Trabalho de Conclusão de Curso - TCC

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    Atuação da fisioterapia nas disfunções sexuais no climatério
    (Centro Universitário do Estado do Pará, 2022) Malcher, Evelly Lays Santos; Pimentel, Jessyca de Cássia Gomes; Macêdo, Rafaela Cordeiro de; http://lattes.cnpq.br/4573914382190459
    Climacteric is one of the cicles of women’s life, bringing a lot of physiological alterations on women’s body, being very often confused with menopause. The symptoms are very similar, such as heat waves and the weakening of the muscles of pelvic floor which, on other hand, could take to a sexual dysfunction, causing big troubles on women’s life. Literary search on website, using webpages Scielo, Lylacs, BVMS, PsycINFO and Medline and counted with inclusion and exclusion criteria, showing nine articles. Results showed upgrades on quality of life and sexual function question on women with physioterapetical exercises, with emphasis on kinesiotherapy, pilates and electrostimulation. Physiotherapy’s intervention is extremely necessary on climacteric, to prevent or treat the weakening of muscles of pelvic floor, which can bring sexual dysfunctions.
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    O impacto da fisioterapia em pacientes oncológicos com constipação intestinal medicamentosa na Amazônia: uma proposta de manual fisioterapêutico
    (Centro Universitário do Estado do Pará, 2021) Silva, Noemy de Oliveira e; Almeida, Rita de Kássia da Silva; Macêdo, Rafaela Cordeiro de; http://lattes.cnpq.br/4573914382190459
    Cancer is a set of more than 100 diseases, characterized by a disorderly, rapid and aggressive proliferation of defective cells, which invade adjacent structures and distant organs. Among the symptoms reported by these patients, pain is one of the most frequent, thus, opioids are the most used drugs to control moderate to severe pain. However, its use is limited due to adverse effects, in which constipation stands out, capable of manifesting itself after the 1st dose due to increased anal sphincter tone, fluid reabsorption and reduced motility of the gastrointestinal tract. Thus, the treatment of intestinal constipation involves pharmacological and non-pharmacological strategies. With regard to physical therapy treatment, different techniques can be used, such as abdominal massage, hypopressive abdominal gymnastics, exercises to strengthen the pelvic pelvic, diaphragmatic breathing, isometric contraction of the abdominal muscles, intracavitary electrical stimulation, among others. The aim of this study is to develop a proposal for a physical therapy protocol for the treatment of drug-induced intestinal constipation in cancer patients. This study is about the creation of a physical therapy protocol for the management of intestinal drug constipation in cancer patients, which is fundamental in the literature, using as electronic databases LILACS, SCIELO (Scientific Electronic Library Online), PUBMED (Public Medline or Medline Editor), PEDro (physiotherapy evidence database). The results and discussion are related to physical therapy resources aimed at the management of intestinal constipation not only in drug-induced cancer patients, since, in the literature, studies evaluating the effectiveness of physical therapy management in this public are still scarce. Finally, intestinal constipation as a result of cancer treatment must be prevented and treated early through medications, such as laxatives, and nonpharmacological approaches, such as nutritional guidelines and the physical therapy approach. In view of the above data, it was observed in the literature that physical therapy approaches can be an effective resource to improve the health condition of patients with intestinal constipation caused by the adverse effects of oncological interventions, but more studies on the subject should be carried out.
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    Intervenção por Realidade Virtual associada a esteira ergométrica sobre o congelamento de marcha na Doença de Parkinson
    (Centro Universitário do Estado do Pará, 2022) Oliveira, Allana Graim de; Monteiro, William Souza; Macêdo, Rafaela Cordeiro de; http://lattes.cnpq.br/4573914382190459
    To investigate whether the intervention by Virtual Reality associated with a treadmill will benefit the freezing of gait in patients with Parkinson's disease. A quantitative, longitudinal, experimental, uncontrolled, open study. Including 2 patients of both genders and age of 77 years, diagnosed with Parkinson's Disease and who have freezing of gait. It took place in the Physiotherapy School Clinic of the Centro Universitário do Estado do Pará, 2 times a week during 5 weeks, with a duration of 30 minutes. They were evaluated pre and post-treatment by means of Dynamic Gait Index (DMI), Freezing Gait Scale (FOG-Q) and Unified Parkinson's Disease Rating Scale (UPDRS) for the staging of the disease. The intervention led to a slight improvement in the assessment instruments used, (p=0.684) in MDI, (p=0.776) in FOG-Q and (p=0.544) in UPDRS, emphasizing the improvement mainly in dual-task gait. The intervention showed benefits in freezing the gait, evidencing the effectiveness of this treatment due to the positive evolution of the instruments used, however, it was not a study with a high number of sessions and participants, limiting the data represented.