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- Efeitos da fisioterapia na função pélvica e qualidade de vida em mulheres com incontinência urinária – uma revisão sistemáticaPublication . Matos, Elisabete; Pires, T; Santos, Fátima; Pires, Patrícia Maria Rodrigues Pereira; Viana, Sara; Viana, RuiIn recent years, pelvic floor physiotherapy, namely pelvic floor muscle training (PFMT) has shown a high importance in women with urinary incontinence (UI), optimizing pelvic function and quality of life (QoL). Objective: Evaluate the effects of pelvic floor physiotherapy on pelvic function and QoL in women with UI. Methods: Computerized search in the databases Pubmed, Scopus, and Web of Science, using the combination of keywords: Physiotherapy; Urinary Incontinence; QoL,in accordance with PRISMA guidelines. The methodological quality was analysed using the Physiotherapy Evidence Database (PEDro) scale. Results: Nineteen articles meeting the eligibility criteria were included with a total of 2253 participants and an arithmetic mean of 8.4/10 on the PEDro scale. PFMT interventions showed positive effects on QoL, as well as in decreasing involuntary urine loss and increasing pelvic floor muscle strength. In addition, PFMT combined with biofeedback, electrotherapy or Pilates training seemed to reveal significant effects. Conclusions: PFMT is an effective treatment for UI in women. PFMT significantly improves QoL in women with UI, a determinant factor for physical, mental, and social conditions.
- Effects of hydrotherapy on gait control in older adults with neurological conditions: A systematic reviewPublication . Rodrigues, Zélia; Pires, Patrícia; Pires, Sónia; Gonçalves, Sara; Pires, TelmaHydrotherapy appears safe and more effective than conventional physiotherapy for improving gait control, balance, and mobility in older adults with neurological impairments. Its buoyancy and resistance effects facilitate motor re-education and confidence in movement. Integrating aquatic therapy into neurorehabilitation programs may enhance outcomes and quality of life, although long-term follow-up studies are still needed.
- Spirituality in palliative care: a systematic review of aromatherapy interventionsPublication . Matos, Ana Rita Sousa; Pires, Telma; Martins, Maria; Almeida, Carlos; Gonçalves, SaraSpirituality is pivotal in the comprehensive care of patients, particularly in palliative care, where attention extends beyond physical ailments to emotional and spiritual dimensions. Aromatherapy, leveraging aromatic plant extracts and essential oils, has emerged as a promising complementary therapy, offering potential benefits for symptom management and overall well-being. However, integrating spirituality into aromatherapy interventions within palliative care remains underexplored in the existing literature. This systematic review aims to bridge this gap by synthesizing available evidence on aromatherapy interventions in the context of spirituality within palliative care. Methods: A comprehensive search was conducted to identify relevant studies. The review assessed the effectiveness of aromatherapy as a complementary intervention in promoting spiritual well-being among patients in palliative care. Results: No studies met the inclusion criteria. Conclusions: The absence of eligible studies highlights a significant gap in the literature on this topic. Further research must elucidate the relationship between aromatherapy, spirituality, and palliative care.
- Prevalence and correlates of fear of falling in community-dwelling older adultsPublication . Pires, Patrícia; Carvalho, Joana; Pereira, Anabela; Pires, Telma; Ribeiro, OscarIntroduction: Fear of falling (FoF) is highly prevalent among older adults and can negatively affect mobility, physical activity (PA) levels fall risk, and falls. This study aimed to assess the prevalence of fall risk and FoF, and their associations with demographic variables, mobility, physical activity, and fall history in community-dwelling older adults. Methods: A cross-sectional study was conducted with individuals aged C 65 years without cognitive impairment. Data collected included demographics, fall risk (Morse Fall Scale), FoF (Falls Efficacy Scale International-FES-I), mobility and balance (Timed Up and Go-TUG test), PA (Brief Physical Activity Assessment-BPAA), and fall history. Statistical analyses included Pearson’s correlation coefficient, chi-square test, t-test, and ANOVA. Results: The sample comprised 300 older adults (mean age: 74.7 years; 55.3% female). Higher FoF was observed in women (M = 30.4, SD = 10.3) and those aged C 80 years (M = 33.1, SD = 13.3) (p \ 0.001). FoF was positively correlated with impaired mobility/balance (TUG: R = 0.453) and fall risk (R = 0.399), negatively correlated with PA (BPAA: R =- 0.351) and strongly associated with prior falls (R = 0.660) (all p \ 0.001). Conclusions: FoF is common among older adults, particularly women and the oldest age group, and is significantly associated with mobility limitations, low PA levels, increased fall risk, and history of falls. These findings highlight the need for tailored interventions focusing on improving mobility and promoting active lifestyles to mitigate FoF and fall risk.
- Spirituality and aromatherapy in palliative care: a systematic review on enhancing well-beingPublication . Matos, Rita S; Pires, Telma; Martins, Maria; Almeida, Carlos Manuel Torres; Sara, Gonçalves
- Tradução, adaptação cultural e validação da escala de medo da dependência para o português europeuPublication . Pires, Patrícia; Carvalho, Joana; Pires, Telma; Ribeiro, OscarO medo da dependencia refere-se ao receio das pessoas parecerem fracas e/ou dependentes dos outros. A Escala de Medo de Depende.ncia (EMD) foi desenvolvida por Adams-Price e Ralston em 2016, nos Estados Unidos, e mede as atitudes de um individuo em relacao a ser ajudado. A EMD original e. constituida por 5 itens avaliados numa escala de Likert com 5 opc.o.es de resposta, variando de gdiscordo totalmente h a gconcordo totalmente h, com pontuac.o.es mais elevadas a indicar mais medo da depende.ncia. A EMD e. um instrumento relevante pois permite identificar atitudes negativas em relac.a.o ao envelhecimento e pode constituir uma mais valia para a pra.tica cli.nica e investigac.a.o em gerontologia e geriatria
- Prevalence and correlates of fear of falling in community-dwelling older adultsPublication . Pires, Patrícia; Carvalho, Joana; Pereira, Anabela; Pires, Telma; Ribeiro, OscarFear of Falling (FoF) is common in later life and may reduce mobility, lower physical activity (PA), and increase fall risk and the frequency of falls. Understanding correlates in community-dwelling older adults can guide screening and tailored interventions. To estimate fall risk and the prevalence of FoF, and to examine their associations with demographics, mobility and balance, physical activity, and fall history in community-dwelling older adults. Cross-sectional study. Participants: community-dwelling adults aged ≥65 years without cognitive impairment. Measures: FoF (FES-I), fall risk (Morse Fall Scale), mobility/balance (Timed Up and Go, TUG), physical activity (Brief Physical Activity Assessment, BPAA), demographics, and fall history. Statistics: Pearson’s correlation coefficient, chi-square, t-test, and ANOVA (α = 0.05).
- Miedo a caer: una problemática urgente entre las personas mayores en la comunidadPublication . Pires, Patrícia; Carvalho, Joana; Pires, Telma; Ribeiro, OscarElmiedo a las caídas es algo común en la población mayor que tiene graves implicaciones para la salud y constituye una importante amenaza para la independencia. Analizar la relación entre el miedo a caer y el sexo, la edad, la movilidad y equilibrio, y la actividad física en personas mayores que viven en la comunidad, para identificar factores de riesgo
- Physiotherapists in Portugal: a 2024 overviewPublication . Medeiros, P.; Pires, Telma; Pimenta, R.E.; Alves, S.M.Background/Objectives: The increase in population and its longevity, without a proportional improvement in quality of life, reinforces the need to promote healthy behaviors such as physical activity. Physiotherapy plays an essential role in disease prevention and active aging. At the European level, there is significant disparity in the ratio of physiotherapists per inhabitant, in Portugal there is a gap of information regarding this subject. This study aims to characterize the active physiotherapist population in Portugal, assess the availability of physiotherapy by municipality. Methods: Data on physiotherapists was provided by the Ordem dos Fisioterapeutas (registration is mandatory to practice in Portugal). Population data was obtained from the National Institute of Statistics (INE). Descriptive statistics were calculated to characterize the physiotherapist population, and availability was determined through indices like the number of physiotherapists per 100,000 inhabitants in Portugal and by municipality. Results: Of the 11,715 physiotherapists registered in Portugal as of February 2024, 163 were excluded for not practicing in the country. Thus, data analysis focused on 11,552 physiotherapists. In Portugal, the professionals are predominantly female 8,529, 72.8%, with a mean age of 35.4 years (standard deviation 9.47). When assessing the average age of physiotherapists across municipalities, it exceeds the national average in 103 out of 308 municipalities. Regarding professional activity, 1,767 physiotherapists (15.29%) work in the public healthcare system, while 7,750 (67%) are employed in private institutions. The remaining professionals have no recorded information, are unemployed, or are seeking employment. There are 111.7 physiotherapists per 100,000 inhabitants in Portugal, around 70% of municipalities present a lower number, and in around 40 municipalities there are only 35.1 physiotherapists per 100,000 inhabitants. Conclusions/Recommendations: In Europe, in 2021, there were 136.7 physiotherapists per 100,000 inhabitants. The results from Portugal show a lower availability, in addition the analysis by municipality highlight geographical disparities with some municipalities above the European average, and the majority bellow. With a considerable number of municipalities with extremely low number of physiotherapists. Portugal is a relatively small country, however these inequalities are concerning and should be evaluated and resolved.
- Relato de caso: incontinência fecalPublication . Pires, Telma; Magalhães, Bruno; Rodrigues, Vítor; Barroso, Isabel; Paulo, Marta; Carvalho, Diana; Marques, Maria Helena; Pires, PatríciaO objetivo do estudo foi avaliar a eficácia de um programa de reabilitação dos Músculos do Pavimento Pélvico (MPP) para superar a Incontinência Fecal (IF). Metodologia: estudo de caso com uma participante de 64 anos, professora, autónoma, com diagnóstico de IF devido a sequela de cirurgia a prolapso retal. Realizou-se um programa de Treino dos Músculos do Pavimento Pélvico (TMPP), de uma sessão/semana, durante 16 semanas, supervisionado por Biofeedback anorretal. Cada sessão demorou 45 minutos, dos quais 20 minutos para TMPP e o restante para o exame físico, terapia manual, massagem e ensinos/registos da doente: diário de sintomas, supervisão da gestão da alimentação, treino intestinal, técnicas/posturas de defecação e suporte emocional. Na primeira sessão (T0) e na última (T1), foi ainda efetuado a anamnese, Índice de Wexner, Bristol Stool Form Scale (BSFS) e Fecal Incontinence Quality of Life (FIQL). Os resultados evidenciaram ganhos na força dos MPP, que evoluíram de grau 2 para 4 na escala de Oxford modificada; na qualidade de vida (QdV), ausência de perdas fecais, as fezes passaram de consistência tipo 2 para 4 na BSFS. Conclusão: o programa de reabilitação uropélvica, mostrou-se eficaz na reeducação dos MPP e melhorou significativamente a QdV da participante. PALAVRAS-CHAVE: incontinência fecal; reabilitação pélvica; treino dos músculos do pavimento pélvico.