PHOTOGRAMMETRY: A PROPOSAL OF OBJECTIVE ASSESSMENT OF CHEST WALL IN ADOLESCENT IDIOPATHIC SCOLIOSIS.

Objective: To evaluate the chest wall shape in patients with adolescent idiopathic scoliosis (AIS) in comparison to healthy subjects and the association between the chest wall shape with the spine deformity and lung function in patients with AIS.

Methods: This cross-sectional study enrolled 30 AIS patients and 20 healthy subjects aged 11-18 years old. The Cobb angle evaluation was performed in AIS patients.

Translation and cultural adaptation of the stroke impact scale 2.0 (SIS): a quality-of-life scale for stroke.

Background: No specific quality-of-life scale for stroke patients has previously been translated and evaluated for reproducibility, for use in the Portuguese language. Internationally, the instrument for this purpose is the Stroke Impact Scale 2.0 (SIS).

Translation and cultural adaptation of the revised foot function index for the Portuguese language: FFI-R Brazil.

Background: The revised foot function index (FFI-R) is used to evaluate the functionality of patients with conditions that affect the feet. The objective here was to produce the Brazilian Portuguese version of this index.

Design And Setting: Translation and validation study conducted at the Federal University of São Paulo, Brazil.

Impact of Scoliosis Severity on Functional Capacity in Patients With Adolescent Idiopathic Scoliosis.

Purpose: The aim of this study is to evaluate the walked distance and physiological responses during incremental shuttle walk test in patients with different degrees of adolescent idiopathic scoliosis (AIS).

Methods: We evaluated 20 healthy teenagers and 46 patients with AIS; they were divided into 2 groups: AIS > 45° and AIS < 45°. The volunteers performed an incremental shuttle walk test, and the following physiological responses were quantified: oxygen consumption, tidal volume, ventilation, and the incremental shuttle walked distance.

Evaluation of lung volumes, vital capacity and respiratory muscle strength after cervical, thoracic and lumbar spinal surgery.

Context And Objective: Studies have shown that physiopathological changes to the respiratory system can occur following thoracic and abdominal surgery. Laminectomy is considered to be a peripheral surgical procedure, but it is possible that thoracic spinal surgery exerts a greater influence on lung function. The aim of this study was to evaluate the pulmonary volumes and maximum respiratory pressures of patients undergoing cervical, thoracic or lumbar spinal surgery.

Functional aerobic exercise capacity limitation in adolescent idiopathic scoliosis.

Background Context: Exercise limitation has been described in patients with adolescent idiopathic scoliosis (AIS); however, whether the walking performance is impaired in these patients should be elucidated.

Purpose: Thus, we aimed to evaluate the physiologic responses to the incremental shuttle walk test (ISWT) in patients with AIS.

Study Design/setting: Cross-sectional study.

A survey of routine treatment of patients with intracranial hypertension (ICH) in specialized trauma centers in Sao Paulo, Brazil: a 11 million metropole!

Objective: A survey of intensive care units (ICU) in São Paulo that care for patients with TBI and ICH using the hyperventilation technique.

Methods: A questionnaire was given to the physiotherapist coordinator at 57 hospitals in São Paulo, where 24-h neurosurgery service is provided.

Results: Fifty-one (89.

Incidence, indication and complications of postoperative reintubation after elective intracranial surgery.

CONTEXT AND OBJECTIVE There are no reports on reintubation incidence and its causes and consequences during the postoperative period following elective intracranial surgery. The objective here was to evaluate the incidence of reintubation and its causes and complications in this situation. DESIGN AND SETTING Prospective cohort study, using data obtained at a tertiary university hospital between 2003 and 2006.

Analysis of risk factors for extubation failure in subjects submitted to non-emergency elective intracranial surgery.

Background: Extubation failure is defined as the re-institution of respiratory support ranging from 24 to 72 hours following scheduled extubation and occurs in 2% to 25% of extubated patients. The aim of this study was to determine clinical and surgical risk factors that may predict extubation failure in patients submitted to non-emergency intracranial surgery.

Methods: This was a prospective observational cohort study.

Reference equations for the performance of healthy adults on field walking tests.

Objective: To develop regression equations for predicting six-minute and incremental shuttle walk distances (6MWD and ISWD, respectively), based on demographic characteristics, anthropometric variables, and grip strength.

Methods: We evaluated 6MWD and ISWD in 98 healthy adults. Height, weight, and grip strength were also assessed.

Functional assessment of cancer therapy-brain questionnaire: translation and linguistic adaptation to Brazilian Portuguese.

Context And Objective: Quality of life assessment among patients with brain tumors is important, given that new treatments have increased patient survival. The aim of this study was to translate the Functional Assessment of Cancer Therapy-Brain (FACT-Br) questionnaire (version 4) into Portuguese, carry out cross-cultural adaptation and assess its reproducibility.

Design And Setting: Cohort at the Universidade Federal de São Paulo (Unifesp).

Incidence and risk factors for postoperative pulmonary complications in elective intracranial surgery.

Object: It has been shown that craniotomy may lead to a decrease in lung volumes and arterial blood gas tensions as well as a change in the respiratory pattern. The purpose of this study was to determine the incidence of postoperative pulmonary complications (PPCs) and the mortality rate in patients who have undergone elective craniotomy and to evaluate the associations between preoperative and postoperative variables and PPCs in this population.

Methods: Two hundred thirty-six patients were followed up based on a protocol including a clinical questionnaire, physical examination and observation of clinical characteristics in the preoperative period, type of surgery performed, duration of surgery, time spent in the intensive care unit (ICU) and hospital, and the occurrence of any PPCs.

Postoperative study of vital capacity and ventilation measurements following elective craniotomy.

Context And Objective: Changes in pulmonary function commonly occur after general surgery. The aims were to evaluate vital capacity, tidal volume and respiratory frequency among patients undergoing elective craniotomy and to determine possible correlations of these parameters with surgery duration and etiology for neurosurgery.

Design And Setting: Prospective, open study at a tertiary university hospital.

The prediction of extubation success of postoperative neurosurgical patients using frequency-tidal volume ratios.

Background: The process of discontinuing neurological patients from mechanical ventilation is still controversial. The aim of this study was to report the outcome from extubating patients undergoing elective craniotomy and correlate the result with the measured f/V (t) ratio.

Materials And Methods: In a cohort prospective study, all consecutive patients who required mechanical ventilation for up to 6 h after elective craniotomy were eligible for inclusion in this study.

Study of respiratory muscle strength, vital capacity, and ventilometry in the postoperative period of spinal surgery by posterior access.

Study Design: Prospective.

Objective: To analyze tidal volume (TV), minute volume (VE), respiratory frequency (f), vital capacity (VC), maximal inspiratory (PImax), and expiratory (PEmax) pressures in patients submitted to spinal surgery for tumor or herniated disc by posterior access, and to investigate a possible association of respiratory function with surgery duration, site of surgical access, and diagnosis.

Summary Of Background Data: A reduction in pulmonary volumes is usually seen in patients submitted to thoracic or upper abdominal surgery, and recent studies have demonstrated such alterations during the postoperative period in patients submitted to craniotomy.