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1.
J Exp Anal Behav ; 121(3): 327-345, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38629655

RESUMO

Can simple choice conditional-discrimination choice be accounted for by recent quantitative models of combined stimulus and reinforcer control? In Experiment 1, two sets of five blackout durations, one using shorter intervals and one using longer intervals, conditionally signaled which subsequent choice response might provide food. In seven conditions, the distribution of blackout durations across the sets was varied. An updated version of the generalization-across-dimensions model nicely described the way that choice changed across durations. In Experiment 2, just two blackout durations acted as the conditional stimuli and the durations were varied over 10 conditions. The parameters of the model obtained in Experiment 1 failed adequately to predict choice in Experiment 2, but the model again fitted the data nicely. The failure to predict the Experiment 2 data from the Experiment 1 parameters occurred because in Experiment 1 differential control by reinforcer locations progressively decreased with blackout durations, whereas in Experiment 2 this control remained constant. These experiments extend the ability of the model to describe data from procedures based on concurrent schedules in which reinforcer ratios reverse at fixed times to those from conditional-discrimination procedures. Further research is needed to understand why control by reinforcer location differed between the two experiments.


Assuntos
Comportamento de Escolha , Aprendizagem por Discriminação , Generalização Psicológica , Modelos Psicológicos , Esquema de Reforço , Animais , Reforço Psicológico , Condicionamento Operante , Discriminação Psicológica , Columbidae , Fatores de Tempo
2.
J Exp Anal Behav ; 119(1): 104-116, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36354169

RESUMO

Estes (1944) reported that adding electric shock punishment to extinction hastened response suppression but that responding increased when shock was removed. This result contributed to a view that reinforcement and punishment are asymmetrical processes because punishment has only indirect and temporary suppressive effects. Azrin and Holz (1966) suggested the result might be interpreted instead as shock serving as a discriminative stimulus for the absence of reinforcement. Here, to further examine potential stimulus control by punishment in a similar preparation, two groups of rats initially responded for food plus punishment and a third group for food alone. Reinforcement was then removed for all groups for the remaining three phases. With P and N denoting punishment and no punishment, the four phases for the three groups were: P-P-N-N, P-N-P-N, and N-P-N-N. We found some evidence for stimulus control by shock deliveries for group N-P-N-N (as suggested by Azrin and Holz), but all other changes in responding appeared due to introduction or removal of the aversive properties of shock. Although punishment may indeed have temporary effects under many circumstances, we argue that the view that this implies asymmetrical reinforcement and punishment processes was based on the flawed assumption that reinforcement has direct strengthening effects.


Assuntos
Punição , Reforço Psicológico , Ratos , Animais , Alimentos
3.
BMJ Open Sport Exerc Med ; 8(3): e001368, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35979432

RESUMO

Objectives: The primary objective was to study the adoption of the NHE programme in European football teams in the 2020/21 season and to compare it to the previous study. A second objective was to compare hamstring injury rates between teams that used the NHE programme in the team training and teams that used the NHE only for players with previous or current hamstring injuries. Methods: Data about the implementation of the NHE programme and injury rates were included for 17 teams participating in the Elite Club Injury Study during the 2020/2021 season. Results: One team (6%) used the full original NHE programme, and another four teams used it for all or most players in the team (team training group, n=5). Eleven teams used NHE only for players with a previous or current hamstring injury (individual training group), and one team did not use NHE. The team training group had fewer hamstring injuries (5 vs 11 per team, p=0.008) and a lower injury burden (12 vs 35 lay-off days per 1000 hours, p=0.003) than the individual training group. Conclusion: Similar to previous reports, low adoption of the NHE programme was seen in the 2020/2021 season. The low adoption rate (13%) relates to the number of teams fully or partly using NHE programmes. Teams that used NHE for the whole team or most players had a lower hamstring injury burden than teams that used NHE only for individual players.

4.
Sports Med Open ; 8(1): 67, 2022 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-35552918

RESUMO

BACKGROUND: Studies on football and the coronavirus disease 2019 (COVID-19) have mainly focused on the lockdown consequences for player fitness, the resumption of football training, and how to safely restart the league play, but injury data are scarce. OBJECTIVE: To describe the injury incidence and injury burden in men's professional football teams during the pandemic year of 2020. METHODS: Nineteen teams in 12 countries prospectively registered data on player-exposure and time-loss injuries throughout 2020. All major football leagues were paused as a direct response to the pandemic in March 2020 and were thereafter completely cancelled or restarted after a lockdown interval of at least two months. Historical data from 43 teams in the same cohort during the five preceding years (2015-2019) were used as reference. Between-season and within-season comparisons were made for injury incidence (number of injuries per 1000 h) and injury burden (number of absence days per 1000 h) with 95% confidence intervals and interquartile ranges. RESULTS: There was no increased match injury incidence or injury burden following the restart in 2020 compared with other time periods of 2020 and the corresponding periods 2015-2019. There was an increased training injury incidence and injury burden immediately during the lockdown in 2020, and they remained elevated also following the restart, being higher in 2020 compared with 2015-2019, respectively. The injury characteristics during the first months of the new 2020/21 season (August/September-December) were similar between the five teams that cancelled their 2019/20 season in March 2020 and the 14 teams that restarted their season in May/June 2020. CONCLUSIONS: There was no increased match injury incidence or injury burden following the COVID-19 lockdown and restart of the football season in 2020, but training injury incidence and injury burden were elevated and higher than in 2015-2019.

5.
J Exp Anal Behav ; 117(1): 36-52, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34734651

RESUMO

This experiment asks whether timing is affected by animals' discrimination of response-reinforcer contingencies, and if so, how this effect can be understood. Six pigeons were trained on a procedure in which concurrent-schedule reinforcer ratios between left and right keys changed at 30 s after the last reinforcer. One stimulus signaled a reinforcer-ratio reversal from 9:1 to 1:9 on that key, and the other stimulus signaled the inverse reversal, with the key on which these stimuli occurred randomized. Across conditions, the physical difference between the stimuli signaling the two responses was varied and the directional changes in the reinforcer ratio signaled by each stimulus were reversed. Choice changed appropriately across time when the two stimuli were discriminable, and points of subjective equality fell with decreasing stimulus difference. A model which assumed that reinforcers obtained in time bins were redistributed across other time bins according to ogivally changing standard deviations, and between response locations according to an ogivally changing redistribution measure, accounted well for the data. This model was shown to be preferable to one in which across-time redistributions were scalar, and across-location redistribution was constant. These results show the critical importance of stimulus-response-reinforcer discriminability to measures of timing.


Assuntos
Columbidae , Aprendizagem por Discriminação , Animais , Comportamento de Escolha , Esquema de Reforço , Fatores de Tempo
6.
Br J Sports Med ; 2022 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-36588400

RESUMO

OBJECTIVES: To: (1) describe hamstring injury incidence and burden in male professional football players over 21 seasons (2001/02 to 2021/22); (2) analyse the time-trends of hamstring muscle injuries over the most recent eight seasons (2014/15 to 2021/22); and (3) describe hamstring injury location, mechanism and recurrence rate. METHODS: 3909 players from 54 teams (in 20 European countries) from 2001/02 to 2021/22 (21 consecutive seasons) were included. Team medical staff recorded individual player exposure and time-loss injuries. Time-trend analyses were performed with Poisson regression using generalised linear models. RESULTS: 2636 hamstring injuries represented 19% of all reported injuries, with the proportion of all injuries increasing from 12% during the first season to 24% in the most recent season. During that same period, the percentage of all injury absence days caused by hamstring injuries increased from 10% to 20%. Between 2014/15 and 2021/22, training hamstring injury incidence increased (6.7% annually, 95% CI 1.7% to 12.5%) as did burden (9.0% annually, 95% CI 1.2% to 18.3%). During those years, the match hamstring injury incidence also increased (3.9% annually, 95% CI 0.1% to 7.9%) and with the same trend (not statistically significant) for match hamstring injury burden (6.2% annually, 95% CI -0.5% to 15.0%). CONCLUSIONS: Hamstring injury proportions-in number of injuries and total absence days-doubled during the 21-year period of study. During the last eight seasons, hamstring injury rates have increased both in training and match play.

7.
J Exp Anal Behav ; 115(3): 650-666, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33945152

RESUMO

Five pigeons were trained in a series of conditions in which food was delivered after 25 responses, but only when a different (Investing) response had been made before the 25 responses had been completed. If an Investing response was not made, the 25 responses ended in blackout. In various conditions, effective Investing responses either had to be made before the first of the 25 responses, or anywhere within the 25 responses; and effective Investing responses either resulted in a stimulus change or did not. Pigeons Invested even when the consequences were temporally and spatially distant, but Investing was most likely when it produced an immediate stimulus change. When given the choice, pigeons preferred to make Investing responses at the beginning of a trial. These findings again demonstrate that behavior may be maintained by events that are separated in time and space from the present.


Assuntos
Comportamento de Escolha , Columbidae , Animais , Alimentos
8.
J Exp Anal Behav ; 116(1): 114-123, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33997983

RESUMO

Conventionally, when choice is measured under concurrent schedules, all responses are included. However, the class of all responses consists of 2 sub-classes which are discriminable by their properties: Reinforced responses always equal obtained reinforcers, while unreinforced responses are free to vary. As a result, the inclusion of reinforced responses in choice measures results in sensitivity values in generalized matching that are biased toward larger values, and this bias becomes extreme in some combinations of overall response and reinforcer rates. Different ways of varying concurrent-schedule values also affect estimated sensitivity and the linearity between choice based on all responses and reinforcer ratios. To avoid spurious results and comparisons, and as a matter of good practice, generalized-matching fits and measures should be done using only unreinforced responses.


Assuntos
Comportamento de Escolha , Columbidae , Animais , Esquema de Reforço , Reforço Psicológico
9.
Perspect Behav Sci ; 43(2): 245-258, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32647781

RESUMO

Behavior in the present depends critically on experience in similar environments in the past. Such past experience may be important in controlling behavior not because it determines the strength of a behavior, but because it allows the structure of the current environment to be detected and used. We explore a prospective-control approach to understanding simple behavior. Under this approach, order in the environment allows even simple organisms to use their personal past to respond according to the likely future. The predicted future controls behavior, and past experience forms the building blocks of the predicted future. We explore how generalization affects the use of past experience to predict and respond to the future. First, we consider how generalization across various dimensions of an event determines the degree to which the structure of the environment exerts control over behavior. Next, we explore generalization from the past to the present as the method of deciding when, where, and what to do. This prospective-control approach is measurable and testable; it builds predictions from events that have already occurred, and assumes no agency. Under this prospective-control approach, generalization is fundamental to understanding both adaptive and maladaptive behavior.

10.
J Exp Anal Behav ; 113(2): 340-362, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31994217

RESUMO

In research on timing, reinforcers often are assumed to influence discrimination of elapsed time. We asked whether changes in choice used to measure timing arise because of joint control by elapsed time and reinforcers, rather than from the direct modification of control by elapsed time by reinforcers. Pigeons worked on a concurrent-choice task in which 1 response was 9 times more likely to produce a reinforcer, reversing between locations when 19 s had elapsed since the marker event. Across conditions, we manipulated the percentage of reinforcers arranged before the probability reversal from 5 to 95%. These changes in reinforcer percentages altered control by location-based elements of the contingency, but not by time-based elements. Choice was well described by a model that assumes that control by the contingency is weakened by generalization across the time and location of reinforcers, and that these generalizations become more likely at later times since a marker. These findings add to a growing body of research that suggests that reinforcers share the same function as other environmental events in determining how the environment controls behavior.


Assuntos
Percepção do Tempo , Animais , Comportamento de Escolha , Columbidae , Condicionamento Operante , Modelos Teóricos , Esquema de Reforço , Reforço Psicológico , Fatores de Tempo
11.
J Exp Psychol Anim Learn Cogn ; 45(2): 222-241, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30945927

RESUMO

Behavior may come under the control of time or number when such cues predict food availability, but time tends to exert stronger control than does number. We asked how the control of behavior is divided between time and number in a procedure where the likely location of a reinforcer reversed systematically at a particular point in a trial. In Phase 1, we asked whether pigeons would choose to time or count when both time and number of responses could be used to discriminate the occurrence of the reversal. Pigeons preferred to time, even when numbers of events were more reliable predictors of reinforcer availability. In the Phase 2, we asked whether control could be shifted from time to number when number was highly discriminable and time was a highly unreliable predictor of the reversal. In this phase, pigeons continued to favor time over number. These findings suggest divided stimulus control between time and numbers depends both on recent experience with relative reinforcer rates and on factors relating to the animal's longer term history, such as training. This research adds to a growing body of work demonstrating strong control by elapsed time when elapsed time is not the most reliable predictor of reinforcer availability. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento de Escolha/fisiologia , Condicionamento Operante/fisiologia , Reforço Psicológico , Análise Espaço-Temporal , Percepção do Tempo/fisiologia , Animais , Columbidae , Aprendizagem por Discriminação , Lateralidade Funcional , Fatores de Tempo
13.
Br J Sports Med ; 53(5): 304-308, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30104210

RESUMO

OBJECTIVES: We investigated medical staff interpretations and descriptions of internal communication quality in elite football teams to determine whether internal communication was correlated with injuries and/or player availability at training and matches. METHODS: Medical staff from 36 elite football clubs across 17 European countries produced 77 reports at four postseason meetings to provide their perceptions of internal communications in their teams. They also recorded data on individual players' exposure to football and time-loss injuries. RESULTS: The injury burden and incidence of severe injuries were significantly higher in teams with low quality of communication between the head coach/manager and the medical team (scores of 1-2 on a 5-point Likert scale) compared with teams with moderate or high-quality scores (scores of 3-5; p=0.008 for both). Teams with low scores had 4%-5% lower training attendance (76% vs 83%, p=0.001) and less availability at matches (82% vs 88%, p=0.004) compared with teams with moderate or high communication quality scores. CONCLUSIONS: The quality of internal communication within a team was correlated with injury rates, training attendance and match availability.


Assuntos
Traumatismos em Atletas/epidemiologia , Comunicação Interdisciplinar , Futebol/lesões , Europa (Continente)/epidemiologia , Humanos , Incidência , Mentores , Fisioterapeutas , Médicos
14.
Br J Sports Med ; 53(19): 1231-1235, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30442720

RESUMO

OBJECTIVE: To compare injury rates among professional men's football teams that have a winter break in their league season schedule with corresponding rates in teams that do not. METHODS: 56 football teams from 15 European countries were prospectively followed for seven seasons (2010/2011-2016/2017)-a total of 155 team-seasons. Individual training, match exposure and time-loss injuries were registered. Four different injury rates were analysed over four periods within the season, and linear regression was performed on team-level data to analyse the effect of winter break on each of the injury rates. Crude analyses and analyses adjusted for climatic region were performed. RESULTS: 9660 injuries were reported during 1 447 011 exposure hours. English teams had no winter break scheduled in the season calendar: the other European teams had a mean winter break scheduled for 10.0 days. Teams without a winter break lost on average 303 days more per season due to injuries than teams with a winter break during the whole season (p<0.001). The results were similar across the three periods August-December (p=0.013), January-March (p<0.001) and April-May (p=0.050). Teams without a winter break also had a higher incidence of severe injuries than teams with a winter break during the whole season (2.1 severe injuries more per season for teams without a winter break, p=0.002), as well as during the period January-March (p=0.003). A winter break was not associated with higher team training attendance or team match availability. Climatic region was also associated with injury rates. CONCLUSIONS: The absence of a scheduled winter break was associated with a higher injury burden, both before and during the two periods following the time that many European teams take a winter break. Teams without a winter break (English clubs) had a higher incidence of severe injuries following the time of the year that other teams (other European clubs) had their scheduled break.


Assuntos
Traumatismos em Atletas/epidemiologia , Futebol/lesões , Europa (Continente) , Humanos , Incidência , Masculino , Descanso , Estações do Ano , Carga de Trabalho
16.
J Exp Anal Behav ; 109(1): 107-124, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29194638

RESUMO

Responding on concurrent schedules produced a conditional discrimination (Phases 1 and 2), asking either which peck produced the event, or which color the keys were when the event was produced. In Phases 3 and 4, reinforcer delivery or a delay in blackout was interpolated between responding and the conditional discrimination. In Phase 1, location versus color discrimination accuracy was controlled by the relative reinforcer frequency for correct responses to these questions (divided stimulus control). In Phases 2 to 4, relative reinforcer frequency for correct responses to these questions was .5, and the relative frequency with which concurrent-schedule responses produced the questions was varied. This variation had no clear effect on the accuracy of reporting Location or Color. These results are consistent with the model of divided control suggested by Davison and Elliffe (2010). Arranging a 3-s reinforcer between responding and choice decreased both color and location accuracy, but a 3-s delay only decreased location accuracy. Thus, in concurrent-schedule performance, both ambient stimuli prior to a reinforcer and the location of the just-reinforced response are available as discriminative stimuli following the reinforcer. Control of postreinforcer responding is divided between these according to their association with the relative frequency of subsequent reinforcers.


Assuntos
Condicionamento Operante , Aprendizagem por Discriminação , Animais , Cor , Columbidae , Estimulação Luminosa , Reforço Psicológico
17.
J Exp Anal Behav ; 108(2): 184-203, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28940396

RESUMO

The extent to which a stimulus exerts control over behavior depends largely on its informativeness. However, when reinforcers have discriminative properties, they often exert less control over behavior than do other less reliable stimuli such as elapsed time. We investigated why less reliable cues in the present often overshadow stimulus control by more reliable cues presented in the recent past, by manipulating the reliability and duration of stimulus presentations. Five pigeons worked on a modified concurrent schedule in which the location of the response that produced the last reinforcer was a discriminative stimulus for the likely time and location of the next reinforcer. In some conditions, either the location of the previous reinforcer, or the location of the next reinforcer, was signaled by a red key light. This stimulus was either Brief, occurring for 10 s starting a fixed time after the most recent reinforcer, or Extended, being present at all times between food deliveries. Brief and Extended stimuli that signaled the same information had a similar effect on choice when they were present, but control by Brief stimuli weakened as time since stimulus offset elapsed. Control was divided among stimuli in the present and recent past according to the apparent reliability of the information signaled about the next reinforcer. More reliable stimuli in the present degraded, but did not erase, control by less reliable stimuli presented in the recent past. Thus, we conclude that less reliable stimuli in the present control behavior to a greater degree than do more reliable stimuli in the recent past because these more reliable stimuli are forgotten, and hence their relation to the likely availability of food cannot be discriminated.


Assuntos
Discriminação Psicológica , Reforço Psicológico , Animais , Columbidae , Condicionamento Operante , Estimulação Luminosa , Esquema de Reforço
18.
Aging Clin Exp Res ; 29(2): 291-299, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26964549

RESUMO

BACKGROUND: In individuals with knee osteoarthritis (OA), fatty infiltration into thigh muscle is associated with poor physical performance and strength. However, it is not known whether this also occurs in the calf and if this impacts physical function. AIMS: We investigated the relationships between volumes of intramuscular fat (intraMF), intermuscular fat (IMF), subcutaneous fat (SCF), lean muscle and muscle adiposity, in the thighs compared to the calves of women with knee OA. METHODS: MRI scans of the thigh and calf were acquired from 20 women over 55 years with knee OA (3.0T Discovery MR750, GE Healthcare). Axial IDEAL (iterative decomposition of water and fat with echo asymmetry and least-squares estimation) fat-separated images were segmented to quantify intraMF, IMF, SCF and lean muscle volumes (SliceOmatic 5.0, Tomovision). Correlation and linear regression analyses were run. RESULTS: We found a positive relationship between thigh and calf intraMF (R 2 = 0.592; B = 5.49; p = 0.001), muscle adiposity (R 2 = 0.539; B = 0.567; p = 0.001), and SCF volume (R 2 = 0.699; B = 12.847; p = 0.001), controlling for waist-to-hip ratio. Relationships between thigh and calf IMF (R 2 = 0.239; B = 7.743; p = 0.061), lean muscle (R 2 = 0.245; B = 4.149; p = 0.047) and combined intraMF and IMF volume (R 2 = 0.242; B = 6.162; p = 0.044) were not significant. DISCUSSION: Although a correlation exists between thigh and calf muscle adiposity, intraMF and SCF, this does not hold true for IMF or lean muscle. A greater amount of intraMF infiltration occurs in the thigh compared to the calf of women with knee OA. CONCLUSION: The calf and thigh may both be involved in pathologic changes in muscle composition in knee OA.


Assuntos
Tecido Adiposo/patologia , Perna (Membro) , Osteoartrite do Joelho , Músculo Quadríceps , Coxa da Perna , Idoso , Composição Corporal , Feminino , Humanos , Perna (Membro)/diagnóstico por imagem , Perna (Membro)/patologia , Imageamento por Ressonância Magnética/métodos , Pessoa de Meia-Idade , Obesidade/fisiopatologia , Osteoartrite do Joelho/patologia , Osteoartrite do Joelho/fisiopatologia , Músculo Quadríceps/diagnóstico por imagem , Músculo Quadríceps/patologia , Estatística como Assunto , Coxa da Perna/diagnóstico por imagem , Coxa da Perna/patologia
19.
Behav Anal ; 40(1): 57-64, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31976936
20.
Clin Biomech (Bristol, Avon) ; 41: 92-97, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28038376

RESUMO

BACKGROUND: Thigh lean muscle and intramuscular fat have been implicated in the impairment of physical function observed in people with knee osteoarthritis. We investigated the relationships of quadriceps and hamstrings intramuscular fat fraction and lean muscle volume with muscle power and strength, controlling for neuromuscular activation, and physical performance in women with knee OA. METHODS: Women (n=20) 55years or older with symptomatic, radiographic knee osteoarthritis underwent a 3.0T magnetic resonance imaging scan of the thigh of their most symptomatic knee. Axial fat-separated images were analyzed using software to quantify intramuscular fat and lean muscle volumes of the quadriceps and hamstrings. To quantify strength and power of the knee extensors and flexors, participants performed maximum voluntary isometric contraction and isotonic knee extensions and flexions, respectively. Electromyography of the quadriceps and hamstrings was measured. Participants also completed five physical performance tests. FINDINGS: Quadriceps and hamstrings lean muscle volumes were related to isotonic knee extensor (B=0.624; p=0.017) and flexor (B=1.518; p=0.032) power, but not knee extensor (B=0.001; p=0.615) or flexor (B=0.001; p=0.564) isometric strength. Intramuscular fat fractions were not related to isotonic knee extensor or flexor power, nor isometric strength. No relationships were found between intramuscular fat or lean muscle volume and physical performance. INTERPRETATION: Muscle power may be more sensitive than strength to lean muscle mass in women with knee osteoarthritis. Thigh lean muscle mass, but neither intramuscular nor intermuscular fat, is related to knee extensor and flexor power in women with knee osteoarthritis.


Assuntos
Músculos Isquiossurais/anatomia & histologia , Músculos Isquiossurais/fisiologia , Força Muscular/fisiologia , Osteoartrite do Joelho/fisiopatologia , Músculo Quadríceps/anatomia & histologia , Músculo Quadríceps/fisiologia , Tecido Adiposo/anatomia & histologia , Tecido Adiposo/diagnóstico por imagem , Tecido Adiposo/fisiologia , Eletromiografia , Feminino , Músculos Isquiossurais/diagnóstico por imagem , Humanos , Contração Isométrica/fisiologia , Joelho/fisiopatologia , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Osteoartrite do Joelho/diagnóstico por imagem , Músculo Quadríceps/diagnóstico por imagem , Coxa da Perna
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