A5058554240- Stroke Rehabilitation and Recovery
- Musculoskeletal pain and rehabilitation
- Cerebral Palsy and Movement Disorders
- Musculoskeletal Disorders and Rehabilitation
- Telemedicine and Telehealth Implementation
- Total Knee Arthroplasty Outcomes
- Osteoarthritis Treatment and Mechanisms
- Inflammatory mediators and NSAID effects
- Shoulder Injury and Treatment
- Sports injuries and prevention
- Orthopedic Surgery and Rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Knee injuries and reconstruction techniques
- Hip and Femur Fractures
- Spinal Cord Injury Research
- Pain Management and Treatment
- Botulinum Toxin and Related Neurological Disorders
- Dysphagia Assessment and Management
- Wound Healing and Treatments
- Acute Ischemic Stroke Management
- Burn Injury Management and Outcomes
- Virtual Reality Applications and Impacts
- Muscle activation and electromyography studies
- Occupational Health and Safety Research
- Injury Epidemiology and Prevention
Centro de Medicina de Reabilitacao do Alcoitão
2013-2023
University of Coimbra
2017-2023
Centro De Medicina Veterinária Anjos De Assis
2019-2023
Hospital do Mar
2022-2023
Pain and Rehabilitation Medicine
2022
Polytechnic Institute of Coimbra
2021-2022
YY (China)
2022
Hospitais da Universidade de Coimbra
2021
Universidade Católica Portuguesa
2018-2019
Seoul National University
2017
In-person home-based rehabilitation and telerehabilitation can be as effective clinic-based after total knee arthroplasty (TKA), but require heavy logistics are highly dependent on human supervision. New technologies that allow independent without constant supervision may help solve this problem. This was a single-center, feasibility study comparing digital biofeedback system meets these needs against conventional in-person TKA over an 8-week program. Primary outcome the change in Timed Up...
Virtual reality (VR) applications meet fundamental principles of rehabilitation: intensity, task oriented training, biofeedback, environments rich in stimuli, and motivation, all pivotal factors for the success rehabilitation programs. This paper describes development process a set VR minigames developed to increase motivation stroke patients while performing repetitive upper limb movements.
Physical rehabilitation is recommended after total knee arthroplasty (TKA). With the expected increase in TKA over next few decades, it important to find new ways of delivering cost-effective interventions. Technological interventions have been developed with this intent, but only preliminary evidence exists regarding their validity, short follow-up times.This study aimed present results a feasibility comparing two different home-based programs TKA: conventional face-to-face sessions and...
Acute musculoskeletal (MSK) pain is very common and associated with impaired productivity high economic burden. Access to timely personalized, evidence-based care key improve outcomes while reducing healthcare expenditure. Digital interventions can facilitate access ensure scalability.Present the feasibility results of a fully remote digital program (DCP) for acute MSK conditions affecting several body areas.Interventional single-arm study individuals applying programs pain. Primary outcome...
The demand for total hip arthroplasty (THA) is rising. In the face of rapidly increasing health care costs, ensuring widespread, cost-effective rehabilitation a priority. Technologies allowing independent home-based may be key to facilitate access, improve effectiveness, and lower costs care.The aim this study was assess feasibility novel artificial intelligence-powered digital biofeedback system following THA compare clinical outcomes against supervised conventional rehabilitation.This...
In this work, we aimed to establish a clinical target in the management of knee osteoarthritis (KOA) and propose good practice (GCP) statements for carrying out treat-to-target strategy.A steering committee seven experts had formulated provisional set recommendations that were exposed discussion modification technical expert panel (TEP) 25 multidisciplinary from Europe, North America, South America Asia. The level evidence strength each recommendation was discussed. TEP overarching...
The aim of this study was to evaluate the clinical impact a 12-wk home-based digitally assisted rehabilitation program after arthroscopic rotator cuff repair against conventional rehabilitation.The digital therapy group performed independent technology-assisted sessions complemented with 13 face-to-face sessions, and had physical (30 sessions). Primary outcome functional change between baseline 12 wks, measured through Constant-Murley score. Secondary outcomes were in QuickDASH Scale...
Chronic shoulder pain (SP) is responsible for significant morbidity, decreased quality of life and impaired work ability, resulting in high socioeconomic burden. Successful SP management dependent on adherence compliance with effective evidence-based interventions. Digital solutions may improve accessibility to such treatments, increasing convenience, while reducing healthcare-related costs.Present the results a fully remote digital care program (DCP) chronic SP.Interventional, single-arm,...
Hemispheric functional asymmetries are a key aspect of human brain organization. Revealing how causal manipulations hemispheric (im)balances dynamically change pre and postsynaptic GABA regulation, in terms mean variance changes, is essential to understand plasticity health disease. This has direct implications for treatment approaches stroke relying on interhemispheric inhibition using transcranial magnetic stimulation (TMS). We investigated neurobehavioral neurochemical effects cortical...
Musculoskeletal (MSK) conditions are the number one cause of disability worldwide. Digital care programs (DCPs) for MSK pain management have arisen as alternative delivery models to circumvent challenges in accessibility conventional therapy. Despite potential DCPs reduce inequities accessing care, outcomes such interventions rural and urban populations yet be studied.The aim this study was assess impact or residency on engagement clinical after a multimodal DCP pain.This consists an ad hoc...
Stroke is a major cause of short-term functional impairment, but the recovery timeframes are not well-established.This study aims to evaluate progression during first 24 weeks after acute ischemic stroke, determine for motor, cognitive, and overall recovery.Prospective observational study.Tertiary care center; 12-week inpatient period, followed by outpatient period.A group 131 patients with stroke in territory middle cerebral artery age 18-85 years-old.Patients received treatment according...
Background Musculoskeletal (MSK) pain disproportionately affects people from different ethnic backgrounds through higher burden and less access to care. Digital care programs (DCPs) can improve help reduce inequities. However, the outcomes of such based on race ethnicity have yet be studied. Objective We aimed assess impact engagement in a multimodal DCP for MSK pain. Methods This was an ad hoc analysis ongoing decentralized single-arm investigation into clinical-related after patients with...
Bowel function is frequently compromised after spinal cord injury (SCI). Regardless of this crucial importance in patients' lives, there still scarce literature on the Neurogenic Dysfunction (NBD) deleterious impact SCI patient's lives and only few studies correlating NBD severity with quality life (QoL). To our knowledge are no assessing context ICF domains.To assess using domains to its QoL.Retrospective data analysis cross-sectional phone survey.Outpatient setting.Portuguese adult...
Despite the widespread treatments for osteoarthritis (OA), data on treatment patterns, adequacy of pain relief, and quality life are limited. The prospective multinational Survey Osteoarthritis Real World Therapies (SORT) was designed to investigate these aspects. To analyze characteristics patient reported outcomes Portuguese dataset SORT at start observation. Patients ≥50 years with primary knee OA who were receiving oral or topical analgesics eligible. enrolled from seven healthcare...
Early stage of osteoarthritis (OA) is characterized by joint stiffness and pain as well subclinical structural changes that may affect cartilage, synovium, bone. At the moment, lack a validated definition early (EOA) does not allow to make an diagnosis adopt therapeutic strategy slow disease progression. Also, no questionnaires are available evaluate stage, therefore this remains unmet need.Therefore, purpose technical experts panel (TEP) 'International Symposium intra-articular treatment'...
Background Ankle sprains are one of the most prevalent soft-tissue injuries worldwide. Physical therapy, especially progressive exercise, has proven effective in improving function, while preventing recurrence. Objective We aim to present results a fully remote and digitally guided rehabilitation program for acute ankle sprains. Methods performed prospective longitudinal cohort study individuals eligible workers’ compensation, who were referred digital therapy sprained ankle. Therapeutic...
Comorbidity between musculoskeletal (MSK) pain and depression is highly common, associated with a greater symptom burden loss of work productivity than either condition alone. Multimodal care programs tackling both physical mental health components may maximize recovery return to work. Digital delivery such can facilitate access, ensure continuity care, enhance patient engagement.
Digital solutions have emerged as an alternative to conventional physiotherapy, particularly for chronic musculoskeletal pain (CMP) management; however, its long-term effects remain largely unexplored. This study focuses on patients reporting CMP, assessing 1-year clinical outcomes after a multimodal digital care program (DCP) versus non-participants, who enrolled in the but never engaged single exercise session or partook of educational content made available them. In this longitudinal...
Musculoskeletal (MSK) pain is highly prevalent worldwide, resulting in significant disability, and comorbid sleep disturbances. Digital therapy for MSK can provide improvements care access, alongside disability reductions. However, studies on the effect of such programs are lacking.To evaluate impact pain-related impairment after a 12-week remote multimodal digital program (DCP) conditions.This an ad-hoc analysis decentralized single-arm study into engagement clinical outcomes DCP...