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1.
Rev. bras. med. esporte ; 27(3): 286-290, July-Sept. 2021. tab, graf
Article in English | LILACS | ID: biblio-1288570

ABSTRACT

ABSTRACT Introduction Among the many cases of sports injuries, the incidence of musculoskeletal injuries remains high. After a musculoskeletal injury occurs, athletes often need to suspend training and undergo rehabilitation. A suitable sport mode requires athletes to have sufficient joint range of motion, core stability, and balance ability in different positions to complete various complex movements in training and competition. Objective The paper analyzes the impact of warm-up exercises before the test on the test results of functional sports biological image data screening ( FMS TM ) and provides references for unifying test conditions, checking the reliability of FMS TM repeated tests, and discussing the comparability of the research results. Methods The paper used the same password and process to test 12 young male volleyball professional athletes without warm-up and warm-up. The two-dimensional motion analysis system Dartfish Pursuit 8.0 was used to analyze the video data recorded by the two cameras simultaneously. Results In the two tests before and after, the hurdle step score (1.75±0.62 vs. 2.42±0.52) and the total score (13.50±2.20 vs. 16.42±2.15) were significantly higher than those without the warm-up test (P<0.01). Besides, in squats (1.58±0.67 vs. 1.92±0.67), straight lunges (2.00±0.43 vs. 2.50±0.52), active straight leg lifts (1.50±0.67 vs. 2.00±0.60), rotation stability (1.42) ±0.52 vs. 1.92±0.29) showed a significant increase in the score (P<0.05). Conclusions Warm-up exercises before the test can improve the test results. This abnormal movement pattern observed only by visual inspection may not truly reflect the "dysfunction" of the movement. In the case of ignoring the pre-test warm-up factors, feedback on sports performance and formulating training strategies, this conclusion of predicting injury risk and evaluating training effects may have specific limitations in its reference value. Level of evidence II; Therapeutic studies - investigation of treatment results.


RESUMO Introdução Dentre os diversos casos de lesões esportivas, a incidência de lesões musculoesqueléticas permanece elevada. Após a ocorrência de uma lesão musculoesquelética, os atletas geralmente precisam suspender o treinamento e se submeter à reabilitação. Um modo de esporte adequado requer que os atletas tenham amplitude de movimento articular suficiente, estabilidade central e capacidade de equilíbrio em diferentes posições para completar vários movimentos complexos em treinamento e competição. Objetivo o artigo analisa o impacto dos exercícios de aquecimento antes do teste sobre os resultados dos testes de triagem de dados de imagens biológicas esportivas funcionais (FMSTM) e fornece referências para unificar as condições de teste, verificar a confiabilidade de testes FMSTM repetidos e discutir a comparabilidade dos resultados da pesquisa . Métodos O artigo utilizou a mesma senha e processo para testar 12 jovens atletas profissionais do sexo masculino de voleibol sem aquecimento e com aquecimento. O sistema de análise de movimento bidimensional Dartfish Pursuit 8.0 foi usado para analisar os dados de vídeo gravados pelas duas câmeras simultaneamente. Resultados Nos dois testes antes e depois, a pontuação do hurdle step (1,75 ± 0,62 vs. 2,42 ± 0,52) e a pontuação total (13,50 ± 2,20 vs. 16,42 ± 2,15) foram significativamente maiores do que aqueles sem o teste de aquecimento ( P <0,01). Além disso, em agachamentos (1,58 ± 0,67 vs. 1,92 ± 0,67), estocadas retas (2,00 ± 0,43 vs. 2,50 ± 0,52), levantamentos ativos de perna reta (1,50 ± 0,67 vs. 2,00 ± 0,60), estabilidade de rotação (1,42) ± 0,52 vs. 1,92 ± 0,29) mostrou um aumento significativo na pontuação (P <0,05). Conclusão Os exercícios de aquecimento antes do teste podem melhorar os resultados do teste. Este padrão de movimento anormal observado apenas por inspeção visual pode não refletir verdadeiramente a "disfunção" do movimento. No caso de ignorar os fatores de aquecimento pré-teste, feedback sobre o desempenho esportivo e formulação de estratégias de treinamento, esta conclusão de prever o risco de lesões e avaliar os efeitos do treinamento pode ter limitações específicas em seu valor de referência. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.


RESUMEN Introducción Entre los muchos casos de lesiones deportivas, la incidencia de lesiones musculoesqueléticas sigue siendo alta. Después de que ocurre una lesión musculoesquelética, los atletas a menudo necesitan suspender el entrenamiento y someterse a rehabilitación. Un modo de deporte adecuado requiere que los atletas tengan suficiente rango de movimiento articular, estabilidad central y capacidad de equilibrio en diferentes posiciones para completar varios movimientos complejos en el entrenamiento y la competencia. Objetivo El documento analiza el impacto de los ejercicios de calentamiento antes de la prueba en los resultados de las pruebas de detección de datos de imágenes biológicas deportivas funcionales (FMSTM) y proporciona referencias para unificar las condiciones de prueba, verificar la confiabilidad de las pruebas FMSTM repetidas y discutir la comparabilidad de los resultados de la investigación. Métodos El documento utilizó la misma contraseña y proceso para evaluar a 12 jóvenes atletas profesionales de voleibol sin calentamiento y con calentamiento. El sistema de análisis de movimiento bidimensional Dartfish Pursuit 8.0 se utilizó para analizar los datos de video grabados por las dos cámaras simultáneamente. Resultados En las dos pruebas antes y después, la puntuación del paso de valla (1,75 ± 0,62 frente a 2,42 ± 0,52) y la puntuación total (13,50 ± 2,20 frente a 16,42 ± 2,15) fueron significativamente más altas que aquellas sin la prueba de calentamiento ( P <0,01). Además, en sentadillas (1,58 ± 0,67 vs 1,92 ± 0,67), estocadas rectas (2,00 ± 0,43 vs 2,50 ± 0,52), levantamientos activos de piernas rectas (1,50 ± 0,67 vs 2,00 ± 0,60), estabilidad de rotación (1,42) ± 0,52 vs. 1,92 ± 0,29) mostró un aumento significativo en la puntuación (P <0,05). Conclusión Los ejercicios de calentamiento antes de la prueba pueden mejorar los resultados de la prueba. Este patrón de movimiento anormal observado solo por inspección visual puede no reflejar realmente la "disfunción" del movimiento. En el caso de ignorar los factores de calentamiento previos a la prueba, la retroalimentación sobre el rendimiento deportivo y la formulación de estrategias de entrenamiento, esta conclusión de predecir un riesgo de lesión y evaluar los efectos del entrenamiento puede tener limitaciones específicas en su valor de referencia. Nivel de evidencia II; Estudios terapéuticos: investigación de los resultados del tratamiento.


Subject(s)
Humans , Male , Adolescent , Athletic Injuries/prevention & control , Range of Motion, Articular/physiology , Volleyball , Warm-Up Exercise/physiology , Triage
2.
Arq. bras. med. vet. zootec. (Online) ; 73(4): 843-852, Jul.-Aug. 2021. tab, ilus
Article in English | LILACS, VETINDEX | ID: biblio-1285273

ABSTRACT

Maneuvers to activate the equine's core can make a difference in their physical and psychic health. Although these activities are recommended and practiced, there is little research proving their effectiveness. This article aims to describe, through surface electromyography, the occurrences, durations and sequences activity of longissimus dorsi, rectus abdominis and gluteus medius during thoracolumbar flexion (TLF), lumbar and lumbosacral flexion (LLSF), global flexion (GF), which is the combination of TLF and LLSF, and tail traction (TT). Seven healthy adult horses of three different breeds performed five repetitions of these movements for five seconds (sec). Electromyographic activity was captured with non-invasive superficial sensors positioned in the skin regions covering these muscles. The sequence was performed once per animal, muscle activity captured by surface electromyography, data from two replicates of each animal were selected, analyzed on matLab software and data tabulation were described during each maneuver. These maneuvers provoked punctual and transient activation of muscles mentioned above, confirming the ability to activate equine core muscles. However, responses were not standardized, which means there were variations of occurrence, duration and sequence, suggesting that for practical application of those maneuvers it is necessary to perform more repetitions with longer durations to activate more muscles.(AU)


Manobras para ativação da musculatura do core equino podem ser diferenciais para saúde física e psíquica dos animais, sendo recomendadas e praticadas, mas existem poucas pesquisas comprovando a eficácia delas. Este artigo tem como objetivo descrever, por meio da eletromiografia de superfície, as ocorrências, as durações e as sequências temporais da atividade muscular do longuíssimo dorsal, do reto abdominal e do glúteo médio durante a realização das manobras de flexão toracolombar, flexão lombar e lombossacra, flexão global (toracolombar e lombossacra) e tração de cauda. Para isso, sete equinos adultos e hígidos de três raças realizaram esses quatro movimentos clássicos para ativar o core equino, com cinco repetições e manutenção do estímulo reflexivo por cinco segundos. Durante a realização, a atividade eletromiográfica foi capturada com a utilização de sensores superficiais posicionados de forma não invasiva em regiões cutâneas referentes a cada músculo. O protocolo completo de manobras foi realizado uma vez por cada animal enquanto a atividade muscular era capturada. Posteriormente, duas repetições de cada animal foram triadas e submetidas ao software matLab para análise. Com base na tabulação dos dados, foram descritas as variáveis eletromiográficas de presença ou ausência de ativação muscular, a duração média dos picos eletromiográficos superiores ao RMS (root mean square) e a sequência da atividade muscular observada durante cada manobra. Essas manobras provocaram ativações pontuais e transitórias nos três músculos, o que confirma a capacidade de excitar músculos do core equino. Contudo, as respostas não foram padronizadas, sugerindo que, na prática dessa atividade, devem-se realizar mais repetições com durações superiores a cinco segundos, a fim de se buscarem maiores ativações.(AU)


Subject(s)
Animals , Range of Motion, Articular/physiology , Exercise Movement Techniques/veterinary , Muscle Stretching Exercises , Horses/physiology , Musculoskeletal System/anatomy & histology , Electromyography/veterinary , Warm-Up Exercise
3.
Horiz. enferm ; 32(1): 15-27, 2021. tab, ilus
Article in Spanish | LILACS, BDENF | ID: biblio-1224692

ABSTRACT

OBJETIVO: Determinar la efectividad de un programa de yoga sobre la flexibilidad y el equilibrio de la población adulta mayor de la fundación EMTEL, centro vida sur de Popayán Colombia. METODOLOGÍA: Estudio de Enfoque cuantitativo, de diseño cuasi-experimental, de corte longitudinal y de tipo prospectivo. El estudio se realizó con 18 adultos mayores a quienes se evaluó la flexibilidad y el equilibrio antes y después del programa de yoga ejecutado durante 10 semanas. Para el análisis de datos se utilizó SPSS 23.0. Se aplicó estadística descriptiva e inferencial por medio de las pruebas de Wilcoxon y t-students según resultado de la prueba de normalidad Shapiro Wilks. RESULTADOS: Las pruebas que demostraron significancia estadística fueron chair-sit and reach-test (p=0.005) y foot up-and-go test (p=0,000). CONCLUSIÓN: Este estudio comprobó que el programa de yoga es efectivo para la mejora de la flexibilidad del miembro inferior y el equilibrio dinámico, permitiendo un mejoramiento en la funcionalidad del adulto mayor.


INTRODUCTION: The eldest adult is a vulnerable population whose functionalityis affected, largely by the aging process and lifestyles, so it is necessary to generate programs that improve the physical condition of this population, such as yoga. OBJECTIVE: To determine the effectiveness of a yoga program on the flexibility and balance of the eldest adult population of the Foundation of the Telecommunications Company of Popayán Centro Vida Sur, Colombia. METHODOLOGY: Study of quantitative approach, quasi-experimental design, longitudinal cutting and prospective type. The study universe consisted of 86 older adults, of whom a non-probablist sample was determined at convenience with 18 older adults who were assessed for flexibility and balance before and after the yoga program executed for 10 weeks. SPSS 23.0 was used for data analysis. Descriptive and inferential statistics were applied through Wilcoxon and t-students tests as a result of the Shapiro Wilks normality test. RESULTS: Tests that demonstrated statistical significance were chair-sit and reach-test (p=0.005) and foot up-and-go test (p=0.000). CONCLUSION: It was found in the study that the yoga program is effective for improving lower limb flexibility and dynamic balance, allowing an improvement in the functionality of the older adult.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Yoga , Range of Motion, Articular/physiology , Postural Balance/physiology , Exercise Therapy/methods , Quality of Life , Aging/physiology , Longitudinal Studies , Colombia
4.
Rev. Assoc. Med. Bras. (1992) ; 66(2): 216-221, Feb. 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1136188

ABSTRACT

SUMMARY In diabetics, foot deformities are risk factors that increase the risk of amputation as a result of developing ulcers. However, knowledge of the influence of plantar stiffness is still limited. The main objective was to describe connections between the degree of stiffness of the ankle, atypical amputation, and the Foot Posture Index (FPI). METHODS 62 diabetic patients, 58 with type 2 and 4 with type 1 (average age 63.35 years) were included. Records of foot deformities were included; A range of motion test of the ankle joint was used to determine the degree of stiffness. An exploratory analysis of the association of foot position and the degree of rigidity was performed. RESULTS The dorsal flexion range of the ankle was 9.6 ± 5.1 0, 13.8 ± 5.9 0 and 17.2 ± 6.5 0 and 20.5 ± 6.8 0 to 45, 67, 89 and 111 N respectively in the amputated feet., And 14 patients (22.58%) had a high level of pronation of IPF with an average value of 3.7 ± 2.629, CI (3.032.-4.367) in amputated feet compared to non-amputees. We use the device "Iowa ankle range of motion" (IAROM) to determine the differences in ankle stiffness. Proper IPF was associated with the presence of amputation and an increase in stiffness CONCLUSIONS There was an increase in the degree of limitation of movement of the ankle, as a greater force was applied. Comparing FPI between the groups, there was a higher frequency of prone feet in the group of amputees


RESUMO Nos diabéticos, as enfermidades nos pés são fatores de risco, que aumentam o risco de sofrerem uma amputação, como resultado do desenvolvimento de úlceras. Contudo, o conhecimento sobre a influência da rigidez plantar ainda é limitado. O objetivo principal foi descrever conexões entre o grau de rigidez do tornozelo, a amputação atípica e o Foot Posture Index (FPI). MÉTODOS 62 diabéticos, 58 com tipo 2; e 4 com tipo 1 (idade média de 63.35 anos). Incluindo o registro de deformidades do pé; teste de classificação do movimento da articulação do tornozelo, para determinar o grau de rigidez. Realizou-se uma análise exploratória da associação da posição do pé com o grau de rigidez. RESULTADO A classificação de flexão dorsal do tornozelo foi de 9.6 ± 5.1 0, 13.8 ± 5.9 0 e de 17.2 ± 6.5 0 e 20.5 ± 6.8 0 a 45, 67, 89 e 111 N respectivamente nos pés amputados, e 14 pacientes (22.58%) teve alto nível de pronação de FPI com um valor médio de 3.7 ±2.629, IC(3.032.-4.367) em pés amputados com relação aos não amputados. Utilizamos o dispositivo "Iowa ankle range of motion" (IAROM) para determinar as diferenças de rigidez do tornozelo. O FPI pronado foi associado à presença de amputação e um aumento da rigidez. CONCLUSÕES Aumento do grau de limitação do movimento do tornozelo; à medida que se aplicava uma força maior. Comparando FPI entre os grupos existentes maior frequência de pés pronados no grupo de amputados.


Subject(s)
Humans , Male , Female , Aged , Range of Motion, Articular/physiology , Diabetes Mellitus, Type 1/physiopathology , Diabetes Mellitus, Type 2/physiopathology , Amputation , Ankle Joint/physiopathology , Posture/physiology , Reference Values , Anthropometry , Cross-Sectional Studies , Statistics, Nonparametric , Foot/physiopathology , Middle Aged
5.
Fisioter. Pesqui. (Online) ; 27(1): 16-21, jan.-mar. 2020. tab, graf
Article in Portuguese | LILACS | ID: biblio-1090412

ABSTRACT

RESUMO O objetivo deste estudo foi verificar se a formação do arco longitudinal do pé interfere na distribuição da pressão plantar e na flexibilidade dos músculos posteriores da coxa. O método de estudo foi transversal e as impressões plantares foram obtidas usando o plantígrafo e analisadas segundo o método Viladot. A distribuição plantar e a flexibilidade foram avaliadas pela baropodometria e pelo banco de Wells, respectivamente. Foi observado que crianças com pés cavos apresentam maior flexibilidade quando comparadas às que têm o pé normal (p=0,02); e também que pés cavos apresentam maior pressão, ou seja, maior sobrecarga em calcâneo quando comparados àqueles com o arco plantar normal (p=0,02 membro inferior direito e p=0,03 membro inferior esquerdo). A avaliação do arco longitudinal medial mostra que crianças com pés cavos apresentam maior flexibilidade dos músculos posteriores de membro inferior. Os pés cavos também estão associados com maior descarga de peso em região de calcâneo.


RESUMEN El objetivo de este estudio fue verificar si la formación del arco longitudinal del pie interfiere con la distribución de la presión plantar y la flexibilidad de los músculos posteriores del muslo. El método de estudio fue transversal y las huellas plantar se obtuvieron utilizando el plantigraph y se analizaron según el método de Viladot. La distribución plantar y la flexibilidad se evaluaron mediante baropodometría y el banco de Wells, respectivamente. Se observó que los niños con pies huecos tienen mayor flexibilidad en comparación con aquellos con pies normales (p=0,02); y también que los pies huecos tienen una mayor presión, es decir, una mayor sobrecarga del talón en comparación con aquellos con arco plantar normal (p=0,02 miembro inferior derecho y p=0,03 miembro inferior izquierdo). La evaluación del arco longitudinal medial muestra que los niños con pies huecos tienen una mayor flexibilidad en los músculos posteriores de la extremidad inferior. Los pies huecos también están asociados con una mayor descarga de peso en la región del talón.


ABSTRACT Objective: To evaluate whether the formation of the longitudinal arch of the foot interferes with the distribution of plantar pressure and the pliability of the posterior thigh muscles. Methodology: a cross-sectional study and the footprints were obtained using the footprinting mat and analyzed according to the Viladot method. Plantar distribution and pliability were assessed by baropodometry and Wells' bank, respectively. Results: It was observed that children with cavus feet present greater pliability when compared to those with normal feet (p=0.02). Also, the cavus feet exhibit higher pressure, that is, a greater heel overload compared to those with normal plantar arch (p=0.02 lower right limb and p=0.03 lower left limb). Conclusions: The evaluation of the medial longitudinal arch shows that children with cavus feet have greater pliability of the lower limb posterior muscles. The cavus feet are also associated with higher pressure in the calcaneal region.


Subject(s)
Humans , Male , Female , Child , Thigh/physiology , Range of Motion, Articular/physiology , Muscle, Skeletal/physiology , Foot/physiology , Biomechanical Phenomena/physiology , Body Height , Body Weights and Measures , Body Mass Index , Cross-Sectional Studies , Weight-Bearing/physiology , Postural Balance/physiology , Talipes Cavus/physiopathology
6.
Article in English | LILACS | ID: biblio-1092137

ABSTRACT

ABSTRACT Objective: To compare the upper limb function and quality of life between children with neonatal brachial plexus palsy and controls with unaffected brachial plexus (typical children). Methods: Twenty-four children with neonatal brachial plexus palsy and 24 typical ones were evaluated, both groups with 10±3 years of age. The upper limb function was assessed by the Modified Mallet Scale and the Active Movement Scale, whereas quality of life was analyzed by the Pediatric Outcome Data Collection Instrument and the Child Health Questionnaire. Mann-Whitney U tests investigated the differences between groups in such scales. Results: Children with neonatal brachial plexus palsy presented lower limb function compared to typical children in both scales. These children also presented lower scores for most of the Pediatric Outcome Data Collection Instrument domains, except for comfort/pain. In addition, they had lower scores in the following domains of the Child Health Questionnaire: physical functioning, pain, behavior, mental health, overall health perception, emotional impact on parents, and psychosocial summarized score. Conclusions: Neonatal brachial plexus palsy has a negative influence on upper limb function and quality of life, mainly considering overall health, basic mobility, physical and psychosocial functions, happiness, pain, behavior, mental health, upper limb function, and emotional impact on their parents.


RESUMO Objetivo: Comparar a função do membro superior e a qualidade de vida entre crianças com paralisia obstétrica do plexo braquial e aquelas sem paralisia do plexo braquial (crianças usuais). Métodos: Foram avaliadas 24 crianças com paralisia obstétrica do plexo braquial e 24 crianças usuais, ambos os grupos com 10±3 anos. A função do membro superior foi avaliada pela Escala Mallet Modificada e Active Movement Scale, já a qualidade de vida foi analisada por meio das escalas Pediatric Outcome Data Collection Instrument e Child Health Questionnaire. Foram realizados testes U de Mann-Whitney para investigar diferenças entre os grupos nas escalas. Resultados: Crianças com paralisia obstétrica do plexo braquial apresentaram menor função do membro superior quando comparadas às crianças usuais, em ambas as escalas utilizadas. Essas crianças também apresentaram menores pontuações para a maioria dos domínios do Pediatric Outcome Data Collection, exceto para conforto/dor. Além disso, apresentaram escores inferiores nos seguintes domínios do Child Health Questionnaire: função física, dor, comportamento, saúde mental, percepção da saúde em geral, impacto emocional nos pais e pontuação psicossocial resumida. Conclusões: A paralisia obstétrica do plexo braquial tem uma influência negativa na função do membro superior e na qualidade de vida, principalmente em relação à saúde geral, mobilidade básica, funções física e psicossocial, felicidade, dor, comportamento, saúde mental, funcionalidade do membro superior e impacto emocional nos pais.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Quality of Life , Upper Extremity/physiopathology , Neonatal Brachial Plexus Palsy/physiopathology , Parents/psychology , Pain Measurement , Case-Control Studies , Mental Health , Cross-Sectional Studies , Range of Motion, Articular/physiology , Statistics, Nonparametric , Physical Functional Performance , Neonatal Brachial Plexus Palsy/psychology
7.
Fisioter. Pesqui. (Online) ; 26(3): 329-336, jul.-set. 2019. graf
Article in Portuguese | LILACS | ID: biblio-1039883

ABSTRACT

RESUMO Na artrocinemática do ombro, o manguito rotador atua estabilizando a cabeça umeral em contato com a cavidade glenoidal, enquanto realiza a translação inferior para contrabalancear a força rotacional promovida principalmente pelo deltoide. Exercícios de rotação externa (RE) vêm sendo utilizados na reabilitação de pacientes com disfunções no complexo do ombro buscando restaurar a artrocinemática. Porém, poucos estudos abordam a utilização da faixa elástica e a avaliação dos músculos da cintura escapular, determinantes para uma cinemática adequada. O objetivo deste estudo é comparar a atividade eletromiográfica (EMG) de músculos do complexo do ombro durante exercícios de rotação externa com faixa elástica. Participaram 11 sujeitos do sexo masculino que foram avaliados durante os movimentos de (1) RE em ortostase; (2) RE com abdução de ombro; (3) RE em decúbito lateral (DL). Os músculos avaliados pela EMG foram: (1) trapézio superior (TS); (2) deltoide médio (DM); (3) deltoide posterior (DP); e (4) infraespinal (IN). A resistência foi determinada por uma faixa elástica cinza calibrada com carga de 5% do peso corporal. A análise dos dados foi realizada no software Biomec-SAS e as estatísticas foram calculadas por meio da Anova de medidas repetidas no software SPSS v20.0. Pôde-se constatar que os músculos TS e DM obtiveram maior atividade EMG durante o exercício de RE com abdução de ombro, o músculo DP durante a RE com abdução de ombro e RE em decúbito lateral, enquanto o IN a obteve durante a RE em ortostase e RE em decúbito lateral.


RESUMEN En la artrocinemática del hombro, el manguito rotador actúa estabilizando la cabeza umeral en contacto a la cavidad glenoidal, mientras realiza la traslación inferior para contrarrestar la fuerza rotacional promovida principalmente por el deltoides. Los ejercicios de rotación externa (RE) se han utilizado en la rehabilitación de pacientes con disfunciones en el complejo del hombro buscando restaurar la artrocinemática. Pocos estudios abordan la utilización de la banda elástica y la evaluación de los músculos de la cintura escapular, determinantes para una cinemática adecuada. El objetivo de este estudio es comparar la actividad electromiográfica (EMG) de los músculos del complejo del hombro durante ejercicios de rotación externa con banda elástica. Participaron 11 sujetos, varones, que fueron evaluados durante el movimiento de (1) RE en ortostasis; (2) RE con abducción de hombro; y (3) RE en decúbito lateral (DL). Los músculos evaluados por la EMG fueron: (a) trapecio superior (TS); (b) deltoides central (DC); (c) deltoides posterior (DP) e (d) infraespinoso (IN). La resistencia se determinó mediante una banda elástica gris calibrada con carga del 5% del peso corporal. El análisis de los datos se realizó con la utilización del software BIOMEC-SAS, y las estadísticas por medio de la Anova de medidas repetidas en el software SPSS v20.0. Se pudo constatar que los músculos TS y DC obtuvieron mayor actividad EMG durante el ejercicio de RE con abducción de hombro, el músculo DP durante la RE con abducción de hombro y RE en decúbito lateral, mientras que el IN durante la RE en ortostasis y en decúbito lateral.


ABSTRACT In shoulder arthrokinematics, the rotator cuff acts on a lower base to counterbalance a glenoid cavity, while performing a lower translation to counterbalance a rotational force mostly provided by the deltoid. External rotation (ER) exercises have been used in the rehabilitation of patients with shoulder joint dysfunction, with the aim of restoring arthrokinematics. Few studies approached the use of the elastic band and the evaluation of the shoulder girdle muscles, essential for suitable kinematics. The objective of this study was to compare the electromyographic activity (EMG) of the muscles from the shoulder complex during external rotation exercises with elastic band. A total of 11 male subjects were evaluated during (1) ER in orthostasis; (2) ER with shoulder abduction; (3) ER with lateral decubitus. The muscles assessed by the EMG were: (a) upper trapezius (UT); (b) middle deltoid (MD); (c) posterior deltoid (PD) and (d) infraspinatus (IS). Resistance was made with a gray elastic band calibrated with a load of 5% body weight. Data analysis was performed using the application software BIOMEC-SAS and statistics for the repeated measures using ANOVA in SPSS version 20.0. The UT and MD muscles were found to have increased EMG activity during ER exercise with shoulder abduction, as well as the PD muscle during ER with shoulder abduction and ER in lateral decubitus, whereas IS had increased EMG activity during an ER in orthostasis and ER in lateral decubitus.


Subject(s)
Humans , Male , Adult , Shoulder Joint/physiology , Rotator Cuff/physiology , Electromyography , Exercise Therapy/methods , Biomechanical Phenomena/physiology , Cross-Sectional Studies , Range of Motion, Articular/physiology , Exercise Therapy/instrumentation , Muscle Strength/physiology , Shoulder Injuries/rehabilitation
8.
Fisioter. Pesqui. (Online) ; 26(2): 137-144, abr.-jun. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1012143

ABSTRACT

RESUMO O objetivo deste trabalho foi comparar o pico de torque e flexibilidade dos membros inferiores de indivíduos com e sem diabetes mellitus tipo 2 (DM2). O método foi o estudo com grupos expostos e não expostos ao DM2. Foram incluídos indivíduos com diagnóstico médico de DM2, encaminhados para eletroneuromiografia, e não expostos ao DM2. Foram excluídos da pesquisa indivíduos com idade superior a 70 anos ou que, por algum motivo, não conseguiram realizar um ou dois dos testes. A amostra foi não probabilística, composta por 64 indivíduos: 34 (53,1%) expostos ao DM2 e 30 não expostos; 50 (78,1%) eram do sexo feminino, a idade média era de 60,7±7,1 anos, e o membro inferior dominante era o direito em 57 (89,1%) dos indivíduos. Comparando indivíduos com e sem diagnóstico de DM2, observou-se redução do torque de flexão à esquerda, em velocidade angular de 120° (25,94±2,26 vs. 33,79±2,4nm, p=0,027, respectivamente). Relatou-se menor valor do torque de dorsiflexão à direita, em velocidade angular de 60°, dos diabéticos em relação aos não diabéticos (10,95±0,89 vs. 13,95±0,96nm, p=0,033, respectivamente). Ao comparar indivíduos com DM2, com e sem diagnóstico de neuropatia diabética periférica (NDP), notou-se maior déficit de flexão entre os indivíduos neuropatas em comparação com não neuropatas (46,57±9,47 vs. 11,63±13,85nm, p=0,049, respectivamente). Não foram encontradas diferenças estatisticamente significativas ao comparar os grupos de expostos e não expostos ao DM2 e diabéticos neuropatas e não neuropatas.


RESUMEN El objetivo de este trabajo fue comparar el pico de torque y la flexibilidad de los miembros inferiores de individuos con y sin diabetes mellitus tipo 2 (DM2). El método fue el estudio con grupos expuestos y no expuestos al DM2. Se incluyeron individuos con diagnóstico médico de DM2, encaminados para electroneuromiografía, y no expuestos al DM2. Se excluyeron de la investigación a individuos mayores de 70 años o que, por algún motivo, no pudieron realizar una o dos de las pruebas. La muestra fue no probabilística, compuesta por 64 individuos: 34 (53,1%) expuestos al DM2 y 30 no expuestos; 50 (78,1%) eran de sexo femenino, la edad media era de 60,7±7,1 años, y el miembro inferior dominante era el derecho en 57 (89,1%) de los individuos. En comparación con individuos con y sin diagnóstico de DM2, se observó reducción del torque de flexión a la izquierda, en velocidad angular de 120° (25,94±2,26 frente a 33,79±2,4nm, p=0,027, respectivamente). Se ha reportado un menor valor del torque de dorsiflexión a la derecha, en velocidad angular de 60°, de los diabéticos con relación a los no diabéticos (10,95±0,89 frente a 13,95±0,96nm, p=0,033, respectivamente). Al comparar individuos con DM2, con y sin diagnóstico de neuropatía diabética periférica (NDP), se notó mayor déficit de flexión entre los individuos neuropáticos en comparación con no neuropáticos (46,57±9,47 vs. 11,63±13,85nm, p=0,049, respectivamente). No se encontraron diferencias estadísticamente significativas al comparar los grupos de expuestos y no expuestos al DM2 y los diabéticos neuropáticos y no neuropáticos.


ABSTRACT To compare the muscle strength and flexibility of the lower limbs of individuals with and without T2DM. The method was a study of the types exposed and unexposed to T2DM. Individuals diagnosed with T2DM, individuals referred to electromyography, and those unexposed to T2DM were included. The exclusion criteria were: individuals over 70 years old; those who for some reason failed to complete one or both tests. The study population consisted of 64 individuals; 34 (53.1%) exposed to DM and 30 unexposed, 50 (78.1%) were female, the mean age was 60.7±7.1 and the dominant lower limb was right in 57 (89.1%) individuals. Comparing individuals with and without a diagnosis of DM, one observed a reduction in the flexion torque on the left at a 120 ° angular velocity in diabetics individuals compared with nondiabetic patients, 25.94±2.26 vs 33.79±2, 4nm, p=0.027, respectively. The reduction in dorsiflexion torque on the right, at a 60 ° angular velocity was observed in diabetics compared with nondiabetic patients, 10.95±0.89 vs. 13.95±0.96nm, p=0.033, respectively. When comparing diabetic individuals with and without a diagnosis of PDN, one observed a greater flexion deficit among neuropathic individuals when compared with non-neuropathic individuals, 46.57±9.47 vs 11.63±13.85nm, p=0.049, respectively. No statistically significant differences were found when comparing groups exposed and unexposed to T2DM, and neuropathic and non-neuropathic diabetics.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Range of Motion, Articular/physiology , Torque , Lower Extremity/physiology , Diabetes Mellitus, Type 2/physiopathology , Biomechanical Phenomena/physiology , Diabetic Neuropathies/physiopathology , Muscle Strength Dynamometer
9.
Säo Paulo med. j ; 137(1): 45-53, Jan.-Feb. 2019. tab, graf
Article in English | LILACS | ID: biblio-1004748

ABSTRACT

ABSTRACT BACKGROUND: Both postoperative pain control and range of motion are important in total knee arthroplasty (TKA). However, in the literature, there is little comparison of peripheral nerve blocks and periarticular infiltration techniques using levobupivacaine. The aim of our study was to measure pain with visual analogue scale (VAS) and knee range of motion (ROM) between in patients undergoing adductor canal block (ACB) for TKA using levobupivacaine compared to periarticular levobupivacaine infiltration (PAI-L). DESIGN AND SETTING: Prospective randomized clinical trial in a university hospital. METHODS: Patients aged 40-85 years who underwent unilateral TKA were included; 39 were treated withperiarticular infiltration using 40 ml (0.125 mg) of levobupivacaine (PAI-L group); and 40 were treated with ACB using 20 ml of 0.25% levobupivacaine (ACB-L group). Postoperative pain scores at rest and during active physical therapy were assessed using a VAS, along with knee ROM in flexion and extension. In addition, 100-foot walking time results, total morphine consumption and time of first analgesia requirement were recorded postoperatively. RESULTS: VAS scores at rest and during active physical therapy and the total amount of morphine consumed were lower in the ACB-L group than in the PAI-L group (P < 0.05). In contrast, knee ROM in flexion and extension and 100-foot walking times were greater in the PAI-L group than in the ACB-L group (P < 0.05). CONCLUSION: ACB-L was superior to PAI-L regarding pain treatment after TKA; however, PAI-L was superior to ACB-L regarding postoperative ROM and walking ability. CLINICAL TRIAL REGISTRY: ACTRN-12618000438257.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Pain, Postoperative/prevention & control , Muscle, Skeletal/drug effects , Arthroplasty, Replacement, Knee/adverse effects , Levobupivacaine/administration & dosage , Anesthetics, Local/administration & dosage , Nerve Block/methods , Postoperative Period , Reference Values , Time Factors , Pain Measurement , Prospective Studies , Reproducibility of Results , Range of Motion, Articular/drug effects , Range of Motion, Articular/physiology , Treatment Outcome , Ultrasonography, Interventional/methods , Arthroplasty, Replacement, Knee/methods , Walk Test/methods , Injections, Intramuscular
10.
Clinics ; 74: e833, 2019. tab, graf
Article in English | LILACS | ID: biblio-1011921

ABSTRACT

OBJECTIVES: Progressive decline of physiological processes with aging is normal. Aging is also associated with decreased functional capacity and onset of many diseases. This study evaluated the changes in physical fitness (PF), body composition (BC), and lipid profile (LP) in elderly men completing different training protocols. METHODS: Fifty-five men (age 60-80 years) were randomized into the following groups: without training, aerobic training on dry land, combined training on dry land, and combined training in water. Training was conducted for 8 weeks, and PF, LP, and BC were assessed at the beginning and end of the intervention. RESULTS: Significant improvements were observed in all parameters; however, combined programs on land or in water were more effective at improving strength and aerobic fitness. Combined exercise produced greater effects on BC and LP and some muscle fitness parameters; however, improvements in muscular and aerobic capacities occurred independently of exercise type or model. CONCLUSION: These results indicate that the effects of training occur regardless of training type or model, and are directly associated with training periodization, adherence, and regularity.


Subject(s)
Humans , Male , Middle Aged , Aged , Aged, 80 and over , Exercise/physiology , Physical Fitness/physiology , Muscle Strength/physiology , Physical Conditioning, Human/physiology , Physical Conditioning, Human/methods , Reference Values , Time Factors , Triglycerides/blood , Body Composition/physiology , Aging/physiology , Anthropometry , Cholesterol/blood , Range of Motion, Articular/physiology , Age Factors
11.
Rev. méd. Chile ; 146(10): 1143-1150, dic. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-978749

ABSTRACT

Background:: The Senior Fitness Test (SFT) is frequently used to assess physical fitness and functional independence in older people. Aim: To establish reference values for the SFT in Chilean physically active older women according to age ranges. Material and Methods: Cross-sectional study that included 1048 Chilean women aged between 60 and 85 years. Chair stand (CS), arm curl (AC), two-min walk (2 min), chair sit-and-reach (CSr), back scratch (BS), and timed up-and-go test (TUG) were evaluated. The reference values are presented in percentiles (p5, p10, p25, p50, p75, p90 and p95) and are distributed age intervals (60-64, 65-69, 70-74, 75-79 and ≥ 80 years). Results: There was a decrease in strength (CS and AC), aerobic resistance (2 min) and flexibility (CSr and BS) along with age, whereas the time required to perform the timed up and go increased along with age. Conclusions: Physically active older women show a deterioration in physical fitness along with age. These women have higher reference values in CS, AC, 2 min and CSr, and lower in BS and TUG, than those reported abroad for the SFT.


Subject(s)
Humans , Female , Middle Aged , Aged , Aged, 80 and over , Aging/physiology , Exercise/physiology , Physical Fitness/physiology , Exercise Test/methods , Reference Values , Time Factors , Geriatric Assessment , Chile , Cross-Sectional Studies , Range of Motion, Articular/physiology , Age Factors , Muscle Strength/physiology
12.
Rev. chil. ortop. traumatol ; 59(3): 95-99, dic. 2018. tab, ilus
Article in Spanish | LILACS | ID: biblio-1095708

ABSTRACT

La rigidez de rodilla en cirugía de Reconstrucción del Ligamento Cruzado Anterior (R-LCA) es una complicación devastadora, alcanzando una incidencia variable entre el 4% y el 38%. La definición de artrofibrosis es aún poco clara, lo que ha llevado a distintos esquemas terapéuticos. Conocer la etiopatogenia es clave para entender los procesos y las posibles alternativas de tratamiento. Distintas clasificaciones han sido descritas, siendo la de Shelbourne la más usada, debido a su valor pronóstico asociado. El objetivo del tratamiento en una rodilla estable es mejorar la movilidad articular, la satisfacción del paciente, y disminuir el riesgo de artrosis a largo plazo. El tratamiento se puede dividir en quirúrgico y conservador. Ese último, se enfoca principalmente en buscar la causa y lograr una prevención e intervención temprana, siendo el manejo que con mayor frecuencia se realiza. El tratamiento quirúrgico es una opción cuando el tratamiento conservador falla. Se realizó una revisión de la literatura y de 150 pacientes sometidos a R-LCA, de los cuales 4 presentaron artrofibrosis a un seguimiento de 2 años. Además, presentamos nuestro algoritmo de manejo terapéutico.


Knee stiffness in Anterior Cruciate Ligament Reconstruction (ACL-R) is a devastating complication, with a variable incidence of 4% to 38%. The definition of arthrofibrosis is still unclear, which has led to different therapeutic schemes. Knowing the etiopathogenesis is key to understanding the processes and possible treatment alternatives. Different classifications have been described, with Shelbourne being the most used, due to its associated prognostic value. The aim of treatment in a stable knee is to improve joint mobility, patient satisfaction, and decrease the risk of long-term osteoarthritis. The treatment can be divided into operative and non-operative. The latter focuses mainly on finding the cause and achieving prevention and early intervention, being the management that is most frequently performed. Surgical treatment is an option when conservative treatment fails. A review of the literature and of 150 patients undergoing R-LCA was performed, of which 4 presented arthrofibrosis at a 2-year follow-up. In addition, we present our therapeutic management algorithm.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Anterior Cruciate Ligament Reconstruction/adverse effects , Knee Injuries/etiology , Knee Injuries/physiopathology , Range of Motion, Articular/physiology , Knee Injuries/classification , Knee Injuries/therapy
13.
Rev. méd. Maule ; 33(2): 25-30, sept. 2018. ilus, graf
Article in Spanish | LILACS | ID: biblio-1292509

ABSTRACT

Dupuytren's disease is the abnormal and progressive proliferation of the palmar fascia, its etiology remains unknown. Percutaneous needle fasciotomy is a minimally invasive procedure, where hypodermic needles are used as a scalpel blade to break the pathological cord in Dupuytren's disease. OBJECTIVE: To evaluate the results of percutaneous needle fasciotomy in patients with 3-year follow-up METHODS: Percutaneous needle fasciotomy was performed in patients from the regional hospital of Talca from January 2014 to January 2017, pre and post-procedure contracture measurement was performed, followed up at 6 weeks, 3 months and annually up to three years. there was a registry of complications, recurrence and functional results with the QuickDASH scale. RESULTS: Of the 17 patients chosen, 13 completed the follow-up. 15 fingers (5 little fingers, 9 ring fingers, 1 middle) and 23 joints. The metacarpophalangeal joints achieved an immediate correction of 89%, maintaining a correction of 48% at three years. The proximal interphalangeal joint achieved a correction of 62%, maintaining 32% at the end of the follow-up. The QuickDash managed to descend from 39.4 to 21.5 points. There was recurrence of 35.7% in the metacarpophalangeal joints and 42.8% in proximal interphalangeal joints. We found that percutaneous fasciotomy is a treatment option.


Subject(s)
Humans , Male , Female , Dupuytren Contracture/surgery , Fasciotomy , Needles , Recurrence , Range of Motion, Articular/physiology , Treatment Outcome , Dupuytren Contracture/physiopathology , Metacarpophalangeal Joint
14.
Rev. Soc. Bras. Med. Trop ; 51(4): 550-553, July-Aug. 2018. tab, graf
Article in English | LILACS | ID: biblio-957445

ABSTRACT

Abstract An HTLV-1-infected patient can develop paraparesis that limits their movements. Rehabilitation techniques could improve the motor abilities of these patients. The present study investigates five cases of physical therapy intervention in HTLV-1 patients to evaluate the influence of functional rehabilitation on the tonus and range of motion (ROM) of HTLV-1 patients with spasticity. The patients had a gain of ROM, especially in the lower limb, and reduction in hypertonia/spasticity after functional treatment. The reduction in hypertonia increased the ROM. Thus, functional methods may be valuable for the rehabilitation of HTLV-1 patients with neurological damage.


Subject(s)
Humans , Male , Female , Adult , Human T-lymphotropic virus 1 , Paraparesis, Tropical Spastic/complications , Paraparesis, Tropical Spastic/rehabilitation , Muscle Stretching Exercises/methods , Muscle Hypertonia/rehabilitation , Quality of Life , Paraparesis, Tropical Spastic/physiopathology , Range of Motion, Articular/physiology , Muscle Strength/physiology , Muscle Hypertonia/etiology , Muscle Tonus/physiology
15.
Int. j. morphol ; 36(1): 267-272, Mar. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-893221

ABSTRACT

RESUMEN: Osteoartritis (OA) es una de las enfermedades reumáticas más frecuentes y la más común enfermedad articular, afecta principalmente al cartílago articular y el hueso subcondral de una articulación sinovial resultando en la incapacidad articular. La OA es reconocida como una causa substancial de discapacidad, con significativos costos sociales y financieros debidos a las frecuentes intervenciones médicas y quirúrgicas además del ausentismo laboral. El objetivo del estudio fue determinar si la distracción tibiofemoral adicionada al tratamiento convencional en pacientes con osteoartritis de rodilla grado 3, presenta mejoras en el dolor, rango de movimiento y funcionalidad de la extremidad inferior, en comparación al tratamiento convencional propuesto por el MINSAL por sí solo. Esta investigación corresponde a un estudio piloto, con diseño experimental del tipo ensayo clínico aleatorizado (ECA), controlado, ciego simple y con una muestra equilibrada. La muestra corresponde a pacientes reclutados del Hospital San Borja Arriarán (Santiago, Chile) con diagnóstico médico de OA de rodilla grado 3. Se realizaron dos mediciones, una al inicio de las diez sesiones y otra al final del tratamiento, donde se midió el dolor con la escala visual análoga (EVA), el rango de movimiento articular pasivo con goniometría y la capacidad funcional con el test de marcha de 6 minutos y el cuestionario de WOMAC. Al comparar ambos grupos muestran diferencias estadísticamente significativas en la funcionalidad, el dolor y distancia de marcha durante 6 minutos. La distracción tibiofemoral adicionada al tratamiento convencional presentó mejoras clínicas significativas cuando comparada con la aplicación del tratamiento convencional de OA de rodilla.


SUMMARY: Osteoarthritis (OA) is one of the most frequent rheumatic diseases and the most common joint disease, primarily affecting joint cartilage and the subchondral bone of a synovial joint resulting in the y articular dysfunction. OA is recognized as a cause of disability, with significant social and financial costs due to medical, surgical interventions in addition to frequent absenteeism at work. The objective was to determine if tibiofemoral distraction, in conjunction with conventional therapy in patients with knee osteoarthritis grade 3, improved performance of the lower extremity in comparison to the conventional treatment alone, as proposed by the Ministry of Health (MINSAL). This research is a pilot, prospective randomized clinical trial (RCT), controlled, single-blind and with a balanced sample. The sample was recruited from patients of the Hospital San Borja Arriarán (Santiago, Chile) with medical diagnosis of knee OA grade 3. Two measurements were performed, one at the beginning of the 10 sessions and at the end of treatment, which was measured with the functionality questionnaire of OA of the Western Ontario and McMaster Universities (WOMAC), the pain visual analog scale (VAS), the passive joint range of motion with goniometry, and distance to the Test 6-minute walk. When comparing the two groups showed statistically significant differences in functionality, pain, distance walked and joint range, except in knee grade extension. The tibiofemoral distraction added to conventional treatment functional improvement in patients with knee OA grade 3.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Osteoarthritis, Knee/physiopathology , Osteoarthritis, Knee/surgery , Osteogenesis, Distraction , Disability Evaluation , Pain Measurement , Pilot Projects , Range of Motion, Articular/physiology , Single-Blind Method , Traction , Treatment Outcome
16.
Einstein (Säo Paulo) ; 16(1): eAO4247, 2018. tab, graf
Article in English | LILACS | ID: biblio-891458

ABSTRACT

Abstract Objective To evaluate the correlation between physical examination data concerning hip rotation and tibial torsion with transverse plane kinematics in children with cerebral palsy; and to determine which time points and events of the gait cycle present higher correlation with physical examination findings. Methods A total of 195 children with cerebral palsy seen at two gait laboratories from 2008 and 2016 were included in this study. Physical examination measurements included internal hip rotation, external hip rotation, mid-point hip rotation and the transmalleolar axis angle. Six kinematic parameters were selected for each segment to assess hip rotation and shank-based foot rotation. Correlations between physical examination and kinematic measures were analyzed by Spearman correlation coefficients, and a significance level of 5% was considered. Results Comparing physical examination measurements of hip rotation and hip kinematics, we found moderate to strong correlations for all variables (p<0.001). The highest coefficients were seen between the mid-point hip rotation on physical examination and hip rotation kinematics (rho range: 0.48-0.61). Moderate correlations were also found between the transmalleolar axis angle measurement on physical examination and foot rotation kinematics (rho range 0.44-0.56; p<0.001). Conclusion These findings may have clinical implications in the assessment and management of transverse plane gait deviations in children with cerebral palsy.


Resumo Objetivo Avaliar a correlação entre dados do exame físico relativos à rotação do quadril e torção tibial com a cinemática do plano transverso em crianças com paralisia cerebral; e determinar quais pontos no tempo e eventos do ciclo de marcha apresentam maior correlação com achados do exame físico. Métodos Um total de 195 crianças com paralisia cerebral vistas em dois laboratórios de marcha, de 2008 a 2016, foi incluído neste estudo. As medidas do exame físico incluíram rotação interna do quadril, rotação externa do quadril, ponto médio da rotação do quadril e ângulo do eixo transmaleolar. Foram selecionados seis parâmetros cinemáticos para cada segmento, para avaliar a rotação do quadril e a do pé em relação à perna durante a marcha. As correlações entre exame físico e medidas cinemáticas foram analisadas por coeficientes de correlação de Spearman, e considerou-se um nível de significância de 5%. Resultados Comparando as medidas da rotação do quadril e da cinemática do quadril, encontramos correlações moderadas a fortes para todas as variáveis (p<0,001). Os coeficientes mais altos foram observados entre o ponto médio da rotação do quadril no exame físico e a rotação do quadril na cinemática (rho range: 0,48-0,61). Correlações moderadas também foram encontradas entre a medição do ângulo do eixo transmaleolar no exame físico e a rotação do pé em relação à perna na cinemática (faixa rho: 0,44-0,56; p<0,001). Conclusão Estes achados podem ter implicações clínicas na avaliação e no tratamento de desvios da marcha do plano transverso em crianças com paralisia cerebral.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Physical Examination , Cerebral Palsy/physiopathology , Range of Motion, Articular/physiology , Gait/physiology , Rotation , Biomechanical Phenomena , Severity of Illness Index , Retrospective Studies
18.
Rehabil. integral (Impr.) ; 12(1): 13-21, jun. 2017. ilus, tab, graf
Article in Spanish | LILACS | ID: biblio-908004

ABSTRACT

Introduction: Kinesiotape (Kt) is a therapeutic technique producing somatosensory stimulation when placed on the skin, and has shown improvement in dynamic activities in neuropediatric field; however, there are limited studies on its effect during gait. Objective: To assess the effect of KT in children with spastic hemiparetic cerebral palsy (CP) during gait, when applied on tibialis anterior muscle of the affected side. Method: Study carried out with 9 children with spastic hemiparetic cerebral palsy and Gross Motor Function Classification System (GMFCS) I & II, between 4 and 10 years old, male and female, at Instituto teletón Antofagasta. Gait was recorded in video in 3 instances: before Kt, immediately after application of Kt, and 5 days post application. Recordings were assessed using the Edinburgh Visual Gait Score (EVGS) and range of motion (RoM) of the ankle during gait. Results: None of the subjects showed significant improvement in RoM of the ankle during gait or in the EVGS. Conclusion: Kt did not change ROM of the ankle during gait in the studied cases, nor as an immediate effect or 5 days after application. only 2 out of 9 children showed a 1 point improvement during the swing phase during EVGS. It is suggested to consider other exclusion criteria and extend the duration of Kt therapy.


El vendaje neuromuscular (VN) es una herramienta terapéutica que estimula el nivel somatosensitivo al ubicarlo sobre la piel, que ha demostrado mejoras en actividades dinámicas en el ámbito neuroinfantil; sin embargo, existen escasos estudios sobre su efecto durante la marcha. Objetivo: Evaluar el efecto del VN sobre la marcha de niños con parálisis cerebral (PC) hemiparética espástica, aplicado en músculo tibial anterior del lado afectado. Método: Estudio de 9 niños con PC y Gross Motor Function Classification System (GMFCS) I y II tipo hemiparesia espástica entre 4 y 10 años de edad, de ambos sexos en el Instituto Teletón Antofagasta. Se filmó marcha en 3 instancias: antes del VN, inmediato con VN y a los 5 días post aplicación. Las grabaciones fueron valoradas con la Edinburgh Visual Gait Score (EVGS) y rango de movimiento (RoM) de tobillo durante la marcha. Resultados: Ninguno de los 9 niños presentó mejoría significativa en su ROM del tobillo durante la marcha ni en la EVGS. Conclusión: El vendaje neuromuscular no produjo cambios del RoM del tobillo durante la marcha en los casos presentados, ni como efecto inmediato ni a los 5 días post aplicación. Sólo 2 de 9 mejoraron en 1 punto durante la fase de balanceo en la EVGS. Se sugiere considerar otros criterios de exclusión y ampliar el tiempo de aplicación del VN.


Subject(s)
Male , Female , Humans , Child, Preschool , Child , Athletic Tape , Cerebral Palsy/physiopathology , Cerebral Palsy/therapy , Gait/physiology , Bandages , Physical Therapy Modalities , Range of Motion, Articular/physiology
19.
Int. j. odontostomatol. (Print) ; 11(1): 83-87, abr. 2017. ilus
Article in English | LILACS | ID: biblio-841021

ABSTRACT

Assessing the normal range of manibular movement becomes an indispensable tool for the clinical evaluation of the function of the masticatory system. The aim of this study was to measure the range of mandibular movement in mouth opening, protrusion, and lateral movements in pediatric subjects from the city of Temuco, Chile and to determine their association with age, sex, and height. A cross-sectional study was performed in children aged 6-13, treated in the Teaching-Unit-Dental-Clinic at the Universidad de La Frontera, Temuco-Chile. 54 subjects participated in the study (44.4 % females); girls exhibited an average mouth opening of 51.9 mm and males of 54.8 mm. Averages were 53.5 mm for mouth opening, 11.8 mm for protrusion, 9.9 mm for right laterality, and 10.3 mm for left laterality. A statistically significant difference was found between age groups, opening, and right lateral ranges, as well as a weak to moderate correlation between mouth opening and protrusion, protrusion and right laterality, protrusion and left laterality, right and left laterality, height and mouth opening, and height and right lateral ranges. The results of this study provide specific data and evidence on the importance of evaluating all ranges of mandibular movement, relating them to each other and with variables such as age and height.


La valoración de los rangos del movimiento mandibular normal y sus respectivas variaciones constituyen una herramienta indispensable para la evaluación clínica del funcionamiento del sistema masticatorio y la búsqueda de alteraciones. El objetivo de este estudio fue medir los rangos de dinámica mandibular en movimientos de apertura bucal, protrusión y lateralidades en sujetos pediátricos de la ciudad de Temuco, Chile; y determinar su asociación con edad, sexo y estatura. Se realizó un estudio de corte transversal, en niños de 6-13 años atendidos en la Clínica Odontológica Docente Asistencial de la Universidad de La Frontera, Temuco-Chile. Se evaluaron los rangos de apertura bucal, protrusión, lateralidad derecha, lateralidad izquierda, edad, sexo y estatura de los sujetos, relacionandolos entre sí. Se evaluaron 54 sujetos (44,4 % mujeres), las niñas presentaron un promedio de apertura bucal de 51,9 mm y los niños de 54,8 mm. El promedio de apertura bucal fue de 53,5 mm; el de protrusión 11,8 mm; el de lateralidad derecha 9,9 mm; y el de lateralidad izquierda 10,3 mm. Se encontró una diferencia estadísticamente significativa entre los distintos grupos de edad y el rango de apertura y lateralidad derecha, así como también una correlación débil a moderada entre el rango de apertura bucal y el de protrusión; el de protrusión y de lateralidad derecha; el de protrusión y lateralidad izquierda; el de lateralidad derecha e izquierda; estatura y apertura bucal; estatura y lateralidad derecha. Los resultados del presente estudio cobran gran importancia, ya que además de aportar con datos específicos aporta evidencia sobre la importancia de evaluar todos los rangos de movimiento mandibular, y no solo relacionarlos entre sí, sino también con variables como la edad y estatura. De este modo se facilitará el trabajo clínico de comprender la dinámica mandibular específica de cada paciente y complementarla con la sospecha de enfermedad o el diagnóstico específico de las patologías que afectan al sistema mandibular.


Subject(s)
Humans , Male , Female , Child , Adolescent , Mandible/physiology , Range of Motion, Articular/physiology , Temporomandibular Joint Disorders/diagnosis , Age Factors , Body Height , Chile , Cross-Sectional Studies , Sex Factors , Temporomandibular Joint Disorders/physiopathology
20.
Rev. bras. reumatol ; 57(2): 93-99, Mar.-Apr. 2017. tab, graf
Article in English | LILACS | ID: biblio-844219

ABSTRACT

Abstract Objective: The aim of this study was to investigate the effectiveness of Kinesio Taping and sham Kinesio Taping on pain, pressure pain threshold, cervical range of motion, and disability in cervical myofascial pain syndrome patients (MPS). Methods: This study was designed as a randomized, double-blind placebo controlled study. Sixty-one patients with MPS were randomly assigned into two groups. Group 1 (n = 31) was treated with Kinesio Taping and group 2 (n = 30) was treated sham taping five times by intervals of 3 days for 15 days. Additionally, all patients were given neck exercise program. Patients were evaluated according to pain, pressure pain threshold, cervical range of motion and disability. Pain was assessed by using Visual Analog Scale, pressure pain threshold was measured by using an algometer, and active cervical range of motion was measured by using goniometry. Disability was assessed with the neck pain disability index disability. Measurements were taken before and after the treatment. Results: At the end of the therapy, there were statistically significant improvements on pain, pressure pain threshold, cervical range of motion, and disability (p < 0.05) in both groups. Also there was a statistical difference between the groups regarding pain, pressure pain threshold, cervical flexion-extension (p < 0.05); except cervical rotation, cervical lateral flexion and disability (p > 0.05). Conclusion: This study shows that Kinesio Taping leads to improvements on pain, pressure pain threshold and cervical range of motion, but not disability in short time. Therefore, Kinesio Taping can be used as an alternative therapy method in the treatment of patients with MPS.


Resumo Objetivo Investigar a eficácia do kinesio taping e do taping placebo sobre a dor, limiar de dor à pressão, amplitude de movimento cervical e incapacidade em pacientes com síndrome dolorosa miofascial (SDM) cervical. Métodos: Ensaio clínico randomizado duplo-cego controlado por placebo. Foram alocados em dois grupos, aleatoriamente, 61 pacientes com SDM. O grupo 1 (n = 31) foi tratado com kinesio taping e o grupo 2 (n = 30) foi tratado com taping placebo cinco vezes em intervalos de três dias, durante 15 dias. Além disso, todos os pacientes foram submetidos a um programa de exercícios para o pescoço. Os pacientes foram avaliados em relação à dor, ao limiar de dor à pressão, à amplitude de movimento cervical e à incapacidade. A dor foi avaliada com a escala visual analógica, o limiar de dor à pressão foi medido com um algômetro e a amplitude de movimento cervical ativa foi mensurada com a goniometria. A incapacidade foi avaliada com o Neck Pain Disability Scale. As mensurações foram feitas antes e depois do tratamento. Resultados: No fim do tratamento, houve melhoria estatisticamente significativa na dor, no limiar de dor à pressão, na amplitude de movimento cervical e na incapacidade (p < 0,05) em ambos os grupos. Também houve uma diferença estatisticamente significativa entre os grupos em relação à dor, ao limiar de dor à pressão e à flexão-extensão cervical (p < 0,05); não houve diferença na rotação cervical, flexão lateral cervical e incapacidade (p > 0,05). Conclusão: O kinesio taping leva à melhoria na dor, no limiar de dor à pressão e na amplitude de movimento cervical, mas não na incapacidade em um curto período. Portanto, o kinesio taping pode ser usado como um método de terapia opcional para o tratamento de pacientes com SDM.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Cervical Vertebrae/physiopathology , Neck Pain/therapy , Exercise Therapy/methods , Athletic Tape , Myofascial Pain Syndromes/therapy , Pain Measurement , Double-Blind Method , Range of Motion, Articular/physiology , Treatment Outcome , Pain Threshold/psychology , Neck Pain/physiopathology , Neck Pain/rehabilitation , Disability Evaluation , Muscle Strength/physiology , Middle Aged , Myofascial Pain Syndromes/physiopathology , Myofascial Pain Syndromes/rehabilitation
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