Feasibility and Reproducibility of the Unsupported Upper Limb Exercise Test and Six-Minute Peg Board Ring Test for Children and Adolescents Marina Rodrigues, Renatha Carvalho, Brenda Vilas‐Boas Gomes, Vanessa Pereira Lima, Raquel Annoni, Fernando Holguin, María Teresa Politi, Fernanda Cordoba Lanza Pediatric Pulmonology, 2025 ObjectiveTo evaluate the feasibility and reproducibility of two field tests for upper limbs (Unsupported Upper Limb Exercise Test ‐ UULEX and 6‐min Pegboard Ring Test − 6PBRT) in children and adolescents.MethodsFeasibility study. Fifteen healthy volunteers aged 6–17 years were included. Lung function was performed, followed by: Cardiopulmonary Exercise Test (CPET), UULEX and 6PBRT. The CPET was performed on an upper limb ergometer using an incremental protocol. UULEX: seated arm‐raising while holding weighted bars (0.25–2.0 kg) through graded heights; outcome = test duration (min). 6PBRT: seated transfer of rings between lower and upper pegs for 6 min; outcome = total rings moved. For all tests, peak oxygen consumption (VO₂peak) was also an outcome. The UULEX and 6PBRT were performed twice each (test and retest), 30‐min apart. Feasibility criteria were (i) no major procedural difficulties and (ii) < 15% of participants reaching ceiling or floor thresholds.ResultsMedian age 11 [9–15] years‐old, and normal lung function (> 80% predicted). No volunteers considered the tests challenging. UULEX: Two volunteers (13%) reached the celling (13 min), none reached the floor (1 min). 6MPRT: no ceiling cases, one volunteer (6%) stopped above the floor (206 rings). The UULEX test versus retest was 9.5 [8.0−12.0] min versus 9.4 [8.2–12.0] min (p = 0.13) (ICC = 0.93 (0.78–0.97), p < 0.001). The 6PBRT test vs. retest was 299 [258–373] rings vs. 340 [244–387] rings (p = 0.05) (ICC = 0.97 (0.91–0.99), p < 0.001). Standard errors were < 10% of their respective medians. The CPET elicited higher VO₂peak (22.8 [19.4–26] mL/kg·min−1) compared to UULEX (11.8 [10.2–13.6] mL/kg) or 6PBRT (11.6 [9–12] mL/kg) (p = 0.001).ConclusionBoth UULEX and 6PBRT are feasible and reproducible field tests for upper limbs in children and adolescents, providing practical options for upper‐limb functional assessment.
High level of soluble tumor necrosis factor receptors is associated with lower residual diuresis volume in patients on hemodialysis: An exploratory study Gabriele Teixeira Gonçalves, Luciana Martins de Mello Santos, Pedro Henrique Scheidt Figueiredo, Jaqueline de Paula Chaves Freitas, Jousielle Márcia Santos, Joyce Noelly Vitor Santos, Fidelis Antônio da Silva Junior, Frederico Lopes Alves, Vanessa Gomes Brandão, Emílio Henrique Barroso Maciel, Maria Cecília S. M. Prates, Borja Sañudo, Redha Taiar, Mario Bernardo-Filho, Danúbia da Cunha de Sá-Caputo, Vanessa Pereira Lima, Henrique Silveira, Victor Lacerda Gripp, Vanessa Amaral Mendonça, Ana Cristina Rodrigues Lacerda Plos One, 2025 Objective Patients on hemodialysis commonly present with elevated inflammatory markers. It is noteworthy, however, that higher levels of these markers may deteriorate residual renal function in in these individuals. Further investigation is essential to clarify the potential link between systemic chronic inflammatory parameters and residual diuresis volume in this population, particularly when accounting for confounding variables such as body composition. This study aimed to explore the possible relationship between inflammatory parameters and residual diuresis volume in patients on hemodialysis. Methods Blood samples were collected from patients on hemodialysis for the analysis of soluble receptors: 1) tumor necrosis factor receptor 1 (sTNFR1), 2) tumor necrosis factor receptor 2 (sTNFR2), and 3) leptin. Confounding variables, such as gender, age, duration of hemodialysis, Kt/V (a measure of dialysis adequacy), and body composition assessed using the dual-energy X-ray absorptiometry (DXA), were also evaluated. Data analyses were conducted using both single and multiple regression models, adjusted for the confounding parameters. Results Of the total sixty participants, 27 (45%) were classified as anuric, and 33 (55%) as non-anuric. High sTNFR1 plasma levels were associated with a lower residual diuresis volume, irrespective of adjustments for confounding parameters (R² = 25.4%; β = 0.504; p < 0.001). Conclusion This study supports the hypothesis that higher systemic levels of sTNFR1 may deteriorate residual renal function, as evidenced by the lower residual diuresis volume observed in patients on hemodialysis. These findings suggest that interventions aimed at reducing systemic inflammation may be beneficial in preserving residual renal function and improving clinical outcomes in these patients. Chronic Kidney Disease (CKD) is characterized by any persistent alteration or abnormality in kidney structure or function lasting over ninety days [1]. CKD’s subtle onset complicates diagnosis, and once established, it often progresses irreversibly [2]. Recognized globally as a major public health issue [3], CKD affects 10–13% of adults in economically advanced countries [1]. In Brazil, CKD poses significant healthcare challenges, causing over 35,000 deaths annually and incurring substantial treatment costs [4]. Projections indicate around 10 million CKD cases in Brazil, with about 90,000 individuals requiring dialysis [5,6]. This data underscores the urgent need to address CKD as a critical health challenge and develop comprehensive strategies to mitigate its impact on public health and healthcare costs.
Health-related quality of life in Chagas cardiomyopathy: Development of a theoretical model Whesley Tanor Silva, Mauro Felippe Felix Mediano, Lucas Frois Fernandes de Oliveira, Keity Lamary Souza Silva, Matheus Ribeiro Ávila, Thaís Souza Azevedo, Marcus Alessandro de Alcantara, Alessandra de Carvalho Bastone, Renato Guilherme Trede Filho, Vanessa Pereira Lima, Ana Cristina Rodrigues Lacerda, Vanessa Amaral Mendonça, Sanny Cristina de Castro Faria, Daniel Menezes Souza, Luciano Fonseca Lemos de Oliveira, Pedro Henrique Scheidt Figueiredo, Henrique Silveira Costa Tropical Medicine and International Health, 2025 ObjectiveChagas disease can cause several complications, such as Chagas cardiomyopathy, the most severe clinical form of the disease. Chagas cardiomyopathy is complex and involves biological and psychosocial factors that can compromise health‐related quality of life. However, it is necessary to establish interactions that significantly impact the health‐related quality of life of this population. Therefore, we aimed to develop and present a theoretical model on the impact of Chagas cardiomyopathy on the health‐related quality of life of patients.MethodsThis is a cross‐sectional study with a multi‐methodology approach. The model's development process relied on the findings of a systematic review of qualitative studies, as well as a qualitative study involving participants from original communities, conventional rural areas and urban centres. Patients diagnosed with Chagas cardiomyopathy were interviewed using a semistructured research script, and the sample size was determined by theoretical saturation. Ultimately, the model underwent evaluation and received approval from three specialists in Chagas cardiomyopathy.ResultsPatients experience many emotional conflicts, manifested by feelings of sadness, existential emptiness and anxiety. They have fears related to the course of the disease, the inability to care for the people they love, their suffering and that of the family caregivers, as well as the fear of invasive treatments and death. The model based on social determinants of health was created and presented three different levels of factors that impact patients' health‐related quality of life. At the first and most external level are social, cultural and environmental conditions: absence from work, difficulties in accessing healthcare services, limited resources for specialised care and geographical barriers to accessing healthcare services. At a more internally committed level, there are social factors and community networks encompassing social isolation, family conflicts, social stigma, emotional aspects, fears and disabilities. The innermost layer of factors represents personal and behavioural complaints, such as physical ailments and poor sleep quality.ConclusionThe factors that affect the health‐related quality of life of patients with Chagas cardiomyopathy are diverse in their biopsychosocial nature.
The 6-Minute Pegboard and Ring Test (6PBRT) for Evaluation of Upper Limbs Functional Capacity in Hemodialysis Patients: A Validation Study Vanessa Pereira Lima, Paulo Henrique Lopes, Henrique Silveira Costa, Maria Carolina Barbosa Costa, Jefferson Freitas Rocha, Vanessa Gomes Brandão Rodrigues, Emílio Henrique Barroso Maciel, Frederico Lopes Alves, Maria Cecília Sales Mendes Prates, Patrícia Cardoso Campos, Ana Cristina Rodrigues Lacerda, Pedro Henrique Scheidt Figueiredo Physiotherapy Canada, 2025 Purpose: To verify the 6-minute pegboard and ring test (6PBRT) validity for functional evaluation in hemodialysis patients and upper limb (UL) functional capacity by the 6PBRT. Method: In a cross-sectional study, patients on hemodialysis three times a week for at least 6 months performed the 6PBRT as well as handgrip strength and endurance. Health-related quality of life (HRQoL) by KDQOL-SF questionnaire, Human Activities Profile (HAP), and level of social participation were also evaluated. Convergent validity was verified by correlation analysis. Results: Thirty-seven individuals were evaluated, predominantly adult males (67.6%). The mean age was 50.1 (SD 16.4) years old. The average number of rings moved during the 6PBRT was 306.2 (SD 68.2). The 6PBRT correlated with handgrip strength ( r = 0.37; p = 0.025), the domain “Functional Capacity” ( r = 0.49; p = 0.008) of the KDQOL-SF questionnaire, and with HAP score ( r = 0.43; p = 0.01). There was no correlation between handgrip endurance ( r = 0.18; p = 0.281) and social participation ( r = −0.12; p = 0.48). Heart rate and dyspnea (modified Borg scale) increased by 13.3 bpm (95% CI: 9.8, 16.8) and 0.5 points (95% CI: 0.1, 0.9) during the 6PBRT. Conclusions: The 6PBRT is associated with UL strength, physical aspects related to HRQoL, and daily activity level, which accounts for its construct validity. Therefore, the test has potential value in the functional evaluation of the ULs in hemodialysis patients. However, in this population, the level of social participation seems to depend on other factors than the functional capacity of the UL itself.
The accuracy of respiratory muscle strength in identifying systolic dysfunction in patients with Chagas cardiomyopathy Keity Lamary Souza Silva, Alessandra de Carvalho Bastone, Matheus Ribeiro Ávila, Marcus Alessandro de Alcantara, Renato Guilherme Trede Filho, Luciano Fonseca Lemos de Oliveira, Whesley Tanor Silva, Lucas Fróis Fernandes de Oliveira, Vanessa Amaral Mendonça, Ana Cristina Rodrigues Lacerda, Vanessa Pereira Lima, Sanny Cristina de Castro Faria, Mauro Felippe Felix Mediano, Pedro Henrique Scheidt Figueiredo, Henrique Silveira Costa Disability and Rehabilitation, 2025 Purpose To verify the accuracy of respiratory muscle strength in identifying systolic dysfunction in patients with Chagas cardiomyopathy (ChC), and to validate optimal cutoff points based on respiratory muscle strength.Methods First, 72 patients with ChC were enrolled and underwent echocardiography and assessment of respiratory muscle strength by manovacuometry. Inspiratory and expiratory muscle strength was defined by maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP), respectively. Systolic dysfunction was defined by left ventricular ejection fraction (LVEF) values below 52% (for men) or 54% (for women). Then, the validation of the cutoff points was verified by the percentage of true and false positives in another 30 ChC patients.Results The MIP showed adequate accuracy (p = 0.004) in identifying patients with systolic dysfunction (AUC = 0.73). The MEP did not show satisfactory accuracy in identifying those patients. The optimal MIP cutoff point to identify systolic dysfunction in ChC was ≤62 cmH2O, with a positive predictive value of 87%. In the validation analysis, MIP values below 62 cmH2O were able to identify 77% of patients with systolic dysfunction.Conclusion MIP has potential value in identifying systolic dysfunction in patients with ChC. This finding may aid in screening and risk stratification when echocardiography is not available.
The usefulness of patient-reported outcome measures in decision making in Chagas cardiomyopathy: A scoping review Whesley Tanor Silva, Keity Lamary Souza Silva, Diego Mendes Xavier, Matheus Ribeiro Ávila, Lucas Frois Fernandes de Oliveira, Vittor de Moura Colicchio, Igor Lucas Geraldo Izalino de Almeida, Alessandra de Carvalho Bastone, Marcus Alessandro Alcantara, Ana Cristina Rodrigues Lacerda, Vanessa Pereira Lima, Luciano Fonseca Lemos de Oliveira, Mauro Felippe Felix Mediano, Pedro Henrique Scheidt Figueiredo, Henrique Silveira Costa Transactions of the Royal Society of Tropical Medicine and Hygiene, 2024 Chagas cardiomyopathy (ChC) presents many biopsychosocial complexities, highlighting the need to have patient self-report questions. This study demonstrates the scope of the use of patient-reported outcome measures (PROMs) in patients with ChC and highlights the main research gaps. This is a scoping review and the search strategy was performed in the Online Medical Literature Analysis and Retrieval System (MEDLINE), Excerpta Medica database (EMBASE), Accumulated Index of Nursing and Allied Health Literature (CINAHL), Cochrane Central, Latin American Literature and Caribbean in Health Sciences (LILACS) and Diagnostic Test Accuracy (DITA). The search identified 4484 studies and 20 studies met the inclusion criteria. The Short-Form of 36 items (SF-36) had potential prognostic value and the ability to identify systolic dysfunction. The Human Activity Profile was able to screen for functional impairment, and the New York Heart Association showed potential prognostic value. The SF-36 and Minnesota Living with Heart Failure Questionnaire were responsive to interventions. The pharmaceutical care affected adherence to treatment as assessed by the Morisky score and also for SF-36. Despite the increased use of PROMs, there are still a large number of gaps in the literature, and further studies using PROMs are needed.
Rehabilitation interventions targeting the activity and participation of patient with neuromuscular diseases: what do we know? A systematic review Sionara Ferreira Silva, Hugo Leonardo de Magalhães, Franciele Angelo de Deus, Keysy Karoline Souza Andrade, Vanessa Pereira Lima, Thaís Peixoto Gaiad Arquivos De Neuro Psiquiatria, 2024 Background To be objective and achievable, the rehabilitation goals must be focused on the functional expectations of patients with neuromuscular disease (NMD). Objective Investigate rehabilitation programs that are able to modify the activity/participation of patients with NMD. Data search: Embase, BVS/Lilacs, Physiotherapy Evidence Database (PEDro), CINAHL/EBSCO, and Medline were searched in June 2021. It was last updated in March 2023. Methods Randomized controlled trials investigating any rehabilitation therapy for patients with NMD with an outcome encompassing the activity/participation components of the International Classification of Functioning, Disability and Health (ICF) were included. Pharmacological therapy studies were excluded. The results were synthesized according to the ICF core sets for NMD. The methodological quality and level of evidence were assessed using PEDro criteria and Grading of Recommendations Assessment, Development, and Evaluation (GRADE). This systematic review followed the PRISMA 2020 guideline and was registered at PROSPERO (CRD42020209359). Results Of a total of 1943 identified studies, 12 were included in this review with a methodological quality between regular and good. Light to moderate-intensity aerobic exercise was the most studied intervention. The mobility was assessed in all included studies. Conclusion The variability of the types of NMD and the small sample size of the included studies demonstrates that there is very limited evidence of interventions focused on the activity/participation of individuals with NMD. Light to moderate-intensity aerobic exercise seems to improve the mobility, self-care, and social participation of patients with NMD, especially those with slow progression.
Assessment of health-related quality of life in patients with Chagas cardiomyopathy using Minnesota living with heart failure questionnaire: A validation study Ana Flávia Vieira Trindade, Whesley Tanor Silva, Vanessa Pereira Lima, Vanessa Amaral Mendonça, Ana Cristina Rodrigues Lacerda, Matheus Ribeiro Ávila, Lucas Fróis Fernandes de Oliveira, Igor Lucas Geraldo Izalino de Almeida, Keity Lamary Souza Silva, Luciano Fonseca Lemos de Oliveira, Liliany Mara Silva Carvalho, Paulo Henrique da Cruz Ferreira, Sanny Cristina Castro de Faria, Mauro Felippe Felix Mediano, Pedro Henrique Scheidt Figueiredo, Henrique Silveira Costa Tropical Medicine and International Health, 2024
Functional predictors of poor outcomes in Chagas cardiomyopathy: The value of end-tidal carbon dioxide at peak exercise Marcus Vinícius Accetta Vianna, Matheus Ribeiro Ávila, Pedro Henrique Scheidt Figueiredo, Vanessa Pereira Lima, Liliany Mara Silva Carvalho, Paulo Henrique da Cruz Ferreira, Lucas Fróis Fernandes de Oliveira, Whesley Tanor Silva, Igor Lucas Geraldo Izalino de Almeida, Ana Cristina Rodrigues Lacerda, Vanessa Amaral Mendonça, Sanny Cristina de Castro Faria, Mauro Felippe Felix Mediano, Manoel Otávio da Costa Rocha, Henrique Silveira Costa Heart and Lung, 2023
Determining factors of functioning in hemodialysis patients using the international classification of functioning, disability and health Luciana M. M. Santos, Pedro Henrique S. Figueiredo, Ana C. R. Silva, Patrícia C. Campos, Gabriele T. Gonçalves, Jaqueline de Paula C Freitas, Fidelis Antônio da Silva Junior, Jousielle Márcia Santos, Frederico L. Alves, Vanessa G. B. Rodrigues, Emílio Henrique B. Maciel, Maria Cecília S. M. Prates, Borja Sañudo, Redha Taiar, Mario Bernardo-Filho, Vanessa P. Lima, Henrique S. Costa, Vanessa A. Mendonça, Ana Cristina R. Lacerda BMC Nephrology, 2022
Cardiorespiratory and metabolic demand of the 6-minute pegboard and ring test in healthy young adults Alenice Aliane Fonseca, Pedro Henrique Scheidt Figueiredo, Henrique Silveira Costa, Lana Thais Costa Mota, Franciele Ângelo de Deus, Renato Fleury Cardoso, Sueli Ferreira da Fonseca, Tânia Janaudis-Ferreira, Ana Cristina Rodrigues Lacerda, Vanessa Pereira Lima Journal of Bodywork and Movement Therapies, 2022
The prognostic value of the Incremental Shuttle Walk Test in Chagas cardiomyopathy Matheus Ribeiro Ávila, Pedro Henrique Scheidt Figueiredo, Vanessa Pereira Lima, Luciano Fonseca Lemos de Oliveira, Lucas Frois Fernandes de Oliveira, Whesley Tanor Silva, Renato Guilherme Trede Filho, Alessandra de Carvalho Bastone, Ana Cristina Rodrigues Lacerda, Vanessa Amaral Mendonça, Mauro Felippe Felix Mediano, Henrique Silveira Costa Disability and Rehabilitation, 2022
The Glittre activities of daily living as a potential test for functional evaluation of patients on hemodialysis: a validation study Pedro Henrique Scheidt Figueiredo, Ana Caiane Rocha da Silva, Henrique Silveira Costa, Gabriela Araújo Nominato, Paulo Henrique Lopes, Patrícia Campos, Luciana Martins de Mello Santos, Marcus Alessandro Alcântara, Frederico Lopes Alves, Vanessa Gomes Brandão Rodrigues, Emílio Henrique Barroso Maciel, Maria Cecília Sales Mendes Prates, Ana Cristina Rodrigues Lacerda, Vanessa Pereira Lima Disability and Rehabilitation, 2022
The health-related quality of life in patients with Chagas disease: the state of the art Igor Lucas Geraldo Izalino de Almeida, Luciano Fonseca Lemos de Oliveira, Pedro Henrique Scheidt Figueiredo, Rafael Dias de Brito Oliveira, Thayrine Rosa Damasceno, Whesley Tanor Silva, Lucas Frois Fernandes de Oliveira, Matheus Ribeiro Ávila, Vanessa Pereira Lima, Ana Thereza Chaves Lages, Mauro Felippe Felix Mediano, Manoel Otávio Costa Rocha, Henrique Silveira Costa Revista Da Sociedade Brasileira De Medicina Tropical, 2022
The health-related quality of life in patients with post-COVID-19 after hospitalization: a systematic review Eduardo Augusto Barbosa Figueiredo, Whesley Tanor Silva, Sabrina Pinheiro Tsopanoglou, Débora Fernandes de Melo Vitorino, Luciano Fonseca Lemos de Oliveira, Keity Lamary Souza Silva, Hiago Daniel Herédia Luz, Matheus Ribeiro Ávila, Lucas Fróis Fernandes de Oliveira, Ana Cristina Rodrigues Lacerda, Vanessa Amaral Mendonça, Vanessa Pereira Lima, Mauro Felippe Felix Mediano, Pedro Henrique Scheidt Figueiredo, Manoel Otávio Costa Rocha, Henrique Silveira Costa Revista Da Sociedade Brasileira De Medicina Tropical, 2022
Measurement properties of the six-minute pegboard and ring test (6PBRT) in healthy adolescents Hércules Ribeiro Leite, Ilkilene Pinheiro Queiroz, Júlia Gonçalves Santos, Fernanda Lorena Barroso de Souza, Pedro Henrique Scheidt Figueiredo, Fernanda de Cordoba Lanza, Franciele Ângelo de Deus, Camila Danielle Cunha Neves, Bruno Alvarenga Soares, Sabrina Pinheiro Tsopanoglou, Vanessa Pereira Lima Journal of Bodywork and Movement Therapies, 2021
Accuracy of health-related quality of life in identifying systolic dysfunction in patients with Chagas cardiomyopathy Matheus Ribeiro Ávila, Pedro Henrique Scheidt Figueiredo, Vanessa Pereira Lima, Whesley Tanor Silva, Marcus Vinícius Accetta Vianna, Laís Helena Carvalho Fernandes, Alda Cristina Alves de Azevedo, Márcia Maria Oliveira Lima, Alessandra de Carvalho Bastone, Maria do Carmo Pereira Nunes, Mauro Felippe Felix Mediano, Manoel Otávio da Costa Rocha, Henrique Silveira Costa Tropical Medicine and International Health, 2021
Whole-Body Vibration Exercise in Different Postures on Handgrip Strength in Healthy Women: A Cross-Over Study Luciana M. M. Santos, Ana Carolina C. Oliveira, Sueli F. Fonseca, Angélica F. Silva, Joyce N. V. Santos, Ana Lúcia C. Souza, Jousielle M. Santos, Vanessa G. C. Ribeiro, Arthur N. Arrieiro, Ana Caroline N. Prates, Luana A. Soares, Pedro Henrique S. Figueiredo, Fábio Martins, Vanessa P. Lima, José Sebastião C. Fernandes, Mário Bernardo-Filho, Redha Taiar, Daniel T. Borges, Alessandro Sartorio, Henrique S. Costa, Hércules R. Leite, Vanessa A. Mendonça, Ana Cristina R. Lacerda Frontiers in Physiology, 2021
Determinants of minute ventilation–carbon dioxide production relationship in Chagas cardiomyopathy Lucas Frois Fernandes Oliveira, Janaina Martins Andrade, Pedro Henrique Scheidt Figueiredo, Matheus Ribeiro Ávila, Whesley Tanor Silva, Marcus Vinicius Accetta Vianna, Renato Guilherme Trede Filho, Henrique Silveira Costa, Manoel Otávio Costa Rocha, Vanessa Pereira Lima Revista Da Sociedade Brasileira De Medicina Tropical, 2021
Determinants of functional capacity in patients with chagas disease Whesley Tanor Silva, Henrique Silveira Costa, Pedro Henrique Scheidt Figueiredo, Márcia Maria Oliveira Lima, Vanessa Pereira Lima, Fábio Silva Martins da Costa, Matheus Ribeiro Ávila, Vanessa Amaral Mendonça, Ana Cristina Rodrigues Lacerda, Maria Carmo Pereira Nunes, Manoel Otávio Costa Rocha Arquivos Brasileiros De Cardiologia, 2021
Acute Whole-Body Vibration Exercise Promotes Favorable Handgrip Neuromuscular Modifications in Rheumatoid Arthritis: A Cross-Over Randomized Clinical Ana Carolina Coelho-Oliveira, Ana Cristina Rodrigues Lacerda, Ana Lúcia Cristino de Souza, Luciana Martins de Mello Santos, Sueli Ferreira da Fonseca, Jousielle Márcia dos Santos, Vanessa Gonçalves César Ribeiro, Hércules Ribeiro Leite, Pedro Henrique Scheidt Figueiredo, José Sebastião Cunha Fernandes, Fábio Martins, Renato Guilherme Trede Filho, Mario Bernardo-Filho, Danúbia da Cunha de Sá-Caputo, Alessandro Sartorio, Darryl Cochrane, Vanessa Pereira Lima, Henrique Silveira Costa, Vanessa Amaral Mendonça, Redha Taiar Biomed Research International, 2021
Repercussion of physiotherapy intradialytic protocol for respiratory muscle function, grip strength and quality of life of patients with chronic renal diseases. Jornal Brasileiro De Nefrologia Orgao Oficial De Sociedades Brasileira E Latino Americana De Nefrologia, 2010