pacientes entre 6 e 40 anos (mediana: 12 anos), com diagnóstico de hemofilia (22 A grave, 9 B grave e 1 A moderada), sem atividades físicas regulares, foram incluídos. Trinta pacientes haviam iniciado a profilaxia secundária ou terciária, por diferentes razões, durante o ano anterior à intervenção aquática. Do total, 11 pacientes realizaram hidroterapia e 21 natação. A comparação de variáveis numéricas pré- e pós-intervenção no grupo de hidroterapia ou natação mostrou diferença estatisticamente significativa para as variáveis: escore de saúde articular (HJHS), para hidroterapia (p=0,006) e natação (p=0,001); escore funcional (FISH) somente para a hidroterapia (p=0,021); PedHAL para hidroterapia (p=0,022) e natação (p=0,001); HAL para hidroterapia (p=0,038) e natação (p=0,024). Em relação aos resultados obtidos através da eletromiografia, primeiramente da força muscular obtido através da célula de carga, é importante notar a ausência de melhora significativa da força muscular no grupo de pacientes que realizou a hidroterapia, principalmente ao compararmos com os dados observados no grupo da natação, onde houve melhora significativa em todos os músculos analisados. Em seguida, em relação à amplitude do sinal eletromiográfico, observamos a melhora do sinal de todos os músculos avaliados após a intervenção hidroterápica e natação, exceto para o músculo vasto medial D no grupo da hidroterapia. Na avaliação da atividade funcional foi observada diferença significativa somente para natação e forte tendência para hidroterapia. Podemos concluir nesse estudo, que um programa de atividade aquática funcional (hidroterapia ou natação), com frequência de 24 sessões, mesmo quando realizado em pacientes com hemofilia que apresentavam comprometimento em membros inferiores, foi eficaz com melhora significativa na saúde articular, além de melhora na funcionalidade, com aumento da força muscular analisada em membros inferiores
Abstract: Haemophilia is an inherited bleeding disorder X-linked, characterized by a decreased activity or lack of clotting factors VIII (haemophilia A) or IX (haemophilia B). The main clinical manifestations of haemophilia are bleeding into the joints (haemarthroses) and in the muscles (haematomas). The current bleeding often causes musculoskeletal impairments that trigger haemophilic arthropathy and promoting functional capacity limitations in these patients. The purpose of this study was to evaluate the effect of the functional aquatic activities in order to improve the functional capacities of patients with haemophilia. It was used the surface electromyography assessment to evaluate the responses of muscle function before and after functional aquatic activities. This study was the intervention type with patients selected from the haemophilia sector of Hemocentro UNICAMP diagnosed with haemophilia, within the predetermined criteria, over the aged of 6 years. After the selection, the assessment tools consisted of: Functional Independence Score (FISH), Haemophilia Joint Health Score (HJHS), the Haemophilia Activities List (HAL), PedHAL which is a version for children and adolescents aged 8 to 17 years and evaluation by surface electromyography of the thigh muscles (vastus lateralis, vastus medialis and femoral biceps), muscular strength assessment by surface electromyography of the extensor and flexor muscles and functional activity by surface electromyography to get up and sit down. We included in this study the institution of an aquatic protocol to reproduce functional improvements in patients with haemophilia. Thirty-two PWH (23 sHA, 8 sHB and 1mHA), aged 6 to 40 years (12(6-40y)), without previous regular physical activity, were enrolled in this evaluation. 30/32 patients started secondary or tertiary prophylaxis for different reasons, during the year before taking off the aquatic intervention. Later the initial evaluation, the patients underwent functional aquatics activities in our service (hydrotherapy) and as an alternative for patients who were unable to attend our service, these were referred to swimming, an aggregate of 24 sessions around 3 months. Later on the intervention, patients were reassessed for comparison of pre and post-intervention. For statistical analysis, we used the paired Wilcoxon test and unpaired for comparison of mathematical variables and Fisher's exact test for categorical variables. The comparison of numerical variables between hydrotherapy and pre and post-intervention, swimming showed statistically significant deviations in the variables, health joint score (p = 0.006 and p = 0.001) respectively, running score (FISH) (p = 0.021) solely for the hydrotherapy, PedHAL (Sum score) (p = 0.022 and p = 0.001) for hydrotherapy and swimming. In relation to the results obtained through the electromyography, firstly to muscle strength obtained through the load cell, it is important to note the lack of significant improvement in muscle strength in the group of patients who performed hydrotherapy, especially when compared with the data observed in the swimming group, where there has been significant improvement in all muscles tested. Then, in relation to the electromyographic signal amplitude, significant signal improvement was observed in all muscles evaluated after hydrotherapy and swimming intervention except for the vastus medialis (right) in the hydrotherapy group. To sum up, we conclude that a functional aquatic activity program (hydrotherapy or swimming), with frequency of 24 sessions, even when performed in patients with haemophilia who presented commitment in lower limbs, was effective with significant improvement in joint health, and addition to improvement in functionality, with increased muscle strength assessed in lower limbs
Mestrado
Clinica Medica
Mestra em Clínica Médica
Oliveira, Ana Paula Cunha. "Efeitos da hidroterapia no equilíbrio em idosos: uma revisão bibliográfica narrativa". Bachelor's thesis, [s.n.], 2013. http://hdl.handle.net/10284/3850.
Pełny tekst źródłaContexto: O Envelhecimento Biológico é um processo dinâmico e progressivo que conduz o organismo a alterações morfológicas, funcionais e biomecânicas. Objectivos: Avaliar o efeito de diferentes programas de Hidroterapia no equilíbrio dos idosos. Método: Recorreu-se ao uso da base de dados B-On e PubMed para encontrar artigos científicos que fossem úteis no esclarecimento deste estudo. De tal forma, foram estabelecidos os seguintes critérios de inclusão: estudos experimentais controlados randomizados que estivessem de acordo com a temática abordada e/ou comparassem com o meio terrestre; publicações feitas a partir de 2005; amostra com idade igual ou superior a 60 anos e intervenção executadas por fisioterapeutas. Resultados: Efectuou-se uma análise e discussão de 6 artigos experimentais com propósito de cumprir o objectivo deste estudo. Conclusão: Pôde-se concluir-se que um programa global de Hidroterapia que inclua exercícios de alongamento, de fortalecimento, de resistência e de equilíbrio apresentou resultados significativos na melhora do equilíbrio, embora sem diferenças significativas entre o meio terrestre. Contudo, torna-se numa alternativa viável para indivíduos com falta de confiança, com elevado risco de quedas e com sintomatologia álgica com consequente limitação articular. Background: Biological Aging is a dynamic and progressive process that leads to morphological, functional and biochemical changes in our body. Objectives: Evaluate the effect of different Hydrotherapy programs for balance in elderly. Methods: Resorted to the use of database B-On and PubMed to find scientific articles that was useful to clarify this study. As such, it was established the following inclusion criteria: randomized controlled experimental studies that were in line with the thematic discussed and/or comparing with the land environment; publications made since 2005; over 60 years of age and intervention performed by physiotherapists. Results: Performed an analysis and discussion of six experimental studies with propose of achieving the objective of this study. Conclusions: It could be concluded that a global Hydrotherapy program that includes stretching exercises, endurance, strength and balance provided significant improvements in balance, but no significant differences between land environment. However, becomes a viable alternative for individuals with lack of confidence, with a high risk of falls and pain symptoms with consequent joint limitation.
Appleby, Jennifer. "An exploratory case study of the experiences of preschool children with spastic cerebral palsy in hydrotherapy". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ60217.pdf.
Pełny tekst źródłaEpps, Heather Anne. "The evolution of combined hydrotherapy and standard land based physiotherapy in children with juvenile idiopathic arthritis". Thesis, King's College London (University of London), 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.430964.
Pełny tekst źródłaMavrakis, Andreas. "Regenerative biohistoric waterscapes". Diss., University of Pretoria, 2016. http://hdl.handle.net/2263/60187.
Pełny tekst źródłaHierdie verhandeling konsentreer op die hernuwing en aanpassing van 'n gedeelte van die Prinshof Mediese Distrik. Hierdie terrain is ge?dentifiseer as verlate, 'n oorblewende spasie wat gele? is langs die Apies Rivier in Pretoria se stedelike konteks. Hierdie terrain se vergete natuurlike en historiese agtergrond, voorheen gedeelte van die geskiedkundige Hove's Drif, en die kronologiese relaas van die Apies Rivier, word in die verhandeling ondersoek. n' Hernieude water ontwerpte metode gebruik om hierdie verlore agtergrond gedeeltes in te sluit met die doelwit om 'n funksionele en kunstige water bewuste ontwerp te winkel. Hierdie program stel die skepping voor van 'n hydroterapeutiese sentrum vir die gebruik deur die omliggende inrigtings in die Prinshof Mediese Distrik as deel van die deurlopende relaas vir die terrain en die Apies Rivier onderskeidelik. Die Hiernieude Biohistoriese Waterterrein sal die rivier se natuurlike, historiese en moderne infrastruktuur saamvoeg en sal tot 'n alternatiewe betekenis bydra met betrokking tot n' eko-sistemiese begrip van die rivier se potentsiaal vir Pretoria se toekomstige nageslagte.
Mini Dissertation (MArch (Prof))--University of Pretoria, 2016.
Architecture
MArch (Prof)
Unrestricted
Moore, Sonya J. "Water immersion in athlete recovery : a multi-disciplinary approach to informing practice". Thesis, University of Bath, 2012. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.557815.
Pełny tekst źródłaWitthuhn, Amori Cathy. "Effects of hydrotherapy group exercises on selected health-related fitness variables in older women with Type II diabetes mellitus". Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1543.
Pełny tekst źródłaMacSween, Alasdair. "An investigation of the efficacy of a hydrotherapy and land based aerobic exercise programme for female rheumatoid arthritis patients". Thesis, Glasgow Caledonian University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270517.
Pełny tekst źródłaLiao, Wen-Chun. "Effects of warm foot bathing on distal-proximal skin temperature gradient, PSG sleep and perceived sleep quality in older adults with sleep disturbance /". Thesis, Connect to this title online; UW restricted, 2004. http://hdl.handle.net/1773/7352.
Pełny tekst źródłaBlaurock, Joachim. "Durchblutungsänderungen von Haut und Nasenschleimhaut durch Konditionierung mittels verschiedener gewohnheitsmäßiger hydrotherapeutischer Maßnahmen". Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2006. http://dx.doi.org/10.18452/15403.
Pełny tekst źródłacomparison with pharmacological treatment attempts in the clinical weekday. Thereby the regulation of the circulation of the cutis and mucosa constitutes a substantial mechanism of the unspecific defence. The present piece of work presents the difference between specific adaptation and the hardening itself, which has hardly been explored. The pattern of reactions regarding the thermical stimulation of different groups displays the influence of the circulation regulation.The distinctions in the reaction models are proven in the vasomotion and in the acral reheating reactions of people who go to the sauna regularly, people who go swimming in ice water regularly and a group of untrained control probands. The complex evaluated experiments indicate statistical significant that the regular hydriatric procedures support the circulation of the cutaneous vessels, the reactions are enhanced, so that cold stimuli get better tolerated. Thereby represents the swimming in ice water a better training of the adaptation to cold stimuli in a warm environment as the regular sauna attendance. The question if the regular sauna visitation results a better adaptation to poikilotherm stimuli needs to be scientifically researched to get a better understanding of the interesting area of therapeutical physiology to form brighter criteria for the treatment.
Johnson, Levona. "The effect of hydrotherapy on the pain levels, stress levels, quality of life and functional disability in patients with rheumatic disease". University of Western Cape, 2011. http://hdl.handle.net/11394/3936.
Pełny tekst źródłaRheumatic disease is estimated to be one of the most disabling diseases in South Africa and the world. The most common rheumatic diseases are osteoarthritis, fibromyalgia, rheumatoid arthritis, gout and systemic lupus erythematosus. The symptoms of the disease include pain, stiffness, swelling, decreased function. The patient’s functional abilities are severely affected by the pain which in turn, leads to poor quality of life and adverse stress. As a result patients who suffer with one or with a combination of rheumatic disease will experience pain, stress, decreased functional abilities and poor quality of life. The physical properties of water and the therapeutic effects of hydrotherapy, make hydrotherapy an effective form of exercise available to physiotherapists in the treatment of rheumatic disease. The aim of the current study was to determine the effects of a hydrotherapy intervention on the pain, stress, quality of life and functional abilities in patients with rheumatic disease. A quantitative and qualitative research design was employed to meet the objectives. The quantitative aspect involved an A-B-A design and the qualitative part of the study compromised indepth interviews which took place after the intervention. The instruments used were the WHOQOL-BREF instrument, the Visual Analogue Scale (VAS), the Weekly Stress Inventory-Short Form (WSI-SF) and the Health Assessment Questionnaire. (HAQ). The sample consisted of 19 patients who were diagnosed with one or a combination of rheumatic disease. The study was conducted at the hydrotherapy pool at Groote Schuur Hospital in Cape Town. Within the study sample, the majority of the participants were female (84%) with osteoarthritis being common among the participants (53%). The mean age was 60 years. The intervention had a significant impact on pain reduction (p = 0.0001), quality of life (p<0.05). However, the impact of hydrotherapy on stress and the social relationship domain in quality of life was inconclusive. It is thus evident from this study that hydrotherapy as a treatment modality for physiotherapists can be used to impact on the pain, quality of life and functional abilities in patients with rheumatic disease. iv Keywords
Costa, Diana. "Fisioterapia em meio aquático no tratamento conservador da osteoartrite da anca e joelho: revisão de literatura". Bachelor's thesis, [s.n.], 2018. http://hdl.handle.net/10284/7020.
Pełny tekst źródłaObjetivo: Recolher e sumariar a evidência científica disponível em bases de dados científicas para perceber a eficácia de técnicas de fisioterapia em meio aquático no tratamento conservador da osteoartrite da anca e/ou do joelho. Metodologia: Pesquisa computadorizada nas bases de dados PubMed / Medline, Web of Knowledge e PEDro para identificar estudos randomizados controlados que avaliam a efetividade de técnicas de fisioterapia em meio aquático no tratamento conservador da osteoartrite da anca e do joelho. Resultados: Nesta revisão foram incluídos 9 estudos, com classificação metodológica na escala de PEDro ≥ 7. Conclusão: Técnicas de fisioterapia em meio aquático verificaram-se eficazes, ainda que a maioria a curto prazo.
Objective: Collect and summarize available scientific evidence in scientific databases to realize the efficacy of physiotherapy techniques in the aquatic environment in the conservative treatment of osteoarthritis of the hip and/or the knee. Methodology: Computerized research in the databases PubMed / Medline, Web of Knowledge and PEDro for designing randomized controlled studies that evaluating a physical analysis of physiotherapy in aquatic knee treatment of osteoarthritis of ankle and knee. Results: In this review, 9 studies were included, with methodological classification in the PEDro scale ≥ 7. Conclusion: Techniques of physiotherapy in the aquatic environment were verified to do, although the majority in the short term.
N/A
Shelef, Arie Niv. "Enhancing quality of life through aquatics therapy : effectiveness of adaptation of seating posture loading in a partially immersed aquatics therapy approach for the improved functioning and perceived competence of children with cerebral palsy, as reflected in their quality of life : a multiple case study". Thesis, Anglia Ruskin University, 2010. http://arro.anglia.ac.uk/189012/.
Pełny tekst źródłaSantos, Fabiola Carvalho Lopes dos. "Técnica de Massagem e Mobilização em Imersão para Relaxamento (RMI): desenvolvimento, usabilidade e aplicabilidade clínica em mulheres idosas". Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5170/tde-19042018-122642/.
Pełny tekst źródłaContextualization: Physiotherapy lacks intervention programs previously tested to be used in the aquatic environment aiming muscle relaxation induction. Previous studies provide sufficient basis for build programs. Design and purpose: quasi-experimental study with four objectives: 1. Develop and describe in descriptive and illustrated manual a Technique of Massage and Mobilization during Immersion for Relaxation (RMI); 2. Evaluate the relevance and technical quality of RMI through submission to referees; 3. Evaluate usability and self learning through the study of the RMI manual; 4. To evaluate the effect of physiotherapy intervention with RMI in healthy older women. Methods: In order to achieve these goals the study was executed in four phases: 1. Development of Technique of Massage and Mobilization during Immersion for Relaxation (RMI), carried out through literature review, meetings of researchers and construction of descriptive and illustrated manual. 2. Evaluation of the manual by 20 referees using a form. 3. Usability and self-learning analysis. Participated 10 Physiotherapy undergraduate. The student applied the RMI in healthy volunteers. The practical activity was assessed by the research and independent examiner using valuation script based on the program description. 4. Analysis on the effect of the RMI in relaxation indicators, applied in 12 healthy elderly women. The intervention consisted of 10 sessions lasting an hour and a half each one, once a week. The study was conducted at Laboratory of Physiotherapy and Behaviour of Physiotherapy Course, Medical School, University of São Paulo and in the SIMMM Integrated Rehabilitation Clinic\'s pool. Statistical analysis was pertinent to each phase of the study: 1. Development of physiotherapy intervention program based on literature and manual writing; 2. Organization of responses from referees by category of answers and statistical descriptive analysis of the degrees from referees; 3. Analysis of the statistical analysis of degrees and inter-rater reliability analysis of the evaluation executed by the examinators; 4. Descriptive and comparative analysis of pre and post-intervention data of flexibility, joint mobility, cardiovascular response, scores in the DASH, FAOS and WOGOOL questionnaires and categorization of answers. Results: The methodology applied allowed the development of the RMI and construction of descriptive manual, enriched with suggestions from referees. The manual proved to be usable and sufficient to convey practical knowledge, no third part intervention, targeting education. The number of case studies showed that the practice of RMI improved shoulder joint mobility (medial and lateral rotation right and left with p=0,001) and ankle joint mobility (extension - left p < 0.001, extension - right p=0,0017 and bending left p=0,001) and affected the cardiovascular response showing relaxation (p=0,04). Each participant in the RMI intervention program reported at least one state of relaxation and satisfaction. Conclusion: It was possible to develop and describe a method of massage and mobilization in immersion to induced relaxation usable by students in Physiotherapy from its manual (with adjustments by referees) appropriate for change musculoskeletal and cardiovascular systems, as response indicators of physiological muscular relaxation. There was improvement in motor function of the upper limbs, assessed by DASH questionnaire. In the evaluation by WHOQOL-bref questionnaire it was found an improvement in the psychological domain, consequent to the intervention. These data are consistent with the reports from the participants
Lind, Filip, i Gustav Bergström. "Upplevelser av bassängträning hos en grupp personer med diagnosen Reumatoid artrit". Thesis, Uppsala universitet, Fysioterapi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-337871.
Pełny tekst źródłaBacellar, Daniel Alexei Cavaca Huet de. "Fisioterapia no paciente neurológico". Master's thesis, Universidade de Évora, 2013. http://hdl.handle.net/10174/18317.
Pełny tekst źródłaAdsett, Julie. "Exercise rehabilitation for people with stable heart failure". Thesis, Griffith University, 2018. http://hdl.handle.net/10072/384942.
Pełny tekst źródłaThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School Allied Health Sciences
Griffith Health
Full Text
Mallen, Pérez Laura. "Efectividad del uso de la hidroterapia en el trabajo de parto". Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/403534.
Pełny tekst źródłaINTRODUCTION The use of hydrotherapy during childbirth is currently being established in many health centers due to the growing demand for labor without analgesia. Although its effectiveness for pain relief during labor has been demonstrated, the maternal advantages in relation to the second stage of labour and neonatal safety of performing a water birth is in question. OBJECTIVE To evaluate the effectiveness of the use of hydrotherapy in relation to the perception of pain, the duration of labor and to assess neonatal safety. METHODOLOGY Multicenter quasi-experimental study. RESULTS The 280 pregnant women was distributed in 151 women to HG, of whom 69 performed a water birth and 129 women to CG. The perception of pain was significantly lower in the HG than the CG (NRS 30min, HG 6.7 vs CG 7.9, NRS 90min, HG 7.7 vs CG 9, NRS expul; HG 8.5 CG 9.6; p<0.001). The duration of delivery in the total of sample, the first stage of labor in nulliparous women was lower in HG (HG 183.4min vs CG 239.3min p=0.007). In the subgroup of deliveries without analgesia, it was observed a decrease in the first stage of labour (HG 151.1min vs CG 183.5min p=0.08) and total delivery (GH 211.4 vs. GC 236.5 p=0,4) but it wasn’t statistically significant. Pregnant women who used hydrotherapy required less analgesia. There were no differences in the type of delivery or in the postpartum perineal state; but when parity was considered in the subgroup of deliveries without analgesia, nulliparous pregnant women had an increase of intact perineum and in 1º tears (intact perineum HG 23.2% vs CG 20%; 1º HG 53.3% vs CG 22.9%, 2º HG 20% vs CG 45.7%, p=0.04). Regarding maternal satisfaction, it was observed that pregnant women showed greater satisfaction in HG than in CG. In relation to the neonatal results, no differences were observed between groups in the variables studied. CONCLUSIONS The use of hydrotherapy during labor reduces perceived pain and analgesia requirements, decrees the duration of the first stage of labour without causing adverse effects for the woman. The results on the neonate seem to indicate that its use doesn’t affect the parameters studied, but given the low incidence of complications from the use of hydrotherapy, it would be advisable to continue the research to obtain a much larger sample.
Garpelin, Maja, i Emmelie Byhlin. "”JAG BLIR LIKSOM SOM FÖRR I TIDEN” : Upplevelse av hydroterapi hos personer med reumatisk sjukdom". Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-18641.
Pełny tekst źródłaOrselli, Maria Isabel Veras. "Estimativa das forças musculares em seres humanos durante o andar". Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/43/43134/tde-27012015-102820/.
Pełny tekst źródłaMuscle force estimation during human motion has numerous applications in Biomechanics. In this work, we describe the application of methods of muscle force estimation to solve for two different problems. The first problem is to quantify lower limb muscle and joint loads that young adults are subjected to when walking in the aquatic and terrestrial environment. The second problem is to understand the effect of increased Achilles tendon compliance (AT; the triceps surae tendon) in the gastrocnemius and soleus contractile dynamics (G and S respectively; both triceps surae muscles), aiming at understanding if increased AT compliance, that occurs with aging, could play a role in the elderly gait alterations. Our hypothesis for this first study was that the forces developed by the lower limb muscles in water are not always lower than on land. Specifically, we hypothesized that the forces developed by the hip and knee flexors and extensors would be grater in water than on land. For the second study our hypothesis was that the compliant AT would cause the fibers to operate far from its optimal length resulting in higher levels of activation in both G and S, as well as higher specific metabolic consumption. In order to verify our hypotheses for both studies we used the software OpenSim 3.1 together with experimental data of volunteers walking in aquatic and terrestrial environments to simulate human walking and to estimate the forces developed by the lower limb muscles during this task. In both studies, experimental data were acquired through human movement analysis systems composed of cameras, to record the movements of the volunteers\' body, and force plates, to measure ground contact forces. We confirmed our hypotheses to the first study since our results showed that in certain periods of the gait cycle the forces developed in the knee and hip flexors and extensors, such as the hamstrings and the gluteus maximus, inside water exceeded the forces in corresponding periods of land walking. Those results corroborate the idea that walking inside water may be effective in muscle strengthening. We also confirmed our hypotheses to the second study. Additionally, we predicted that to generate the necessary power to walk with comfortable speed the triceps surae G and S tendon must move independently. This differential behavior becomes larger the greater the AT compliance. In addition, we also observed that G metabolic energy consumption was minimized for a specific level of AT compliance while S systematically increased. Those results suggest that increased AT compliance can compromise the triceps surae performance and increase metabolic consumption, contributing to the alterations on the elderly gait biomechanics. The results of our two studies may assist health professionals to better plan training and rehabilitation programs for adults and elderly in both, terrestrial and aquatic environment.
Pinto, Tiago Miguel Gonçalves. "Reabilitação física de cães com doenças articulares no membro torácico". Master's thesis, Universidade de Lisboa, Faculdade de Medicina Veterinária, 2016. http://hdl.handle.net/10400.5/12718.
Pełny tekst źródłaCom o aumento da ocorrência de doenças articulares em cães tem-se vindo a recorrer cada vez mais a fisioterapia como forma de tratamento e prevenção destes casos. Embora esta não seja uma disciplina normalmente integrada no plano de recuperação dos animais, os seus benefícios podem ser muito relevantes. Com exercícios de diferentes exigências, desde caminhadas em ambientes controlados e exercícios de obstáculos a sessões de massagem, alongamentos e hidroterapia, é possível realizar um protocolo de reabilitação física adequado às capacidades dos animais. Paralelamente, também é criado um ambiente de trabalho conjunto com o proprietário do animal, que se sente como parte integrante do protocolo de reabilitação. Na presente dissertação são apresentados seis casos clínicos de doenças articulares, com sede no membro torácico, tendo cada animal beneficiado de um protocolo de reabilitação individual e específico. Simultaneamente, a evolução dos sinais clínicos é apresentada e discutida individualmente. Embora todas as modalidades da fisioterapia sejam importantes e tenham objetivos diferentes, a hidroterapia mostrou ser uma das técnicas de reabilitação física com maior potencial na recuperação de cães com lesões articulares no membro torácico, por oferecer uma panóplia de variáveis que permitem encontrar as condições ideais à recuperação de um número elevado de animais.
ABSTRACT - Physical rehabilitation of dogs with forelimb joint diseases - With the increase of joint diseases in dogs the demand for physiotherapy both as treatment and prevention of such cases has been increasing. Despite not usually being included in the recovery plan, its benefits may be utterly relevant. The use of exercises with different demands, from walks in controlled environments and obstacle courses to massage sessions, stretches and hydrotherapy, makes it possible to adjust the physical rehabilitation protocol to the animal´s abilities. Concurrently, it is also possible to create a work environment with the animal’s owner, who feels included as part of the rehabilitation protocol. In this study 6 clinical cases of joint disease, exclusively of the forelimb are presented. Each animal having benefited from an individual and specific rehabilitation protocol. Simultaneously, the progression of clinical signs is presented and individually discussed. Although all physiotherapy modalities are important and inspire different goals, hydrotherapy was shown to be the rehabilitation technic with the biggest potential in the recovery of joint diseases of the forelimb in dogs, since it offers a display of possibilities which allow to find the ideal conditions to recover a large number of animals.
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Souza, Soraia Figueiredo de [UNESP]. "Reabilitação em cães com atrofia muscular induzida". Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/101099.
Pełny tekst źródłaConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Avaliou-se a resposta de diferentes protocolos fisioterapêuticos em cães após a indução de atrofia muscular por meio da imobilização do joelho por 30 dias. Os grupos foram denominados grupo C ou controle, grupo M (massagem e movimentação passiva), grupo E (massagem, movimentação passiva e eletroterapia), grupo H (massagem, movimentação passiva e hidroterapia em esteira aquática) e grupo EH (massagem, movimentação passiva, eletroterapia e hidroterapia em esteira aquática). Foram mensurados, os graus de claudicação, amplitude articular, circunferência da coxa, variação sérica das enzimas creatina-quinase e lactato-desidrogenase, bem como a morfometria muscular das fibras de contração rápida e contração lenta do músculo vasto lateral marcadas pela técnica de imunoistoquímica. Os cães do grupo H apresentaram retorno mais precoce à função do membro pélvico direito, mostrando que a hidroterapia pode ser beneficamente empregada para a recuperação em cães claudicantes. A fisioterapia reduziu a contratura articular. Verificou-se maior recuperação da área transversal das fibras musculares de contração lenta e rápida nos cães submetidos à eletroterapia aos 60 dias de pós-operatório. De acordo com os resultados encontrados, foi possível concluir que as modalidades terapêuticas de massagem, movimentação passiva da articulação, estimulação elétrica neuromuscular e hidroterapia por caminhada em esteira aquática aceleram a recuperação clínica em cães com atrofia muscular induzida
The response to different physiotherapeutic protocols was evaluated in dogs with muscle atrophy induced by a 30-day-long immobilization of the stifle joint. The animals were divided in groups namely: C (control), M (massage and passive range of motion), E (massage, passive range of motion and neuromuscular electrical stimulation), H (massage, passive range of motion and hydrotherapy in underwater treadmill), and EH group (massage, passive range of motion, neuromuscular electrical stimulation and hydrotherapy in underwater treadmill). The degree of lameness, range motion, thigh circumference, range of serum creatine kinase (CK) and lactate dehydrogenase (LDH) were then evaluated, as well as the morphometry of fast- and slow-twitch muscle fibers of the vastus lateralis by immunohistochemistry. Group H dogs regained function of the right hind limb faster than the other groups. This result shows that hydrotherapy helped in the recovery process of lame dogs. Physiotherapy reduced the joint contracture. There was a higher recovery rate of cross-sectional area of slow-twitch and fast-twitch muscle fibers and thigh circumference in dogs submitted to neuromuscular electrical stimulation at 60 days post-surgery. According to these results, it was possible to conclude that therapeutics modalities such as massage, passive range of motion of the joint, neuromuscular electrical stimulation and hydrotherapy by walking on underwater treadmill accelerate clinical recovery in dogs with induced muscle atrophy
Teixeira, Cláudia Daniela Soares. "Eficácia da hidroterapia no tratamento de crianças com paralisia cerebral: revisão de bibliografia". Bachelor's thesis, [s.n.], 2018. http://hdl.handle.net/10284/7024.
Pełny tekst źródłaObjetivo: esta revisão da literatura teve como foco analisar a eficácia da abordagem hidroterapêutica em crianças com paralisia cerebral, sobretudo da sua influência na força, na flexibilidade, na espasticidade, na capacidade respiratória, na amplitude de movimento, no equilíbrio e nas capacidades motoras básicas para a mobilidade funcional. Metodologia: foi realizada uma pesquisa computorizada nas bases de dados Pubmed/Medline, EBSCO, ScienceDirect e PEDro e B-on. A seleção dos estudos foi efetuada segundo os critérios de inclusão e exclusão. Resultados: foram incluídos 9 estudos experimentais. Dos artigos analisados, 7 avaliaram as capacidades motoras básicas, 3 avaliaram a capacidade respiratória, 3 avaliaram a espasticidade, 1 avaliou a flexibilidade, 1 avaliou a força, 1 avaliou a amplitude de movimento e 1 avaliou o equilíbrio. Conclusão: Pela análise dos estudos encontrados podemos concluir que a hidroterapia parece mostrar-se eficaz no tratamento de crianças com paralisia cerebral, principalmente nas componentes da espasticidade, na capacidade respiratória e nas capacidades motoras básicas. No entanto, apesar de parecer ser igualmemte eficaz no aumento da força, do equilíbrio, na amplitude de movimento e na flexibilidade, os dados por nós recolhidos não nos permitem uma conclusão clara sobre os efeitos da hidroterapia nas crianças com paralisia cerebral.
Objective: this review of the literature has focused on the efficacy of the hydrotherapeutic approach in children with cerebral palsy, especially its influence on strength, flexibility, spasticity, respiratory capacity, range of motion, balance and basic motor skills for functional mobility. Methodology: a computerized search was conducted in Pubmed / Medline, EBSCO, ScienceDirect and PEDro and B-on databases. The selection of the studies was carried out according to the inclusion and exclusion criteria. Results: 9 experimental studies were included. From the analyzed articles, 7 evaluated the basic motor skills, 3 assessed the respiratory capacity, 3 assessed spasticity, 1 assessed flexibility, 1 assessed strength, 1 assessed range of motion and 1 assessed balance. Conclusion: By analyzing the studies found, we can conclude that hydrotherapy seems to be effective in the treatment of children with cerebral palsy, especially in the components of spasticity, respiratory capacity and basic motor skills. However, although it seems to be equally effective in increasing strength, balance, range of motion and flexibility, the data collected by us does not allow us to reach a clear conclusion about the effects of hydrotherapy in children with cerebral palsy.
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Rocha, Virgílio. "O efeito da hidroterapia na dor, qualidade de vida e funcionalidade em pacientes com fibromialgia". Bachelor's thesis, [s.n.], 2016. http://hdl.handle.net/10284/5731.
Pełny tekst źródłaObjetivo: Sistematizar a evidência científica existente sobre o papel do efeito da Hidroterapia na Dor, Qualidade de Vida e Funcionalidade em pacientes com Fibromialgia Métodos: Estudo de revisão incluindo estudos randomizados controlados, pesquisados nas bases de dados PubMed, EBSCO, PEDro e Web of Science, com doentes com fibromialgia, cujo tipo de intervenção de um dos grupos correspondesse a um programa de exercício realizado em meio aquático e com instrumentos de avaliação da dor, qualidade de vida e/ou funcionalidade. Resultados/Discussão: Após avaliação foram selecionados 16 artigos, num total de 920 indivíduos. A maioria dos programas englobavam exercício aeróbio associados a exercícios de fortalecimento muscular, alongamentos e/ou de relaxamento. Verificou-se a existência de diferenças estatisticamente significativas nas diferentes medidas de avaliação, favorecendo os grupos que efetuavam exercício físico em piscina, na maioria dos estudos, quer em programas curtos (4 semanas) quer longos (8 a 9 meses), com sessões de 45 a 70 minutos, realizadas 3xsemana. Resultados estes que se perderam no follow up. Conclusão: Os programas de exercício em piscina são uma boa opção para tratamento de doentes com fibromialgia. Contudo são necessários mais estudos sobre o tema.
Objective: Systematize the scientific evidence on the role of hydrotherapy as a Pain, Quality of life and functionality for fibromyalgia. Methods: A review study including randomized controlled studies, researched the databases PubMed, EBSCO, PEDro and Web of Science, with patients with fibromyalgia, which type of intervention of one group was an exercise program carried out in the aquatic environment and assessment instruments of pain, quality of life and/or functionality. Results / Discussion: After evaluation were selected 16 articles, totaling 920 individuals. Most programs include aerobic exercise associated withstrengthening, stretching and/or relaxation exercises. It has been found that there are statistically significant differences in different measurement tools, favoring groups that solved exercise in the pool, in most studies, both in short programs (4 weeks), or long (8 to 9 months) with sessions 45-70 minutes made 3xweek. These results were lost at follow up. Conclusion: Pool exercise programs are a good option for treating patients with fibromyalgia. However more studies are needed.
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Vasconcelos, Ana. "Eficácia da hidroterapia na fadiga de mulheres com esclerose múltipla: revisão da literatura". Bachelor's thesis, [s.n.], 2021. http://hdl.handle.net/10284/10848.
Pełny tekst źródłaObjetivo: Avaliar a eficácia da hidroterapia na fadiga de mulheres com esclerose múltipla. Metodologia: Foi realizada uma pesquisa computorizada de estudos randomizados controlados em junho de 2021 nas bases de dados Pubmed, Web of Science e PEDro, com recurso às seguintes palavras-chave: multiple sclerosis, hydrotherapy e balneotherapy. Foi posteriormente avaliada a qualidade metodológica dos artigos através da escala Physiotherapy Evidence Database scoring scale (PEDro). Resultados: Foram encontrados 215 artigos tendo apenas 4 correspondido aos critérios de inclusão. Estes foram posteriormente sujeitos a uma análise detalhada e a avaliação qualitativa segundo a escala de PEDro. Conclusão: Dos artigos selecionados verificou-se que a realização de exercícios no meio aquático parecem ter induzido melhorias significativas na prevenção/diminuição da condição de fadiga em mulheres com esclerose múltipla.
Objetive: To evaluate the effectiveness of hydrotherapy on fatigue in women with multiple sclerosis. Methodology: A computerized search of randomized controlled trials was performed in June 2021 in the Pubmed, Web of Science and PEDro databases, using the following keywords: multiple sclerosis, hydrotherapy and balneotherapy. The methodological quality of the articles was subsequently evaluated using the Physical Therapy Evidence database (PEDro) scoring scale. Results: 215 articles were found with only 4 matching the inclusion criteria. These were then subjected to a detailed analysis and qualitative assessment according to the PEDro scale. Conclusion: From the selected articles it was found that the performance of exercises in the aquatic environment seem to have induced significant improvements in the prevention/reduction of the fatigue condition in women with multiple sclerosis.
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Salonen, Tiina, i Agneta Westergren. "Vatten som smärtlindring under förlossning : En kartläggning av förutsättningarna för dusch och bad på samtliga förlossningsavdelningar i Sverige". Thesis, Umeå universitet, Institutionen för omvårdnad, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-109679.
Pełny tekst źródłaObjective: To chart the possibilities for hydrotherapy, i.e. bathing or showering, during labour in Swedish labour wards. Design: Descriptive, cross-sectional interview study involving short phone interviews based on an interview schedule. Participants: All 48 labour wards in Sweden participated. Head of labour ward or midwife working in labour ward was interviewed. Findings: The possibilities for hydrotherapy varied. Many women are for various reasons not allowed to bathe. Hydrotherapy is relatively commonly used in Sweden. Information about hydrotherapy is mostly given verbally. Less than half of the labour wards have guidelines for hydrotherapy, only five have references to current research. Water births are not allowed but have despite this occurred in ten labour wards during the last twelve months. None of the labour wards have guidelines for management of water birth. Key conclusions and implications for practice: The Swedish government has decided that all individuals should receive equal care. There is much to be done to nationally achieve equal possibilities for hydrotherapy during childbirth. Guidelines based on current research for handling hydrotherapy and water birth are needed.
Horgan, Barry G. "The effect of post-resistance exercise water immersion on muscular adaptation and performance in athletes". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2022. https://ro.ecu.edu.au/theses/2526.
Pełny tekst źródłaAzevedo, Gustavo Silva de. "EFEITOS DO HALLIWICK SOBRE A QUALIDADE DE VIDA EM IDOSOS ATIVOS". Pontifícia Universidade Católica de Goiás, 2015. http://localhost:8080/tede/handle/tede/3150.
Pełny tekst źródłaQuality of life can vary in perceived health status, social participation and autonomy during the aging process. The functional impairment in the elderly can be minimized by promoting health through physical exercise. The hydrotherapy held in heated water can promote benefits by virtue of the physical properties of water, physiological effects of immersion and systematic progress of the exercises. The aim of this study was to evaluate the effects of Halliwick on the quality of life in active elderly. Quasiexperimental study of pre- and post-attended by 12 elderly enrolled in the waiting list, awaiting care in an Educational Association. All seniors were submitted individually to the questionnaire WHOQOL Bref and hydrotherapy Protocol, held in groups of six elderly, based on the Halliwick method in 24 sessions held twice a week on fixed days, with sessions of 40 minutes in length, made in heated pool. To evaluate the data were used the program Statistical Package for Social Sciences (SPSS) version 15.0, Excel Office 2013 and the paired Wilcoxon test. Results: In this study, we had the participation of 12 elderly aged 70.67 (± 6.49 years), 10 women, married (41.66%), with low education, retired with an extra financial activity (58, 3%), most reported monthly income of up to two minimum salaries. After the accession of hydrotherapy, some of the participants got improved quality of life in three areas, prevailing an increase in the field environment, which is related to physical security and protection; health and social care; opportunity to acquire new skills; participation and opportunity for recreation and leisure. The pattern of scores showed a reduced impact on the protocol proposed effects of hydrotherapy on quality of life. However favored the elderly a brief physical and psychological restructuring, management of their health condition and self-care, that are conducive to well-being and quality of life.
A qualidade de vida pode variar quanto à percepção do estado de saúde, a participação social e a autonomia no decorrer do processo de envelhecimento. O comprometimento funcional dos idosos pode ser minimizado pela promoção da saúde, através da prática de exercícios físicos. A hidroterapia realizada em água aquecida pode promover benefícios em virtude das propriedades físicas da água, dos efeitos fisiológicos da imersão e da progressão sistematizada dos exercícios. O objetivo desse estudo foi avaliar os efeitos do Halliwick sobre a qualidade de vida em idosos ativos. Estudo quase experimental do tipo antes e depois onde participaram 12 idosos cadastrados em lista de espera, que aguardavam atendimento em uma Associação Educativa. Todos idosos foram submetidos de forma individual ao questionário WHOQOL Bref e ao protocolo de hidroterapia, realizado em grupos de seis idosos, baseado no Método Halliwick em 24 sessões, realizado duas vezes por semana em dias fixos, com sessões de 40 minutos de duração, realizadas em piscina aquecida. Para avaliar os dados obtidos foram utilizados os programas Statistical Package for Social Science (SPSS) versão 15.0, Excel Office 2013 e o Teste de Wilcoxon pareado. Resultados: Nesse estudo, tivemos a participação de 12 idosos com idade de 70,67 (± 6,49 anos), sendo 10 mulheres, casados (41,66%), com baixa escolaridade, aposentados com uma atividade financeira extra (58,3%), a maioria informou renda mensal de até dois salários mínimos. Após a adesão da hidroterapia, uma parcela dos participantes obteve melhora na qualidade de vida em três domínios, prevalecendo um acréscimo no domínio Ambiente, o qual se relaciona com segurança física e proteção; cuidados de saúde e sociais; oportunidade de adquirir novas habilidades; participação e oportunidade de recreação e lazer. O padrão de escores apresentou uma repercussão reduzida dos efeitos do protocolo proposto de hidroterapia na qualidade de vida. Entretanto propiciou ao idoso uma sucinta reestruturação física e psicológica, gerenciamento de sua condição de saúde e o autocuidado, que são favoráveis ao bem-estar e à qualidade de vida.
Arfellini, Giulia. "L'efficacia dell'idrokinesiterapia come approccio riabilitativo nei pazienti affetti da Malattia di Parkinson: una revisione sistematica della letteratura". Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2021. http://amslaurea.unibo.it/24549/.
Pełny tekst źródłaJoubert, Christine. "The effect of a water-based programme on the motor proficiency of children with developmental coordination disorder (DCD)". Thesis, University of Port Elizabeth, 2004. http://hdl.handle.net/10948/397.
Pełny tekst źródłaVávra, Marek. "Design hydromasážní vany pro horní končetiny". Master's thesis, Vysoké učení technické v Brně. Fakulta strojního inženýrství, 2019. http://www.nusl.cz/ntk/nusl-401505.
Pełny tekst źródłaHargreaves, Julian P. "Learning as participation in early clinical experience : its meaning for student physiotherapists". Thesis, University of Sussex, 2014. http://sro.sussex.ac.uk/id/eprint/49396/.
Pełny tekst źródłaGonçalves, Ana. "Intervenção da fisioterapia na osteoartrite do joelho: hidroterapia e actividade física - uma revisão sistemática". Bachelor's thesis, [s.n.], 2011. http://hdl.handle.net/10284/2534.
Pełny tekst źródłaObjectivo: Determinar o papel da Fisioterapia, nomeadamente das técnicas de hidroterapia e actividade física em pacientes com osteoartrite do joelho. Metodologia: Pesquisa de estudos randomizados controlados que avaliem a efectividade da hidroterapia e actividade física em pacientes com osteoartrite do joelho nas bases de dados Pubmed/Medline, Cochrane Central, EBSCO, B-On e PEDro. Resultados: Foram incluídos 14 estudos randomizados controlados envolvendo 1363 pacientes, com classificação metodológica de 6,4 na escala de PEDro. Dos estudos incluídos, 5 avaliaram a Fisioterapia através da hidroterapia e 9 através da actividade física. Conclusão: A evidência consultada nesta revisão sistemática sugere que a Fisioterapia desempenha um papel preponderante no tratamento de osteoartrite do joelho, nomeadamente através da prática de hidroterapia e actividade física. Sugere-se de futuro o desenvolvimento de novos estudos no sentido de estudar os efeitos da Fisioterapia a longo prazo na osteoartrite do joelho através da combinação das técnicas hidroterapia e actividade física assim como de outras intervenções. Objective: To determine the role of physiotherapy in particular the techniques of hydrotherapy and physical activity in patients with knee osteoarthritis. Methodology: Search randomized controlled trials to assess the effectiveness of hydrotherapy and physical activity in patients with knee osteoarthritis in databases Pubmed/Medline, Cochrane Central, EBSCO, B-On and PEDro. Results: Included 14 studies involving 1363 patients, with methodology classification of 6,4 on the PEDro scale. From the studies included, 5 evaluated the Physiotherapy through hydrotherapy and 9 through physical activity. Conclusion: The evidence found in this systematic review suggests that physiotherapy plays an important role in the treatment of knee osteoarthritis, namely through hydrotherapy and physical activity. It is suggested for future development of new studies to study the effects of long-term physical therapy in knee osteoarthritis by combining techniques of hydrotherapy and physical activity as well as other interventions.
Andrade, Sandra Cristina de. "Talassoterapia para pacientes com fibromialgia: ensaio cl?nico rad?mico". Universidade Federal do Rio Grande do Norte, 2008. http://repositorio.ufrn.br:8080/jspui/handle/123456789/13146.
Pełny tekst źródłaFibromyalgia (FM) is a chronic rheumatic syndrome characterized by diffuse muscle-skeletal pain, and aerobic exercises represent a fundamental portion in therapeutic approach. Objective of this study was to evaluate the effectiveness of aerobic exercises accomplished in the water of the sea (thalassotherapy) for women with FM and to compare with exercises accomplished in the swimming pool, involving a multidisciplinary team, composed by rheumatologists, physical therapists, students of physical therapy and students of physical education. Forty six (46) women with age between 18 and 60 years with FM were randomized in 2 groups: a swimming pool group (23 patients) and a sea group (23 patients). 80th groups trained a week with the same program of aerobic conditioning 3 times (60 minutes each) for 12 weeks. Ali the patients were evaluated, before and immediately after treatment, with Visual Analogical Scale (VAS) for pain and fatigue, number of tending points, Fibromyalgia Impact Ouestionnaire (FIO), Short Form 36 Health Survey (SF-36), Pittsburgh Sleep Ouality Index (PSOI) and Beck Oepression Inventory (BOI). For statistical analysis, it was used paired-t test for analysis intra-group and non-paired test for inter-groups analysis, significance levei of p <0,05. Four patients, of each group, didn't complete the training programo Groups were homogeneous and they were compared in initial evaluation, except for BOI (p <0,05). Both groups presented statistically significant improvement for ali appraised parameters in the post-treatment compared with initial evaluation, there were reduction of intensity of pain and fatigue, number of tending points, better functional capacity (FIO), life quality (SF-36), quality of sleep (PSQI) and depression indexes (BOI). However, in comparison among the groups, group of sea (thalassotherapy) presented better results for ali parameters, however with statistically significant difference just only for depression indexes (BOI). At the end, it was observed that accomplishment of aerobic exercises in sea water or swimming pool was effective as part of treatment for patients with FM. However, exercise programs with thalassotherapy seems to bring more benefits, mainly related to emotional aspects, could be a therapeutic option of low cost for patients with FM in our area
A Fibromialgia (FM) ? uma s?ndrome reum?tica cr?nica, caracterizada por dor m?sculo esquel?tica difusa, onde os exerc?cios aer?bicos representam uma parcela fundamental na sua abordagem terap?utica. O objetivo deste estudo foi avaliar a efic?cia de exerc?cios aer?bicos realizados na ?gua do mar (talassoterapia) para mulheres com FM e comparar com exerc?cios realizados na piscina, envolvendo uma equipe multidisciplinar, composta por reumatologistas, fisioterapeutas e estudantes de fisioterapia e educa??o f?sica. Quarenta e seis (46) mulheres com idade entre 18 e 60 anos com FM foram randomizadas em 2 grupos: grupo da piscina (23 pacientes) e grupo do mar (23 pacientes). Ambos os grupos foram treinados com o mesmo programa de condicionamento aer?bico: tr?s vezes por semana, durante 60 minutos, por 12 semanas. Todas as pacientes foram avaliadas, antes e imediatamente ap?s o tratamento, pela Escala Visual Anal?gica (EV A) para dor e fadiga, contagem do n?mero de tender points, Fibromyalgia Impact Questionnaire (FIQ), Short Form 36 Health Survey (SF-36), Pittsburgh Sleep Quality Index (PSQI) e Beck Oepression Inventory (BDI). Na an?lise estat?stica, foram utilizados o teste t pareado para an?lise intragrupo e o teste t n?o-pareado para an?lise intrergrupos, sendo considerado um n?vel de signific?ncia p < 0,05. Quatro pacientes de cada grupo n?o completaram o programa de treinamento. Os grupos foram homog?neos e compar?veis na avalia??o inicial, com exce??o do BOI (p <0,05). Ambos os grupos apresentaram melhora estatisticamente significante em todos os par?metros avaliados no p?s-tratamento, comparado com a avalia??o inicial, com redu??o da intensidade da dor e fadiga, do n?mero de tend,er points, melhora da capacidade funcional (FIQ), qualidade de vida (SF-36), qualidade do sono (PSQI) e dos ?ndices e depress?o (BOI). Entretanto, na compara??o entre os grupos, o grupo do mar (talassoterapia) apresentou melhores resultados em todos os par?metros, por?m com diferen?a estatisticamente significante apenas nos ?ndices de depress?o (BOI). Ao final, observamos que a realiza??o de exerc?cios aer?bicos na ?gua do mar ou da piscina se mostrou efetiva como parte do tratamento de pacientes com FM. Entretanto, o programa de exerc?cios associado ? talassoterapia parece trazer mais benef?cios, principalmente relacionados a aspectos emocionais, podendo ser uma op??o terap?utica de baixo custo para pacientes com FM em nossa regi?o
Souza, Soraia Figueiredo de. "Reabilitação em cães com atrofia muscular induzida /". Jaboticabal : [s.n.], 2010. http://hdl.handle.net/11449/101099.
Pełny tekst źródłaAbstract: The response to different physiotherapeutic protocols was evaluated in dogs with muscle atrophy induced by a 30-day-long immobilization of the stifle joint. The animals were divided in groups namely: C (control), M (massage and passive range of motion), E (massage, passive range of motion and neuromuscular electrical stimulation), H (massage, passive range of motion and hydrotherapy in underwater treadmill), and EH group (massage, passive range of motion, neuromuscular electrical stimulation and hydrotherapy in underwater treadmill). The degree of lameness, range motion, thigh circumference, range of serum creatine kinase (CK) and lactate dehydrogenase (LDH) were then evaluated, as well as the morphometry of fast- and slow-twitch muscle fibers of the vastus lateralis by immunohistochemistry. Group H dogs regained function of the right hind limb faster than the other groups. This result shows that hydrotherapy helped in the recovery process of lame dogs. Physiotherapy reduced the joint contracture. There was a higher recovery rate of cross-sectional area of slow-twitch and fast-twitch muscle fibers and thigh circumference in dogs submitted to neuromuscular electrical stimulation at 60 days post-surgery. According to these results, it was possible to conclude that therapeutics modalities such as massage, passive range of motion of the joint, neuromuscular electrical stimulation and hydrotherapy by walking on underwater treadmill accelerate clinical recovery in dogs with induced muscle atrophy
Orientador: João Guilherme Padilha Filho
Coorientador: Vera Maria Villamil Martins
Banca: André Luís Selmi
Banca: Marcelo Meller Alievi
Banca: Paola Castro Moraes
Banca: Renée Laufer Amorim
Doutor
Forgas, Andrea. "Estudo randomizado controlado da estabilidade dinâmica postural em indivíduos saudáveis, pós-treinamento sensório-motor, realizado no solo ou no meio aquático". Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5140/tde-27082010-182147/.
Pełny tekst źródłaIntroduction: It has been stated that there is no way to improve dynamic postural stability using exercises in water, i.e. where there is reduced gravity. In this controlled, randomized study, we evaluate and compare postural dynamic stability in healthy individuals who performed sensory-motor exercises on the ground or in water. Methods: Through the Biodex Balance System®, the limits of postural stability were evaluated before and after a program of exercises, in 60 healthy males, divided into three groups (ground, swimming pool and control). The individuals in the ground and swimming pool groups carried out sensorial-motor training for two months, on the ground and in the water, respectively; the control group did not perform any kind of exercises. Results: 1) Significant differences were found in dynamic stability between the ground and control groups; 2) Significant differences were found in dynamic stability between the swimming pool and control groups; 3) No significant differences were found between the ground and swimming pool groups. Conclusions: performing sensory-motor exercises improves postural stability in healthy males, without significant differences between the training environments (ground and water) compared in this study
Candeloro, Juliana Monteiro. "Elaboração, aplicação e avaliação dos efeitos de um programa de hidroterapia visando treino de flexibilidade e força muscular para idosos". Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/5/5163/tde-26012007-221929/.
Pełny tekst źródłaThe main loss in the muscleskeletical system in consequence of the aging is the decrease of the flexibility and of the muscular force, affecting the balance. It could be the cause of fall and functional inability. The physical exercises can revert partially or totally this effects. The hydrotherapy is a good choice to prevent disabilities because it eliminates the risk of fall and overloaded articulations. Studies focusing this type of treatment are rare. This study evaluated the effect of a hydrotherapy preventive program in the flexibility and muscular force of 16 senior, with age between 65 and 70 years, healthy, sedentary, residents at São Paulo City. The tests were accomplished before and after the training and the data were analyzed through parametric test (T-student paired). The training consisted of 32 sessions, twice a week, with one hour of duration (with control of the vital signs). We found increase in the flexibility and muscular force in the seniors, showing that this population can to obtain benefits with the advantages of the hydrotherapy.
Forti, Meire. "Influência da hidroterapia sobre a função pulmonar, força muscular respiratória e mobilidade tóracoabdominal em mulheres com síndrome fibromiálgica". Universidade Federal de São Carlos, 2015. https://repositorio.ufscar.br/handle/ufscar/7777.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
The fibromyalgia syndrome (FMS) is a rheumatologic condition characterized by non-inflammatory widespread chronic pain and tender points in specific anatomic locations. In addition to the pain symptoms, FMS is also associated with the presence of a variety of symptoms such as fatigue and dyspnea, which has called attention to the review of the respiratory system in women with FMS. Thus, this work consisted of two studies aiming to elucidate the unknown aspects related to the respiratory system of women with FMS. The Study I, entitled "Pulmonary function, respiratory muscle strength and thoracoabdominal mobility in women with fibromyalgia syndrome: association with clinical manifestations", aimed to evaluate lung function, respiratory muscle strength and thoracoabdominal mobility as well as to assess possible associations of respiratory variables with clinical manifestations in women with FMS. The results show that the FMS group in this study has lower respiratory muscle endurance, inspiratory muscle strength and thoracic mobility compared to healthy participants. In addition, the study demonstrated that the lower inspiratory muscle strength, the greater the number of tender points and fatigue and lower axillary mobility. The Study II, entitled "Influence aerobic hydrotherapy program on lung function, respiratory muscle strength and thoracoabdominal mobility in women with fibromyalgia syndrome: a randomized controlled trial", aimed to evaluate the influence of an aerobic hydrotherapy program on respiratory variables and clinical manifestations in women with FMS and assess the association between respiratory variables and clinical manifestations. The results show that a 16-week aerobic hydrotherapy program increased the slow vital capacity, the forced vital capacity, the inspiratory muscle strength, the thoracic mobility, the pressure pain threshold, well-being, and decreased pain, and limitations caused by physical aspects. Clinical improvement was not associated with the respiratory variables. Conclusion: The subjects with FMS had lower respiratory muscle endurance, inspiratory muscle strength and thoracic mobility compared to healthy subjects. In addition, a 16-week aerobic hydrotherapy program showed to be effective in ameliorating lung function, inspiratory muscle strength, thoracic mobility, pressure pain threshold, well-being, pain and limitations caused by physical aspects. However, clinical improvement of FMS symptoms was not associated with the improvement of respiratory variables.
A síndrome fibromiálgica (SFM) é uma condição reumatológica, caracterizada por dor crônica difusa não inflamatória e tender points em locais anatômicos específicos. Além do quadro doloroso, a SFM também está associada à presença de uma variedade de sintomas como a fadiga e a dispneia, os quais têm chamado a atenção para a avaliação do sistema respiratório em mulheres com SFM. Assim, essa dissertação foi composta por dois estudos com o intuito de elucidar os aspectos desconhecidos relacionados ao sistema respiratório de mulheres com SFM. O Estudo I, intitulado “Função pulmonar, força muscular respiratória e mobilidade tóracoabdominal em mulheres com síndrome fibromiálgica: associação com as manifestações clínicas”, teve como objetivo avaliar a função pulmonar, a força muscular respiratória e a mobilidade tóracoabdominal, bem como avaliar as possíveis associações das variáveis respiratórias com as manifestações clinicas em mulheres com SFM. Os resultados mostram que as voluntárias do grupo SFM estudadas apresentam menor endurance muscular respiratória, força muscular inspiratória e mobilidade torácica em relação às voluntárias saudáveis. Além disso, o estudo revelou que quanto menor a força muscular inspiratória, maior o número de tender points ativos e fadiga e menor a mobilidade axilar. O Estudo II, intitulado “Influência de um programa de hidroterapia aeróbio sobre a função pulmonar, força muscular respiratória e mobilidade tóracoabdominal em mulheres com síndrome fibromiálgica: ensaio clínico randomizado controlado”, teve como objetivo avaliar a influência de um programa de hidroterapia aeróbio sobre variáveis respiratórias e manifestações clínicas em mulheres com SFM, bem como avaliar a associação entre as variáveis respiratórias com as manifestações clínicas. Os resultados mostram que o programa de hidroterapia aeróbio de 16 semanas aumentou a capacidade vital lenta, a capacidade vital forçada, a força muscular inspiratória, a mobilidade torácica, o limiar de dor à pressão e o bem-estar, e reduziu a dor e a limitação por aspectos físicos. A melhora clínica não apresentou associação com as variáveis respiratórias. Conclusão: As voluntárias com SFM apresentam menor endurance muscular respiratória, força muscular inspiratória e mobilidade torácica em relação às voluntárias saudáveis. Além disso, um programa de hidroterapia aeróbio de 16 semanas promoveu melhora da função pulmonar, da força muscular inspiratória, da mobilidade torácica, do limiar de dor à pressão, do bem-estar, da dor e da limitação por aspectos físicos. No entanto, a melhora clínica da SFM não apresentou associação com a melhora das variáveis respiratórias.
Zhang, Zheng. "Contrôle postural dans la gonarthrose : variations chronobiologiques et effets de différents protocoles de rééducation". Thesis, Université de Lorraine, 2014. http://www.theses.fr/2014LORR0096/document.
Pełny tekst źródłaBackground and Objective – Increasing evidence supports balance control impairment in elderly patients with knee osteoarthritis (OA). Current guidelines recommend non-pharmacologic methods as first-line options in the management of OA. Hydrotherapy is a beneficial training medium for rehabilitation in elderly knee OA patients. However, few indications at present are available concerning the effect of hydrotherapy combining with targeted individual rehabilitation programs to improve balance control. Meanwhile, there is limited data on diurnal variation of balance control in these patients. This study aimed to investigate postural stability in elderly patients with symptomatic knee OA during different periods in a daytime before the spa therapy, then to study the results obtained before and after hydrotherapy to compare the improvement of balance control in these patients in two different water-based rehabilitation programs. Materials and Methods – Two-hundred and eighty-four knee OA patients were enrolled in this study. Static posturography using a vertical force platform was performed one week before spa therapy in simple (eyes open, firm support) and conflicting sensory (vision altered or unavailable, proprioception altered) conditions. To assess diurnal postural variations, patients were randomized to four testing sessions in a daytime defined as follows: 8-10am, 10-12am, 1pm-3pm, 3pm-5pm. Influence of sex, age, height, weight, and body mass index on postural stability was evaluated. Knee pain was also assessed in four testing sessions. Patients were then randomized to two different rehabilitated groups to receive spa therapies. Classic treatment group as a control received the efficacy proven spa water therapy, and active treatment group received spa water therapy combining with targeted individual rehabilitation programs. Static posturographies were carried out respectively in 21 days, 42 days and 90 days after the beginning of hydrotherapy. Results – Posturographic tests were completed for 241 patients (mean age: 64.8 + 8.7 years; 82 males). Balance control was more efficient in the afternoon than in the morning both in simple (p = 0.012) and conflicting sensory conditions (p = 0.047), especially in early afternoon when vision and proprioception were available (p = 0.026) or disturbed (p = 0.019). Patients’ knee pain was more pronounced in the morning than in the afternoon (p < 0.001). Diurnal variation of balance control was more noticeable in older, heavier, and male patients under different testing conditions (p < 0.05). Both the water-based therapies had considerable curative effect on balance control restoration. Better postural sway precision were found in active group than classic group 42 days after the beginning of hydrotherapy (p = .020), especially when proprioception was interfered with (p = .028) or without (p = .025) an available vision. Both of the groups have been observed a comparable postural stability in a three-month term. Conclusions – This study showed that better postural stability was observed in patients with knee OA in early afternoon than in late morning in simple and conflicting sensory situations. These variations appeared also to be related to age, sex, and weight and could be explained by fluctuant joint pain in a daytime. As feasible and recommended non-pharmacologic treatment, hydrotherapy is beneficial to the improvement of postural stability in elderly patients with knee OA, especially combining with targeted individual rehabilitation programs. These findings are important for future studies aiming at enhancing postural stability in knee OA patients and should be taken into account in the management of knee OA to generate applicative approaches to prevent the occurrence of adverse events in patient’s daily life
Acosta, Antonio Maria Cardozo. "COMPARAÇÃO DA UTILIZAÇÃO DAS TÉCNICAS WATSU E RELAXAMENTO AQUÁTICO EM FLUTUAÇÃO ASSISTIDA NOS SINTOMAS DE ANSIEDADE, DEPRESSÃO E PERCEPÇÃO DA DOR". Universidade Metodista de São Paulo, 2010. http://tede.metodista.br/jspui/handle/tede/1448.
Pełny tekst źródłaThis study s purpose was to compare the effect of Watsu method and physical relaxing in swimming pools in the treatment of chronic pain. Another objective was to evaluate the symptoms of depression and anxiety as co-factors on these treatments. The sample was composed by 23 individuals of both genders above 18 years old. 13 individuals (12 females and 2 males) were treated with Watsu method and 10 were treated (07 females and 3 males) using assisted relaxing technique, picked up between patients suffering from chronic pain who looked for physiotherapy in the clinical centre UMESP s Physiotherapy School. The data were collected through structured interview. It was used associated scale to evaluate the pain perception, questionnaire for Beck depression symptoms evaluation, Idate-State Anxiety questionnaire and Idate-Trace Anxiety questionnaire. Due to the small size of the sample, the comparison between the two different treatments (Watsu and relaxing) and due to the fact that the results were equivalent in both procedures, only the results of parametric methods analysis will be presented (average t test, linear regression and variance analysis). Significant differences related to the levels of anxiety and depression before and after the treatment were not observed between the two groups. Related to pain perception, the comparison between the two groups showed that the both methods had a significant effect on pain reduction. This research suggests that the Watsu method was as efficacious as the relaxing method on pain control, however, the group of patients treated using Watsu method was composed by patients who showed higher initial levels of pain than the other group. Based on that, we can suppose that the clinical efficacy demand was higher for Watsu method. Another interesting finding was that the patients level of anxiety or depression apparently does not influence the response to the pain treatment. New controlled double-blinded studies are necessary to, beside of confirming the method efficacy, help to understand which Watsu technique procedure details are more efficacious for each type of pain and patient affective state.
Este estudo teve como objetivo comparar o efeito do método Watsu e do relaxamento aquático em flutuação assistida em piscina, no tratamento da dor crônica. Também objetiva avaliar o efeito dos sintomas de depressão e ansiedade como co-fatores nesses tratamentos. A amostra é constituída por 23 indivíduos de ambos os sexos, acima de 18 anos. No método Watsu são atendidas 13 pessoas, sendo 11 mulheres e 02 homens. Na técnica de relaxamento assistido são atendidas 10 pessoas, sendo 07 mulheres e 03 homens, entre pacientes que procuram tratamento fisioterápico no centro clínico Escola de Fisioterapia da UMESP, com dor crônica. Os dados são colhidos através de entrevista estruturada. Aplicada escala associada para avaliar percepção de dor, questionário de avaliação de sintomas de depressão Beck, de Ansiedade Idate-Estado e Ansiedade Idate-Traço. Devido ao pequeno tamanho da amostra, as comparações entre os dois tipos de tratamento (Watsu e relaxamento) e, como os resultados obtidos são equivalentes em ambos os procedimentos, optou se por apresentar os resultados apenas das análises por métodos paramétricos (teste t de média, regressão linear e análise de variância). Não são observadas diferenças significativas entre os dois grupos em relação aos escores de ansiedade e depressão antes e após a realização da pesquisa. Em relação à comparação entre os dois grupos pesquisados, quanto à percepção de dor, observou-se que tanto o método de Watsu quanto as técnicas de relaxamento mostram um efeito significativo na redução da dor. Esta pesquisa sugere que o método Watsu é tão eficaz para o controle da dor quanto o método de relaxamento, porém, o grupo de pacientes submetidos ao método Watsu é constituído por pessoas com níveis de intensidade de dor iniciais maiores do que o grupo de relaxamento. Com isso, pode-se supor que a demanda por eficácia clinica é maior para o método Watsu. Outro achado interessante é que os níveis de ansiedade ou depressão presentes nos participantes não parecem influenciar a resposta ao efeito do tratamento sobre a dor. Novos estudos do tipo duplo-cego controlados são necessários para, além de confirmar a eficácia do método, ajudar a entender quais detalhes dos procedimentos da técnica Watsu são mais eficazes para cada tipo de dor e de estado afetivo do paciente.
Mohelník, Václav. "Podnikatelský projekt jako podklad pro získání podpory na založení podniku". Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2009. http://www.nusl.cz/ntk/nusl-222329.
Pełny tekst źródłaPereira, Tatiana Heidorn Alvarez de Aquino. "Estância Hidromineral de Águas de São Pedro (SP) e a construção de um espaço voltado ao termalismo". Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/91/91131/tde-05072016-182745/.
Pełny tekst źródłaThis paper discusses how the waters of São Pedro, located in the center of São Paulo, formed in the 1930s as a space oriented to tourism, the thermal potential. To date the health resort has in the main tourism economic activity, however our research seeks to understand the primary attraction of the city is related to medicinal waters, or other unique characteristics of small town like tranquility, natural beauty and safety, make it a place conducive to walking. We try to understand why among so many choices of inner cities available in Sao Paulo Aguas de Sao Pedro is chosen as a fixed place of residence, place of establishment of second homes, the scene of a major real estate growth, thus unveil which resort factors are responsible to attract tourists and vacationers/second residence tourists. The survey data were obtained by means of literature, direct observation, informal conversations, questionnaires, and interviews with various socio-economic actors, such as residents, tourists, vacationers, hotel chain, trade, real estate and municipal managers. The results show that the city has had several tour cycles and that despite the health resort of Aguas de Sao Pedro is a regional and even national reference thermal waters, and the government is investing to present to society a place full of quality life, health symbol, a large proportion of tourists looking for the city by walking, dining and shopping, featuring a hiker tourism without overnight. Why the city has been undergoing major restructuring landscape orchestrated by the government, and receiving increments of private power as regards the variety of products and services offered. We realize that the largest share of locals and tourists do not have the habit of using medicinal waters, even though the source of sulphurous water, also called the \"Fountain of Youth\", used for intake and therapeutic baths, it is the second best in the world, surpassed only by the source of Pergoli in Tabiano, Italy (CAMARGO, 1990), but the recognition of the city as a city of water, spa town, city health, is resilient.
Foltýnová, Michaela. "Římské lázně a saunový svět". Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2014. http://www.nusl.cz/ntk/nusl-227131.
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