Examinando por Autor "Dutra de Souza, Hugo Celso"

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  • Publicación
    Acceso abierto
    Examining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives
    (2022-02-09) Rangel-Cubillos, Diana Marcela; Vega-Silva, Andrea Vanessa; Corzo-Vargas, Yully Fernanda; Molano-Tordecilla, Maria Camila; Peñuela-Arévalo, Yesica Paola; Lagos-Peña, Karen Mayerly; Jacome-Hortúa, Adriana Marcela; Villamizar-Jaimes, Carmen Juliana; Grace, Sherry L.; Dutra de Souza, Hugo Celso; Angarita-Fonseca, Adriana; Sanchez-Delgado, Juan Carlos; Fisioterapia Integral
    Cardiac rehabilitation (CR) is under-used, particularly in low-resource settings. There are few studies of barriers and facilitators to CR adherence in these settings, particularly considering multiple perspectives. In this multiple-method study, a cross-sectional survey including the Cardiac Rehabilitation Barriers Scale (each item scored on a five-point Likert scale) was administered to patients treated between February and July, 2019, in three CR centers in Colombia. A random subsample of 50 participants was invited to a focus group, along with an accompanying relative. Physiotherapists from the programs were invited to an interview, with a similar interview guide. Audio-recordings were transcribed and analyzed using interpretive description. A total of 210 patients completed the survey, and 9 patients, together with 3 of their relatives and 3 physiotherapists, were interviewed. The greatest barriers identified were costs (mean = 2.8 ± 1.6), distance (2.6 ± 1.6) and transportation (2.5 ± 1.6); the logistical subscale was highest. Six themes were identified, pertaining to well-being, life roles, weather, financial factors, healthcare professionals and health system factors. The main facilitators were encouragement from physiotherapists, relatives and other patients. The development of hybrid programs where patients transition from supervised to unsupervised sessions when appropriate should be considered, if health insurers were to reimburse them. Programs should consider the implications regarding policies of family inclusion.
  • Publicación
    Acceso abierto
    Handgrip strength is associated with risk of falls in physically active older women
    (2022-05-13) VillamizarPita, Paula Camila; Angarita-Fonseca, Adriana; Dutra de Souza, Hugo Celso; Martínez-Rueda, Rosmary; Villamizar-García, María Constanza; Sanchez-Delgado, Juan Carlos; Fisioterapia Integral
    The authors of this study inquire about the association between handgrip strength (HGS) and the risk of falls in physically active older women. A cross-sectional study was conducted on 135 women between 50 and 90 years of age who were referred for the follow-up evaluations of HGS using dynamometry and the Tinetti scale to determine the risk of falls. The mean age was 68.8 ± 8.5 years. A total of 31.9% of women had a high risk of falls, and 55% reported five or more falls in the past six months. In addition, our results indicated that grip strength decreases as risk of falls increases (minimal risk = 42.8, 95% confidence interval [CI]: 39.8, 45.8; moderate risk = 31.3, 95% CI: 29.1, 33.5; high risk = 21.9, 95% CI: 19.3, 24.6). It should be considered that in physically active women aged over 50 years, the grip strength could be a predictor of falls and risk of falls. Evaluation of grip strength is a low-cost type of assessment that can be included as a part of physical tests.
  • Publicación
    Acceso abierto
    Reliability of the scale of barriers for cardiac rehabilitation in the colombian population
    (2021-04-20) Jácome-Hortúa, Adriana Marcela; Angarita-Fonseca, Adriana; Villamizar Jaimes, Carmen Juliana; Martínez-Marín, Rocio del Pilar; Dutra de Souza, Hugo Celso; Facioli, Tábata de Paula; Sánchez-Delgado, Juan Carlos; Fisioterapia Integral
    Cardiac rehabilitation is supported by the highest level of scientific evidence. However, less than 25% of those eligible to participate in a cardiac rehabilitation program initiate it; and of these, 50% drop out prematurely. A modified Spanish Cardiac Rehabilitation Barriers Scale (CRBS) has been translated, culturally adapted and validated in Colombia, however, the reliability remains to be evaluated. This study aimed to determine the internal consistency and test–retest reliability of the CRBS in a Colombian population. In total, 193 patients (67% men, average age = 65 ± 12 years) completed the scale twice, with an average of eight days between applications. Cronbach’s Alpha and intraclass correlation coefficients (ICC) were calculated. The internal consistency of the Colombian version of the CRBS was acceptable (Cronbach’s alpha = 0.84). The ICC of the CRBS was 0.69 (95% CI 0.61–0.76); 0.78 (95% CI 0.71–0.84) when the CRBS was completed by interview; and 0.47 (95% CI 0.21–0.67) when the CRBS was self-reported. The reliability of the interview version of the CRBS was substantial in the Colombian population; however, the reliability of the self-report version was lower. The use of this scale will allow developing strategies to increase participation and adherence to cardiac rehabilitation programs.
  • Publicación
    Acceso abierto
    Sprint pattern analysis of professional female soccer players on artificial and natural turf
    (2021-01-01) Ariza Viviescas, Andres; Niño-Pinzón, Diana Marcela; Dutra de Souza, Hugo Celso; Esteban-Moreno, Juan Daniel; Benítez Medina, Diego; Sanchez Delgado, Juan Carlos; Fisioterapia Integral
    Introduction: There is few evidence that details the behavior of each spatiotemporal variable of the running pattern of femalesoccer players using different surfaces. Objective:To describe the spatiotemporal variables of the sprint pattern developed on naturaland artificial turf by professional female soccer players. Methods: A cross-sectional study was conducted on nineteen (n=19) professionalathletes with an average age of 22.3 years, who ́s sprint spatiotemporal variables were evaluated in a natural (Bermuda 419) and artificial(Star 2) playing field through an optical measurement system (Opto Gait, Italy). The analysis of the differences of the space and timevariables by turf was done with the Wilcoxon test for paired data and the differences in speed and acceleration by playing position wasdone using the Kruskal–Wallis test. The Spearman test was used to compare the correlation between speed, acceleration and anthropometricvariables. Finally, an alpha level of 5% was considered for the whole analysis. Results:On the natural turf, the speed and cadence of theplayers were higher; on the artificial turf, the energy, flight time, contact phase and step angle were higher (p<0.05). On the other hand,an indirect relationship was observed between speed, contact time, percentage and fat weight (p=0.01). Conclusion: Our results suggestthat the natural turf, Bermuda 419, allows for a faster sprinting patterns, characterized by lower energy use, flight time, contact phaseand step angle.