81 resultados para Control postural


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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

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The aim of the present study was to analyze the effects of looking at targets located at different distances on body oscillation during tasks of distinct difficulties. In Experiment 1, ten participants in quiet stance fixated targets in three conditions: No object-far (fixation on far-target without near-target), Object-near (fixation on near target with fartarget), and Object-far (fixation on far-target with near-target). Mean oscillations of trunk in anterior-posterior axis were smallest in the Object-near condition; the No object-far and Object-far conditions were similar. In Experiment 2, seven participants in kiba-dachi, a karate stance, were submitted to three conditions: Blindfolded, No object-far, and Object-near. Mean oscillations of head and trunk in anterior-posterior axis were smaller in the Object-near as compared to blindfolded condition; trunk oscillated more during No object-far than Object-near condition. The results support the notion that a simple posture is not automatically regulated by the optical flow, but different amounts of visual instability may be tolerated according to the fixation distance, regardless the presence of non-fixated objects; the control of a more difficult posture may also accommodate the effects of fixation distance.

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Postural sway variability was evaluated in Parkinson’s disease (PD) patients at different stages of disease. Twenty PD patients were grouped into two groups (unilateral, 14; bilateral, 6) according to disease severity. The results showed no significant differences in postural sway variability between the groups (p ≥ 0.05). Postural sway variability was higher in the antero-posterior direction and with the eyes closed. Significant differences between the unilateral and bilateral groups were observed in clinical tests (UPDRS, Berg Balance Scale, and retropulsion test; p ≤ 0.05, all). Postural sway variability was unaffected by disease severity, indicating that neurological mechanisms for postural control still function at advanced stages of disease. Postural sway instability appears to occur in the antero-posterior direction to compensate for the stooped posture. The eyes-closed condition during upright stance appears to be challenging for PD patients because of the associated sensory integration deficit. Finally, objective measures such as postural sway variability may be more reliable than clinical tests to evaluate changes in balance control in PD patients.