Abstract:
:Over the years a number of high quality studies has established the effectiveness of external measures (tape, brace) and neuromuscular training for the prevention of ankle sprains. The general conclusion derived from these studies is that recurrent ankle sprains can be effectively prevented using any of these measures, and that measures are cost-beneficial. Nevertheless, despite the commonness of this type of injury and the availability of effective measures, implementation of prevention in clinical practice is lagging behind. In addition, although proven effective, a link between biomechanical and neurophysiological adaptations as a function of preventive measures, leading to clinical and functional improvements and ultimately ankle sprain recurrence prevention, has never been fully made. The current evidence on ankle sprains and their prevention provides ample opportunities to pursue a translational approach through which fundamental knowledge will provide guidance to specify the effective preventive program to its bare essentials and decrease user-burden while retaining full effectiveness. :Ao longo dos últimos anos, um conjunto de estudos de elevada qualidade demonstrou a eficácia de medidas como suportes externos (ligaduras funcionais e estabilizadores) e treinamento muscular na prevenção de lesões da tibiotársica. Estes resultados sugerem que a recorrência de entorses do tornozelo pode ser prevenida de um modo eficaz através do uso destas medidas, as quais apresentam uma relação custo-benefício favorável. Contudo, embora estas lesões sejam muito comuns e exista uma disponibilidade de medidas eficazes, verifica-se que a implementação de estratégias de prevenção na prática clínica tem sido algo desprezada. Além disso, nunca foi implementada uma relação entre as adaptações biomecânicas e neurofisiológicas enquanto medida preventiva, embora existam evidências que comprovam a sua eficácia na melhoria clínica e funcional e, em último caso, na prevenção da recorrência de entorses do tornozelo. A evidência atual sobre esta lesão e sua prevenção oferece amplas oportunidades para fomentar uma abordagem translacional através da qual o conhecimento fundamental providenciará orientações para especificar programas de prevenção eficazes e acessíveis.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Verhagen Esubject
Has Abstractpub_date
2013-03-01 00:00:00pages
171-4issue
2eissn
0870-399Xissn
1646-0758journal_volume
26pub_type
杂志文章abstract:INTRODUCTION:The objective of the study was to evaluate the experience of our service in the treatment of esophageal perforations. MATERIALS AND METHODS:Retrospective chart review of the nine cases occurred between January 1, 1996 and December 31, 2011. Seven occurred after accidental ingestion of foreign bodies and i...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.10906
更新日期:2019-03-29 00:00:00
abstract:UNLABELLED:Tobacco smoking is the cause of more than half million deaths/year in the European Union (EU). Monitoring smoking prevalence is an important tool to evaluate the epidemic and its evolution and to assess the effectiveness of preventive measures. The comparison between countries may help us identify good contr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract::Testicular microlithiasis is a rare entity, usually asymptomatic and bilateral. There are however reports that until 40% of the cases may be related with testicular tumours. We report an 11-year-old boy, with a four-month history of left testicular mass. Sonography showed increased volume of left testis and bilateral ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2005-11-01 00:00:00
abstract::Escherichia coli endocarditis is a rare condition, even though bacteriemia by such agent is common. The infection, normally from a urinary origin, may, in fact, progress without major hemodynamic disturbance and minimal symptoms, regardless its ability of destruction of heart's valvular apparatus. We present a case re...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00
abstract::We describe a case report of a 69 year old woman with atrial myxoma, presented as a cerebellar syndrome caused by ischemic infarctions of the posterior circulation. The transthoracic 2D echocardiogram provided the diagnosis of a left atrial myxoma. Seven months after surgical removal of the cardiac tumor, the cerebell...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract:INTRODUCTION:An early investigation and management op cryptorchidism are essential for the diagnosis of associated pathologies, because intra-abdominal testis are associated with infertility and neoplasic risk. The authors describe a case of late presentation of cryptorchidism associated with genetic disorder. CASE RE...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::In order to clarify the early systolic partial closure (notching) of aortic valve in patients (pts) with dilated cardiomyopathy (DC), authors (AA) evaluated the M-mode echocardiograms corresponding to 41 pts with DC. Pts were separated in two groups, according to the presence of systolic notching: group A (18 pts) pre...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::An opinion article of health care programmes questioning the effects and benefits of their management. The AA, based on their experience in management/administration, present suggestions to identify, quantify and analyse a problem in health care. After characterising a health care problem, the AA point out the fundame...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
abstract::Blood samples collected from 1017 individuals incarcerated in the prisons of Caxias, Linhó and Tires, during 1990, were tested for anti-HIV. Rates of seropositivity were interpreted in the view of statistical data issued from the Council of Europe. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::Cardiotocographic signals, used as a perinatal diagnostic tool, comprise fetal heart beat signals (FHR), uterine contractions (UC) and fetal movements (FM). Visual inspection of these three signals is limited, subjective, time consuming and with low reproducibility. The present paper illustrates an application of sign...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:INTRODUCTION:The immediate identification of infectious tuberculosis and implementation of effective isolation measures, are a priority of the national policies for disease control. OBJECTIVES:To identify clinical predictor's factors related with sputum smear-positive, in patients with pulmonary tuberculosis diagnosis...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract::Fever and rash are a common combination of symptoms in the young adult patient. The etiologic investigation is usually oriented towards the most common diseases, but atypical presentations of less frequent conditions should also be recalled. We describe the case of a 44 year-old Portuguese woman who presented with fev...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9776
更新日期:2018-06-29 00:00:00
abstract::The epidemiologic aspects of 311 consecutive cases of hypertension associated with pregnancy seen in the Department of Obstetrics and Gynecology, Hospital de Santa Maria/University of Lisbon Medical School between January 1st 1988 and December 31st 1992, are reviewed. Seventeen cases were multifetal pregnancies. Using...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Duodenocaval fistula is a type of digestive fistula rarely described in the literature. It usually manifests by sepsis associated with gastrointestinal bleeding. The treatment is surgical and the prognosis usually not favorable. We describe the case of a woman admitted to our hospital with sepsis, having been diagnose...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract::Two types of platelet alloantigens are considered: type I, which refers to platelet alloantigens shared by platelets and other cells; and type II, which comprises the platelet-specific alloantigens. The Human Platelet Alloantigens (HPA) System consists of five diallelic alloantigens and eleven low frequency antigens. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract::The sacroiliitis accounts for about 1.5% - 10% of all cases of septic arthritis and it is strongly associated with gynaecological infections, pelvic trauma or drug abuse (3.4% - 12.8% of cases occur during the postpartum period). Early diagnosis is difficult because the symptoms are nonspecific in pregnancy and in the...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7062
更新日期:2016-08-01 00:00:00
abstract:INTRODUCTION:Medically assisted reproduction in natural cycle has been investigated, especially in women with poor response to conventional ovarian stimulation, with endometrial receptivity improvement, lower cost and possibility of successive cycles. The disadvantages are: lower profitability per treatment cycle and h...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.10195
更新日期:2019-02-01 00:00:00
abstract::Behçet's disease is a chronic inflammatory, multisystemic disease of unknown aetiology. Central nervous system involvement occurs in a variable proportion of cases (4 to 49%) and is due to intracranial hypertension secondary to dural sinus thrombosis, inflammatory parenquimal lesions or recurrent meningoencephalitis. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract::Stevens-Johnson syndrome and toxic epidermal necrolysis are potentially life-threatening adverse cutaneous drug reactions. Clinically, it manifests as a rash, often morbilliform, or atypical target lesions that evolve to epidermal detachment. There is mucosal involvement in almost all patients. The loss of skin's barr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2011-12-01 00:00:00
abstract::We report a case of a 25-year-old women admitted to the emergency room of Santa Maria Hospital with pancytopenia and fever. We describe the diagnostic work-up, laboratory findings, therapy, outcome and follow-up after discharge Lastly, we discuss aplastic anemia as a rare systemic lupus erythematosus complication, wit...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:INTRODUCTION:Clinically isolated syndrome may be the first manifestation of multiple sclerosis, a chronic demyelinating disease of the central nervous system, and it is defined by a single clinical episode suggestive of demyelination. However, patients with this syndrome, even with long term follow up, may not develop ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.7650
更新日期:2016-11-01 00:00:00
abstract::After the discovery of insulin and during almost an half of a century, physicians and researchers apply their efforts in a better knowledge to reduce the perinatal mortality of the offspring of the diabetic mother. The optimisation of glucose control--the main key of the management of diabetic pregnancy--and the new m...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-01 00:00:00
abstract::Free radicals are highly reactive molecules, and therefore transient, which have an odd number of electrons and are generated in vivo as byproducts of normal metabolism. In this review we survey basic concepts on the chemistry of oxygen free radicals, their cellular sources and the reactions they can undergo. We also ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1989-05-01 00:00:00
abstract::Some workers in the textile industry have respiratory symptoms related to their occupation. This study is aimed at evaluating the frequency of respiratory symptoms in textile industries in the North of Portugal. We evaluated 3529 workers from 20 factories (19 deal with synthetic fibres and cotton and the other deals w...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::In spite of being a rare form of neoplasia, melanoma is the ones which occur most frequently in pregnancy. Pregnancy does not seem to aggravate the prognosis. However, the authors present the case of a woman suffering from melanoma, in which the intercurrence of pregnancy led to the development of the disease. After 3...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:INTRODUCTION:Pneumocystis jirovecii pneumonia remains one of the most common opportunistic illnesses in patients infected with the human immunodeficiency virus. It is currently the most reported AIDS-defining infection in Portugal. The aims of this study were to analyze the features of a human immunodeficiency virus /P...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7022
更新日期:2016-10-01 00:00:00
abstract::The authors present a retrospective study of medical records of patients with lung cancer, admitted at the Service 1 of Internal Medicine of Santo António dos Capuchos Hospital during a 12 year period (1978-1989). Of the 112 selected patients, 50% had histologic diagnosis, the remaining had strong clinical radiographi...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::The authors report a case of 32-week-old newborn, admitted to the Intensive Care Unit for Newborns. Mechanical ventilation was needed from the first day of life. The patient was treated with indomethacin on the second day of life due to patent ductus arteriosus. On the seventh day pneumoperitoneum was diagnosed, emerg...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract::Kikuchi and Fujimoto's disease, also known as histiocytic necrotizing lymphadenopathy, is a rare and benign disorder of the lymph nodes of young adults. The etiology of this disease is unknown, an autoimmune mechanism has been suggested, although some cases of association with several viruses has been described. We re...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00