Dinâmica do aparelho locomotor em sujeitos amputados e não-amputados do membro inferior

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação dos distúrbios metabólicos de pacientes obesas, grau III, antes e depois da cirurgia bariátrica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito da isoflavona da soja e treinamento resistido sobre a composição corporal e densidade mineral óssea em mulheres na pós-menopausa

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação da locomoção de cães submetidos à ostectomia unilateral da cabeça e colo femorais

Pós-graduação em Medicina Veterinária - FMVZ

Efeito de dois diferentes treinamentos com exercícios físicos em variáveis biomecânicas e metabólicas da marcha de idosas

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

Predictive capacity of anthropometric indicators for abdominal fat in the oldest old

Cardiovascular diseases are a growing public health problem that affects most people over the age of 65 years and abdominal obesity is one of the risk factors for the development of these diseases. There are several methods that can be used to measure body fat, but their accuracy needs to be evaluated, especially in specific populations such as the elderly. The aim of this study was to assess the accuracy of anthropometric indicators to estimate the percentage of abdominal fat in subjects aged 80 years or older. A total of 125 subjects ranging in age from 80 to 95 years (83.5 ± 3), including 79 women (82.4 ± 3 years) and 46 men (83.6 ± 3 years), were studied. The following anthropometric indicators were used: body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR), and waist-to-height ratio (WHtR). The percentage of abdominal fat was measured by DEXA. Sensitivity and specificity were analyzed using an ROC curve. The sensitivity, specificity and AUC were 0. 578, 0. 934 and 0. 756 for BMI, respectively; 0.703, 0.820 and 0.761 for WC; 0.938, 0.213 and 0.575 for WHR, and 0.984, 0.344 and 0.664 for WHtR. BMI and WC were the anthropometric indicators with the largest area under the curve and were therefore more adequate to identify the presence or absence of abdominal obesity.

Indicadores biomecânicos do risco de quedas em marcha com duplas tarefas e a influência do treinamento de equilíbrio com haste vibratória: diferenças entre idosos caidores e não caidores

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

Vitamina D em mulhers adultas fumantes e ex-fumantes: ingestão, concentração sérica e associação com variáveis ecocardiográficas

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Effects of physical exercise on articular range of motion of the lower limb in the Parkinson's disease individuals

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

Associação do treinamento resistido e aeróbico em pacientes com doença pulmonar crônica

Introduction: The pulmonary rehabilitation (PR) is composed of aerobic and resisted exercises that improve the functional capacity to the exercise, life quality and decrease respiratory symptoms in subjects with chronic pulmonary disease. Objective: Assess the effects of a combined PR program in the cardiorespiratory function and peripheral muscle strength in subjects with chronic pulmonary disease. Method: Patients with chronic pulmonary disease were submitted to the PR program, which was developed on 24 sessions of 60 minutes (three times per week). The program was composed of aerobic exercises (two times per week) and resisted exercises (once a week). Before and after the PR the patients were submitted to manovacuometry in order to measure the maximum inspiratory pressure (MIP) and the maximum expiratory pressure (MEP), ventilometry, peek expiratory flow (PEF), six minute walking test (6MWT) and one maximum repetition (1RM). The data are presented in absolute frequency, percentage and mean±standard deviation. The t Student test was used to compare data before and after the PR and the ANOVA test to compare before, after and predicted distances in the 6MWT (p<0.05). Results: Seven patients were part of this study, 85.70% of women, 71.40% with pulmonary emphysema diagnosis. The mean age was 69.43±5.59 years old, the height was 1.61±0.07 m, the mean weight was 66.20±8.40 kg and the body mass index mean was 25.50±2.48 kg/m². From the variables assessed, the MEP increased from 79.71±13.69 to 84.42±12.83 cmH2O (p=0,03), the PEF increase from 255.71±66.3 to 320.00±93.63 l/min (p=0,03) and the distance in the 6MWT from 415.28±47.90 to 483,79±79,77 m (p=0,02). The load in the 1RM test in the reverse peck deck exercise (before - - 17.10±8.10kg; after – 210.40±9.00kg), knee in leg extension machine (before – 17.10±9.50kg; after – 26.40±13.10kg) and hip extensors (right before – 48.60±22.10kg; after – 62.90±19.30kg; and left before – 46.40±20.10kg; after – 62.10±18.20kg) increased significantly (p<0,05). Conclusion: After the PR program there was improvement in the expiratory muscular strength, in the lower limbs strength and in the functional capacity. Besides that, there was a reduction in the airflow obstruction of the subjects with chronic pulmonary disease.

Efeitos de estado nutricional, da capacidade funcional e do estresse oxidativo em idosos residentes na cidade de Botucatu, SP, Brasil: um estudo longitudinal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Comportamento de indivíduos com doença de Parkinson no levantar da cadeira e no início da marcha: relações com o envelhecimento

Large motor dysfunctions are observed in older adults with the age advance. Parkinson’s disease (PD) patients have motor deficits to perform daily living activities. To raise from a chair, a daily task necessary to live independently, requires both large muscle recruitment and large joint range of motion to achieve the vertical position safely. Normally, we initiate gait after raise from a chair. The aim of this study was to analyze the PD patients’ behavior when rising from a chair and initiating gait and to compare it according to the age advance. In order to do that, 23 PD patients (66.61±7.64 years old) were distributed in three age groups: Young group, between 51 and 60 years of age (n=7); intermediary group, between 61 and 70 years of age (n=7); and elderly group, over 70 years of age (n=9). There were no statistical differences among groups either for the disease evolution stage or for it compromising. The task was to stand from a chair and to initiate gait forward in three attempts. The dependent variables were: spatial and temporal (first step length and duration, and stride length, duration and velocity) and angular (flexion and extension of head, shoulder, hip, knee, and ankle). The motion of standing from a chair was divided in two phases. The data was statistically treated by means of Analyses of Variance with group as the only factor. The Scheffé’s post hoc test was used to localize differences among groups and the significance level was adjusted to p≤0.017. There were statistical differences for stride...(Complete abstract click electronic access below)

Avaliação Postural de Criança com Paralisia Cerebral Através do Software de Avaliação Postural (SAPO)

O presente estudo, que aborda a avaliação postural de crianças com Paralisia Cerebral (PC), teve como objetivos: avaliar o alinhamento da postura e controle postural nessas crianças e descrever o posicionamento dos segmentos corporais na postura ereta em vista anterior, posterior, lateral direita e esquerda. Foram avaliados, através do SAPO, 7 indivíduos com PC que se mantinham na posição ortostática sem apoio. Foi feita estatística descritiva e uma comparação dos valores de referência (teste t-Student) com nível de significância 5% para todas variáveis. No ângulo Q esquerdo (vista anterior), houve diferença significativa do valor de referência p=0,476. O ângulo perna/retropé direito (vista posterior) apresentou p=0,0257. Para a vista lateral direita: Alinhamento horizontal da cabeça (C7) obteve p<0,001; Ângulo do quadril (tronco e coxa), p=0,0126; Alinhamento horizontal da pelve, p=0,0043 e o Ângulo do Tornozelo p<0,001. Para a vista lateral esquerda: Alinhamento horizontal da cabeça (C7), p<0,001; Alinhamento horizontal da pelve p=0,0332 e o Ângulo do tornozelo obteve p-valor<0,001. Houve evidente anteversão pélvica dos sujeitos com possível aumento da lordose lombar, alterações relacionadas a joelhos e tornozelos que podem ser causadas por assimetrias das forças atuantes em seguimentos superiores e anteriorização da cabeça. Seis das sete crianças apresentaram seu centro de gravidade deslocado para o lado contralateral ao hemicorpo afetado. Sendo a PC uma desordem do movimento e postura e, levando em consideração que alterações posturais decorrentes desta desordem podem interferir no desempenho motor, sugerimos estudos que relacionem esses fatores, promovendo uma intervenção em crianças com PC baseada em evidências

Necrose Asséptica da cabeça do fêmur

Legg-Calvé-Perthes disease is a non-inflammatory aseptic necrosis of the head of the femur that is found in both young animals and humans before the gap in the femur head closes. In the fields of both human and veterinary medicine the cause of this condition is not known for certain. Various factors have been put forward in the literature as being responsible for the incidence of this condition such as: abnormalities in coagulation, changes in blood flow in the arteries, a septic obstruction in the draining of the epiphysis or the upper parts of the femur, trauma, growth cycle, hyperactivity in a child, genetic influences and dietary factors. Case histories in dogs show that the first stages of the condition progress slowly but that limping or putting weight on the limb worsens at 6 to 8 weeks. Some owners talk about a sharp onset in clinical lameness. Other clinical symptoms may include irritability, loss of appetite and knawing at the hair surrounding the affected hip. In the course of physical examination manipulating the hip joint will cause pain to the animal. The advanced stages of the disease may result in restricted amplitude of movement, muscular atrophy and fracturing. In humans the clinical signs are similar, although progression of the disease is slower so that it can be diagnosed at an earlier stage. In veterinary medicine the diagnosis is, in the main, based on case history, clinical symptoms, physical examination and certain related procedures such as radiography. The various diagnoses include physical trauma and dislocation of the medial patella. In human medicine many people have been correctly diagnosed. Whatsmore, there is a range of related procedures that are virtually not available to veterinary medicine such as magnetic nuclear resonance, that show up necroses with great clarity before radiography and cintilography do, and is considered... (Complete abstract click electronic access below)

Uma proposta de intervenção com atividade física individualizada na deficiência intelectual: um estudo de caso

The practice of regular physical activity has been considered a protective factor against the degenerative processes of the body, acting as a promoter of health, especially for risk groups such as obese and resistant groups exercise adherence as among the intellectually disabled (ID) . This study involved the administration of a training protocol and the physical parameters of longitudinal health in a subject about 43 years, intellectually deficient, hypertensive, obese and with a strong predisposition to develop diabetes and heart disease. The main objective of long-term program was to reduce body weight and normalize blood pressure (BP) after the student's physical activity and preferentially interfere with BP values at rest (ie before the daily schedule). The other objective was to improve general physical fitness. The protocol involved four meetings per week lasting one hour, in addition to participation in the program PROEFA (twice a week with sessions of one hour each), totaling 57 sessions spread over five months. The evaluation protocol included in each session the following tests: blood pressure measurements and heart rate, and amount of physical activity recorded via pedometer. Tests applied before and after the training included: anthropometric assessment, agility test, flexibility test, test drive through vertical and horizontal jumps and endurance to the test bench. The mass (kg) and BMI corresponded to the initial values of 127.7 kg and 42.05 kg m-2, and 5 months after 113.2 kg and 37.48 kg m-2, respectively. The waist-hip ratio was close to 1 after the intervention and this value corresponded to 0.98. For the test of agility (shuttle run) was not found improvement in performance. To test the values of the horizontal jump in pre-test were 52 cm and 56 cm post-test, vertical jump has been improved and...(Complete abstract click electronic access below)