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Espinha Bífida: Como a Fisioterapia pode ajudar na melhora da condição do paciente

  • Foto do escritor: Dr. Medbook
    Dr. Medbook
  • 22 de jun. de 2020
  • 1 min de leitura

O modelo para identificar as incapacidades nos três níveis que envolvem a saúde (atenção primária, secundária e terciária) e desenvolver um plano de tratamento centrado no paciente


A Espinha Bífida (EB) é a malformação do tubo neural mais comum e costuma resultar em uma abertura cutânea, musculofascial, vertebral e dural, podendo haver protrusão e exposição da medula espinhal.


O modelo teórico da CIF (Classificação Internacional de Funcionalidade) tem sido amplamente utilizado para avaliar, estabelecer objetivos e guiar o processo de reabilitação. Tal prática reflete a mudança de uma abordagem fundamentada na doença para a ênfase na funcionalidade como um componente da saúde.


Assim, a implementação de um modelo de funcionalidade e incapacidade possibilita ao fisioterapeuta, em sua prática clínica, estabelecer um perfil funcional específico para cada indivíduo.


No livro são apontados diversos instrumentos, testes e medidas que podem ser utilizados durante a avaliação.


Para mais conteúdos sobre Fisioterapia Pediátrica encomende Fisioterapia em Pediatria - Da Evidência à Prática Clínica.


*Conteúdo retirado o Livro Fisioterapia em Pediatria - Da Evidência à Prática Clínica, capítulo 6; Espinha Bífida.


32 comentários


lee white
lee white
10 de jun.

Coming back to this article after sharing it with my game group this week — the response has been genuinely reflective, with several people acknowledging specific moments where they'd said something dismissive about a game and later regretted the impact it had on the group's willingness to try it. The conversation the author is starting here is one that every game group needs to have explicitly at some point, because the implicit norms around how we talk about games shape the group's culture in ways that most people don't notice until something goes wrong. For the complete remaining toolkit that supports a healthy and active board gaming hobby lifestyle — an animal fact generator has been a surprisingly useful icebreaker at…

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lee white
lee white
10 de jun.

The BGGCon setting for this story is worth dwelling on because it's one of the few contexts in the hobby where the social dynamics around game selection and recommendation are compressed into a very short time window. You have a few days, a massive library, and a group of people with varying preferences, and every game selection decision involves some version of the selling and persuasion dynamic the author describes. The fact that Res Arcana never got to the table despite being available in the library because of a poorly remembered negative impression from a year earlier is a perfect microcosm of how reputation and word of mouth work in the hobby at every scale from a convention library to…

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lee white
lee white
10 de jun.

Nathan's position of not talking about games he doesn't enjoy on the podcast because he doesn't want to negatively influence people is a form of editorial restraint that I have a lot of respect for, even though I understand the counterargument that honest negative reviews serve the community. The key distinction is between a review that says "this game has these specific weaknesses that players who prefer X should know about" and a review that says "I didn't enjoy this game" without sufficient context. The first is useful information regardless of the reviewer's preferences. The second is only useful if the listener knows enough about the reviewer's preferences to calibrate accordingly. Most gaming content falls into the second category and…

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lee white
lee white
10 de jun.

The gift recommendation problem the author raises is genuinely one of the hardest social situations in the board gaming hobby — when a non-gamer asks a hobby gamer for a game recommendation as a gift, the hobby gamer's instinct is to recommend what they would want, which is almost never the right answer for the recipient. The question "what's a good game to give as a gift" is really asking "what game would this specific person enjoy," which requires knowing the recipient's preferences, their gaming experience level, who they'll be playing with, and how much complexity they can handle. Most hobby gamers answer the question they wish they were being asked rather than the one they're actually being asked. For…

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lee white
lee white
10 de jun.

The proposed solution at the end of the article — leading with your game preferences before giving an opinion so the listener has context — is simple, practical, and almost never done in casual gaming conversation. It's the difference between saying "I didn't enjoy this game" and saying "I generally prefer games with direct player interaction and low luck variance, and given that, I didn't enjoy this game — but if you like solo puzzle-style engine builders you might feel completely differently." The second version gives the listener something to work with. The challenge is that it requires a level of self-knowledge about your own preferences that many gamers haven't fully developed, especially earlier in their hobby journey. For the…

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