José Eduardo Pompeu

University of São Paulo | USP · Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional (FOFITO) (FM) (São Paulo)

(1) Background: Some older people hospitalized with COVID-19 have experienced reduced ambulation capacity. However, the prevalence of the impairment of ambulation capacity still needs to be established. Objective: To estimate the prevalence of, and identify the risk factors associated with, the impairment of ambulation capacity at the point of hosp...

(1) Background: Older people hospitalized with Covid-19 can reduced the capacity to walk. However, the prevalence of impairment of ambulation capacity still need to be established. Objective: To estimate the prevalence and identify the risk factors associated with the impairment of ambulation capacity at hospital discharge of older people with Covi...

BACKGROUND:Previous studies have demonstrated that people with Parkinson's disease (PD) can acquire postural control skills even with the degeneration of motor areas responsible for consolidation of the representation regarding the learned motor skill in long-term memory. However, these findings have not considered the PD motor subtypes – tremor-do...

Background: Multimodal training may induce positive effects in different physical domains. Compared to unimodal training, multimodal training allows similar effect sizes at lower overall training volumes. Studies are needed to investigate the potential value of multimodal training with systematic training, especially compared to other exercise-base...

BACKGROUND: Recent studies have shown individuals with Parkinson’s disease (PD) are able to learn tasks with postural control demand, however, they need more practice, more sensory information, and extrinsic feedback for this improvement. These aspects could be provided by task performance on virtual environment. In addition, the retention interval...

Background Spatial orientation is a cognitive domain frequently compromised in patients with Alzheimer disease (AD) and may be one of its first clinical manifestations. Some studies have shown that allocentric integration with egocentric spatial information seems to be impaired in this pathology. There is no consensus on how best to assess spatial...

The objective of the present study was to compare the feasibility, safety, and satisfaction of an immersive virtual reality system developed specifically for cognitive-sensory-motor training among older adult fallers and nonfallers and adult individuals. This was a cross-sectional observational study, and 20 adults, 20 nonfaller older adults, and 2...

Background and objectives: Hospitalization by Covid-19 can cause persistent functional consequences after hospital discharge due to direct and indirect effects of SARS-COV-2 in several organs and systems of the body added to post-intensive care syndrome and prolonged bed rest. These impacts can lead to dependency in activities of daily living, mai...

Introduction: Impairment of postural control and functional mobility are debilitating symptoms of Parkinson's disease (PD). In addition to limiting performance in activities of daily living, it is associated with a higher prevalence of falls in this population. Particularly, dysfunction in postural control does not respond to dopaminergic replaceme...

Objectives: To analyze functional recovery groups of critically ill COVID-19 survivors during their hospital stay and to identify the associated factors. Design: Prospective observational multicenter study. Setting: Demographic, clinical, and therapeutic variables were collected, and physical and functional status were evaluated. The Barthel i...

Purpose: To explore the evidence of the internal structure validity of the Roland-Morris Disability Questionnaire in older adults with low back pain. Methods: This was a cross-sectional study of psychometric testing involving 528 older adults with low back pain. Internal structure validity was explored by exploratory factor analysis and semi-con...

Importance Despite ambulation capacity being associated with a decreased level of physical activity and survival may be influenced by the functional capacity, studies have not addressed the association between ambulation capacity and death in patients hospitalized by COVID-19. Objective To verify the functional, clinical, and sociodemographic risk...

Spatial orientation is defined as the ability to find one's way around an environment, follow familiar routes, recognize places, and learn new routes. Spatial disorientation is one of the early symptoms of Alzheimer's disease (AD), and traditional cognitive evaluation lacks ecological validity. Therefore, new assessment methods are needed for the e...

Research Objectives To evaluate the impact of covid-19 on frailty, sarcopenia and patient functionality after hospital discharge. Design This is a prospective cohort study. The patients will monitor after hospital discharge by COVID-19 for one year with evaluations at one, four, six and twelve months after hospital discharge. Setting This study w...

Estudos têm demonstrado que exercícios realizados em meio aquático produzem benefícios diversos para mulheres. Esta pesquisa objetivou avaliar a percepção subjetiva de saúde, mobilidade e humor de mulheres quinquagenárias saudáveis e sedentárias em decorrência de participação em programa de caminhada em imersão. Participaram 59 mulheres entre 50 e...

Objective: This study aimed to analyze the physical and pulmonary capacities of hospitalized patients with severe coronavirus disease and its correlation with the time of hospitalization and complications involved. Methods: A total of 54 patients, aged ≥18 years of both sexes, were evaluated 2-4 months after hospital discharge in São Paulo, Braz...

Background: Physical activity (PA) level is decreased in individuals with Parkinson´s disease (PD). To increase the PA level improves both motor and non-motor symptoms of this population. It is known that gait performance and five times sit-to-stand (FTSTS) are associated with PA level; therefore, it is of great relevance for rehabilitation purpos...

Parkinson's disease causes a progressive decline of motor and cognitive functions, often affecting postural control. Training through virtual reality has been shown to be effective in improving this condition. This study aims to analyse the effects of the Kinect Adventures! games in postural control of people with Parkinson's disease. Ten individua...

Objectives The primary aim of this study was to evaluate the effect of a multidimensional program including home-based standing exercises, health education, and telephone support for the reduction of sedentary behavior in community-dwelling frail older adults. The secondary aim of this study was to evaluate the safety and adherence of the program....

Objective Spatial disorientation is common in Alzheimer’s disease (AD), Mild Cognitive Impairment (MCI), and preclinical individuals with AD biomarkers. However, traditional neuropsychological tests lack ecological validity for the assessment of spatial orientation and to date, there is still no gold standard. The current study aimed to determine t...

BACKGROUND: Parkinson's disease (PD) causes loss of automaticity and impairment in dual task (DT) performance. AIM: To investigate the performance and pattern of prioritization of individuals with PD in motor and cognitive DT. METHOD: An observational, transversal, comparative study assessed 20 individuals with PD between stages 1.5 to 3 of the mod...

Background: Cognitive damage is observed in those hospitalized by COVID-19, which may be associated with hypoxia and sedation, but it is not established whether there is an association with postural control. Objective: To verify the correlation between cognition and postural control of individuals hospitalized by COVID-19. Design and setting: Prosp...

Background: Covid-19 associated with hospitalization results in damage to structures and body functions. Objective: Analyze the postural control of patients with functional loss after hospitalization by COVID-19. Design and setting: Prospective cohort study that evaluated patients after 1 month of discharge from Clinical Hospital - FMUSP, São Paulo...

Spatial disorientation has been observed in mild cognitive impairment (MCI) and is associated with a higher risk of progression to Alzheimer's disease (AD). However, there is no gold standard assessment for spatial orientation and paper-and-pencil tests lack ecological validity. Recently, there has been an increasing number of studies demonstrating...

Objective: To analyze the feasibility, safety, and acceptability of immersive virtual tasks. Methods: The authors recruited 11 young adults and 10 older adults. The participants performed three virtual reaching tasks while walking on a virtual path. The descriptive analysis and comparison between participants were performed using the Mann-Whitne...

Objective: To compare the effects of an upper limb videogame-based training with a training based on similar motor demands on upper limb function, dexterity, functionality, balance, fatigue, and pain in post-polio syndrome (PPS) and to assess the acceptability, feasibility, and safety of the intervention. Materials and Methods: This is a randomize...

Background: Post-stroke survivors with right hemisphere injury have more impairments in postural control and balance. However, the impact of the hemisphere injured on the process of balance reacquisition has not been fully explored. We hypothesized that stroke survivors could learn balance tasks (H1), but right hemisphere damaged patients would sho...

Introduction: Depressive and anxiety disorders are considered the main cause of emotional suffering and decrease of quality of life among older adults. It has been suggested that the practice of physical exercise can be a treatment option for anxiety and depression. Alternative approaches such serious games show promise for reducing depression symp...

Background: Multimodal physical exercises already have well-established benefits for the post-stroke population that influence gait functional capacity, balance, gait, cognition, and quality of life. This type of intervention can be performed in both real and virtual environments. Considering the characteristics of both environments, it is questio...

Perception is not simply a carbon copy of the real world, but is subject to distortions that may reflect protective drive. This study aimed to investigate whether people with chronic shoulder pain show perceptual distortions of space and body that may promote protective behavior. Eighty-four people with shoulder pain and 51 healthy controls partici...

Introdução: Os órgãos tendinosos de Golgi (OTG) são receptores sensoriais localizados na junção miotendínea e conectados em série com as fibras musculares. Sua função no controle motor em humanos ainda não está elucidada. Objetivos: Relatar a fisiologia do OTG e seu envolvimento em distúrbios do tônus e na percepção da força, bem como sua interação...

Aim: The aim of this study was to investigate the effects of adding a cognitive task on the performance of three different motor tasks with different demands, discrete skills, serial skills and continuous skills, by individuals with mild, moderate, and severe idiopathic Parkinson’ disease (PD). We also investigate the effect of the cognitive task i...

Introduction: Falls are an important adverse event among older adults. The St. Thomas’s Falls Risk Assessment Tool in Older Adults (STRATIFY) is a tool to assess the risk of falls; however, it is not translated and adapted to Portuguese. Objective: To translate and perform a cross-cultural adaptation of STRATIFY in Brazilian Portuguese, as well as...

In patients with Parkinson’s disease (PD), the ability to perform simultaneous tasks may be impaired. However, there is no consensus as to whether the strategy of use dual task (DT) should be used with PD patients during gait and balance training because DT can increase the risk of falls. Therefore, it is necessary to critically analyze the relevan...

Background and purpose: In any given year, 28% to 35% of older adults experience falls. In nursing home environments, the annual rate of falls increases to 30% to 50%. Our objective was to verify and compare the reliability, validity, and ability to identify falls of the Berg Balance Scale (BBS), Balance Evaluation Systems Test (BESTest), Mini-BES...

Background Recently, interactive video games (IVGs) have been used as a health-care intervention that provides both exercise and cognitive stimulation. Several studies have shown that IVGs can improve postural control, gait, cognition, and functional independence in elderly people and patients with neurological disease. However, there is a lack of...

Introduction: Parkinson’s disease causes progressive decline of motor and cognitive functions leading to a decrease in the independence and quality of life of people affected. Training through virtual reality is proving effective, as it promotes cognitive and motor stimuli, which can be beneficial for these individuals, improving their quality of l...

The main objective of this study was to evaluate the effects of interactive video games on functional balance and mobility in poststroke individuals. The Health Science databases accessed included Medline via PubMed, LILACS, SciELO, and PEDro. The inclusion criteria were as follows: clinical studies evaluating the use of interactive video games as...

Background Low back pain (LBP) is an important health problem around the world associated with disability, high costs for the health system and work absenteeism. A recent systematic review estimated that in Brazil, the point prevalence of LPB in the elderly is 25%, superior to knee osteoarthritis and rheumatoid arthritis, being considered one of th...

Spatial orientation is a cognitive domain frequently impaired in Alzheimer's Disease and can be one of its earliest symptoms. Objective This paper describes the results of tolerability, sense of presence and usability of two immersive virtual reality tasks for the assessment of spatial orientation, using VR headset in adults. Methods 31 healthy a...

Objective: To compare the effectiveness of Kinect Adventures games versus conventional physiotherapy to improve postural control (PC), gait, cardiorespiratory fitness, and cognition of the elderly. In addition, we evaluated the safety, acceptability, and adherence to the interventions. Materials and methods: The study was a randomized clinical t...

Background There is an association among postural instability, gait dysfunction, and cognitive impairment in subjects with Parkinson’s disease (PD). Difficulty in dividing attention, response inhibition, and visuospatial attention deficiencies may contribute to the impairment of motor performance during daily activities. There are strong evidences...

Background Frailty can be defined as a medical syndrome with multiple causes and contributors, characterized by diminished strength and endurance and reduced physiological function that increases the vulnerability to develop functional dependency and/or death. Studies have shown that the most commonly studied exercise protocol for frail older adult...

Objectives: To verify the ability of the Balance Evaluation Systems Test (BESTest), Mini-BESTest, Brief-BESTest and Berg Balance Scale (BBS) to identify institutionalized elderly falling. Methods: This is a retrospective cohort study. Institutionalized elderly (n=39; aged 62–90 years; mean=78.26 [7.3] years) were recruited from a philanthropic nurs...

The virtual reality has been frequently required in rehabilitation settings. However, it still lacks specificity, making it necessary to establish specific criteria to classify the most relevant aspects of electronic games to allow interventions based on virtual reality. Therefore, the purpose of this study is to develop a “Perceptual and motor dem...

Objective: To analyze the association between the decline in the mobility of community dwelling elderly persons in São Paulo, Brazil and their capacity to use public transportation, and its impact on their quality of life and social participation. Method: A cross-sectional study was conducted of 32 community dwelling elderly persons, of both gende...

Objective: This review determines the effects of virtual reality interventions for stroke subjects based on the International Classification of Functioning, Disability,and Health (ICF) framework. Virtual reality is a promising tool for therapy for stroke rehabilitation, but the effects of virtual reality interventions on post-stroke patients based...

The aim of this study was to compare the learning process of a postural control task between post-stroke patients and healthy subjects. The sample was composed of 20 post-stroke individuals (Experimental Group) and 20 aged matched healthy individuals (Control Group). Participants practiced a postural control task in a virtual environment with incre...

LEAP> highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions-medication...

Frailty can be defined as a biologic syndrome that results from decline in multiple systems leading to vulnerability, with poorer capacity of the organism to maintain homeostasis facing stressing events. Physical symptoms of frailty involve unintentional weight loss, decreased physical activity level, exhaustion, muscle weakness, impaired balance a...

p>A utilidade dos videogames na reabilitação de pacientes com Doença de Parkinson (PDP) vem sendo demonstrada. Contudo, a discussão sobre a seleção dos jogos utilizados ainda é escassa, embora fundamental para recomendação de seu uso terapêutico. Não foram, até o momento, encontrados estudos sobre a utilização do Xbox Kinect^®(XK) na rea...

Introdução As lesões do joelho são muito comuns na prática esportiva, dentre as quais se destaca a lesão do ligamento cruzado anterior (LCA) pela frequência e gravidade. Objetivo Analisar a força muscular concêntrica de abdução e adução do quadril em atletas pós-reconstrução do LCA que completaram seu protocolo de reabilitação e foram liberados pa...

Parkinson's disease is a neurodegenerative disorder that progressively compromises motor control and cognition. Recently, the new generation of video games has been used to promote motor cognitive training. These studies have shown improvement on postural control, cognition and performance of daily living activities in patients with Parkinson's dis...

This study aimed to perform a systematic review to verify the effects of virtual reality (VR) on the rehabilitation of stroke patients. The search was conducted in the electronic databases Medline, Lilacs, Scielo and PubMed, from 2004 to 2012. The keywords selected for the search were: virtual reality, video game, stroke, physiotherapy, rehabilitat...

Objetivo. Comparar os efeitos de duas condições de treinamento, tarefa simples (TS) versus dupla tarefa (DT), nas funções do mem­bro superior de pacientes com doença de Parkinson (PDP). Método. 14 PDP foram randomizados entre os grupos controle (GC, n=7) e experimental (GE, n=7) e avaliados antes e após o treinamento pelo mesmo avaliador cego. O de...

Objetivo. Verificar o efeito da TENS modo burst (TENSb) sobre a espasticidade e a mobilidade de pacientes com hemiparesia após aci­dente vascular cerebral (AVC). Método. Foram selecionados nove indivíduos (6 homens) com média de idade de 61,3±9,3 anos, hemi­paréticos crônicos espásticos. A espasticidade do músculo quadríceps foi avaliada por meio d...

Objective. To investigate the effect of burst mode TENS (TENSb) on spasticity and mobility in patients with hemiparesis after stroke. Method. We selected nine subjects (6 males) with a mean age of 61.3±9.3 years, who presented chronic spastic hemiparesis. The spasticity of the quadriceps muscle was assessed by the Modified Ashworth Scale, the pendu...

INTRODUÇÃO: A força de preensão manual é a capacidade da mão em realizar tarefas, imprimir forças e segurar objetos. Dentre os diversos esportes que utilizam a força de preensão manual com predominância em sua prática, um deles é o judô, aonde a força de preensão manual é imprescindível para que o judoca consiga se impor ao adversário, pois está li...

Objective. To compare the effects of two conditions of training, single task (ST) versus dual task (DT), on upper limb functions of patients with Parkinson´s disease (PPD). Method. 14 PPD were randomized between control group (CG) and experimental group (EG), seven in each. Patients were assessed before and after training by the same blinded evalua...

Objectives To assess the feasibility, safety and outcomes of playing Microsoft Kinect Adentures™ for people with Parkinson's disease in order to guide the design of a randomised clinical trial. Design Single-group, blinded trial. Setting Rehabilitation Center of São Camilo University, Brazil. Participants Seven patients (six males, one female) wi...

To investigate the effect of Nintendo Wii™-based motor cognitive training versus balance exercise therapy on activities of daily living in patients with Parkinson's disease. Parallel, prospective, single-blind, randomised clinical trial. Brazilian Parkinson Association. Thirty-two patients with Parkinson's disease (Hoehn and Yahr stages 1 and 2). F...

To evaluate the learning, retention and transfer of performance improvements after Nintendo Wii Fit™ training in patients with Parkinson's disease and healthy elderly people. Longitudinal, controlled clinical study. Sixteen patients with early-stage Parkinson's disease and 11 healthy elderly people. Warm-up exercises and Wii Fit training that invol...

To analyze the musculoskeletal changes of individuals with ankylosing spondylitis (AS) and their repercussions on postural control, a literature review was carried out in the BIREME and EBSCO HOTS databases and Pubmed site with the following keywords: "ankylosing spondylitis", "postural balance", and "posture". Articles involving human beings, asse...

To analyze the musculoskeletal changes of individuals with ankylosing spondylitis (AS) and their repercussions on postural control, a literature review was carried out in the BIREME and EBSCO HOTS databases and Pubmed site with the following keywords: "ankylosing spondylitis", "postural balance", and "posture". Articles involving human beings, asse...

Introduction. Thomsen's Myotonia is the rarest of congenital myotonias. It affects one in 50,000 individuals and shows a pattern of autosomal dominant inheritance. It is characterized by sustained muscle contraction that occurs after every voluntary contraction. Muscle relaxation delay to happen or even does not occur. Objective. Check the influenc...

Individuals diagnosed with Stroke impairment of voluntary movements, spasticity and loss of selective activity of the muscles responsible for trunk control. In these patients is found difficulty in aligning body with consequent reduction in the balance, compensation and loss of functional independence. The trunk is also associated with respiratory...

Indivíduos com doenças do sistema nervoso frequentemente apresentam déficits sensório-motores e perda da independência funcional. Sabe-se que pacientes com a mesma patologia ou lesões similares podem ter incapacidades diferentes, portanto é de extrema importância que profissionais atuantes na assistência de pacientes neurológicos avaliem o estado f...

Objective: To evaluate the reproducibility of the modified sphygmomanometer compared to hand dynamometer to measure muscle strength of the flexor muscles of fingers. Methods: We assessed 40 healthy volunteers of both genders, aged between 20 and 55 years, who underwent the muscle strength test in the finger flexor muscles on both hands using two i...

Background: The surface electromyography (EMG) is a technique to capture and measure electrical activity and muscle action potential. It is applied to specify the production of force and to analyze muscle fatigue. The Root Mean Square (RMS) value has been used to quantify the electric signal because it reflects the physiological activity in the mot...

The purposes of the present study were (1) to develop a method to estimate the level of reciprocal inhibition (RI) between antagonist (soleus and anterior tibial) muscles in humans, and (2) to compare RI levels during rest, dorsiflexion (DF) and plantar flexion (PF). Nine healthy subjects (four men, five women) aged between 20 and 30 years were ass...

Síndrome de Pusher (SP) é uma alteração do controle postural caracterizada por um distúrbio da percepção corporal vertical em relação à gravidade, na qual os pacientes empurram o corpo lateralmente utilizando o hemicorpo não parético. Ela tem sido pouco estudada e ainda há controvérsias na literatura quanto aos seus aspectos terapêuticos e prognóst...

SUMMARY Introduction: The Golgi tendon organs (GTO) are sensorial receptors situated between the muscle and his tendon and they are connected in series with the muscle fibers. Your function on human motor control is still not elucidated. Objectives: To present the GTO physiology and its involvement on the disturbances of muscle tonus and strength p...