Ergonomic interventions for work in a sitting position: an integrative review.

The sitting position is one of the most common positions in the workplace and one that can contribute to overloading the musculoskeletal system. Ergonomics can play a significant role in ensuring an appropriate relationship between people and their work and in achieving better conditions for workers' health. The objective of this study was to consult the available evidence on the results of different ergonomic interventions for the musculoskeletal systems of workers who perform their jobs in a sitting position. This was an integrative review, searching the LILACS, MEDLINE, PubMed, SciELO, and CINAHL electronic databases for articles published from 2010 to 2019. The following keywords were used: Trabalhadores OR Workers OR Trabajadores AND Dor OR Pain OR Dolor AND Postura Sentada OR Sitting Position OR Sedestación AND Ergonomia OR Ergonomics OR Ergonomía. A total of 183 articles were identified, 14 of which were selected for the review. For qualitative analysis, the articles were organized by author, year, sample/population, objective, analytical instrument, intervention and type of intervention: combinations of physical exercise programs and postural and ergonomic guidance; different types of guidance and facilitating instruments; or configuration of furniture and use of supporting devices. A quantitative analysis of study quality was conducted using the Physiotherapy Evidence Database, based on the Delphi list. The interventions contributed to improve physical conditions and the tasks being carried out, making them more appropriate for the workers.

A postura sentada é uma das mais adotadas nos ambientes de trabalho e pode contribuir na sobrecarga do sistema musculoesquelético. A ergonomia pode apresentar um papel significativo para manter a relação adequada do homem com o trabalho e para abordar melhores condições à saúde dos trabalhadores. O objetivo deste estudo foi verificar as evidências disponíveis sobre os resultados de diferentes intervenções ergonômicas no sistema musculoesquelético de trabalhadores que exercem atividades na postura sentada. Tratou-se de uma revisão integrativa, utilizando as bases de dados eletrônicas LILACS, MEDLINE, PubMed, SciELO e CINAHL, com busca de artigos publicados no período de 2010 a 2019. Utilizaram-se os seguintes descritores: Trabalhadores OR Workers OR Trabajadores AND Dor OR Pain OR Dolor AND Postura Sentada OR Sitting Position OR Sedestación AND Ergonomia OR Ergonomics OR Ergonomía. Foram encontrados 183 artigos, sendo 14 selecionados. A análise qualitativa organizou os artigos de acordo com autor, ano, amostra/população, objetivo, instrumento de análise, intervenção e tipo de intervenção: associação de programas de exercícios físicos e orientações posturais e ergonômicas; diferentes formas de orientação e instrumentos facilitadores; e configuração do mobiliário e utilização de dispositivos auxiliares. A análise quantitativa da qualidade dos estudos considerou a escala Physiotherapy Evidence Database, baseado na lista Delphi. As intervenções contribuíram para melhorar as condições físicas e as tarefas executadas, tornando-as mais apropriadas para os trabalhadores.

Eficácia da estimulação hissiana e septal profunda comparada à estimulação cardíaca convencional: revisão de literatura / Efficacy of hissian and deep septal stimulation compared to conventional cardiac stimulation: literature review

Introdução: Pacientes com insuficiência cardíaca e doenças do sistema de condução necessitam de dispositivos para monitoramento dos batimentos cardíacos, como marcapassos permanentes, dispositivos de ressincronização cardíaca ou cardiodesfibriladores implantáveis. A estimulação ventricular direita (EVD) é tradicionalmente o tratamento de escolha. No entanto, estudos demonstraram evidências de dissincronia ventricular, redução da função cardíaca, recorrência de fibrilação atrial e aumento da mortalidade associadas a esta abordagem. O conhecimento dos efeitos adversos das técnicas convencionais justifica a realização de pesquisas para determinar se a estimulação hissiana (EH) é uma técnica que produz maior ativação fisiológica e ventricular mais sincronizada. Objetivo: Avaliar a eficácia da estimulação hissiana comparada à EVD em relação aos parâmetros eletrocardiográficos, ecocardiográficos e clínicos.Material e Métodos: Os critérios de elegibilidade seguiram a estratégia PICOS: P ­ pacientes com indicação de dispositivos cardíacos eletrônicos implantáveis; I ­ estimulação hissiana; C ­ estimulação ventricular direita; O ­ duração do complexo QRS, fração de ejeção, diâmetro ventricular ou classe funcional da New York Heart Association (NYHA); S ­ ensaios clínicos controlados randomizados (ECR) e não randomizados. As buscas foram realizadas nas bases Medline via PubMed, Embase, LILACS e Cochrane Library, realizadas em março de 2023 por três revisores independentes. Resultados: Foram incluídos sete ensaios clínicos comparando as técnicas EH versus EVD quanto aos desfechos investigados. Para a duração do complexo QRS, três estudos encontraram resultado significativamente melhor no grupo intervenção. Para fração de ejeção e classe funcional da NYHA, dois estudos apresentaram resultados significativamente melhores no grupo EH. Quanto ao risco de viés, apenas dois apresentaram risco baixo e médio, quatro apresentaram risco alto em um, dois ou três dos itens avaliados. Conclusões: A técnica EH demonstrou superioridade à técnica convencional, entretanto são necessários ECR de maior qualidade metodológica e meta-análises para verificar a eficácia clínica da técnica, envolvendo maior número de pacientes e tempo de seguimento.

Introduction: Patients with heart failure and cardiac conditions require devices for monitoring the heartbeat, such as permanent pacemakers, cardiac resynchronization devices, or implantable cardioverter defibrillators. Right ventricular stimulation (RVP) has traditionally been the treatment of choice. However, studies have shown evidence of ventricular dyssynchrony, reduced cardiac function, recurrence of atrial fibrillation, and increased mortality associated with this approach. Recognizing the adverse effects of conventional techniques justifies conducting research to determine whether Hissian or His bundle pacing (HPB) stimulation can provide more physiologically synchronized ventricular activation. Objective: The aim is to assess the efficacy of Hissian stimulation compared to right ventricular pacing (RVP) in relation to electrocardiographic, echocardiographic and clinical parameters. Material and Methods: The eligibility criteria will follow the PICOS strategy: P ­ Patients with indication for implantable electronic cardiac devices; I ­ Hissan Stimulation; C ­ Right Ventricular Stimulation; O ­ QRS complex duration, ejection fraction, ventricular diameter and New York Heart Association (NYHA) functional class; S ­ Controlled Trials. Searches were conducted on the Medline via PubMed, Embase, Latin America and Caribbean Health Science Literature Database (LILACS) and Cochrane Library platforms. The searches were performed in March 2023 by three independent reviewers. Results: Seven clinical trials were included, comparing HPB versus RVP techniques regarding the investigated outcomes. For the QRS complex duration, three studies found a significantly better result in the intervention group. For ejection fraction and NYHA functional class, two studies had significantly better results in the HPB group too. Concerning the risk of bias, out of the seven studies included, only two presented low and medium risk, four presented high risk in one, two or three of the items evaluated. Conclusions: The HPB technique has demonstrated superiority to the conventional technique, however, RCT of higher methodological quality and meta-analysis are needed to verify the clinical effectiveness of the technique, involving more patients and longer follow-up time.

Choice reaction time can be influenced by intervention protocols after stroke: A systematic review.

INTRODUCTION: Post-stroke individuals usually present a delay in choice reaction time (CRT), and it would be important to verify the efficacy in the reduction of CRT after intervention protocols. OBJECTIVE: The main question of this review is 'What are the characteristics of the CRT test and the interventions that decrease the CRT?' STUDY DESIGN: Systematic review. METHODS: The search was performed in March 2019 using the electronic databases, PubMed, Science Direct, Scopus, Web of Science, Lilacs, Cinahal, Cochrane, Ovid, Scielo, PEDro, and Embase. There was no restriction regarding publication dates, and studies written in English that were conducted on poststroke patients and presented CRT results were included. RESULTS: Six studies were included in this systematic review, and the majority showed varied objectives, methodologies, and groups, regarding the number and characteristics of the sample, varying from complex to simple tasks for the CRT evaluation. CONCLUSION: This review suggests the investigation of the CRT in stroke patients with functional tasks using auditory and/or visual stimulus. About the CRT training in stroke patients, this review also suggests bilateral training, including functional tasks, and the use of structural practice blocks, but more studies are needed to better demonstrate the effects of interventions on the CRT. REGISTRATION NUMBER: PROSPERO (protocol no. CRD42017073995).

Effects of serious games in strength and functionality of patients with ulnar nerve lesion: two single-case reports.

The objective of this study was to investigate the effect of serious games on hand muscle strength and functionality in a series of cases with ulnar nerve damage. Two patients were included in this 16-week intervention study using biofeedback. Electromyography electrodes and dynamometers were used in treatment. Functionality was assessed by Rosen and Lundborg score, Disabilities of the arm, shoulder and hand (DASH) questionnaire and International Classification of Functioning, Disability and Health (ICF). Grip and pinch strength were assessed by dynamometers. Results revealed an increase in sensory domain of Rosen and Lundborg score of the two patients. Patients increased values from the DASH questionnaire; however, they got better results with ICF. Grip strength of the two patients increased; pinch strength varied between patients; key pinch had the best results. Serious games can be effective to enhance hand strength and improve functionality in patients with ulnar nerve damage.

Transcutaneous electrical nerve stimulation is superior than placebo and control for postoperative pain relief.

Aim: To determine whether transcutaneous electrical nerve stimulation (TENS) is more efficient than placebo TENS and control groups for pain relief. Design: Randomized, single-blinded, placebo-controlled trial. Setting & participants: A total of 78 adults with postoperative pain, after cholecystectomy, at the University Hospital. They were randomized into active TENS, placebo TENS and control. Intervention: A total of 30-min interventions applied in the first 24 h after the surgery. Outcome: Pain intensity. Results: Pain significantly decreased for both TENS; however, the active TENS was better. A decrease of 2 points or more on the visual analog scale for 53.8% active TENS and 11.5% placebo. Conclusion: There was a greater reduction in pain of important clinical relevance in the active TENS group. Clinical Trial registration: Brazilian Clinical Trial (REBEC): RBR-6cgx2k.

Serious games therapy associated with conventional physical therapy intervention accelerated hand muscles strengthening and hand functioning after complex fracture of the wrist: A case report.

STUDY DESIGN: Case report. INTRODUCTION: A severe wrist fracture can cause permanent physical disabilities and deformities, leading to limit patients in their occupation and social environment. PURPOSE OF THE STUDY: We aim at presenting a treatment protocol and the functional outcome of a patient with severe clinical state after a rare wrist fracture. METHODS: We provided physical therapy intervention associated with serious games for muscle strengthening. RESULTS AND DISCUSSION: There was an increase in strengthening and a decrease in Disability of the Arm, Shoulder and Hand score and Patient Rated Wrist Evaluation scores. The International Classification of Functioning scores have changed from severe to light or to absent in many of the domains. CONCLUSION: The use of serious games combined with a conventional physical therapy intervention played a fundamental role in recovery and return to work activities, and there was also an important recovery of general health condition.

Association between the Rosén and Lundborg Score and the Screening Activity Limitation and Safety Awareness scale in hand functional evaluation of patients with leprosy diagnosis.

PURPOSE: To evaluate the association of results from the Rosén and Lundborg Score and the screening activity limitation and Safety Awareness scale for the assessment of hand in patients diagnosed with leprosy. METHOD: An association between the Rosén and Lundborg Score and the Screening Activity Limitation and Safety Awareness scale for hand was evaluated in a cross-section study with 25 people of a mean age of 51 years old (SD 14), undergoing drug treatment for leprosy. RESULTS: The mean quantitative score in the Screening Activity Limitation and Safety Awareness scale was 27.9 (SD 10.5). Rosén and Lundborg Score for the median nerve were 2.43 (SD 0.38) on the right hand and 2.41 (SD 0.54) on the left hand whilst for the ulnar nerve, the scores observed were 2.33 (SD 0.42) for the right hand and 2.31 (SD 0.61) for the left hand. Significant correlations between the two instruments in assessment of the median and ulnar nerves on both hands were found. CONCLUSIONS: Due to the association found between the scales, the Rosén and Lundborg Score may be used in assessment of the hand in patients diagnosed with leprosy, as a tool to assist the result evaluation after the drug treatment, surgical treatment, rehabilitation and follow-up in the hand dysfunction in leprosy. Implications for Rehabilitation The leprosy inflammatory neuropathy may cause limitations and disabilities related to hand functions of patients. Instruments with quantitative scores provide a reliable basis for therapeutic intervention prognosis. New evaluation methods promote a better monitoring of treatment and hand function evolution of people with leprosy.

Limitation of activity and restriction of social participation in relation to age range, gender, and education in people with leprosy.

BACKGROUND: In Brazil, 38,000 new cases of leprosy are discovered each year, making it a public health problem. OBJECTIVE: To identify whether or not there is an association between activity limitations and the restriction of social participation with some demographic data (age range, gender, and education) of the patients in a Basic Health Unit (BHU), diagnosed with leprosy. METHODS: The SALSA scale was used to assess activity limitations, whereas the Participation scale was used to assess the restriction of social participation. RESULTS: The assessments were conducted with 31 BHU patients diagnosed with leprosy. Males were the most affected by leprosy, the multibacillary was the most prevalent, and education proved to be an important factor when related to the disease injuries among the evaluated individuals. Regarding activity limitations and the restriction of social participation, the percentage of individuals without limitations and without restrictions was greater in both scales. STUDY LIMITATIONS: The main limitation is the small study sample. CONCLUSION: It can be concluded that, for the studied sample, no association was observed between the activity limitations, evaluated by the Salsa scale, nor the restriction of social participation, evaluated by the Participation Scale, with the analyzed demographic data.

Comparative study of pain in women submitted to conventional laparoscopic cholecystectomy versus single-port laparoscopic cholecystectomy.

PURPOSE:: To evaluate postoperative pain in patients submitted to conventional laparoscopic cholecystectomy with four ports versus single-port laparoscopic cholecystectomy with only one port. METHODS:: Twenty-one patients were included in the conventional laparoscopic cholecystectomy group and 19 other patients in the single-port laparoscopic cholecystectomy group. A VAS was used for the assessment of postoperative pain at three time points. Differences were considered statistically significant when p<0.05. RESULTS:: Intergroup analysis showed no significant difference in VAS scores between the conventional laparoscopic cholecystectomy and single-port laparoscopic cholecystectomy groups at any of the time points studied. CONCLUSION:: This study found no significant difference in postoperative pain between the two groups.

Comparative study of pain in women submitted to conventional laparoscopic cholecystectomy versus single-port laparoscopic cholecystectomy

Abstract Purpose: To evaluate postoperative pain in patients submitted to conventional laparoscopic cholecystectomy with four ports versus single-port laparoscopic cholecystectomy with only one port. Methods: Twenty-one patients were included in the conventional laparoscopic cholecystectomy group and 19 other patients in the single-port laparoscopic cholecystectomy group. A VAS was used for the assessment of postoperative pain at three time points. Differences were considered statistically significant when p<0.05. Results: Intergroup analysis showed no significant difference in VAS scores between the conventional laparoscopic cholecystectomy and single-port laparoscopic cholecystectomy groups at any of the time points studied. Conclusion: This study found no significant difference in postoperative pain between the two groups.

Limitation of activity and restriction of social participation in relation to age range, gender, and education in people with leprosy

Abstract Background: In Brazil, 38,000 new cases of leprosy are discovered each year, making it a public health problem. Objective: To identify whether or not there is an association between activity limitations and the restriction of social participation with some demographic data (age range, gender, and education) of the patients in a Basic Health Unit (BHU), diagnosed with leprosy. Methods: The SALSA scale was used to assess activity limitations, whereas the Participation scale was used to assess the restriction of social participation. Results: The assessments were conducted with 31 BHU patients diagnosed with leprosy. Males were the most affected by leprosy, the multibacillary was the most prevalent, and education proved to be an important factor when related to the disease injuries among the evaluated individuals. Regarding activity limitations and the restriction of social participation, the percentage of individuals without limitations and without restrictions was greater in both scales. Study limitations: The main limitation is the small study sample. Conclusion: It can be concluded that, for the studied sample, no association was observed between the activity limitations, evaluated by the Salsa scale, nor the restriction of social participation, evaluated by the Participation Scale, with the analyzed demographic data.

Carpal tunnel syndrome: mobilization and segmental stabilization / Mobilização neural e estabilização segmentar na síndrome do túnel do carpo

Abstract Introduction: Carpal tunnel syndrome is a compressive neuropathy, frequently seen in women. Conservative treatment for carpal tunnel syndrome focuses on control of symptoms and the nervous path, due to the possibility of double compression. Objective: To assess whether a protocol with emphasis on motor control techniques, including segmental cervical stabilization and neural mobilization, has better results in mechanical reorganization and reduction of symptoms when compared with classic therapeutic exercise techniques in the conservative treatment of carpal tunnel syndrome. Methods: This pilot study was a randomized, double-blind clinical trial, involving 11 women with an average age of 54 (± 6) years, allocated to either a classical kinesiotherapy group (CG) or experimental group (EG). The intervention spanned 12 weeks, with assessments prior to and following therapy, using the monofilament test, handgrip dynamometer, and BCTQ, DASH, and PRWE questionnaires. All normally distributed data was analysed with Student's T-tests. Results: Both groups exhibited an increase in grip strength and relief of symptoms with improved functionality. There was a significant reduction in sensitivity noted in the CG group, and a significant increase in grip strength observed in the EG group. Conclusion: The experimental protocol group exhibited better results in mechanical reorganization, reflected in increased strength, sensitivity, and improved functionality, when compared to the group with conventional therapeutic exercise, but without the same symptomatic reduction.

Resumo Introdução: Compreende a Síndrome do Túnel do Carpo (STC) uma neuropatia compressiva frequente em mulheres. No tratamento conservador, a ênfase é dada ao controle da sintomatologia e ao trajeto nervoso devido à hipótese de dupla compressão. Objetivo: Avaliar se um protocolo com ênfase nas técnicas de controle motor, constituído por estabilização segmentar cervical e mobilização neural, apresentam melhores resultados na reorganização mecânica e redução dos sintomas quando comparado com técnicas de cinesioterapia clássica. Métodos: Estudo piloto de um ensaio clínico randomizado duplo cego, em 11 mulheres, alocadas em Grupo Cinesioterapia clássica (GC), e Grupo Experimental (GE). A intervenção foi de 12 semanas, com avaliações no pré e pós, por meio da estesiometria, dinamometria de preensão palmar e aplicação dos questionários BCTQ, DASH e PRWE. Resultados: Ambos aumentaram a força de pinça com alívio da sintomatologia e melhora da funcionalidade. Houve diminuição da sensibilidade no GC e aumento significativo da força de preensão palmar no GE. Conclusão: O grupo do protocolo proposto apresentou melhores resultados na reorganização mecânica, com reflexo no aumento da força, da sensibilidade e melhora da funcionalidade, quando confrontado ao grupo com cinesioterapia convencional, porém sem o mesmo impacto para a redução dos sintomas.

Leprosy incidence, characterization of cases and correlation with household and cases variables of the Brazilian states in 2010.

BACKGROUND: Leprosy is millenary disease and still persists in several countries. OBJECTIVES: To estimate the incidence of leprosy in the Brazilian states and for the country in the year 2010; to describe the cases reported according to the studied variables; to verify the correlation between the overall incidence and the studied variables. METHODS: Ecological descriptive study, with population data from the 27 states, 2010. Information about reported cases were collected: gender, race, percentage of patients younger than 15 years old and living conditions. The analysis was performed using percentages, means, incidence rates and the Spearman correlation test. RESULTS: The states of Mato Grosso and Tocantins recorded the highest incidence rates; Rio Grande do Sul and Santa Catarina, the lowest; there was a higher incidence of leprosy among men; the incidence of leprosy increases proportionally with the nonwhites among the inhabitants; patients younger than 15 years; the average number of residents per household; and a decrease in coverage of water supply and presence of bathrooms. CONCLUSION: The incidence of leprosy is related to factors as gender, race and house conditions (p<0,05 for all).

Leprosy incidence, characterization of cases and correlation with household and cases variables of the Brazilian states in 2010

Abstract BACKGROUND: Leprosy is millenary disease and still persists in several countries. OBJECTIVES: To estimate the incidence of leprosy in the Brazilian states and for the country in the year 2010; to describe the cases reported according to the studied variables; to verify the correlation between the overall incidence and the studied variables. METHODS: Ecological descriptive study, with population data from the 27 states, 2010. Information about reported cases were collected: gender, race, percentage of patients younger than 15 years old and living conditions. The analysis was performed using percentages, means, incidence rates and the Spearman correlation test. RESULTS: The states of Mato Grosso and Tocantins recorded the highest incidence rates; Rio Grande do Sul and Santa Catarina, the lowest; there was a higher incidence of leprosy among men; the incidence of leprosy increases proportionally with the nonwhites among the inhabitants; patients younger than 15 years; the average number of residents per household; and a decrease in coverage of water supply and presence of bathrooms. CONCLUSION: The incidence of leprosy is related to factors as gender, race and house conditions (p<0,05 for all).

Comparação entre diferentes exercícios resistidos para jovens não treinadas / Comparing different resisting exercises for non-trained young people

O objetivo deste trabalho foi analisar e comparar os efeitos de 05 semanas de treinamento resistido sobre variáveis musculoesqueléticas, utilizando aparelhos de musculação ou massa corporal como resistência, em jovens não treinadas. Realizou-se estudo longitudinal, controlado, com 26 voluntárias divididas por sorteio simples em três grupos semelhantes: treinado com aparelho de musculação (GAM); treinado com resistência corporal (GRC); e sem treinamento ­ grupo controle (GC). Avaliações iniciais e reavaliações físicas após 05 semanas envolveram testes de flexibilidade, força e resistência muscular. Os grupos experimentais realizaram protocolos específicos de treinamento. De 15 variáveis analisadas, houve diferença significante em 09 favoráveis ao GRC e em 05 favoráveis aos GAM em relação ao GC. Houve diferença significante entre GRC e GAM somente para uma variável, favorável ao GAM. Constatou-se que 05 semanas de treinamento resistido foram suficientes para gerar alterações significantes sobre a flexibilidade, a força e a resistência muscular.

The effects of a five-week resisting training on muscleskeleton variables were compared. Bodybuilding or body mass apparatuses as resistance were employed by non-trained young people. The control longitudinal study was performed on 26 voluntary young people divided into three similar groups: trained with bodybuilding apparatus (GAM), trained with body resistance (GRC); non-trained (GC). After 5 weeks, physical initial and re-evaluations involved flexibility, force and muscular resistance tests. Experimental groups undertook specific training protocols. There was significant difference in 9 out of the 15 variables analyzed which were favorable to GRC and in 5 which were favorable to GAM, when compared to GC. There was a significant difference between GRC and GAM for a single variable, favorable to GAM. Results showed that five weeks of resisting training were sufficient to produce significant changes on flexibility, force and muscle resistance.

Tracking upper limbs fatigue by means of electronic dynamometry / Rastreamento de fadiga de membros superiores por meio da dinamometria eletrônica / Seguimiento de fatiga de miembros superiores mediante dinamometría electrónica

This study aimed to identify useful electronic grip dynamometry parameters to track differences between trained (TR) and untrained (UT) participants, and between dominant (DO) and non-dominant (ND) limbs as a consequence of upper limbs muscle fatigue following 10 RM tests of the brachial biceps. This experimental study with transversal design involved 18 young adult males, of whom 9 were untrained and 9 were experienced in resistance training. Isometric grip force was evaluated (30 seconds long) previous and after 10RM tests by means of a G200 Model grip dynamometer with precision load cell (Biometrics(r)). Significant differences between initial and final measurements were found only for trained participants: Peak force for TR-DO (67.1 vs 55.5 kgf, p = .0277); Raw average for TR-DO (46.96 vs 42.22 kgf, p = .0464), and for TR-ND (40.34 vs 36.13 kgf, p = .0277). Electronic grip dynamometry efficiently identified upper limbs fatigue in trained participants, being raw average measurements the best parameter.

Objetivou-se identificar parâmetros da dinamometria eletrônica de preensão palmar úteis para monitorar diferenças entre indivíduos treinados (TR) e não treinados (UT) e entre membros dominantes (DO) e não dominantes (ND) após indução de fadiga pelo teste de 10RM para bíceps braquial. Tratou-se de estudo experimental, transversal, envolvendo 18 homens adultos jovens, 9 não treinados e 9 experientes em treinamento resistido. Avaliou-se a força isométrica de preensão palmar (por 30 segundos) antes e após o teste de 10 RM por dinamômetro de preensão com célula de carga de precisão modelo G200 (Biometrics(r)). Houve diferença significativa entre valores iniciais e finais somente para treinados: Pico de força para TR-DO (67,1 vs 55,5 kgf, p = 0,0277); média bruta para TR-DO (46,96 vs 42,22 kgf, p = 0,0464) e para TR-ND (40,34 vs 36,13 kgf, p = 0,0277). A dinamometria eletrônica mostrou-se eficaz em identificar a fadiga de membros superiores nos participantes treinados, sendo a média bruta o melhor parâmetro.

El objetivo fue identificar los parámetros en la dinamometría electrónica de presión palmar para comprobar las diferencias en individuos entrenados (TR) y no entrenados (UT) y en miembros dominantes (DO) y no dominantes (ND) después de la fatiga inducida por la prueba de 10RM para bíceps braquial. Fue estudio experimental, transversal que incluyó 18 hombres adultos jóvenes, 9 no entrenados y 9 con experiencia en entrenamiento resistido. La fuerza isométrica de presión palmar (durante 30 segundos) después de la prueba de 10RM fue evaluada por dinamómetro de presión con célula de carga de precisión modelo G200 (Biometrics(r)). Fue encontrada significativa entre los valores iniciales y finales sólo para el grupo entrenados: fuerza máxima para TR-DO (67,1 vs 55,5 kgf, p = 0,0277); promedio bruto para TR-DO (46,96 vs 42,22 kgf, p = 0,0464) y para TR-ND (40,34 vs 36,13 kgf, p = 0,0277). El dinamómetro electrónico fue eficaz en la identificación de la fatiga de los miembros superiores en los participantes entrenados, con el mejor parámetro promedio bruto.

Ação educativa sobre hanseníase na população usuária das unidades básicas de saúde de Uberaba-MG / Educational intervention about leprosy in user population of basic health units in Uberaba-MG

O objetivo do estudo foi o de avaliar o efeito de uma intervenção educativa sobre o conhecimento acerca da hanseníase em usuários das Unidades Básicas de Saúde de Uberaba-MG. Trata-se de pesquisa de intervenção de natureza descritiva, com abordagem quantitativa. Aplicou-se questionário antes e após a intervenção educativa, que abordou sinais e sintomas, meios de transmissão, complicações e tratamento da hanseníase. Participaram 88 mulheres e oito homens com idade média de 57,06±1,79 anos. Observou-se que ainda é grande a desinformação da população. No entanto, a importância da estratégia de educação em saúde pôde ser confirmada pelo satisfatório acréscimo de conhecimento, favorecendo a prevenção e diagnóstico precoce.

The objective of this study was to evaluate the effect of an educational intervention on the knowledge about Leprosy on users of the Basic Health Units of the city of Uberaba-MG, Brazil. This was an intervention research of descriptive nature and quantitative approach. A questionnaire was applied before and after the educational intervention addressing signs and symptoms, means of transmission, complications and treatment of leprosy. The sample contained 88 women and eight men with an average age of 57.06±1.79 years. It was observed that the population unawareness about the disease is still large. However, the importance of the health education action could be confirmed by the satisfactory knowledge increase, easing the prevention and early diagnosis.

Correlação entre alterações lombares e modificações no arco plantar em mulheres com dor lombar / Relationship between lumbar changes and modifications in the plantar arch in women with low back pain

Objetivo: Avaliar provável correlação entre arco plantar, curvatura lombar e dores lombares. Métodos: foram avaliadas 18 mulheres com queixa de dor lombar, submetidas a uma avaliação que constava de dados pessoais e de um exame físico com medidas antropométricas, avaliação do arco plantar por meio fotopodoscopia, avaliação da postura do paciente por meio do biofotogrametria, ambos utilizando o programa SAPO, além de avaliação da dor lombar pela escala visual analógica (EVA). A idade média dos participantes era de 30,45 (±6,25) anos. Resultados: Na avaliação dos pés foram observadas oito pessoas com pés planos, seis com pés cavos e quatro com pés normais. Todas relataram quadro álgico em coluna lombar, com valores mais elevados na EVA nas voluntárias com pés cavos. Verificou-se correlação do arco plantar com a angulação da coluna lombar: (r = -0,71, p = 0,004). Conclusão: o pé cavo pode estar correlacionado com quadro álgico mais intenso, havendo correlação positiva moderada entre pé plano e aumento na curvatura lombar e pé cavo com retificação da lombar. Nível de Evidência IV. Série de Casos.

Objective: Evaluate the probable relationship among plantar arch, lumbar curvature, and low back pain. Methods: fifteen healthy women were assessed taking in account personal data and anthropometric measurements, photopodoscopic evaluation of the plantar arch, and biophotogrammetric postural analysis of the patient (both using the SAPO software), as well as evaluation of lumbar pain using an Visual Analog Scale (VAS). The average age of the participants was 30.45 (±6.25) years. Results: of the feet evaluated, there were six individuals with flat feet, five with high arch, and four with normal feet. All reported algic syndrome in the lumbar spine, with the highest VAS values for the volunteers with high arch. Correlation was observed between the plantar arch and the angle of the lumbar spine (r = 0.71, p = 0.004). Conclusion: high arch was correlated with more intense algic syndrome, while there was moderate positive correlation between flat foot and increased lumbar curvature, and between high arch and lumbar correction.

Relationship between lumbar changes and modifications in the plantar arch in women with low back pain.

OBJECTIVE: : Evaluate the probable relationship among plantar arch, lumbar curvature, and low back pain. METHODS: : Fifteen healthy women were assessed taking in account personal data and anthropometric measurements, photopodoscopic evaluation of the plantar arch, and biophotogrammetric postural analysis of the patient (both using the SAPO software), as well as evaluation of lumbar pain using a Visual Analog Scale (VAS). The average age of the participants was 30.45 (±6.25) years. RESULTS: : Of the feet evaluated, there were six individuals with flat feet, five with high arch, and four with normal feet. All reported algic syndrome in the lumbar spine, with the highest VAS values for the volunteers with high arch. Correlation was observed between the plantar arch and the angle of the lumbar spine (r = -0.71, p = 0.004) CONCLUSION: High arch was correlated with more intense algic syndrome, while there was moderate positive correlation between flat foot and increased lumbar curvature, and between high arch and lumbar correction. Level of Evidence IV. Case Series .