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Objective: To map out the current evidence base in relation to the application of asset-based approaches to improve outcomes with adults in health or social care. Introduction: Application of asset-based approaches (ABAs) with adults in the areas of health or social care have increased. To better understand the implementation of ABAs to improve outcomes with adults, there is a need to synthesise current evidence. Inclusion criteria: Studies that applied an asset-based approach, Asset Based Community Development or based their approach or intervention on the theory of salutogenesis; ABAs used in health promotion and preventative approaches; Empirical studies; Adults aged 18 and above receiving health or social care services; Peer-reviewed literature; Must be applied or implemented in health or social care context; Any publication time period; Any study design; Only studies published in English. Methods: A systematic search will be carried out in five databases PubMed, EMBASE, CINAHL, Web of Science and SCOPUS, using search terms guided by an academic librarian. Studies will be screened for inclusion based on the predefined eligibility criteria. Data selection will be facilitated through Covidence systemic software. Studies will be screened for inclusion based on the eligibility criteria at title, abstract and full-text level. All studies will be screened by the first author and 10% will be screened independently by a second reviewer. Outstanding conflicts will be resolved with a third reviewer. Data extraction will be carried out using a predefined data extraction form and written guide developed by the first author. A narrative synthesis will be conducted (Popay et al., 2006).

Cerebral palsy (CP) is one of the most frequent causes of motor disability in children. Although the definition of CP specifies that the brain lesion to the developing fetal or infant brain is not progressive, it is now well known that the secondary consequences to the musculoskeletal system in a growing child are progressive. The natural history of CP is often characterized by a gradual deterioration of mobility over a 5-year period from childhood to the start of the adolescent growth spurt. For this reason, maintaining or improving gait and gross motor function is a common primary goal for children with CP and orthopaedic gait corrective surgery has been considered standard of care to aid in achieving this goal. Three-dimensional gait analysis (3DGA) has been established as a criterion standard measure to inform surgical intervention and evaluate gait outcomes in children with CP requiring orthopaedic surgery for gait correction. Yet, the reality is that use of 3DGA is uncommon in clinical settings due to the cost involved and the equipment and expertise required. In the absence of 3DGA, observational gait assessment via non-instrumented methods is a viable alternative in informing and reassessing surgical intervention. However, evaluations of orthopaedic surgical interventions must go beyond just assessing the changes in body structure and function associated with gait. The introduction of the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) encourages a multidimensional perspective of measuring and documenting health outcomes. This framework creates a shift in focus from just measuring gait-related outcomes (“impairment” of body function and structure), to also measuring “activity” (action or task execution), and “participation” (involvement in life situations) outcomes to allow for more meaningful assessment of the child’s function following gait corrective surgery. There is a long-held assumption that functional activity and participation will improve if gait impairments are treated. However, due to limited reporting of activity and participation measures to reflect surgical outcome, the correlation between gait impairment with activity and participation is poorly understood. Changes in gait may not necessarily translate into clinically significant or meaningful changes in activity and participation. Despite the large body of literature evaluating outcomes of gait corrective surgery for children with CP, there is lack of consensus regarding which non-instrumented measures of gait, activity and participation outcome measures are most suitable to be collected pre- and post-surgery. Therefore, the aim of this scoping review is to identify the most frequently reported non-instrumented measures of gait, activity and participation for children with CP undergoing gait corrective surgery. By doing so, we may be able to help direct further work towards developing a core set of outcome measures for use in routine clinical practice.

Objective: The objective of this review is to explore how qualitative research has been used to inform progression from pilot and feasibility studies to full-scale randomised controlled trials (RCT) in applied health research. Introduction: Pilot and feasibility studies are recommended to help researchers determine if a large definitive RCT is feasible and to help refine trial processes and design components. There is some guidance on pilot and feasibility studies, progression criteria development, and the decision-making process following a pilot or feasibility study. However, there is currently no clear guidance on how qualitative research methods can be used in pilot and feasibility studies to inform the trial progression decision-making but the need for such guidance has been identified in recent reviews and a qualitative study. Inclusion criteria: The context of this review is methodological and includes results publications of any pilot and feasibility studies conducted to inform a future full-scale RCT of any intervention targeting patients. The key concept examined by this review is pilot and feasibility studies where qualitative research methods were used to inform decision-making around trial progression. Methods: The search strategy will be informed by two previous reviews focused on pilot and feasibility studies. The search will be restricted to four key journals to keep number of results manageable. The draft data extraction tool will be modified and revised as necessary during the process of extracting data from each included evidence source. Modifications will be detailed in the scoping review. A descriptive summary of findings will be done, and results will be presented in tables and graphs/figures.

This is a scoping review to synthesize all observational and interventional studies on methods to predict or interventions to reduce risk of bias in interventional studies at the stage of study design.

A critical and mixed review of the literature around the relationship between citizenship rights and health: Proposing healthenship

A research project by the University of Sheffield in partnership with the University Medical Centre Groningen and Pain Alliance Europe. The study aims to understand the experiences of people with Fibromyalgia in healthcare consultations. We are aiming to learn more about the experiences of patients with and without a formal diagnosis of Fibromyalgia. This includes exploring the topics of quality of life, social interactions and interactions with healthcare professionals. We are also looking at people’s experiences in health care consultations where they have felt stigmatised. By stigma we mean “being excluded, rejected, blamed, or devalued because you have a particular health problem’’. We know from PAE’s previous survey that this is a common experience of people with fibromyalgia. In this research, we want to understand more about how stigmatising happens and how it can be prevented.

This rapid review will be analysing whether a sex-specific discrepancy exists in the administration of analgesia for pain, in patients presenting prehospitally to an ambulance service.

Scoping review on nutrition in healthy children and adolescents

With the growing amount of clinical evidence derived from large-scale Asian real world data (RWD) and interest in its use in regulatory decision-making, there is a strong need to evaluate the agreement between randomized controlled trials (RCTs) and real world evidence (RWE) findings based on Asian RWD that mimicked corresponding RCT designs. Moreover, the availability and accuracy of key data within RWD decide the possibility of applying complex frameworks of RCTs and further, addressing clinical questions. In short, RWE will likely fail to emulate trials when using RWD with missing essential information, despite implementing robust methodological and analytical approaches. Therefore, verifying the reliability of Asian RWD through trial emulations with previously validated methods. If the results of trial emulations using Asian RWD were in line with corresponding RCTs, and also with prior emulation studies, we would then have greater confidence in evidence generated from Asian RWD and its use in decision-making. Therefore, we aimed to emulate the eight cardiovascular outcomes trials of antidiabetic medications to investigate their reproducibility when implemented in three unique large-scale Asian RWD sources from South Korea, Hong Kong, and Taiwan.

Athletes want to optimise their performance and prevent injuries, and they typically explore many different strategies to give them a competitive advantage in sports events. Worldwide, manual therapies and chiropractic have been increasingly utilised in sports to help elite and masters athletes with pain management, return to sports and rehabilitation after an injury, injury prevention, enhancement of performance, and to recover faster after competitions. Pre-competition chiropractic manual therapies (CMT) may be a way to identify and prevent a potential injury and to contribute to enhancing sports performance in masters athletes. Although there is vast research addressing the role of the best and common practices of chiropractic in older adults, none of them, thus far, have included the ageing athletic population until now. Therefore, the aim of this project is to explore and increase the understanding of the aged 60+ athlete’s perceptions from the chiropractic encounter, the biomechanical and sports performance experiences, and its potential short-term functional impacts on plantar flexor muscle strength and accuracy motor skill performances.

To promote the use of evidence-based treatments it is important to generate evidence on whether implementation or de-implementation interventions represent value for money without the context of limited resources. A rigorous assessment of the use of economic evaluation in the realm of (de)-implementation interventions can increase understanding about how they are used and make recommendations to improve their application.

This protocol includes the registration of a priority scope review for Uruguay. The aim will be to examine and map the literature on physical activity indicators based to the Global Matrix initiative in Uruguayan children and adolescents.

The aim of this scoping review is to determine what evidence exists for Advanced Clinical Practice within Neurological Rehabilitation (including stroke). The review will synthesise peer-reviewed articles and grey literature that explores the role of Advanced Clinical Practitioners within a Neurological Rehabilitation context. The scope of articles may include the demand and benefits of the role, or service improvement projects. A secondary aim of this scoping review is to determine what educational frameworks or credentials already exist (if any), for neurological rehabilitation. This will include published curricula, degree programme outlines, quality standards and frameworks. The overarching aim of this work is to develop and co-produce an educational framework for Advanced Clinical Practitioners (ACP) in neurological rehabilitation (including stroke). It is therefore anticipated that findings of this scoping review will contribute towards defining skills, knowledge and behaviours required for Advanced Clinical Practitioners working in Neurological Rehabilitation.

This project aims to research the postural control of men with low back pain and lower urinary tract symptoms, compared to men with either low back pain or lower urinary tract symptoms and healthy controls by analyzing center of pressure parameters. All documentation for this study, including research protocol, analysis plan, data management plans, patient information files and more can be found at the project page of the institutional FigShare website of the Amsterdam University of Applied Sciences, which can be accessed here: https://uvaauas.figshare.com/projects/Balance_deficits_in_patients_with_lower_urinary_tract_symptoms_and_low_back_pain_/120702 Also, this OSF preregistration is filled in based on the research protocol (version 3.2) described here: https://doi.org/10.21943/auas.19705384.v2, of which more recent versions can be accessed through this DOI: https://doi.org/10.21943/auas.19705384 The static version of this protocol is also added to this preregistration on OSF This study is coordinated by researchers from the Amsterdam University of Applied Sciences and Vrije Universiteit Amsterdam. All affiliations of contributors: 1) Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands 2) Amsterdam Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. 3) Menzies Health Institute Queensland, Griffith University, Brisbane and Gold Coast, Australia. 4) Somt University of Physiotherapy, Amersfoort, The Netherlands.

The purpose of this scoping review is to identify what is reported in the literature on medication self-management toolkits for adults with multiple sclerosis (MS).

In acute pain, measurement of pain and analgesic (specifically opioid use) is conceptually interrelated. Use of more analgesia will improve pain outcomes and less analgesia has the potential to worsen pain outcomes in specific surgical cohorts. Measuring pain outcomes, either continuous (as pain scores) or categorical (as patient having either severe of mild pain) without accounting for analgesic use at the same time would provide incomplete information and potentially be considered inappropriate. However, most studies consider one of them as their outcome, without controlling for the other factor. Some of the options are in combinations such as comparing one outcome by controlling for the other one; combining both in a single outcome measure, depending on whether there are validated measures; comparing both outcomes separately with equal importance – such as coprimary outcomes. It is not clear if there are validated combined measures or an outcome that can reflect a state of pain control that incorporates pain intensity and analgesia use. Methodologically, each of these solutions have different implications. A systematic review looking at studies assessing both analgesia use and pain outcomes together in a knee arthroplasty surgical population would be useful.

The aim of this scoping review is to identify, categorize and report current research for the effect and related toxicities of radiotherapy on female erectile tissues.

Developing an evidence mapping framework to identify and describe the current literature surrounding performance in United States Military Special Operations.

This scoping review will be conducted to guide researchers in the application of appropriate research instruments to detect physiotherapy overuse of low-value care services in low back pain managament. The results will help to systematically select overuse measures referring to aspects of the medical overuse typology, specific healthcare settings and physiotherapy services. It will further provide information on limitations of present studies and will give advice how to address them. Moreover, this review will illustrate to what degree existing studies succeed to comprehensively cover the concept of the overuse typology.

The primary purpose of this modified Delphi process is to derive a set of fundamental considerations for the design and implementation of placebo control interventions, applicable to clinical trials of physical, psychological, and self-management therapies for pain. Informed by a preliminary systematic review of methods, the panellists’ experiences and an external patient and stakeholder engagement exercise, the aim is to enhance and standardise placebo control design in the field and find solutions to the particular challenges of placebo controlling clinical trials of complex participatory interventions.

Practices impacting patients throughout the perioperative setting may be considered low value; as such they may benefit from de-implementation. We are surveying the current literature for any previous attempts to de-implement interventions in the perioperative/anesthesiology setting, while also looking at what has been accomplished in other fields, such as surgery and medicine. We will continue to extend the comparison of de-implementation in the perioperative period from implementation science. We hope to accomplish a new foundation for de-implementation research in the perioperative setting.

The objective of this scoping review is to explore the characteristics and effectiveness of current oral healthcare educational and training interventions targeted at clinicians caring for stroke patients in acute and rehabilitation settings.

Stroke is the fifth leading cause of death in the Americas. It is also the leading cause of long-term disability in the world. In parallel, the use of photobiomodulation has steadily increased in several areas of medical practice that require healing, prevention of tissue death, pain relief, reduction of inflammation and regenerative medicine. Objectives: this review aims to provide an overview of the use of Photobiomodulation therapies in stroke patients providing the best scientific evidence available to guide future clinical studies and new care protocols in the follow-up and rehabilitation of this population. Methods A scope review according to the extended PRISMA protocol for Systematic Scope Reviews and Meta-analyzes (PRISMA-ScR) limited to English, French, Spanish, Portuguese or Italian, following P.I.C.O. P: (Stroke) I: (Laser OR Photo) in the MEDLINE /, EMBASE, LILACS, Open Gray, Web os Science and Portal Capes databases about Human studies on the use of different types of Photomodulation therapies in patients with Stroke, Ischemic or Hemorrhagic, regardless of the time of injury (acute or chronic) of the comparator or the outcome analyzed. Parallel studies comparing the Laser with control groups without treatment, control groups with sham / placebo therapy, other comparator therapies or NOT control group will be included. No restrictions regarding age, sex of the patient, stroke etiology, time of injury, Light protocol used, type of Light, type of study, intensity, application technique or analyzed outcome will be imposed. Exclusion Criteria: Experimental or animal studies, studies that used other techniques without the use of therapeutic Light, studies with the use of laser as a non-therapeutic diagnostic tool, rapid communications, opinions, editorials, letters to the editor, unpublished studies, journalistic materials, book chapters, published protocols without results, scientific reports without described research methodology, description of patents and products without described research methodology, scientific reports, class records, conferences and lectures, narrative reviews, commercial journals, feeds news, business technical reports, blogs, podcasts and websites. The recommendations recommended in Equator network tools of quality and the REBRATs platform will be used for quality analysis. In addition to the LLT / photomedicine Guideline, we planned the use of the CONSORT Guideline for randomized clinical trials; for non-randomized clinical studies, ROBINS Guideline; for observational studies, STROBE Guideline; for systematic reviews, PRISMA and AMSTAR Guidelines; for case reports, CARE Guideline. If necessary, the NIH Study Quality Assessment Tools and the Cochrane Risk of Bias Tool can be used. The minimum criteria analyzed will be: blinding, presence of a control group, randomization, calculation of the sample size, losses occurred during the study, use of validated instruments for evaluation and diagnosis, clear description of the statistical methods used for objective evaluation, description of the longitudinal follow-up minimum, selective notification of results, prior registration of the study protocol. A qualitative descriptive analysis of the collected data is planned. We planned an individual description of the participants' data and a narrative synthesis. The synthesis will be provided with the results of the included studies, structured around the reported positive or negative results of Laser therapy, the type of intervention, type of conditions studied and study design. Summaries of the effects of the intervention will be provided for each study. If a minimum of two studies with the same material, same condition, therapy and results are found, we plan to use the RevMan software to perform a quantitative synthesis (meta-analysis).

Coronary artery disease (CAD) is the major cause of morbidity and thereby mortality in the world. In developing countries like India and other South Asian countries there has been an alarming increase of deaths due to cardiovascular diseases when compared to the developed Nations.

The Health Foundation have funded a three-year project to re-design IBD services, shaped by those who use them - people with IBD - and deliver improved outcomes. With the support of Crohn’s & Colitis UK, working with Microsystem Coaching Academy (MCA) and the School of Health and Associated Research (ScHARR) and VoiceAbility, the project will bring patients, clinicians and commissioners together to define purpose, understand priorities, map processes, examine patterns in data and steer service redesign.

Completeness of reporting and frequency of reproducible research practices in diet and nutrition-related trials: protocol for a meta-research study

Scoping Review

Swallowing disorders appear to be present in one-third of subjects with PD (Kalf, Swart, Bloem, & Munneke, 2012), with a prevalence ranging from 16% to 100%, based on the assessment tool used (Kwon & Lee, 2019; Van Hooren, Baijens, Voskuilen, Oosterloo, & Kremer, 2014). The presence of oropharyngeal dysphagia can limit the person's quality of life (QoL), increasing the onset of aspiration pneumonia in PD patients (Kalf et al., 2012). Clinical manifestations are characterized by impairments of both the oral and pharyngeal phases, with a presence of aspiration greater than 50% (Lin, Chang, Chen, & Chang, 2012; Suttrup & Warnecke, 2016; Umemoto & Furuya, 2020). Together with the identification of signs and symptoms typical of the phases of the swallowing process, several Authors have described the involvement of the hyoid bone and thyroid cartilage, with the reduction of the approximation of the two structures. Furthermore, the movement velocity on the horizontal plane of the hyoid bone could be compromised. These parameters can be assessed by submental ultrasound (Broadfoot et al., 2019; Lee et al., 2019). It is important to investigate the dysphagia signs and symptoms with various subjective and/or objective evaluation methods (Cohen & Manor, 2011; Ginocchio et al., 2016; Kwon & Lee, 2019; Lee et al., 2019; Lopez-Liria et al., al., 2020; Manor, Giladi, Cohen, Fliss, & Cohen, 2007; Oh, Seo, & Kang, 2016; Suttrup & Warnecke, 2016; Umemoto & Furuya, 2020). These approaches allow to identify patients at risk of dysphagia from the early stage and eventually compensate for it. The problem regarding voice concern about 70-90% of the PD population (Sapir et al., 2008). In particular, respiratory mechanics deficits are reported which affect vocalic production and prosody. Therefore, there is a relationship between phonation and swallowing, is important to improve the relationship between dysphagia e voice aspects in these patients.

The objective of this scoping review is to explore the available literature in relation to the paramedicine, or emergency medical services (EMS), response in terms of role and scope to falls among older adults in the remote or rural settings.

1. First, to develop a measure to rate narrative bias in titles and abstracts of randomised controlled trials and systematic reviews. 2. Second, the classification will be used to identify the extent to which narrative bias is evident in randomised controlled trials and systematic reviews investigating cannabinoids, cannabis or cannabis-based medicine for pain management.

This project aims to monitor people's physical functioning during the COVID19 restrictions being in place. It entails different phases, starting with exploring feasibility. Following that, reliability of self-assessment of physical functioning would be determined. Following that, the monitoring of physical activity and physical functioning would be evaluated.

Study about family-centered interventions in preeschoolers and their effects on children's motor development

The search for instruments that can measure the impact of a health condition in all aspects related to the quality of life of patients is constant in clinical practice. From this perspective, the Patient Generated Index (PGI) was developed, which uses an innovative approach to assessing health-related quality of life (Ruta, DA., et al. 1994). The PGI consists of three stages. In the first step the individual identifies a maximum of five important areas of his life affected by the disease; soon after the identification, he evaluates how each one was affected by the disease scoring from 0 to 6, being 0 the worst imaginable and 6, exactly as he would like it to be; and at the end, the individual distributes 10 points among the areas identified in the first step, so that, the higher the score the more important for his life, and the lower the score the less important that area will be for his life (Camfield, L.; Ruta, DA. 2007). Its validity, reliability, and responsiveness have already been evaluated in several health conditions (Ruta, DA., et al 1994; Aburub, AS., et al 2016; Ruta, DA., et al 1999; Herd, RM et al 1997). Recently, Cardoso et al (2020) translated the instrument into Portuguese and analyzed its psychometric properties in a population of patients with chronic obstructive pulmonary disease. Although there is evidence for the use of the PGI in health-related quality of life, there are still gaps that need to be filled, such as in which populations the instrument has already been applied, in which health conditions it has been used, and what psychometric properties have been studied.

The objective of this project is to perform a scoping review of clinical guidelines, best practice publications, quality standards, and other related literature to develop a preliminary set of quality indicators for chiropractic care, to identify gaps, and to inform future research.

Autores: Gisela Maria de Assis; Rogério Fraga; Marthyna Pereira de Mello; Talita dos Santos Rosa. Revisado por Vera Lúcia Conceição de Gouveia Santos. Resumo: Este manual é parte de um projeto chamado Vidas Secas. O projeto Vidas Secas foi idealizado pela equipe do ambulatório de disfunções do assoalho pélvico (DAP) do Complexo Hospital de Clínicas da Universidade Federal do Paraná que atende pacientes com DAP, como retenção e incontinência urinária. O cateterismo intermitente limpo é uma forma de esvaziar a bexiga quando alguma condição clínica impede que isso aconteça espontaneamente da maneira adequada. Ele evita que o resíduo de urina que fica retido na bexiga cause problemas como infecções urinárias e disfunções nos rins. Esse procedimento é simples e seguro você mesmo pode realizá-lo. Como é uma situação nova, sabemos que duvidas poderão surgir, por isso desenvolvemos este manual que explicará todos os passos.

A systematic scoping review to investigate and report on the known measures of common humanity and their core features

This study was to evaluate the methodological and reporting quality of the comprehensive hypertension guidelines in the past five years, and to find the problems existing in the current guidelines. So as to provide guidance for the formulation of higher quality hypertension guidelines.

Resumo Objetivo: O objetivo desta revisão é identificar as evidências disponíveis das Escalas Prognósticas de Sobrevida utilizadas em pacientes em Cuidados Paliativos. Introdução: A previsão precisa de sobrevivência é um dos fatores-chave no processo de tomada de decisão, desde o estabelecimento de metas nos estágios iniciais dos cuidados paliativos até questões éticas no final da vida. No entanto, a previsão tradicional dos médicos não é confiável, e a maioria dos prognósticos tendem a ser imprecisos e excessivamente otimistas. Encontrar ferramentas para prever a sobrevida de pacientes com doença grave que ameace a vida, é de grande importância não só pra equipe médica e multidisciplinar que o acompanha e que podem adequar abordagens mais paliativas com enfoque na qualidade de vida e no conforto, como é de grande valia para a familía que pode tomar melhores decisões sobre os objetivos do tratamento e se prepararem para o fim da vida. Método: Esta revisão considerou estudos que incluem pacientes adultos (18 anos ou mais) com doença grave, que ameaçe a vida e em Cuidados Paliativos. Os pacientes devem ser hospitalizados em hospitais terciários e acompanhados pela equipe de Cuidados Paliativos. Nos estudos devem conter Escalas Prognósticas usadas na predição da sobrevida do paciente. Serão considerados estudos quantitativos e qualitativos, teses, textos e pareceres. Apenas estudos publicados em inglês, espanhol e português serão incluídos, sem data limite. Será realizado uma estratégia de pesquisa em 4 etapas para esta revisão. As bases de dados utilizadas para a busca sistemática incluem: EMBASE, MEDLINE (via EMBASE), CINAHL, LILACS, SCOPUS e Google Scholar. Serão incluídos estudos publicados em inglês, espanhol e português. Os registros serão exportados para o EndNote, um software online que gerencia bibliografias, após isso, copiados para o Rayyan, um aplicativo web gratuito que permite a seleção dos estudos pelo título e resumo, por dois revisores de forma cegada. Em seguida os estudos selecionados serão lidos na íntegra. Os dados extraídos serão apresentados em forma de tabelas, gráficos e categorias conceituais de maneira coesa com o objetivo desta revisão de escopo e um resumo narrativo será fornecido. Palavras-chave: Escalas Prognósticas; Cuidados Paliativos; Fim de Vida; Sobrevida.

The intention of this scoping literature review is to collate and compare the spatial and behavioural observation methods that are commonly used in healthcare environments research so that researchers can easily access and appreciate the benefits and limitations of the various methods for particular research contexts.

Due to the population's sedentary lifestyle, the number of people with localized abdominal fat has been increasing and triggering metabolic, cardiovascular and self-esteem problems. Several therapeutic modalities have been proposed for the treatment of localized fat. Among these treatments, physical agents stand out, which are different types of energy that interact with biological tissues for therapeutic purposes. These include heat, cold, pressure, sound, electromagnetic radiation and electrical currents. In this way, the combined therapy technique associated with the Russian current is used to reduce localized fat. The expected physiological effects of using combined therapy are: improving the permeability of the adipocyte membrane, the vasodilation of blood and lymph capillaries, increased blood flow and energy expenditure. As a result, the adipocyte allows the fat stored in the form of fatty acid and glycerol to escape. The aim of this study is to analyze the effectiveness of the technique in reducing abdominal fat, to analyze the effects of therapy on heart rate variability, autonomic nervous system, blood pressure. Data collection will be carried out in the clinical practices laboratory of the Universidade do Oeste Paulista (UNOESTE) - Campus 1. Participants will be duly informed about the procedures and objectives of this study and, after agreeing, will sign a free and informed consent form, constituting the possible sample. The procedures used to carry out this work were evaluated by the Research Ethics Committee of the Universidade do Oeste Paulista - UNOESTE / Presidente Prudente. 68209817.8.0000.5515 This research presents itself as a longitudinal and prospective uncontrolled intervention study, consisting of 30 female participants, aged between 18 and 35 years, using oral contraceptives and classified as sedentary, active A and B, according to the International Physical Activity Questionnaire (IPAQ). The volunteers will be randomly divided into two groups, the group that will receive the application of combined pulsed therapy in isolation (TCP) and the group that will receive the combined pulsed therapy associated with neuromuscular electrical stimulation through the Russian current (TCP + CR) . Smokers, alcoholics, and users of medication that interfere with the cardiovascular and respiratory system, patients with known cardiovascular, pulmonary or metabolic pathologies, as well as any contraindications to the use of combined therapy and neuromuscular electrostimulation in the abdominal muscles, will not be included in the study.

Pre-registration for Ecological Momentary Assessment (EMA) study about crafting across life domains during working days