A5000751419- Stroke Rehabilitation and Recovery
- Cerebral Palsy and Movement Disorders
- Musculoskeletal pain and rehabilitation
- Spinal Cord Injury Research
- Muscle activation and electromyography studies
- Balance, Gait, and Falls Prevention
- Transcranial Magnetic Stimulation Studies
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Osteoarthritis Treatment and Mechanisms
- Pain Mechanisms and Treatments
- Long-Term Effects of COVID-19
- EEG and Brain-Computer Interfaces
- Botulinum Toxin and Related Neurological Disorders
- Infrared Thermography in Medicine
- Physical Education and Gymnastics
- Health, Nursing, Elderly Care
- Diabetic Foot Ulcer Assessment and Management
- Myofascial pain diagnosis and treatment
- Pain Management and Treatment
- Healthcare Regulation
- Spine and Intervertebral Disc Pathology
- Heart Rate Variability and Autonomic Control
- Musculoskeletal Disorders and Rehabilitation
- Prosthetics and Rehabilitation Robotics
- Cardiovascular and exercise physiology
Universidade de São Paulo
2016-2025
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2014-2025
Medicina
2023-2025
Hôpital Rangueil
2025
Instituto de Medicina Avançada
2024
ACTA (United States)
2023
Rehabilitation Foundation
2023
Primary Source
2022
Spaulding Rehabilitation Hospital
2021-2022
Harvard University
2010-2022
O presente artigo tem por objetivo a atualização e familiarização de profissionais envolvidos com reabilitação daClassificação Internacional Funcionalidade (CIF) desenvolvida pela Organização Mundial Saúde. São abordados seu histórico, finalidade perspectivas aplicação na área reabilitação.
► Rehabilitation services are essential: They need to continue during a pandemic and after as they an essential component of high-value care offered for individuals across the lifespan optimise physical cognitive functioning reduce disability.► is affected: Globally, response COVID-19 shifting rehabilitation provided in all settings, introducing new burden on patients, families healthcare workers.► Measurement needed: A core set measures needs be adopted monitor health functional outcomes...
A versão brasileira de Medida Independência Funcional (MIF) foi desenvolvida em 2000. Estudos sua validade ainda são necessários como forma corroborar seu uso na avaliação da reabilitação brasileiros incapacitados, uma vez que peculiaridades socioculturais nacionais podem determinar um comportamento diverso dos dados fornecidos pelo instrumento. Objetivos: O objetivo deste estudo é testar a construto MIF ao checar convergente grupos pacientes com deficiências nas quais se esperam estar...
To report on the results of consensus process integrating evidence from preliminary studies to develop first version a Comprehensive ICF Core Set and Brief for rheumatoid arthritis.A formal decision-making gathered was followed. Preliminary included Delphi exercise, systematic review, an empirical data collection. After training in ICF, based these studies, relevant categories were identified by international experts different backgrounds.The set 530 at second, third fourth levels with 203...
Fibromyalgia is a chronic pain syndrome that associated with maladaptive plasticity in neural central circuits. One of the circuits are involved fibromyalgia primary motor cortex. We tested combination intervention aimed to modulate system: transcranial direct current stimulation (tDCS) cortex (M1) and aerobic exercise (AE). In this phase II, sham-controlled randomized clinical trial, 45 subjects were assigned 1 3 groups: tDCS + AE, AE only, only. The following outcomes assessed: intensity...
Purpose: To investigate the levels and factors that influence abandonment of assistive products by users a local reference rehabilitation center.Methods: This observational study involved who received services provided our center rehabilitation. Users were identified using records their responses about collected through face-to-face interviews.Results: The level was 19.38%. 83.5% use at least one they have received. Rigid folding frame wheelchairs, with without postural support devices, as...
Osteoarthritis (OA) is the most common joint disorder in world. Among mechanisms involved osteoarthritis, biomarkers (cytokines profile) may be related to pain and intensity, functional capacity, pressure thresholds (PPT). Thus, study of these relationships offer useful information about pathophysiology associated osteoarthritis. Therefore, objective this was investigate seric concentration pro (IL-6, IL-8, TNF- α ) anti-inflammatory (IL-10) cytokines patients with painful knee...
The aim of this study was to determine whether Post-acute Sequelae SARS-CoV-2 Infection (PASC) are associated with physical inactivity in COVID-19 survivors. This is a cohort survivors discharged from tertiary hospital Sao Paulo, Brazil. Patients admitted as inpatients due laboratory-confirmed between March and August 2020 were consecutively invited for follow-up in-person visit 6 11 months after hospitalization. Ten symptoms PASC assessed using standardized scales. Physical activity by...
A Brazilian version of Functional Independence Measure (FIM) was developed in a translation process to Portuguese by bilingual medical team and professional translator, followed reverse English an independent traslator. No problems cultural equivalence were identified the resultant when it presented group 25 clinicians trained its use. Eight rehabilitation centers participated gathering data for study reproductibility. Two observers evaluated, between December 1999 January 2000, all adult...
Compared with other specialties, the field of physical and rehabilitation medicine has not received deserved recognition from clinicians researchers in scientific community. One reasons is lack sound evidence to support traditional treatments. The best way change this disadvantage through a well conducted clinical research, such as standard placebo- or sham-controlled randomized trials. Therefore, having placebo groups trials essential improve level evidence-based practice that ultimately...
Phantom limb pain (PLP) is a frequent complication in amputees, which often refractory to treatments. We aim assess factorial trial the effects of transcranial direct current stimulation (tDCS) and mirror therapy (MT) patients with traumatic lower amputation; whether motor cortex plasticity changes drive these results. In this large randomized, blinded, 2-site, sham-controlled, 2 × trial, 112 participants amputation were randomized into treatment groups. The interventions active or covered...
To prospectively evaluate demographic, anthropometric and health-related quality of life (HRQoL) in pediatric patients with laboratory-confirmed coronavirus disease 2019 (COVID-19).
Introduction COVID-19 may lead to persistent and potentially incapacitating clinical manifestations (post-acute sequelae of SARS-CoV-2 infection (PASC)). Using easy-to-apply questionnaires scales (often by telephone interviewing), several studies evaluated samples inpatients from 4 weeks months after discharge. However, conducting systematic multidisciplinary assessments PASC are scarce, with thorough in-person objective evaluations restricted modestly sized subsamples presenting greatest...
Sociodemographic and environmental factors are associated with incidence, severity, mortality of COVID-19. However, little is known about the role such in persisting symptoms among recovering patients. We designed a cohort study hospitalized COVID-19 survivors to describe persistent identify post-COVID-19 syndrome.
Abstract This study aims to investigate the multivariate relationship between different sociodemographic, clinical, and neurophysiological variables with resting-state, high-definition, EEG spectral power in subjects chronic knee osteoarthritis (OA) pain. was a cross-sectional study. Sociodemographic clinical data were collected from 66 OA subjects. To identify associated factors, we performed independent univariate regression models by frequency bands (delta, theta, alpha, beta, low-beta,...
What determines motor recovery in stroke is still unknown and finding markers that could predict improve a challenge. In this study, we aimed at understanding the neural mechanisms of function after using neurophysiological by means cortical excitability (Transcranial Magnetic Stimulation – TMS) brain oscillations (electroencephalography EEG). cross-sectional fifty-five subjects with chronic (62±14 yo, 17 women, 32±42 months post-stroke) were recruited two sites. We analyzed TMS measures...
Objective: To assess the efficacy and safety of radial extracorporeal shock wave therapy (rESWT) for disabling pain due to primary knee osteoarthritis.Design: Randomized, placebo-controlled trial (level evidence, 1).Subjects: A total 105 women with osteoarthritis lasting a mean 103 months (range 3-480 months). Methods: Patients received either rESWT (3 sessions, each one week apart, 2,000 impulses per session, positive energy flux density 0.10-0.16mJ/mm 2 ) or placebo treatment.Primary...
Abstract Introduction The exact mechanisms underlying the development and maintenance of phantom limb pain (PLP) are still unclear. This study aimed to identify factors affecting intensity in patients with chronic, lower limb, traumatic PLP. Methods is a cross‐sectional analysis We assessed amputation‐related pain‐related clinical demographic variables. used univariate multivariate models evaluate associated modulating PLP residual (RLP) intensity. Results included 71 unilateral amputees....
As patients recovering from the novel coronavirus disease 2019 (COVID-19) present with physical, respiratory, cognitive, nutritional, and swallowing-related impairments mental health complications, their rehabilitation needs are complex. This study aimed to describe demographic, clinical, functional status after discharge of COVID-19 survivors who underwent intensive multidisciplinary inpatient at Physical Rehabilitation Medicine Institute University Sao Paulo Medical School General Hospital...
Knee osteoarthritis (KOA) is the most common form of arthritis in adults and a leading cause years lived with disability, representing significant burden on healthcare worldwide. Describe structure educational elements Knee-SCHOOL, brief patient-centered multidisciplinary program for patients KOA. Observational prospective study. Academically affiliated rehabilitation outpatient center Brazil. The consisted three in-person sessions (4.5 hr each) 55 community dwelling adults, aged ≥50 years,...