Correlação entre equilíbrio, assimetria de passos e descarga de peso em indivíduos hemiparéticos

Introduction: Hemiparesis is the most common sequels after Stroke. One of the side effects of the motor skills evident in hemiparesis is the tendency to remain in asymmetric posture, with lower distribution of weight on the side hemiparetic, which ends up leading to a deficit in balance. This set of changes can cause an asymmetrical type of gait, marked by difference between the lengths of the steps these individuals. Objective: The purpose of this study was to analyze the balance, the discharge of weight in the lower limbs and asymmetry of steps in hemiparetic individuals and sees if there is correlation between those variables. Method: A group of 12 hemiparetic individuals (55,33 ± 8,92 years), both sex, who suffered from strokes participated. All subjects performed the assessment of bilateral discharge of weight, the length of the steps and balance (Berg Balance Scale). The results for the difference in the discharge of weight of the lower limbs, asymmetry of the step and the performance on the test of balance were analyzed using the Sperman Correlation Coefficient with a significance level of 5% (p ≤ 0.05). Results: We found a significant correlation between balance and asymmetry of the steps (R = -0.72 and p = 0007), however, found no significant correlation between discharge of weight on each leg and the symmetry of the steps (R =- 0.07 and p = 0, 81) and between discharge of weight and balance (R =- 0.08 and p = 0.79) in these hemiparetic individuals. Conclusion: Can be conclude that hemiparetic individuals of these study show deficits in balance, difference in weight between the discharge of the lower limbs and asymmetry of step and correlation between the asymmetry of the step and balance.

Comparação do equilíbrio e qualidade de vida entre idosos institucionalizados e não-institucionalizados

Introduction: the improvements on the health area increased the brazilians life expectative. Because of it, more people becomes elder, passing through various common processes of aging, as the balance decrease. Resulting form this the risk of fall increase, and this has a negative impact on the quality of life. As more people become elder the institutionalization tax increase. Objectives: compare the balance and quality of life between institutionalized and non-institutionalized elders; correlate the Berg Balance Scale (BBS) with the Timed Up and Go test (TUG) and with the questionnaire “The Medical Outcome Study 36 – Item Short-Form Health Survey” (SF-36). Methods: were evaluated 20 elders, ten institutionalized (GI) and ten non-institutionalized (GNI). To the balance assessment were used the BBS and the TUG, the quality of life was evaluated using the SF-36. The signifi cance level was set to 5% (p<0,05). The GraphPad Prism 5# was used to analyze the data. To identify the distribution of the data was applied the Shapiro-Wilk test. In the comparison between groups, the normal distributed data were analyzed with the Unpaired Student t test. The non-normal distributed data were analyzed with the Mann-Whitney non-parametric test. The correlations were analyzed with the Pearson (normal data) and Spearman’s (non-normal data) tests. Results: the age average for each group was 72,8±8,36 years (GI) e 67,4±3,53 years (GNI). The GNI had a better performance than the GI in the BBS (*p=0,0017) as in the TUG (*p<0,0002). There wasn’t difference between the quality of life. There was correlation between EEB and TUG (-0,8907 for the GI and -0,7180 for the GNI) and between EEB and the functional capacity domain from the SF-36 (0,7657). Conclusion: the non-institutionalized elders presented best balance. It was found good correlation between TUG and BBS. In the studied sample, to be institutionalized didn’t infl uenced the quality of life.

Análise do equilíbrio e da qualidade de vida de idosos com Alzheimer e a influência na qualidade de vida do Cuidador

With the growing aging population will be an increase of chronic degenerative diseases such as dementia. Among the various forms of dementia Alzheimer’s disease (AD) is the most prevalent. In individuals with AD, there is a loss in the processing of sensory information, which may aggravate the imbalance and falls. As the disease progresses, the individual lose the ability to function independently, becoming dependent on a caregiver. This study aimed to analyze the balance of the mental state and quality of life of individuals with AD, to determine whether a correlation exists between these variables and analyze the influence on quality of life of caregivers. This study was conducted with thirty individuals (82.86 ± 9.07 years) with AD, both sexes, and their caregivers. The evaluation of the balance was accomplished by the Scale of Functional Balance of Berg (EEFB), the cognitive function for the Mini-exam of the Mental State (MEEM), and the quality of life (QV) for the scale “life Quality - Disease of Alzheimer “ (QdV - DA) that is composed for three versions: patient, caregiver and family The data were analyzed by coefficient of correlation of Spearman. The balance analyses (EEFB=32,17 ± 13,26 points) shows increased in the risk of falls in the elderly and negative correlation (R = - 0,55, p <0,01) with age and good correlation with MEEM (R=0,63 p <0,01). Already in relation of the MEEM and QV, can observed correlation between the familiar version and the MEEM ((R=0,40 p=0,02). In Relation the versions of the QV questionnaire, found significant correlation among: QdV-DA patient X caregiver (R=0,41 p=0,02), QdV-DA patient X family (R=0,40 p=0,03). In this way we can conclude that the individuals with DA, appraised in this study, present a deficit in the balance, so much related with the age as with to the cognitive decline, and the greater the cognitive decline worse the impression of caring about the QOL of their family, and still, that the worsening in the quality of the patient’s life contemplates in a worsening in the quality of your caregiver’s life.

Análise do equilíbrio estático e de deformidades nos pés de crianças com paralisia cerebral por meio de baropodometria computadorizada

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Conversando a gente se entende - narrativas autobiográficas de idosos atendidos no laboratório de reabilitação do equilíbrio corporal e inclusão social

Autobiographical storytelling workshops were created with the purpose of providing elderly patients at the Rehabilitation Laboratory for Body Balance and Social Inclusion the opportunity to talk about themselves and reinterpret their own life experiences as a means of support for their treatment process.

Equilíbrio eletrolítico como estratégia nutricional para prevenir queda no desempenho de poedeiras comerciais em condições de alta temperatura

Pós-graduação em Ciência e Tecnologia Animal - FEIS

Avaliação do equilíbrio, mobilidade e flexibilidade em idosas ativas e sedentárias

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Gestão de desenvolvimento competitivo: atuação do Relações-públicas em programas de gestão do conhecimento

The theme approached relates contemporaneous organizational competitive scenario to draw parallels between the organizational structure, Knowledge Management and Public Relations. Many aspects are complementary and can be grouped, enabling the idea of verifying the possibility of a Public Relations work like a manager of Knowledge Management. The objective of this study focuses in analyzing the administration ways of the organizational environment to verify the best kind of structure for the competitive development pattern, then we sought the meaning of Knowledge Management and their results to draw a parallel between the image of the Knowledge Management process manager and the Public Relations professional. The methodology chosen was bibliographic research, by which we noticed the theme relevance, the proposal validity and build a convergence between the skills of a person responsible for managing processes in Knowledge Management and the capabilities of a Public Relations professional. This way adopts a human feature to the managing process, respecting the technical-informational scenario of this area

Método Pilates: equilíbrio perfeito entre corpo e mente?

Taking as base the Brazilian Physical Education History, it’s possible to observe how much the recognizable corporal activity as smooth and alternative, giving origin to non traditional ways to move the body that receives the name of “alternative corporal practices” has increased lately. Therefore this research was done with objective to raise interest and stimulate physical educational professional and general interested people knowledge to the work of a corporal approach called “Pilates Method”. Based on a bibliographic research in sites, articles, and books about Pilates method, alternative corporal practices and physical education history, we tried to gather, in one material, important information about Pilates method. To organize the material here shown, we guided ourselves on the collection of UNESP´s library and on Pilates methods training courses about which were made references in the body text and were mentioned the bibliographic reference for further profound study of interested people. We hope that Physical Educational professionals and further interested people find in this conclusion course work that intends to contribute to the method divulgation assistance for higher and deeper knowledge concerning to the origin, principles and possibilities of practical appliance pedagogy of Pilates Methods.

Revisão de literatura: a importância de um trabalho motivacional pré-competitivo para atletas de futebol feminino

Atualmente a busca da mulher pelo esporte vem crescendo, juntamente com o seu desempenho e a participação em competições. No futebol de campo não é diferente e a adesão das mulheres, ou seja, o número de atletas do sexo feminino vem se tornado expressivo nos últimos anos. A motivação é o combustível para o atleta, seja ele homem ou mulher, independente da modalidade. Por isso não pode prescindir dela. “É através desse que o atleta vai conseguir empenhar-se, dedicar-se e até superar obstáculos dentro do meio esportivo” (MARQUES, 2003, p.99). A motivação é a totalidade daqueles fatores, que determinam a atualização de formas de comportamento dirigido a um determinado objetivo e é caracterizada como um processo ativo, intencional e dirigido a uma meta, o qual depende da interação de fatores pessoais (intrínsecos) e ambientais (extrínsecos). (SAMULSKI, 2002). Contudo o objetivo do presente estudo é verificar o quão importante e influente é o trabalho motivacional na preparação de equipes de futebol feminino para competições. Diante do exposto, estudaremos, no meio de uma revisão de literatura, a importância da motivação em atletas de equipes de futebol feminino

Equilíbrio, funções executivas e quedas de idosos com demência de Alzheimer: um estudo longitudinal

Falls among older people is a major clinical problem due to its high incidence, with consequent implications for the health and care costs. Elderly patients with dementia of Alzheimer type (AD) are more susceptible to falls due to the impairment of executive functions and gait, with the risk of falls 3 times higher than non-demented elderly. This study used a longitudinal design and aimed to analyze the effects of a regular and systematized physical activity program on the frequency of falls in patients with AD. Additionally, we aimed to correlate the frequency of falls with the executive functions and equilibrium, after and before the physical activity program. The study included 21 patients with clinical diagnosis of AD, divided into two groups: control group (CG), composed of 11 subjects not engaged in any systematized physical activity and training group (TG): 10 seniors who participated in the Cinesioterapia Functional and Cognitive in Elderly with Alzheimer's disease program (PRO-CDA). The physical activity program lasted four months, with weekly frequency of three times, with each session lasting 60 minutes. Were administered the Mini-Mental State Examination (MMSE) to assess cognitive functioning and global score of the Clinical Dementia Rating (CDR) to classify the severity of dementia. For the evaluation of executive functions were used the Clock Drawing Test (TDR) and Frontal Assessment Battery (FAB). In addition, we used the Functional Balance Scale, Berg test (EEFB) and Timed Up-and-Go (TUG) to assess the equilibrium and risk of falls. Falls were recorded by means of a questionnaire, which included the number of falls in the last four months. Analyzing the results, it was observed that TG obtained significant improvements in equilibrium and in executive functions, highlighting the beneficial effects of physical activity in these variables... (Complete abstract click electronic access below)

Variáveis psicológicas no vôlei competitivo feminino: estudo da ansiedade e da vergonha

O contexto esportivo é repleto de muitas manifestações psicológicas. Para se ter sucesso é necessário que ocorra uma grande preparação destes atletas, que devem estar preparados fisicamente, tecnicamente e taticamente para responder às necessidades do esporte, buscando sempre a vitória e a melhor performance nas competições desportivas. A Psicologia do Esporte vem desenvolvendo programas de treinamento psicológico envolvendo técnicos, treinadores e atletas na busca de melhor desempenho nas competições. Hoje em dia o voleibol é um dos esportes mais praticados e assistidos no mundo inteiro, sendo no Brasil o segundo esporte mais praticado. O estado emocional se altera tanto em um período pré-competitivo, onde a incerteza de futuros acontecimentos provoca uma ansiedade, tensão e certo desconforto, quanto no momento da competição e também no período póscompetitivo. O sentimento de vergonha também é manifestado em muitas ocasiões. Várias são as definições encontradas para essa emoção: sentimento penoso de desonra; humilhação; rebaixamento; sentimento de insegurança provocado pelo medo do ridículo; embaraço; indignidade; timidez; acanhamento; sentimento de desconforto, entre outras. . A pesquisa buscou analisar teórica e praticamente as alterações emocionais de atletas em suas funções esportivas. Foi realizada com uma equipe de voleibol feminino, onde se aplicou um questionário fechado, a 21 atletas, com idades entre 13 e 16 anos. Verificou-se com que freqüência as manifestações dos sentimentos de vergonha e ansiedade ocorriam e possivelmente prejudicavam o desempenho das atletas. Após análise dos resultados pode-se concluir que as manifestações de ansiedade foram mais evidenciadas se comparadas as de vergonha. Notamos que, as preocupações quanto ao desempenho e aos erros que podem ser cometidos são muito evidenciados na equipe. A vergonha-meta... (Resumo completo, clicar acesso eletrônico abaixo)

Influência da atividade física sobre o risco de quedas e o equilíbrio em pacientes com doença de Parkinson

A doença de Parkinson (DP) é uma doença neurodegenerativa que afeta principalmente o controle motor com reflexos negativos no desempenho funcional de seus pacientes. Alterações no equilíbrio podem levar à diminuição da independência e funcionalidade. Alguns estudos evidenciam os benefícios do exercício físico, como alternativa nãofarmacológica para esses pacientes. Objetivo: O presente trabalho analisou e comparou os efeitos de dois programas de atividade física sobre o risco de quedas e o equilíbrio funcional em pacientes com doença de Parkinson. O presente estudo também teve como objetivo verificar a associação entre as variáveis clínicas e comportamentais. Método: Participaram do estudo 30 pacientes com DP idiopática entre os estágios I a III na escala de estagiamento clínico de Hoehn & Yahr, sendo distribuídos em três grupos: grupo de treinamento com pesos (GTP), atividade física generalizada (GAFG) e o grupo controle (GC). O período de intervenção para o GTP e o GAFG foi de quatro meses. As avaliações foram realizadas com os participantes na fase “on” da medicação. Para avaliar o equilíbrio dinâmico juntamente com o risco de quedas foi utilizado o teste Timed Up and Go (TUG) e, para analisar o risco de quedas foi utilizada a Escala de Equilíbrio Funcional de Berg (EEFB). As avaliações clínicas foram realizadas por meio da Unified Parkinson’s Disease Rating Scale (sub-escalas funcional e motora), escala de nível de gravidade da doença de Hohen & Yahr e Mini-Exame do Estado Mental (MEEM). O teste U de Mann-Whitney foi utilizado para comparação das variáveis analisadas entre os três grupos separadamente por momento do treinamento. Resultados: Apenas em relação à EEFB foram encontradas diferenças significativas entre os grupos, com pior desempenho para o grupo controle (GC). Conclusão: Foi possível observar que: os pacientes... (Resumo completo, clicar acesso eletrônico abaixo)

A ansiedade e suas influências no desempenho competitivo de atletas do judô

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