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1.
Appl Ergon ; 102: 103766, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35421714

RESUMO

Exposure assessment is critical for understanding musculoskeletal disorder (MSD) risk. Previous reviews summarized the tools available for single-task exposure assessment, however no reviews summarize tools available to assess the accumulation or aggregation of exposure associated with the performance of multiple tasks (i.e., multi-task assessment). We address this gap by using a scoping review methodology to: 1) summarize the theories explaining how multi-task exposures may lead to MSDs, and 2) summarize the models and tools available to assess multi-task exposures, stratified based on prevailing theories. Using a systematic search strategy, 3230 articles were identified, of which 34 were retained for data extraction. Of the retained articles, 13 described MSD causation theories, 12 described mathematical models (not yet accessible as tools), six described readily accessible tools, and three described both theories and a model or tool. We summarized the state-of-the-art in multi-task exposure assessment and highlight the need for more tools that assess muscle fatigue and inform on recovery.


Assuntos
Doenças Musculoesqueléticas , Sistema Musculoesquelético , Causalidade , Humanos , Fadiga Muscular , Doenças Musculoesqueléticas/etiologia , Fatores de Risco
2.
Am J Sports Med ; 50(6): 1687-1694, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35384740

RESUMO

BACKGROUND: Vertical jump scans from commercially available force plate systems are increasingly used in military settings to screen for musculoskeletal injury (MSKI) risk. However, to date, no studies have determined the ability of these tools to identify tactical athletes at elevated risk for MSKI. PURPOSE: To (1) determine associations between scores from a force plate vertical jump test and the likelihood of experiencing an MSKI and to (2) establish the test-retest reliability of the output scores from the force plate system used. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A total of 823 male Air Force Special Warfare trainees underwent force plate vertical jump screenings before entering an 8-week training course at US Air Force Special Warfare Training Wing. MSKI data were collected for the 8-week surveillance period for each trainee. Logistic regression analyses were used to identify associations between baseline force plate jump scores and the likelihood of MSKI (any region) or a lower extremity MSKI (significance level, P = .05). The test-retest portion of the study collected force plate output scores from 12 trainees performing 3 trials of the standard test procedures. The reliability of 5 output scores was assessed with intraclass correlation coefficients (ICCs) using a single rater. RESULTS: All force plate output scores demonstrated excellent test-retest reliability (ICC >0.90). Overall 308 (36.4%) trainees had an MSKI during the surveillance period. However, no significant associations were found between the proprietary force plate vertical jump scan output scores and the likelihood of experiencing either an MSKI or a lower extremity MSKI. CONCLUSION: Output scores from this commercially available force plate system did not identify Air Force Special Warfare trainees at elevated risk of experiencing an MSKI.


Assuntos
Militares , Doenças Musculoesqueléticas , Sistema Musculoesquelético , Estudos de Coortes , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes
3.
Radiologe ; 62(5): 410-417, 2022 May.
Artigo em Alemão | MEDLINE | ID: mdl-35416477

RESUMO

BACKGROUND: Magnetic resonance imaging (MRI) plays a crucial role in musculoskeletal imaging. The high prevalence and pain-related suffering of patients pose a particular challenge concerning availability and turnover times, respectively. Low-field (≤ 1.0 T) MRI has the potential to fulfill these needs. However, during the past three decades, high field systems have increasingly replaced low field systems because of their limitations in image quality. Recent technological advancements in high-performance hard- and software promise musculoskeletal imaging with adequate quality at lower field strengths for several regions and indications. OBJECTIVES: The goal is to provide insight into the advantages and disadvantages of low-field musculoskeletal imaging, discuss the current literature, and include our first experiences with a modern 0.55 T MRI. MATERIALS AND METHODS: This review is based on research in various literature databases and our own musculoskeletal imaging experiences with a modern 0.55 T scanner. CONCLUSION: Most publications pertaining to musculoskeletal imaging at low-field strength MRI are outdated, and studies regarding the diagnostic performance of modern low-field MRI systems are needed. These new systems may complement existing high-field systems and make MRI more accessible, even in low-income countries. From our own experience, modern low-field MRI seems to be adequate in musculoskeletal imaging, especially in acute injuries.


Assuntos
Imageamento por Ressonância Magnética , Sistema Musculoesquelético , Humanos , Imageamento por Ressonância Magnética/métodos , Sistema Musculoesquelético/diagnóstico por imagem , Software
4.
Medicine (Baltimore) ; 101(7): e28885, 2022 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-35363204

RESUMO

ABSTRACT: Work-related musculoskeletal disorders (WMSD) refer to musculoskeletal injuries caused by the occupation. Physical therapists (PTs) suffer from a high risk of WMSD despite their extensive knowledge in ergometrics and injury prevention. This study aims to discover the incidence and prevalence of WMSD among PTs using Taiwan's nationwide claims database. The trend of annual patients seeking rehabilitation and the prevalence of WMSD among PTs were presented. The age- and gender-specific incidence of WMSD were also calculated. The prevalence of WMSD in PTs varied from 6.1% to 75.2%, and the incidence ranged from 6.1 to 29.1 per 100 person-years during 1997 and 2012. For those aged ≤30 years, the incidence was higher in females than males (incidence rate ratio  = 1.08, 95% confidence interval [CI]: 1.02-1.14, P = .011), whereas for those aged from 31 to40 years, females had lower incidence of WMSD than males (incidence rate ratio  = 0.88, 95% CI: 0.80-0.96, P = .007). The patients/PTs ratio was higher (270.56-337.74) in 1998 and 2004 to 2007 and became stable (245.93-252.82) in 2008 to 2012, correlating with a rise in the WMSD prevalence in 1999 to 2007 and a steady prevalence after 2008 (63.5%-66.3%) in PTs. In conclusion, the risk of WMSD among PTs was positively correlated to the frequency of patients seeking rehabilitation service. In addition, age and gender were important risk factors for developing WMSD among PTs.


Assuntos
Doenças Musculoesqueléticas , Sistema Musculoesquelético , Doenças Profissionais , Fisioterapeutas , Adulto , Feminino , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Doenças Musculoesqueléticas/etiologia , Doenças Profissionais/etiologia , Taiwan/epidemiologia
6.
J Orthop Surg Res ; 17(1): 129, 2022 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-35241120

RESUMO

OBJECTIVE: Inconsistent findings existed on the correlation of collagen type V α1 (COL5A1) gene polymorphisms and musculoskeletal soft tissue injuries (MSTIs). The purpose of this study was to collect and combine the current evidences by a meta-analysis approach. METHODS: Six online databases were searched up to August, 2021. The methodological quality of each individual study was evaluated based upon Newcastle-Ottawa Scale (NOS). The strength of the effect size was presented by odds ratio (OR) with 95% confidence interval (95%CI) in five genetic models. The data were analyzed using Review Manager 5.3. RESULTS: Twenty-one studies were eligible to this meta-analysis. The study quality was deemed fair to excellent according to NOS. In the overall analyses, the merged data suggested that rs12722, rs71746744, and rs3196378 polymorphisms were correlated to an increased susceptibility to MSTIs. But the association was not established in rs13946 or rs11103544 polymorphism. For rs12722 polymorphism, stratified analyses by injury type and ethnicity identified the association mainly existed in ligament injury and among Caucasian population. For rs13946 polymorphism, subgroup analysis suggested the association existed in tendon and ligament injuries. CONCLUSION: This study supports that rs12722 is associated with an elevated susceptibility to ligament injury, especially in the Caucasian population. Rs13946 polymorphism appears to increase the risk to tendon and ligament injuries. Rs71746744 and rs3196378 polymorphisms have a tendency to confer an elevated risk to MSTIs. However, no relevance is found between rs11103544 polymorphism and MSTIs.


Assuntos
Colágeno Tipo V/genética , Sistema Musculoesquelético , Polimorfismo de Nucleotídeo Único/genética , Lesões dos Tecidos Moles/genética , Predisposição Genética para Doença/genética , Humanos , Estudos Observacionais como Assunto
7.
Artigo em Inglês | MEDLINE | ID: mdl-35270722

RESUMO

High physical work demands increase the risk of musculoskeletal disorders and sickness absence. Supermarket work involves a high amount of manual material handling. Identifying specific ergonomic risk factors is an important part of occupational health and safety efforts in the supermarket sector. In this cross-sectional field study among 64 supermarket workers, we used electromyography during the workday to determine the influence of lifting height and load mass on muscular workload of the low-back and neck/shoulder muscles during un-restricted manual material handling (grocery stocking). We found a significant effect of load mass, i.e., higher loads associated with higher muscular workload in the low-back and neck/shoulder muscles. We demonstrated a significant interaction between start and end position, i.e., lifts performed from 'Low' start positions to 'High' end positions demonstrated the highest low-back muscular workload, whereas 'High' positions were associated with increased neck/shoulder workload. In conclusion, lifting higher loads and lifting goods from low to high positions (low-back) and at high positions (neck/shoulder) are associated with higher muscular workload. These results can be used to guide highly warranted preventive initiatives to reduce the physical workload during supermarket work.


Assuntos
Remoção , Sistema Musculoesquelético , Estudos Transversais , Humanos , Remoção/efeitos adversos , Supermercados , Carga de Trabalho
8.
Medicine (Baltimore) ; 101(8): e28413, 2022 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-35212270

RESUMO

RATIONALE: Rosai-Dorfman disease (RDD) is a rare, benign, self-limiting disease, also known as sinus histiocytosis with giant lymphadenopathy. Skeletal involvement is rare, and this isolated bone lesion usually occurs in adults with no other symptoms. It is estimated that 0.6% to 1% of RDD cases have isolated or complicated spinal lesions, which may occur in the bone, dura, and spinal parenchyma, but spinal RDD has no pathologic clinical or imaging features. PATIENT CONCERNS: A 25-year-old woman presented with complaints of low back pain without obvious causes for a month. DIAGNOSIS: RDD with spinal involvement. INTERVENTIONS: Resection of the spinous process of the third lumbar spine was performed under epidural anesthesia. OUTCOMES: At the time of discharge, the patient had no problems with autonomous activities and reported no discomfort. We also followed up the patient at 12 and 36 months after surgery, and the patient reported no discomfort, inconvenience, and no recurrence of symptoms. Imaging examination 1 year after surgery showed no recurrence. LESSON: This case suggests that surgery for RDD with spinal involvement may not require internal fixation.


Assuntos
Histiocitose Sinusal , Dor Lombar/etiologia , Corpo Vertebral/cirurgia , Adulto , Anestesia Epidural , Feminino , Histiocitose Sinusal/complicações , Histiocitose Sinusal/diagnóstico , Histiocitose Sinusal/cirurgia , Humanos , Dor Lombar/patologia , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/patologia , Vértebras Lombares/cirurgia , Linfadenopatia/patologia , Sistema Musculoesquelético
9.
J Exp Biol ; 225(Suppl1)2022 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-35119075

RESUMO

Comparing patterns of performance and kinematics across behavior, development and phylogeny is crucial to understand the evolution of complex musculoskeletal systems such as the feeding apparatus. However, conveying 3D spatial data of muscle orientation throughout a feeding cycle, ontogenetic pathway or phylogenetic lineage is essential to understanding the function and evolution of the skull in vertebrates. Here, we detail the use of ternary plots for displaying and comparing the 3D orientation of muscle data. First, we illustrate changes in 3D jaw muscle resultants during jaw closing taxa the American alligator (Alligator mississippiensis). Second, we show changes in 3D muscle resultants of jaw muscles across an ontogenetic series of alligators. Third, we compare 3D resultants of jaw muscles of avian-line dinosaurs, including extant (Struthio camelus, Gallus gallus, Psittacus erithacus) and extinct (Tyrannosaurus rex) species to outline the reorganization of jaw muscles that occurred along the line to modern birds. Finally, we compare 3D resultants of jaw muscles of the hard-biting species in our sample (A. mississippiensis, T. rex, P. erithacus) to illustrate how disparate jaw muscle resultants are employed in convergent behaviors in archosaurs. Our findings show that these visualizations of 3D components of jaw muscles are immensely helpful towards identifying patterns of cranial performance, growth and diversity. These tools will prove useful for testing other hypotheses in functional morphology, comparative biomechanics, ecomorphology and organismal evolution.


Assuntos
Jacarés e Crocodilos , Dinossauros , Sistema Musculoesquelético , Struthioniformes , Animais , Evolução Biológica , Dinossauros/anatomia & histologia , Imageamento Tridimensional , Arcada Osseodentária/anatomia & histologia , Músculos/anatomia & histologia , Filogenia
10.
Niger J Clin Pract ; 25(2): 153-159, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35170440

RESUMO

BACKGROUND: The widespread use of digital devices causes adolescents to spend long periods of time in front of the screen. AIMS: This study aimed to analyze the impacts of digital game addiction on the musculoskeletal system of secondary school children in Kayseri. PATIENTS AND METHODS: A total of 1000 healthy children have been included. A questionnaire, which has been prepared by the researchers and questions children's socio-demographic knowledge, sport habits, durations of study, types of digital tools they use to play games, using positions and durations of use, has been applied to the children. A visual analog scale was used to assess pain intensity. Game addiction has been evaluated through Computer Game Addiction Scale for Children. RESULTS: Between computer and phone use and neck pain, a significant correlation has been found (P < 0.05). Between game addiction and wrist, back and low back pain, a significant correlation has been detected. While males use more computer, tablet and are more addicted to games, the scores of head, wrist and back pain in females have been found out to be significantly high. CONCLUSIONS: As they cause musculoskeletal problems, the higher the time children consume in front of digital devices and the more they use it in wrong posture; the more the complaints about pain are.


Assuntos
Comportamento Aditivo , Sistema Musculoesquelético , Jogos de Vídeo , Adolescente , Comportamento Aditivo/epidemiologia , Criança , Feminino , Humanos , Masculino , Instituições Acadêmicas , Inquéritos e Questionários
11.
J Healthc Eng ; 2022: 3083821, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35211252

RESUMO

According to the kinematics analysis of the human body, a set of exoskeleton mechanical structures is designed to imitate the physiological structure and movement characteristics of the lower limbs of humans. To study the biomechanical characteristics of the exoskeleton in two different phases during walking and to provide a research basis for the design and optimization of the exoskeleton. Doctors and engineers are actively committed to the basic understanding and improvement of the tissue characteristics, structure, and function of the human musculoskeletal system. Firstly, according to the gait analysis of the lower limbs, the exoskeleton mechanical structure is designed by using three-dimensional modeling software. After the solid model is generated, the assembly, meshing, and element attribute assignment are carried out by using finite element software. And the face-to-face contact relationship between each building is established, and the stress distribution of the exoskeleton is simulated and analyzed. The stress distribution of the exoskeleton under different working conditions is significantly different. Since the calculation does not take into account uncertainties such as shocks that may occur during walking, it is necessary to consider and multiply a certain safety factor when designing the optimized exoskeleton.


Assuntos
Exoesqueleto Energizado , Sistema Musculoesquelético , Atletas , Fenômenos Biomecânicos , Marcha , Humanos , Caminhada
12.
J Sports Sci ; 40(7): 821-837, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35100935

RESUMO

We investigated work-related-musculoskeletal-injuries (WMSI) over 15-years in professional modern dancers to determine injury rate and pattern differences due to sex and professional-experience. Injuries were coded to allow analyses by tissue-type, body-region, severity, setting, mechanism, action-causation, and repertory-style. Injury prevalence (IP) was defined as average risk of injury/dancer. Injury incidence rate (IIR) was calculated per 1000-hrs exposure/block. Negative binomial logistic regression analyses were conducted with exposure-hrs to determine IIR, p < 0.05. Multinomial logistic regressions determined differences in tissue-type, body-region, action-causation and repertory-style; Poisson loglinear regressions determined differences in severity and mechanism, p < 0.05. Females were 15-times more likely to sustain bone-injuries, p = 0.016; males 8- and 15-times more likely to sustain muscle/tendon-injuries or lacerations/contusions, p ≤ 0.016. Females were more likely to sustain severe injury resulting in more lost-workdays and missed-performances, p < 0.001. In both sexes, more time-loss-injuries (TL-inj) occurred in performance , were traumatic in nature, with an action-causation of jumping/stomping/relevé. Dancers of moderate professional-experience were 1.3-times more likely to sustain TL-inj, p = 0.026;. Identifying context-specific activities and repertory-style relationships to injury can provide insight into casting and rehearsal scheduling. Comprehending sex-specific musculoskeletal health needs allows improved dancer health management and injury prevention planning.


Assuntos
Dança , Sistema Musculoesquelético , Traumatismos Ocupacionais , Traumatismos dos Tendões , Dança/lesões , Feminino , Humanos , Incidência , Masculino , Sistema Musculoesquelético/lesões , Traumatismos Ocupacionais/epidemiologia
14.
Clin Radiol ; 77(4): 274-282, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35164928

RESUMO

Cinematic rendering (CR) is a novel post-processing technique similar to volume rendering (VR), which allows for a more photorealistic imaging reconstruction by using a complex light modelling algorithm, incorporating information from multiple light paths and predicted photon scattering patterns. Several recent publications relating to adult imaging have argued that CR gives a better "realism" and "expressiveness" experience over VR techniques. CR has also been shown to improve visualisation of musculoskeletal and vascular anatomy compared with conventional CT viewing, and may help non-radiologists to understand complex patient anatomy. In this review, we provide an overview of how CR could be used in paediatric musculoskeletal imaging, particularly in complex diagnoses, surgical planning, and patient consent processes. We present a direct comparison of VR and CR reconstructions across a range of congenital and acquired musculoskeletal pathologies, highlighting potential advantages and areas for further research.


Assuntos
Sistema Musculoesquelético , Adulto , Algoritmos , Criança , Humanos , Processamento de Imagem Assistida por Computador , Sistema Musculoesquelético/diagnóstico por imagem , Fótons , Tomografia Computadorizada por Raios X
15.
J Orthop Surg Res ; 17(1): 76, 2022 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-35123515

RESUMO

BACKGROUND: Disorders involving the musculoskeletal system are often identified with short stature and a range of orthopedic problems. The clinical and genetic heterogeneity of these diseases along with several characteristic overlaps makes definitive diagnosis difficult for clinicians. Hence, using molecular testing in addition to conventional tests becomes essential for appropriate diagnosis and management. METHODS: Comprehensive clinical examination, detailed pretest and posttest counseling, molecular diagnosis with next-generation sequencing (NGS), genotype-phenotype correlation and Sanger sequencing for targeted variant analysis. RESULTS: This manuscript reports a molecular spectrum of variants in 34 orthopedic cases referred to a single genetic unit attached to a tertiary care hospital. The diagnostic yield of NGS-based tests coupled with genetic counseling and segregation analysis was 79% which included 7 novel variants. In about 53% (i.e. 18/34 cases), molecular testing outcome was actionable since 8 of the 18 underwent prenatal diagnosis, as they were either in their early gestation or had planned a pregnancy subsequent to molecular testing, while ten cases were premaritally/prenatally counseled for the families to take informed decisions as they were in the reproductive age. CONCLUSIONS: The report highlights the importance of NGS-based tests even in a low resource setting as it helps patients, families and healthcare providers in reducing the economic, social and emotional burden of these disorders.


Assuntos
Aconselhamento Genético , Testes Genéticos , Doenças Musculoesqueléticas/genética , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Estudos de Associação Genética , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/diagnóstico , Sistema Musculoesquelético , Gravidez , Adulto Jovem
16.
Appl Ergon ; 101: 103719, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35219107

RESUMO

Musculoskeletal complaints (MSCs) arise during nursing education. We examined cross-sectional associations between self-reported MSCs and both sociodemographic and workplace characteristics in different clinical placement settings. We included two observations among three cohorts of third-year Dutch nursing students (total N = 711) of the undergraduate nursing program of Rotterdam University of Applied Sciences. Questionnaire data on sociodemographic, physical and psychosocial work characteristics, and MSCs were used. Generalized estimating equation analysis for repeated measurements with backward elimination was used to examine associations with MSCs. In total, 79% of students experienced MSCs. Female sex (OR 0.37, 95% CI 0.22-0.62), lifting and bending (OR 1.01, 95% CI 1.00-1.03), physical job demands (OR 2.33, 95% CI 1.68-3.22) and need for recovery (OR 1.02, 95% CI 1.01-1.03), were statistically significantly associated with overall MSCs. Models for regional complaints are also presented in this article. Nursing school and clinical placement staff should consider these factors when dealing with nursing students with MSCs.


Assuntos
Bacharelado em Enfermagem , Educação em Enfermagem , Sistema Musculoesquelético , Estudantes de Enfermagem , Estudos Transversais , Feminino , Humanos , Inquéritos e Questionários
17.
Br J Sports Med ; 56(6): 310-319, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35110328

RESUMO

The current lack of agreement regarding standardised terminology in musculoskeletal and sports ultrasound presents challenges in education, clinical practice and research. This consensus was developed to provide a reference to improve clarity and consistency in communication. A multidisciplinary expert panel was convened consisting of 18 members representing multiple specialty societies identified as key stakeholders in musculoskeletal and sports ultrasound. A Delphi process was used to reach consensus, which was defined as group level agreement of >80%. Content was organised into seven general topics including: (1) general definitions, (2) equipment and transducer manipulation, (3) anatomical and descriptive terminology, (4) pathology, (5) procedural terminology, (6) image labelling and (7) documentation. Terms and definitions which reached consensus agreement are presented herein. The historic use of multiple similar terms in the absence of precise definitions has led to confusion when conveying information between colleagues, patients and third-party payers. This multidisciplinary expert consensus addresses multiple areas of variability in diagnostic ultrasound imaging and ultrasound-guided procedures related to musculoskeletal and sports medicine.


Assuntos
Sistema Musculoesquelético , Esportes , Consenso , Técnica Delfos , Humanos , Sistema Musculoesquelético/diagnóstico por imagem , Ultrassonografia/métodos
18.
Sci Rep ; 12(1): 2848, 2022 02 18.
Artigo em Inglês | MEDLINE | ID: mdl-35181716

RESUMO

We clarified the specific micrometric arrangement and nanometric structure of the radiolarian crystalline spines that are not a simple single crystal. A body of the celestite (SrSO4) skeleton of acantharian Acanthometra cf. multispina (Acanthometridae) composed of 20 radial spines having four blades was characterized using microfocus X-ray computed tomography. The regular arrangement of three types of spines was clarified with the connection of the blades around the root of each spine. The surface of the spines was covered with a chitin-based organic membrane to prevent from dissolution in seawater. In the nanometric scale, the mesocrystalline structure that consists of nanoscale grains having distorted single-crystal nature was revealed using scanning- and transmission electron microscopies, electron diffraction, and Raman spectroscopy. The acantharian skeletons have a crystallographically controlled architecture that is covered with a protective organic membrane. These facts are important for penetrating the nature of biogenic minerals.


Assuntos
Rhizaria/ultraestrutura , Esqueleto/anatomia & histologia , Microscopia Eletrônica de Transmissão , Minerais/metabolismo , Sistema Musculoesquelético/anatomia & histologia , Sistema Musculoesquelético/ultraestrutura , Filogenia , Água do Mar , Esqueleto/ultraestrutura , Análise Espectral Raman
19.
Int J Mol Sci ; 23(3)2022 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-35163508

RESUMO

The Special Issue on the "Muscular Structure, Physiology and Metabolism" was proposed in order to maintain the referenced scientific community abreast with recent research advancements regarding the morphology, functionality, and metabolism of muscle tissue, including a total of eighteen published papers, of which twelve were original research manuscripts and six were review papers [...].


Assuntos
Sistema Musculoesquelético/química , Sistema Musculoesquelético/metabolismo , Animais , Pesquisa Biomédica , Cálcio/metabolismo , Humanos , Oxirredução , ATPases Transportadoras de Cálcio do Retículo Sarcoplasmático/metabolismo
20.
Fisioter. Bras ; 22(6): 951-964, Fevereiro 7, 2022.
Artigo em Português | LILACS | ID: biblio-1358387

RESUMO

Introdução: A sobrecarga corporal devida à obesidade contribui no surgimento de alterações no sistema musculoesquelético e respiratório. Objetivo: Analisar as evidências científicas referentes à influência da obesidade sobre a postura do tronco, a resposta cinético-funcional do diafragma e a função pulmonar em crianças e adolescentes. Métodos: Trata-se de uma revisão de literatura, utilizando as bases de dados Medline, Cochrane, Embase, Lilacs e Web of Sciences, nos idiomas inglês, português e espanhol, nos últimos 10 anos. Foram utilizados os descritores: "obesidade', "postura", "diafragma", "função pulmonar", "adolescentes", "adultos jovens". Os critérios de exclusão foram: estudos que abordaram distúrbios neuromusculares associados, cifoescoliose, fibrose cística, enfisema pulmonar, asma e DPOC e artigos não disponíveis na íntegra. Resultados: Foram identificados 226 estudos, porém 10 foram analisados. Os resultados apontaram que a postura do tronco nos obesos é hipercifótica, hiperlordótica e com anteversão pélvica, além de apontar indícios de repercussão na dinâmica respiratória, com redução da mobilidade do diafragma e dos volumes e capacidades pulmonares. Conclusão: A obesidade contribui para a ocorrência de hipercifose, hiperlordose e anteversão da pelve, bem como na diminuição da atividade do diafragma e função pulmonar. (AU)


Assuntos
Criança , Adolescente , Postura , Diafragma , Tronco , Sistema Musculoesquelético , Obesidade , Criança , Adolescente
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