Acta Fisiátrica
type: channel
description: Acta Fisiátrica (ISSN 0104-7795 | e-ISSN 2317-0190) is an open-access scientific journal published quarterly electronically. Acta Fisiátrica is the official publication of the Institute of Physical Medicine and Rehabilitation of the Hospital das Clínicas and the Department of Legal Medicine, Bioethics, Occupational Medicine and Physical Medicine and Rehabilitation of the Faculty of Medicine of the University of São Paulo (IMREA HCFMUSP), being supported by the Faculty of Medicine Foundation Medicine and the Brazilian Association of Physical Medicine and Rehabilitation (ABMFR). Acta Fisiátrica has no submission, processing, or publication fees and does not generate any economic advantages for the Institute of Physical Medicine and Rehabilitation of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo. The institution covers the publishing costs entirely as part of its social and corporate responsibility. To increase the internationalization of the articles published in Acta Fisiátrica, the authors must bear the English translation costs of the accepted manuscript when submitted in Portuguese.
publisher: Faculdade de Medicina, Universidade de São Paulo
language: en
publication name: Acta Fisiátrica
issn: 0104-7795
copyright: O conteúdo do periódico está licenciado sob uma Licença Creative Commons BY-NC-SA. Esta licença permite que outros remixem, adaptem e criem a partir do seu trabalho para fins não comerciais, desde que atribuam ao autor o devido crédito e que licenciem as novas criações sob termos idênticos.
items: Analysis of anxiety and depression in patients with chronic pain due to knee osteoarthritis: a cross-sectional study
items: Challenges in assistive technologies, current panorama of the Lucy Montoro Rehabilitation Network and future perspectives
items: Effects of ILIB therapy on kinesiophobia levels resulting from rheumatoid arthritis
items: Timed Up and Go Test: comparison of performance between individuals with stroke sequelae and healthy individuals
items: Kinesiophobia is associated with symptom severity and worse function in women with Carpal Tunnel Syndrome
items: Predominance of muscle shortening in university students who practice and do not practice weight training
items: Sexual activity and medical support in individuals with spinal cord injury: a cross-sectional study in Brazil
items: Long-term functional outcomes after total hip arthroplasty: a cross-sectional study with control group
items: Knee osteoarthritis and nutrition: analysis of body composition, diet and bowel habits and sociodemographic characteristics
items: Association between quadriceps femoris echo intensity, patient-reported outcomes and functional capacity in people with fibromyalgia
items: Validation of DataCIF 2.0: development and evaluation of a system based on the International Classification of Functioning, Disability and Health
items: Correlation between the modified aneroid manometer and the manovacuometer for maximal respiratory pressures
items: Rehabilitation Workforce in Brazil: projections for 2030
items: Mild traumatic brain injury: factors associated with functional outcome
items: Relationship between anthropometric characteristics and functional responses in type 2 diabetes patients
items: Analysis of the effects of combined training compared to resistance training associated with partial blood flow restriction in patients with knee osteoarthritis
items: Extracorporeal shock wave therapy in chronic wound healing
items: Conceptions of rehabilitation professionals on wheelchair prescription and provision in rehabilitation services of the Brazilian Unified Health System (SUS)

Analysis of anxiety and depression in patients with chronic pain due to knee osteoarthritis: a cross-sectional study
type: item
description: Knee osteoarthritis (KOA) is a prevalent degenerative condition characterized by chronic pain and functional impairment, often associated with psychological factors. Objective: To investigate the correlation between anxiety, depression, and measures of pain and functionality in patients with KOA. Method: This cross-sectional study included 107 Brazilian patients diagnosed with KOA, 82.2% female, with a mean age of 68.43 ± 7.89 years, mean body mass index of 32.07 ± 5.84 kg/m², and mean disease duration of 95.85 months. Demographic and clinical variables were collected for sample characterization. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). Pain was evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Visual Analog Scale, and McGill Pain Questionnaire. Functionality and quality of life were assessed using the Short-Form 36 Dimensions and the Pain Catastrophizing Scale. Statistical analysis was performed using R software, with a significance level of 5% (α<0.05). Results: Significant correlations were observed between chronic pain and psychological factors, with depressive symptoms more strongly associated with pain intensity (r²= 0.31; p<0.0001) and anxiety symptoms associated with reduced functional capacity and poorer quality of life (r²= 0.40; p<0.0001). Conclusion: Anxiety and depression are significantly associated with pain and functionality in patients with KOA, highlighting the importance of a psychological approach in rehabilitation.
subject: Original Article
  topic: section
subject: Osteoarthritis, Knee
  topic: keywords
subject: Anxiety
  topic: keywords
subject: Depression
  topic: keywords
subject: Chronic Pain
  topic: keywords
subject: Rehabilitation
  topic: keywords
creator: Fernanda Rabelo Cursino Santos
creator: Nilza Alessandra Cardoso Pereira
creator: Artur Cesar Aquino dos Santos
creator: Sheila Cruz
creator: Marta Imamura
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-08-06
publication date: 2026-08-06
starting page: e243813
ending page: e243813
doi: 10.11606/issn.2317-0190.v33e243813

Challenges in assistive technologies, current panorama of the Lucy Montoro Rehabilitation Network and future perspectives
type: item
description: The Lucy Montoro Network is a benchmark for interdisciplinary rehabilitation and assistive technology (AT) provision in São Paulo. This study analyzes the challenges of care and funding in Physical Medicine and Rehabilitation given the rise in acquired physical disabilities. It highlights the work of the capital’s units, which combine the manufacture and maintenance of orthoses and prostheses with Bioengineering for technological innovation. Data from May 2026 reveal significant pent-up demand: at IMREA-HCFMUSP alone, 1,541 patients were waiting for AT, particularly in the amputee clinic, where 388 prostheses were pending. The primary obstacle identified is public underfunding. Comparative analysis shows a critical gap between the Unified Health System (SUS) Table and market prices, reaching up to 464% for items such as foot replacement. In conclusion, the sustainability of care and the guarantee of patient autonomy and social inclusion depend on urgent strategies, including: periodic review and update of the SUS Table based on inflationary indices; incorporation of new items and technologies; inclusion of funds for maintenance and repairs; and incentive policies for the national industry. Coordination between funding, innovation, and healthcare network organization is essential to reduce waiting lists and promote equity in access to assistive technologies within the SUS.
subject: Tendencies and Reflections
  topic: section
subject: Rehabilitation
  topic: keywords
subject: Assistive Technology
  topic: keywords
subject: Prostheses and Orthoses
  topic: keywords
subject: Healthcare Financing
  topic: keywords
subject: Unified Health System
  topic: keywords
creator: Mariana Cavazzoni Lima de Carvalho
creator: Mariane Tateishi
creator: Eduardo Inglez Yamanaka
creator: Vinícius Delgado Ramos
creator: Linamara Rizzo Battistella
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-31
publication date: 2026-03-31
starting page: e249090
ending page: e249090
doi: 10.11606/issn.2317-0190.v33e249090

Effects of ILIB therapy on kinesiophobia levels resulting from rheumatoid arthritis
type: item
description: Kinesiophobia, characterized by a fear of movement due to pain, is frequently associated with rheumatoid arthritis (RA), a chronic inflammatory condition that compromises joint function, impacts quality of life, and can trigger emotional symptoms such as anxiety. In this context, intravascular laser photobiomodulation (ILIB) emerges as a potential resource to reduce pain, improve mobility, and alleviate fear of movement. Objective: To investigate the effects of ILIB laser therapy on kinesiophobia levels and its relationship with anxiety levels in individuals diagnosed with rheumatoid arthritis. Method: A pilot, observational, and quantitative study was conducted with 20 participants diagnosed with RA, distributed into an ILIB intervention group (n= 14) and a placebo group (n= 6). Ten ILIB sessions (660 nm, 100 mW, 30 min) were applied, and kinesiophobia levels (Tampa Scale) and anxiety levels (selected items from the Beck Scale) were assessed before and after the protocol. The data were analyzed using Wilcoxon and Mann-Whitney tests (p<0.05). Results: The ILIB group showed a significant reduction in kinesiophobia levels (47.1 → 42.0; p<0.05). The placebo group also showed a reduction (53.5 → 49.5; p<0.05), suggesting a possible placebo effect. There was no statistically significant difference between groups post-intervention (p>0.05). Regarding anxiety, no significant changes were observed, although the ILIB group showed a reduction. Conclusion: ILIB therapy demonstrated a positive effect in reducing kinesiophobia in people with RA, contributing to greater confidence in movement and possible functional improvement. However, no significant impact on anxiety levels was evidenced. New studies with larger samples, prolonged follow-up, and methodological control are needed to consolidate the effectiveness of ILIB as a complementary resource in the management of RA.
subject: Original Article
  topic: section
subject: Arthritis, Rheumatoid
  topic: keywords
subject: Kinesiophobia
  topic: keywords
subject: Anxiety
  topic: keywords
subject: Low-Level Light Therapy
  topic: keywords
subject: Laser Therapy
  topic: keywords
subject: Rehabilitation
  topic: keywords
creator: Maria Fernanda Ferreira dos Santos
creator: Taísea Karen Lopes de Souza
creator: André Victor de França Santos
creator: Sara Figueiredo Jardim
creator: Vanessa Alves da Silva
creator: Danyelle Nóbrega de Farias
creator: Simoni Teixeira
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-02-15
publication date: 2026-02-15
starting page: e243761
ending page: e243761
doi: 10.11606/issn.2317-0190.v33e243761

Timed Up and Go Test: comparison of performance between individuals with stroke sequelae and healthy individuals
type: item
description: Stroke is the leading cause of years lived with disability in Brazil. Among its sequelae, motor impairments stand out and frequently result in a decline in functional performance. In this context, the Timed Up and Go (TUG) test is widely used in clinical practice, providing an objective assessment of functional abilities. Objective: To compare functional performance on the TUG test between post-stroke individuals and healthy controls, and to analyze its relationship with sociodemographic and clinical variables. Method: This cohort study included 165 participants, allocated into two groups: post-stroke and control. Data were obtained from the database of the Institute of Physical Medicine and Rehabilitation of the Hospital das Clínicas, Faculty of Medicine, University of São Paulo (IMREA-HCFMUSP). Statistical analyses were conducted using R software, with a significance level set at α < 0.05. TUG completion time was compared between groups, and linear regression analyses were performed to identify factors associated with post-stroke TUG performance. Results: The findings indicated that post-stroke individuals exhibited a TUG completion time approximately twice as long as that of the control group. Poorer performance was significantly associated with older age, spasticity, and reduced handgrip strength, explaining 36% of the variability in TUG performance (r²= 0.36; p= 0.0001). Conclusion: Post-stroke individuals demonstrated a significant difference in TUG completion time, with worse performance compared to healthy controls, primarily associated with increased age, the presence of spasticity, and lower handgrip strength.
subject: Original Article
  topic: section
subject: Stroke
  topic: keywords
subject: Rehabilitation
  topic: keywords
subject: Physical Functional Performance
  topic: keywords
subject: Postural Balance
  topic: keywords
creator: Rafael de Albuquerque Lima
creator: Juliana dos Santos Guilherme Ribeiro
creator: Artur Cesar Aquino dos Santos
creator: Denise Matheus
creator: Marta Imamura
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-31
publication date: 2026-05-31
starting page: e242939
ending page: e242939
doi: 10.11606/issn.2317-0190.v33e242939

Kinesiophobia is associated with symptom severity and worse function in women with Carpal Tunnel Syndrome
type: item
description: Objective: This study aimed to determine whether there is an association between kinesiophobia and pain, function, and grip strength in women diagnosed with carpal tunnel syndrome (CTS). Methods: This was a cross-sectional study with a sample of 26 women. The instruments used included the Tampa Scale for Kinesiophobia (TSK), the Boston Carpal Tunnel Questionnaire (BCTQ), the Patient-Rated Wrist Evaluation (PRWE), and a Jamar dynamometer to assess grip strength. Results: The sample consisted predominantly of middle-aged women (52.2 ± 9.4 years) and those with bilateral CTS (65.4%). There was a significant association between TSK scores and BCTQ Symptom Severity (r= 0.466; p < 0.016) and BCTQ Functional Status (r= 0.429; p < 0.029). Conclusion: Kinesiophobia was more strongly associated with symptom severity and function as measured by the BCTQ. These findings reinforce the importance of including the assessment of psychosocial factors in the clinical management of CTS, contributing to more effective and individualized therapeutic strategies.
subject: Original Article
  topic: section
subject: Kinesiophobia
  topic: keywords
subject: Pain
  topic: keywords
subject: Cognition
  topic: keywords
subject: Carpal Tunnel Syndrome
  topic: keywords
creator: Darlisson Bueno Paranhos
creator: Victor Hermon Lameira Braga
creator: Bruna Roberta Tavares Araújo
creator: Flavio Romão Silva de Oliveira
creator: Silvio Alexandre Doná
creator: Luciane Fernanda Rodrigues Martinho Fernandes
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-02-25
publication date: 2026-02-25
starting page: e242558
ending page: e242558
doi: 10.11606/issn.2317-0190.v33e242558

Predominance of muscle shortening in university students who practice and do not practice weight training
type: item
description: Objective: To investigate the relationship between weight training, flexibility, and range of motion of the lower limbs in students who practice weight training and those who do not. Method: This is a cross-sectional observational study involving sixty-one volunteers who completed a questionnaire and subsequently underwent a flexibility assessment using the following instruments and procedures: fleximeter, flexitest, goniometry, Wells bench, and Thomas Test. Results: Weight training practitioners showed, on average, greater left hip abduction angle compared to the non-practitioners group. In relation to the fleximeter, they demonstrated a higher classification in right hip flexion. The Flexi-test, Wells Bench, and Thomas Test classifications were similar between the groups, showing no significant statistical relevance. Conclusion: Thus, weight training did not directly interfere with the onset of shortening, but it did promote gains in flexibility and joint range of motion, with inactivity being the condition that showed lower scores in the assessment methods used.
subject: Original Article
  topic: section
subject: Muscle Strength
  topic: keywords
subject: Range of Motion, Articular
  topic: keywords
subject: Resistance Training
  topic: keywords
subject: Students
  topic: keywords
creator: Deborah Gomes Santana
creator: Bárbara de Brito Lima
creator: Gabriela de Jesus Silva
creator: Eduardo Filoni
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-02-19
publication date: 2026-02-19
starting page: e241954
ending page: e241954
doi: 10.11606/issn.2317-0190.v33e241954

Sexual activity and medical support in individuals with spinal cord injury: a cross-sectional study in Brazil
type: item
description: Objective: This study investigated the perceptions of individuals with spinal cord injury (SCI) regarding their sexual activity and the extent to which this topic is addressed during medical care. Method: A descriptive cross-sectional online survey was conducted among Brazilian individuals of any sex or gender who self-reported total or partial SCI for at least two years, ensuring sufficient time for post-injury adaptation. Participants with congenital SCI were excluded. Recruitment occurred through social media and support groups. The questionnaire included items on sexual activity and whether sexuality was discussed in medical consultations. Results: A total of 146 responses were analyzed. Most participants were aged 30–39 years, and 58% had been living with SCI for over 10 years. Over 80% considered sexual life very important, with no significant differences by sex or type of SCI. Insecurity regarding sexual activity was mainly associated with decreased mobility, loss of sphincter control, and difficulties with positioning. Women more often reported “not feeling attractive” (40.5% vs. 26.5%; P= 0.00017), while men reported decreased sexual desire and frequency (P< 0.0001). Nearly half (45.2%) had not received sexual guidance, although 79.5% believed it would improve their sexual experience. Conclusion: Sexuality remains a valued aspect of life for individuals with SCI. The findings emphasize the need for multidisciplinary rehabilitation teams to address this topic in routine care.
subject: Original Article
  topic: section
subject: Spinal Cord Injuries
  topic: keywords
subject: Persons with Disabilities
  topic: keywords
subject: Sexuality
  topic: keywords
subject: Rehabilitation
  topic: keywords
creator: Ana Carolina Coelho Baracat
creator: Paula Emanoely Oliveira Ferreira
creator: Larissa Coli Vieira
creator: Milena Espanhola de Souza Costa
creator: Gabriel Felipe Contin de Oliveira
creator: Eliza Piasecki Celli
creator: Renato Mitsunori Nisihara
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-31
publication date: 2026-03-31
starting page: e241788
ending page: e241788
doi: 10.11606/issn.2317-0190.v33e241788

Long-term functional outcomes after total hip arthroplasty: a cross-sectional study with control group
type: item
description: Total hip arthroplasty (THA) is effective in reducing pain and restoring function, but gait and strength deficits may still be present after clinical recovery. Objective: To compare hip muscle strength, functional status, gait, and quality of life between individuals who underwent THA and healthy controls. Method: Cross-sectional comparative study. Participants who underwent THA using the Moore technique (≥ 12 months postoperative) were compared with age- and sex-matched controls. Assessment included isometric muscle strength (handheld dynamometer), functional status (Harris Hip Score – HHS), quality of life (WHOQOL-bref), and two-plane gait kinematic analysis. Independent t-tests and Mann-Whitney tests were used (p ≤ 0,05). Results: Forty-five participants were included (THA= 25; control= 20). The THA group showed reduced muscle strength in all evaluated muscle groups (p ≤ 0.001) and lower hip and trunk range of motion during gait compared with controls. HHS indicated reasonable functional status. No significant differences were found in quality of life. Conclusion: Individuals with THA exhibited reduced muscle strength and gait alterations compared with controls, while maintaining reasonable functional status and satisfactory quality of life at the time of the assessment.
subject: Original Article
  topic: section
subject: Arthroplasty, Replacement, Hip
  topic: keywords
subject: Muscle Strength
  topic: keywords
subject: Gait Analysis
  topic: keywords
subject: Quality of Life
  topic: keywords
creator: Claudio Cazarini Junior
creator: João Barboza da Silva Neto
creator: Tales Demarchi
creator: Felipe Henrique Campos Gonçalves
creator: Ana Cristini Lins Fernandes
creator: Diego Galace de Freitas
creator: Vera Lucia dos Santos Alves
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-31
publication date: 2026-03-31
starting page: e241536
ending page: e241536
doi: 10.11606/issn.2317-0190.v33e241536

Knee osteoarthritis and nutrition: analysis of body composition, diet and bowel habits and sociodemographic characteristics
type: item
description: Objective: To evaluate the nutritional status profile, including body composition, bowel habits, and dietary intake, of patients with knee osteoarthritis. Method: A cross-sectional study was conducted, involving 71 patients with primary knee osteoarthritis (KOA). The following parameters were assessed: nutritional status using body mass index (BMI), dietary intake using the adapted Healthy Eating Index ( IASad), body composition via bioelectrical impedance analysis (BIA), and bowel habits using the Bristol Stool Form Scale (BSFS). Results: Participants had a mean age of 68.30 years, with most having completed high school or higher education (45.07% and 30.80%, respectively), and were predominantly female ($76.1\%$). Nutritional status classification indicated obesity (mean BMI of 32.51kg/m²) with a high percentage of body fat (42.67%) and poor dietary quality (mean score of 70.02). On the Bristol Stool Scale, the majority of patients reported Type 3 or Type 4. When distributed by gender, women had a higher percentage of body fat than men, although their diet quality was superior. Conclusion: The evaluated patients presented with obesity and a high percentage of body fat in both genders, although the majority did not show indications of reduced lean body mass. Despite adequate bowel habits, dietary intake was considered of poor quality.
subject: Original Article
  topic: section
subject: Osteoarthritis, Knee
  topic: keywords
subject: Body Composition
  topic: keywords
subject: Diet, Healthy
  topic: keywords
subject: Sociodemographic Factors
  topic: keywords
creator: Francisco José do Nascimento Junior
creator: Rosana Aparecida de Freitas Lopes
creator: Viviane Aparecida Feital dos Santos
creator: Noêmia Tamashiro Uezato
creator: Artur César Aquino dos Santos
creator: Marta Imamura
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-07-02
publication date: 2026-07-02
starting page: e241447
ending page: e241447
doi: 10.11606/issn.2317-0190.v33e241447

Association between quadriceps femoris echo intensity, patient-reported outcomes and functional capacity in people with fibromyalgia
type: item
description: Objective: Investigate the association between quadriceps muscle echo intensity (muscle quality), patient-reported outcomes, and functional capacity in people with fibromyalgia. Method: Quadriceps images were generated using B-mode ultrasound, and muscle echo intensity was measured using Image-J Software. Patient-reported outcomes included pain at rest and during movement, pain catastrophizing, and fatigue. Functional capacity was measured using the Five Times Sit-to-Stand Test, Timed Up-and-Go Test (habitual and fast gait), and Stair Climb Test. Associations among variables were analyzed using the Spearman coefficient. Results: Forty-four people with fibromyalgia, with a mean age of 48.2±8.9 years, were included in the study. No significant associations were found between quadriceps muscle echo intensity and patient-reported outcomes or functional capacity. However, patient-reported outcomes were significantly related with functional capacity, with a strong and positive association between Timed Up-and-Go performance on fast gait, and pain at rest (r= 0.563, CI 95%: 0.279 to 0.732; p < 0.001), and fatigue level (r= 0.512; CI 95%: 0.281 to 0.705; p < 0.001). Conclusion: In people with fibromyalgia, higher levels of pain and fatigue are associated with poorer performance on a fast walking test, while quadriceps muscle quality does not correlate with patient-reported outcomes or functional capacity.
subject: Original Article
  topic: section
subject: Pain
  topic: keywords
subject: Functional Status
  topic: keywords
subject: Rheumatic Diseases
  topic: keywords
subject: Ultrasonography
  topic: keywords
creator: Maurício Tatsch Ximenes Carvalho
creator: Luana Gularte Moreira
creator: Fernanda Silveira de Sena
creator: Adriana Celina Domingues Avila
creator: Raíssa Pereira Trassante
creator: Luiza da Silva Cardoso Macedo
creator: Cristine Lima Alberton
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-31
publication date: 2026-03-31
starting page: e241431
ending page: e241431
doi: 10.11606/issn.2317-0190.v33e241431

Validation of DataCIF 2.0: development and evaluation of a system based on the International Classification of Functioning, Disability and Health
type: item
description: Objective: To validate the DataCIF 2.0 system based on the perception of experts on international classifications and health information systems, identifying requirements for the technological qualification of the tool. Method: Methodological study of technological development and cross-sectional approach, using quantitative and qualitative approaches. Ten expert judges, representing all geographic regions of Brazil, participated in semistructured interviews after exploring the system. The data were analyzed using Bardin's content analysis to explore the usability, limitations, and potential of the product. Results: The sample consisted mainly of PhDs (80%) with an average of one decade of experience in the scope of the ICF. The system was validated as usable, standing out as a tool to promote learning and operationalization of the biopsychosocial framework. Healthcare applicability was the most cited, reinforcing the need for technologies that overcome the taxonomic complexity of the classification. Requirements for improvement in interfaces and reports were raised to simplify the interpretation of functional data, in addition to the correction of operational errors to ensure the reliability of the system. Conclusion: The validation confirmed DataCIF 2.0 as a relevant technology for measuring human functionality. The study boosted the conceptual and technical maturity of the tool, reaching Technology Maturity Level 4 and enabling the future generation of the Functioning, Disability and Health Index
subject: Original Article
  topic: section
subject: International Classification of Functioning, Disability and Health
  topic: keywords
subject: Health Information Systems
  topic: keywords
subject: Information Technology Management
  topic: keywords
subject: Software Validation
  topic: keywords
subject: Functional Status
  topic: keywords
creator: Paulo Henrique Ferreira de Araujo Barbosa
creator: Thiago Vidal Pereira
creator: Ellen Cristine Ferreira da Silva
creator: Cariele de Aguiar Freitas
creator: Claudia Patricia Ochoa Diaz
creator: Juliana Martins Pinto
creator: Emerson Fachin Martins
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: e241041
ending page: e241041
doi: 10.11606/issn.2317-0190.v33e241041

Correlation between the modified aneroid manometer and the manovacuometer for maximal respiratory pressures
type: item
description: Objective: To evaluate the correlation between maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) values obtained with the Modified Aneroid Manometer (MAM) and manovacuometry. Method: A cross-sectional, correlational study was conducted with 81 healthy volunteers (women: n= 62; men: n= 19; age= 32.296 ± 13.875 years). All participants underwent randomized assessments of MIP and MEP using both the MAM and the manovacuometer, performed at different moments. Correlations were analyzed using Spearman’s correlation coefficient (r) and linear regression (r²). Results: Strong correlations were observed between the MAM and the manovacuometer for MIP (r= 0.878; p < 0.001; r²= 0.853) and MEP (r= 0.890; p < 0.001; r²= 0.723). Conclusions: A strong correlation was found between the MAM and the manovacuometer for both MIP and MEP in healthy individuals, supporting the use of the MAM as a reliable, practical, and accessible alternative for assessing respiratory muscle strength.
subject: Original Article
  topic: section
subject: Maximal Respiratory Pressures
  topic: keywords
subject: Manometry
  topic: keywords
subject: Rehabilitation
  topic: keywords
creator: Lívia Maria Moreira Rocha
creator: Jonas Isac da Rosa
creator: Jéssica Suzuki Yamanaka
creator: Bruna Leonel Carlos
creator: Ricardo da Silva Alves
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-31
publication date: 2026-03-31
starting page: e241008
ending page: e241008
doi: 10.11606/issn.2317-0190.v33e241008

Rehabilitation Workforce in Brazil: projections for 2030
type: item
description: Objective: To analyze the evolution of the rehabilitation workforce and project the scenario for 2030. Method: An ecological time-series study and projection of the rehabilitation workforce rate of physical therapists, speech-language pathologists, psychologists, and occupational therapists per 10,000 inhabitants in Brazil. Data were collected monthly from the National Register of Health Establishments (Cadastro Nacional de Estabelecimentos de Saúde) from January 2010 to December 2023. The rates were projected for each professional category for Primary Health Care (APS), Secondary Health Care (AES), and Tertiary Health Care (AHS) monthly until December 2030 using ARIMA Models, and the difference in the annual average of the projection from 2010 to 2030 was calculated. Results: Physical therapy stood out with a 206.2% increase in the rate in APS between 2010 and 2030 (2010= 0.22; 2022= 0.51; 2030= 0.69 physical therapists/10,000 inhabitants). In AES, the highlight was psychologists, with an increase of 170.13% between 2010 and 2030 (2010= 0.42; 2022= 0.75; 2030= 1.13 psychologists/10,000 inhabitants). In AHS, physical therapists saw a 247.19% increase between 2010 and 2030 (2010= 0.46; 2022= 1.54; 2030= 1.61 physical therapists/10,000 inhabitants). For speech-language pathology and occupational therapy, a decrease in APS from 2022 to 2030 is estimated, -1.73% and -1.04%, respectively. Conclusion: There is a predicted growth of the rehabilitation workforce in Brazil's Unified Health System (Sistema Único de Saúde) until 2030. Physical therapists and psychologists showed the largest increases from 2010 to 2022, and consequently, the greatest predicted growth until 2030
subject: Original Article
  topic: section
subject: Unified Health System
  topic: keywords
subject: Health Human Resources
  topic: keywords
subject: Rate Projection
  topic: keywords
subject: Time Factors
  topic: keywords
subject: Rehabilitation
  topic: keywords
creator: Debora Bernardo
creator: Juliana Leme Gomes
creator: Mariana Fagundes Cinti
creator: Beatriz Priscila Costa
creator: Chang Chiann
creator: Ana Carolina Basso Schmitt
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-26
publication date: 2026-05-26
starting page: e239503
ending page: e239503
doi: 10.11606/issn.2317-0190.v33e239503

Mild traumatic brain injury: factors associated with functional outcome
type: item
description: Objective: To analyze clinical and sociodemographic factors associated with the functional outcome of adults with mild traumatic brain injury (TBI) after approximately 6 to 12 months of hospital discharge. Method: This is an observational, cross-sectional study conducted in a public trauma referral hospital in Minas Gerais. A total of 60 individuals were included and the Glasgow Outcome Scale – Extended was applied by telephone contact. Statistical analysis involved descriptive statistics and bivariate analysis, using Pearson's Chi-Square and Fisher's Exact tests for categorical variables, and ANOVA and Kruskal-Wallis tests to compare quantitative variables with categorical variables. A p-value <0.05 was considered statistically significant. Results: 63.3% of participants showed good recovery, 30% complete recovery, 36.7% some disability, and 18.3% unfavorable outcome. The unfavorable outcome was associated with sex (p= 0.019), age (p= 0.005), traumatic subarachnoid hemorrhage (p= 0.006), length of hospital stay (p= 0.014), duration of invasive mechanical ventilation (p= 0.028), persistent post-trauma symptoms (p= 0.034), and functional rehabilitation after hospital discharge (p= 0.034). Conclusion: Most individuals with mild TBI showed good functional recovery after hospital discharge; however, more than a third remained with some degree of disability and less than a quarter had access to functional rehabilitation. These findings highlight the need to qualify and integrate health care levels, promoting more effective longitudinal monitoring and coordinated actions to reduce the functional impact of mild TBI and prevent long-term disabilities.
subject: Original Article
  topic: section
subject: Craniocerebral Trauma
  topic: keywords
subject: Functional Status
  topic: keywords
subject: Neurological Rehabilitation
  topic: keywords
subject: Glasgow Outcome Scale
  topic: keywords
subject: Sociodemographic Factors
  topic: keywords
creator: Maira Stefanie de Castro Borges
creator: Maria Cristina Nunes de Melo
creator: Ludmilla Diniz Oliveira Andrade
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-31
publication date: 2026-03-31
starting page: e239275
ending page: e239275
doi: 10.11606/issn.2317-0190.v33e239275

Relationship between anthropometric characteristics and functional responses in type 2 diabetes patients
type: item
description: Diabetes Mellitus (DM) is characterized by persistent hyperglycemia, which occurs due to a deficiency in the action and production of the hormone insulin. When uncontrolled, glucose in DM can damage the Autonomic Nervous System (ANS). Objective: To evaluate the influence of anthropometric characteristics on responses to Active Postural Maneuver (AMP) and Heart Rate Variability (HRV) obtained during rest in patients with Type 2 Diabetes Mellitus (DM2). Methods: Cross-sectional observational study. It evaluated 31 volunteers of both sexes (52.80 ± 4.97 years) diagnosed with DM2, submitted to cardiovascular autonomic assessment, through APM and HRV analysis. Correlation analysis was performed using Spearman's correlation coefficient test due to the normality presented by the data. Considering the p value <0.05 as significant. Results: In the correlation of anthropometric parameters with cardiovascular autonomic assessment, only the correlation of hip circumference (HC) with HRV indices during the resting period RMSSD (p-value: 0.020; rs: 0.413) and SD1 (p-value: 0.022; rs: 0.409) showed a significant difference. The correlation with the responses given by MPA did not obtain significant difference values. Conclusion: Only the variable HC, when related the RMSSD and SD1 indices showed significant differences with moderate correlation classification, suggesting a possible change or possible relationship with the autonomic function of the Parasympathetic Nervous System (PNS).
subject: Original Article
  topic: section
subject: Diabetes Mellitus, Type 2
  topic: keywords
subject: Autonomic Nervous System
  topic: keywords
subject: Anthropometry
  topic: keywords
creator: Joana D'arc Alves Araújo
creator: Paulo Vitor Ferreira e Vasconcelos
creator: Ana Vitoria Lima de Paula
creator: Baldomero Antonio Kato da Silva
creator: Ana Caroline de Melo Cavalcante
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-31
publication date: 2026-03-31
starting page: e234399
ending page: e234399
doi: 10.11606/issn.2317-0190.v33e234399

Analysis of the effects of combined training compared to resistance training associated with partial blood flow restriction in patients with knee osteoarthritis
type: item
description: Objective: To compare the effects of Combined Training associated with Partial Blood Flow Restriction (CT-PBFR) on strength, pain, functionality, and quality of life in relation to the effects of Resistance Training associated with Partial Blood Flow Restriction (RT-PBFR) in patients with knee OA. Method: This is a randomized pilot study conducted in a rehabilitation center in Vitória, Brazil. Patients were randomly allocated into two groups with different interventions: group 1 (RT-PBFR) or group 2 (CT-PBFR) lasting 12 weeks. The prescription parameters were adjusted with the progression of sessions. CT-PBFR consisted of resistance exercise and aerobic exercise. Strength, pain, functionality, and quality of life were assessed at the beginning and end of the interventions. For PBFR, an appropriate sphygmomanometer was placed on the proximal region of the thighs and inflated to 60% of each patient's total occlusion pressure during exercise execution. Non-parametric tests were used to compare the two groups. Results: Twenty patients were included. There was a significant difference within and between groups in several parameters with similar effects. Notably, group 1 (RT-PBFR) was able to improve pain at time point 3 in a statistically significant way (p= 0.002) compared to group 2 (CT-PBFR). Conclusion: This study showed similar positive effects in both groups with RT-PBFR or CT-PBFR in improving strength, pain, functionality, and quality of life.
subject: Original Article
  topic: section
subject: Exercise
  topic: keywords
subject: Osteoarthritis, Knee
  topic: keywords
subject: Blood Flow Restriction Therapy
  topic: keywords
creator: Luiz Paulo do Carmo Guanabens
creator: Maria Carolina Davel Lemos
creator: Pablo Lucio Gava
creator: Maria Bernadete Renoldi de Oliveira Gavi
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-05-26
publication date: 2026-05-26
starting page: e234131
ending page: e234131
doi: 10.11606/issn.2317-0190.v33e234131

Extracorporeal shock wave therapy in chronic wound healing
type: item
description: Objective: To demonstrate the outcomes of Extracorporeal Shock Wave Therapy (ESWT) as an adjunct treatment in the healing process of chronic wounds in patients from the Bandage Group at the Lucy Montoro Rehabilitation Institute - São José do Rio Preto Unit, São Paulo, Brazil. Method: A retrospective and descriptive case series study was conducted, analyzing the medical records of patients with chronic wounds treated with conventional products combined with ESWT. The Pressure Ulcer Scale for Healing (PUSH) was used to evaluate the wound healing progress. Data were collected between July and August of 2024. Results: Based on the inclusion criteria, medical records of 7 patients with Pressure Damage were analyzed. Regarding the percentage of wound area reduction, there was a variation from 16.7% to 92.3%, with 57% of patients showing lesion reduction after the treatment. Furthermore, it was observed that the wound reduction rate and PUSH scale scores varied among participants, being negatively influenced by factors such as variations in wound characteristics, general dressing care, implementation of preventive measures, social issues, and environmental circumstances. Conclusion: This study suggests that the application of extracorporeal shock wave therapy may serve as an adjuvant in the wound healing process and contribute to the reduction of chronic wound areas, as the majority of participants exhibited a decrease in the final size of their lesions. However, as this is a case series with a small sample size, it is not possible to reliably determine the effectiveness of this therapy in the healing process. Further studies with more robust methodological designs are necessary to validate the findings of the present study.
subject: Original Article
  topic: section
subject: Extracorporeal Shockwave Therapy
  topic: keywords
subject: Wound Healing
  topic: keywords
subject: Pressure Ulcer
  topic: keywords
subject: Rehabilitation
  topic: keywords
creator: Ana Carolina dos Santos Vieira
creator: Carla Maria Fonseca Simão
creator: Rafael Gonzales dos Santos
creator: Fernanda Palma Perez Fachini
creator: Betânia Mendes Malta Rodrigues Costa
creator: Regina Helena Morganti Fornari Chueire
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-03-31
publication date: 2026-03-31
starting page: e232753
ending page: e232753
doi: 10.11606/issn.2317-0190.v33e232753

Conceptions of rehabilitation professionals on wheelchair prescription and provision in rehabilitation services of the Brazilian Unified Health System (SUS)
type: item
description: Objective: To analyze the conceptions of rehabilitation professionals regarding the prescription and provision of wheelchairs (WC) in rehabilitation services of the Brazilian Unified Health System (SUS). Method: A qualitative study was conducted with professionals from two Specialized Rehabilitation Centers (CERs) working in the WC prescription sector in the city of Maceió, Alagoas, Brazil. Data was collected using a questionnaire to characterize the participants followed by a structured interview. The data were analyzed using Bardin's Content Analysis. The following categories emerged in the study: Professionals' conceptions about user access to wheelchairs in the SUS and Evaluation and prescription of wheelchairs in rehabilitation services. Results: Obstacles were observed in the service flow and in the processes of adaptation, training, and maintenance. Regarding the protocols used in the services, they have their own structure, centered on clinical aspects. Conclusion: The study allowed for the characterization of the professionals and the analysis of their conceptions on how to prescribe and provide WCs. The need for investment in continuing education for public health service professionals is emphasized, with theoretical intervention models that can improve the quality of care.
subject: Original Article
  topic: section
subject: Self-Help Devices
  topic: keywords
subject: Wheelchairs
  topic: keywords
subject: Health Personnel
  topic: keywords
subject: Rehabilitation Centers
  topic: keywords
subject: Unified Health System
  topic: keywords
creator: Flávia Calheiros da Silva
creator: Emanuele Mariano de Souza Santos
creator: Millena Vanusa Cavalcante de Macêdo
creator: Laura Fernandes Costa
creator: Dreice Pedrosa de Oliveira
creator: Monique Carla da Silva Reis
rights: Copyright (c) 2026 Acta Fisiátrica https://creativecommons.org/licenses/by-nc-sa/4.0
date: 2026-06-10
publication date: 2026-06-10
starting page: e215169
ending page: e215169
doi: 10.11606/issn.2317-0190.v33e215169