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Humanos , Masculino , Feminino , Reabilitação , Medicina de Precisão , Big Data , Inteligência Artificial , Aprendizado de MáquinaAssuntos
Humanos , Masculino , Feminino , Organização Mundial da Saúde , Reabilitação , Serviços de Reabilitação , Sistemas de SaúdeRESUMO
No disponible
Assuntos
Humanos , Infecções por Coronavirus/epidemiologia , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave/patogenicidade , Reabilitação/organização & administração , Respiração Artificial/efeitos adversos , Síndrome Torácica Aguda/reabilitação , Espanha/epidemiologia , Pandemias , Controle de Doenças Transmissíveis/métodos , Infecções por Coronavirus/reabilitação , Centros de Reabilitação/organização & administraçãoAssuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Reabilitação/organização & administração , COVID-19 , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , SARS-CoV-2 , Espanha/epidemiologiaRESUMO
No disponible
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Humanos , Especialidade de Fisioterapia/educação , Educação Médica Continuada/tendências , Acreditação/tendências , Licenciamento/tendências , Currículo/tendências , Modalidades de Fisioterapia/educaçãoRESUMO
BACKGROUND: Strength training has been proposed by several authors to treat Lateral Epicondylitis. However, there is still a lack of information concerning muscle weakness and its relationship to imbalances and fatigability of forearm muscles during dynamic conditions in subjects after epicondylitis recovery. AIM: To analyze the relationship between lateral humeral epicondylitis, and forearm muscle strength and fatigue. SETTING: Rehabilitation specialized center POPULATION: Cross-sectional study in eight former epicondylitis men free of symptoms and actively working at the moment of the evaluation and eight healthy men volunteers. METHODS: Isokinetic tests were performed at different velocities in order to assess strength in concentric and eccentric contractions. Additionally, a long-term concentric test was carried out in order to analyze strength during endurance. The following variables were analyzed: Average torque of dorsal and palmar flexors of the wrist and ratio of agonist/antagonist for non-endurance contractions; length of initial and final plateaus and the slope of average torque decay during the endurance test. RESULTS: In both groups, average torque produced by palmar flexor muscles was higher than that produced by dorsal flexor muscles. Patients showed higher strength in palmar flexor muscles, whereas dorsal flexor strength was similar for both populations. Palmar flexor vs. dorsal flexor ratio was significantly higher in patients for eccentric contractions. Regarding fatigue, results showed that torque decreased earlier in patients. CONCLUSIONS AND CLINICAL REHABILITATION IMPACT: Both palmar flexor force and palmar/dorsal ratio in eccentric exercise were significantly higher in patients. This finding indicates a muscular imbalance in patients underlying the epicondylitis condition. Additionally, former patients fatigued earlier. Findings indicate that muscle imbalances and fatigability might be related to lateral epicondylitis. This information may be useful in the design and monitoring of programs intended for lateral epicondylitis rehabilitation. More studies are necessary to conclude if these differences are cause or consequence of the epicondylitis.
Assuntos
Fadiga Muscular/fisiologia , Força Muscular/fisiologia , Debilidade Muscular/fisiopatologia , Treinamento Resistido/métodos , Cotovelo de Tenista/reabilitação , Punho/fisiopatologia , Adulto , Estudos Transversais , Antebraço/fisiologia , Antebraço/fisiopatologia , Humanos , Masculino , Contração Muscular/fisiologia , Dinamômetro de Força Muscular , Debilidade Muscular/etiologia , Músculo Esquelético/fisiologia , Músculo Esquelético/fisiopatologia , Resistência Física/fisiologia , Centros de Reabilitação , Espanha , Cotovelo de Tenista/fisiopatologia , Punho/fisiologiaRESUMO
AIM: The aim of this study was to establish the test-retest reliability of a knee extensor and flexor muscle fatigue protocol using a biodex system 3 isokinetic dynamometer. METHODS: Three-outpatient Rehabilitation Departments undertook the study. Fatigue was evaluated in the dominant knee of 90 healthy female volunteers, non-sportswomen, aged between 20 and 40. They performed 40 consecutive concentric knee flexions and extensions, at 120 degrees /s, on a Biodex 3 isokinetic dynamometer. Two evaluations were done over a period of seven days. Analysed variables were: maximal repetition of total work, maximal work repetition number, work to body weight ratio, total work, work during first and last third of the protocol, fatigue ratio, work fatigue. Statistical analysis determined mean values, medians and box-plots. Intraclass Correlation Coefficients (ICC) (confidence interval 95 %), t-test and one-way analysis of variance (ANOVA) evaluated reliability. Difference of means (di), standard error of measurement (SEM) and 95% of interval confidence (IC di) were also calculated (P<0.05). RESULTS: All participants completed the study. Reliability data were excellent (ICC>0.75) for total work (0.85), work during first third (0.80) and last third (0.80) in extension, and for total work in flexion. Reliability data were fair to good (ICC 0.4-0.75) for the rest of the variables. Median varied less than 20% in all cases during test-retest. CONCLUSION: This knee fatigue protocol is reliable for flexion and extension, above all when using the total work as a variable. The desirability of multicentre studies in rehabilitation and standardisation of protocols is emphasised.
