Abstract Background: In pandemic times, social isolation is of utmost importance to minimize the spread of the SARS-Cov-2 virus. At times like these, home fitness becomes extremely necessary to avoid sedentarism and decompensation in chronic disease patients. Objectives: Evaluate the engagement of rehabilitation patients to a tele- oriented exercise program at home (TOEP). Materials and Methods: 66 of 94 patients (63.8% males; 65.5±14 years old; 5.2±2.6 months in rehabilitation) agreed to take part. Subjects were grouped in three levels of functionality to guide the exercise prescription. Weekly Training Rates (WTR) were compared using the Friedman test and corrected by Dunn's test. A multivariate logistic model was designed to determine independent predictors in program engagement. Statistical significance was determined by a p<0.05. Results: TOEP provided WTR similar to the pre-quarantine values of 2.8/week (p>0.05), and 91.8% of patients took part until the end of those 5 weeks. The presence of diabetes was a predicted factor for low engagement to TOEP with relative risk of 0.41 (CI95%: 0.25 to 0.66). Conclusion: TOEP provided satisfactory engagement in rehabilitation patients. Most of them increased WTR during quarantine. Patients with diabetes displayed lower engagement to the minimum standard frequency.

Abstract Background The SARS-COV2 pandemic has deeply affected the availability for training and competing for recreational and professional athletes. However, to date, the disease’s course among the athletic population has not been *studied . Objectives To compare the observed and expected rates of hospitalization for COVID-19 and to establish relationships between demographics and sportive characteristics of an athletic sample, and the COVID-19 infection rate. Material and Methods This study uses cross-sectional data sampling through an online questionnaire to collect data from recreational and professional athletes. Based on self-reports, athletes were grouped in COVID-19 and Non-COVID-19 cases. To decrease detection bias for each four patients who reported being hospitalized, one additional virtual patient was added to the sample. The observed rate of hospitalization (ORH) was compared with age expected rate of hospitalization (ERH) from the literature data. A multivariate model (MM) was developed to establish independent relationships between the prevalence of COVID-19 cases and the variables mentioned above. The statistical significance level was defined for a p-value<0.05. Results Answers from 1,701 individuals were analyzed. The COVID-19 group was comprised of 99 (5.8%) individuals, four of whom reported having been hospitalized. ORH and ERH were respectively of 5.0% and 18.1% (p=0.001). In the MM female gender (OR=2.02, 95% CI 1.28 to 3.19), cycling (OR=2.91, 95% CI 1.58 to 5.39), swimming (OR=2.97, 95% CI 1.14 to 7.74), and triathlon (OR=2.10, 95% CI 1.13 to 3.91) were independently associated with a COVID-19 prevalence. Conclusion Self-reported rates of hospitalization for COVID-19 among athletes were much lower than expected. The prevalence of positive cases of COVID-19 was independently higher for cyclists, triathletes, and swimmers than for runners.

RESUMO Este artigo é um relato de experiência da elaboração e implantação de um Projeto Terapêutico Singular (PTS) no Centro de Atenção Psicossocial (Caps) na cidade do Rio de Janeiro. Aborda-se o modelo de atenção adotados no Caps a partir do seu projeto político-institucional, que se destaca pela organização do cuidado psicossocial em torno de processos de trabalho instituídos pela incorporação do PTS por meio da Felicidade Interna Bruta (FIB) e pelo conceito de bem viver. Como em um estudo de caso de caráter exploratório, descrevem-se, por intermédio do conceito de sociomaterialidade, inovações na organização e práticas de cuidado. O PTS é apresentado tanto pela dimensão instrumental quanto social, por meio do protagonismo de gestores, profissionais e usuários no desafio de elaborar uma tecnologia de cuidado a partir de bases diferenciadas e por pressupostos teóricos e práticos que fazem dialogar as diretrizes basilares da atenção psicossocial com as dimensões da FIB. A culminância dessa estratégia visa à formulação de projetos para a felicidade pelo PTS, como uma aposta na reflexão do contexto atual de vida dos usuários do Caps e suas possibilidades de novas subjetividades de sujeitos/cidadãos proativos pelo bem viver no território e na comunidade onde habitam.

ABSTRACT This article is an experience report of the elaboration and implementation of a Singular Therapeutic Project (PTS) at the Psychosocial Care Center (Caps) in the city of Rio de Janeiro. The Care model adopted in Caps is approached from its political-institutional project, which stands out for the organization of psychosocial care around work processes instituted by the incorporation of PTS through Gross Internal Happiness (FIB) and the concept of good living. As in an exploratory case study, innovations in the organization and care practices are described, through the concept of sociomateriality. The PTS is presented both by the instrumental and social dimension, through the role of managers, professionals and users in the challenge of developing care technology from different bases and by theoretical and practical assumptions that make dialogue with the basic guidelines of psychosocial care with the dimensions of the FIB. The culmination of this strategy aims at formulating projects for happiness by PTS, as a bet on reflecting on the current context of life of Caps users and their possibilities of new subjectivities of proactive subjects / citizens for the well-living in the territory and the community where they live.

RESUMO Este artigo é um relato de experiência da elaboração e implantação de um Projeto Terapêutico Singular (PTS) no Centro de Atenção Psicossocial (Caps) na cidade do Rio de Janeiro. Aborda-se o modelo de atenção adotados no Caps a partir do seu projeto político-institucional, que se destaca pela organização do cuidado psicossocial em torno de processos de trabalho instituídos pela incorporação do PTS por meio da Felicidade Interna Bruta (FIB) e pelo conceito de bem viver. Como em um estudo de caso de caráter exploratório, descrevem-se, por intermédio do conceito de sociomaterialidade, inovações na organização e práticas de cuidado. O PTS é apresentado tanto pela dimensão instrumental quanto social, por meio do protagonismo de gestores, profissionais e usuários no desafio de elaborar uma tecnologia de cuidado a partir de bases diferenciadas e por pressupostos teóricos e práticos que fazem dialogar as diretrizes basilares da atenção psicossocial com as dimensões da FIB. A culminância dessa estratégia visa à formulação de projetos para a felicidade pelo PTS, como uma aposta na reflexão do contexto atual de vida dos usuários do Caps e suas possibilidades de novas subjetividades de sujeitos/cidadãos proativos pelo bem viver no território e na comunidade onde habitam.

ABSTRACT This article is an experience report of the elaboration and implementation of a Singular Therapeutic Project (PTS) at the Psychosocial Care Center (Caps) in the city of Rio de Janeiro. The Care model adopted in Caps is approached from its political-institutional project, which stands out for the organization of psychosocial care around work processes instituted by the incorporation of PTS through Gross Internal Happiness (FIB) and the concept of good living. As in an exploratory case study, innovations in the organization and care practices are described, through the concept of sociomateriality. The PTS is presented both by the instrumental and social dimension, through the role of managers, professionals and users in the challenge of developing care technology from different bases and by theoretical and practical assumptions that make dialogue with the basic guidelines of psychosocial care with the dimensions of the FIB. The culmination of this strategy aims at formulating projects for happiness by PTS, as a bet on reflecting on the current context of life of Caps users and their possibilities of new subjectivities of proactive subjects / citizens for the well-living in the territory and the community where they live.

Abstract Background: The World Health Organization (WHO) recommends as a weekly "target dose" of exercise 150 minutes of moderate exercise or 75 minutes of intense exercise. Public health policies have prioritized the practice of exercise as a strategy for disease prevention and health promotion, with health professionals as their main promoters. Objective: To assess the interaction between the amount of exercise per week and the knowledge about recommendations for fighting a sedentary lifestyle among health care professionals attending a congress of cardiology. Methods: Participants of the 2017 Rio de Janeiro Society of Cardiology Congress were interviewed. Knowledge about the World Health Organization (WHO) recommendations for fighting a sedentary lifestyle was assessed by asking participants the question: "How much weekly exercise is recommended by the WHO?" Responders were stratified by the weekly exercise load reported. A multivariate logistic model was created to determine independent predictors of knowledge. Results: A total of 426 participants were interviewed (45.5% men, median age 31 years, 37.8% physicians, 65.8% of the physicians were cardiologists). The overall knowledge level was 44.6%; 38.1%, 52.7% and 56.6% among non-physicians, non-cardiologists and cardiologists, respectively (p = 0.002). Of all participants, 21.8% were inactive, 15% were lightly active, 34.7% moderately active and 28.4% highly active, and the percentage of individuals who gave a correct answer to the question on exercise recommendations was 30.1%, 42%, 48% and 52.9% respectively (p < 0.0001). In the multivariate analysis, being highly active (OR = 2.25, IC95%, 1.238 - 4.089), moderately active (OR = 1.93, IC 95% 1.105 - 3.39) and being a cardiologist (OR = 2.01, IC 95% 1.243 - 3,267) were predictors of knowledge. Conclusions: There was a linear association between exercise level and knowledge about the WHO recommendations on exercise. Policies to stimulate the practice of exercise among health professionals can positively impact campaigns for reducing sedentary lifestyle in the general population.

OBJETIVO: Analisar a confiabilidade e validade de um dinamômetro isométrico modificado (DIM) na avaliação dos déficits no desempenho muscular dos extensores e flexores do joelho em indivíduos normais e com reconstrução do LCA. MÉTODOS: Foram convidados 60 voluntários do sexo masculino a participar do estudo, divididos em três grupos de 20 indivíduos: grupo controle (GC), grupo com reconstrução do LCA com tendão patelar (GTP) e grupo com reconstrução do LCA com tendões flexores (GTF). Todos os indivíduos realizaram teste isométrico dos extensores e flexores do joelho no DIM; os déficits de força muscular coletados foram comparados posteriormente com os testes realizados no Biodex System 3 operando no modo isométrico e isocinético nas velocidades de 60º/s e 180º /s. Foram realizados cálculos de correlação intraclasse ICC para avaliar a confiabilidade do DIM, cálculos da especificidade, sensibilidade e coeficiente de concordância Kappa, respectivamente, para avaliar a validade do DIM em detectar déficits musculares e comparações intragrupos e intergrupos na realização dos quatro testes de força utilizando-se do método ANOVA. RESULTADOS: O DIM demonstrou excelente confiabilidade teste-reteste e validade na avaliação do desempenho muscular dos extensores e flexores do joelho. Na comparação intergrupos. o GTP demonstrou déficits significativamente maiores dos extensores comparados com os grupos GC e GTF. CONCLUSÃO: Dinamômetros isométricos conectados em equipamentos de mecanoterapia podem ser uma alternativa para coletar dados referentes a déficits no desempenho muscular dos extensores e flexores do joelho em indivíduos com reconstrução do LCA.

OBJECTIVES: The aim of this study was to evaluate the reliability and validity of a modified isometric dynamometer (MID) in performance deficits of the knee extensor and flexor muscles in normal individuals and in those with ACL reconstructions. METHODS: Sixty male subjects were invited to participate of the study, being divided into three groups with 20 subjects each: control group (GC), group of individuals with ACL reconstruction with patellar tendon graft (GTP, and group of individuals with ACL reconstruction with hamstrings graft (GTF). All individuals performed isometric tests in the MID, muscular strength deficits collected were subsequently compared to the tests performed on the Biodex System 3 operating in the isometric and isokinetic mode at speeds of 60º/s and 180o/s. Intraclass ICC correlation calculations were done in order to assess MID reliability, specificity, sensitivity and Kappa's consistency coefficient calculations, respectively, for assessing the MID's validity in detecting muscular deficits and intra-and intergroup comparisons when performing the four strength tests using the ANOVA method. RESULTS: The modified isometric dynamometer (MID) showed excellent reliability and good validity in the assessment of the performance of the knee extensor and flexor muscles groups. In the comparison between groups, the GTP showed significantly greater deficits as compared to the GTF and GC groups. CONCLUSION: Isometric dynamometers connected to mechanotherapy equipments could be an alternative option to collect data concerning performance deficits of the extensor and flexor muscles groups of the knee in subjects with ACL reconstruction.

OBJETIVO: Analisar a correlação entre os déficits musculares dos extensores e flexores do joelho através do pico de torque isocinético com os testes de salto monopodal, frouxidão ligamentar pós-operatória e questionário de função em indivíduos normais e indivíduos submetidos à reconstrução do LCA com enxerto autólogo do tendão patelar e dos tendões flexores. MÉTODOS: Foram recrutados 60 indivíduos, formando três grupos: 20 indivíduos sem lesões no joelho (grupo GC) e dois grupos de 20 indivíduos submetidos à reconstrução do LCA com tendão patelar (grupo GTP) ou tendões flexores (grupo GTF). RESULTADOS: Os resultados demonstraram correlação significativa entre déficits no pico de torque e testes funcionais no torque extensor nos grupos GTF e GC. Não foram observadas correlações significativas entre frouxidão ligamentar pós-operatória e questionário de Lysholm com os testes de salto e déficits no pico de torque. Em relação à diferença entre os grupos, foi observado que o grupo GTP demonstrou maior déficit do torque extensor, menor pontuação no questionário de Lysholm e maior percentagem dos indivíduos com índice de simetria entre membros (ISM) < 90% em ambos os testes de salto monopodal quando comparado com os demais grupos. CONCLUSÃO: Na avaliação funcional de pacientes submetidos à reconstrução do LCA, não é aconselhável a utilização de apenas um instrumento de medida, porque a correlação significativa entre déficit no pico de torque, questionários de função, frouxidão ligamentar e testes de salto não é encontrada em todos os grupos testados.

OBJECTIVES: The aim of this study was to analyze the correlation between deficits in the isokinetic peak torque of the knee extensors and flexors with hop tests, postoperative knee laxity and functional scores in normal and ACL- reconstructed subjects with patellar tendon and hamstring tendon autografts. METHODS: Sixty male subjects were enrolled and subdivided into three groups: Twenty subjects without knee injuries (GC group) and two groups of 20 subjects submitted to ACL reconstruction with patellar tendon (GTP group) and hamstrings autograft (GTF group). RESULTS: The results showed significant correlation between knee extensors peak torque and performance in the hop tests for GTF and GC groups. There are no significantly correlations between post op knee laxity and Lysholm score compared with the hop tests and peak torque deficits. Concerning the differences between groups, the GTP group showed greater peak torque deficits in knee extensors, worst Lysholm scores and higher percentage of individuals with lower limb symmetry index (ISM) < 90% in both hop tests when compared to the other two groups. CONCLUSION: It is not recommendable to use only one measurement instrument for the functional evaluation of ACL-reconstructed patients, because significant correlation between peak torque, subject's functional score, knee laxity and hop tests were not observed in all groups.