ORCID Profile
0000-0002-7127-6560
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Publisher: Springer Science and Business Media LLC
Date: 08-02-2023
Publisher: SAGE Publications
Date: 12-02-2022
DOI: 10.1177/13558196211065707
Abstract: Identifying effective strategies to reduce waiting times is a crucial issue in many areas of health services. Long waiting times for rehabilitation services have been associated with numerous adverse effects in people with disabilities. The main objective of this study was to conduct a systematic literature review to assess the effectiveness of service redesign strategies to reduce waiting times in outpatient rehabilitation services for adults with physical disabilities. We conducted a systematic review, searching three databases (MEDLINE, CINAHL and EMBASE) from their inception until May 2021. We identified studies with comparative data evaluating the effect of rehabilitation services redesign strategies on reducing waiting times. The Mixed Methods Appraisal Tool was used to assess the methodological quality of the studies. A narrative synthesis was conducted. Nineteen articles including various settings and populations met the selection criteria. They covered physiotherapy ( This review highlights the positive effects of many service redesign strategies. These findings suggest that there are several effective strategies to choose from to reduce waiting times and help better respond to the needs of persons experiencing physical disabilities.
Publisher: Springer Science and Business Media LLC
Date: 28-11-2019
Publisher: BMJ
Date: 05-12-2022
DOI: 10.1136/BJSPORTS-2022-105650
Abstract: This scoping review examines how different levels and types of partial foot utation affect gait and explores how these findings may affect the minimal impairment criteria for wheelchair tennis. Four databases (PubMed, Embase, CINAHL and SPORTDiscus) were systematically searched in February 2021 for terms related to partial foot utation and ambulation. The search was updated in February 2022. All study designs investigating gait-related outcomes in in iduals with partial foot utation were included and independently screened by two reviewers based on Arksey and O’Malley’s methodological framework and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Twenty-nine publications with data from 252 participants with partial foot utation in 25 studies were analysed. Toe utations were associated with minor gait abnormalities, and great toe utations caused loss of push-off in a forward and lateral direction. Metatarsophalangeal utations were associated with loss of stability and decreased gait speed. Ray utations were associated with decreased gait speed and reduced lower extremity range of motion. Transmetatarsal utations and more proximal utations were associated with abnormal gait, substantial loss of power generation across the ankle and impaired mobility. Partial foot utation was associated with various gait changes, depending on the type of utation. Different levels and types of foot utation are likely to affect tennis performance. We recommend including first ray, transmetatarsal, Chopart and Lisfranc utations in the minimum impairment criteria, excluding toe utations (digits two to five), and we are unsure whether to include or exclude great toe, ray (two to five) and metatarsophalangeal utations. The protocol of this scoping review was previously registered at the Open Science Framework Registry ( osf.io/8gh9y ) and published.
Publisher: BMJ
Date: 06-2021
Location: Brazil
No related grants have been discovered for Fábio Oliveira.