86 resultados para Gait asymmetry
em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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A dynamical systems approach to the study of locomotor intralimb coordination in those with hemiparesis led to an examination of the utility of the shank-thigh relative phase (RP) as a collective variable and the identification of potential constraints that may shape this coordination. Eighteen non-disabled individuals formed three groups matched to the age and gender of six participants with chronic right hemiparesis. The three groups differed in the constraints imposed on their walking: (1) walking at their preferred walking speed; (2) walking as slowly as those with hemiparesis; and, (3) walking slowly with a right ankle-foot orthosis (AFO). The results revealed an asymmetry in intralimb coordination between the unaffected and affected leg of those with hemiparesis localized to the latter third of the gait cycle when the limb is advanced from the end of stance to the reestablishment of a new stance. Walking slowly with or without an AFO resulted in no measureable effect in the non-disabled, but accounts for 22% of the variance in the intralimb coordination of the hemiplegic's affected limb and 16% in the unaffected limb. The AFO offered little additional contribution. These results derive from shank-thigh RP that is shown to provide more information about intralimb coordination than knee angle displacement. Implications for these results and the use of RP for rehabilitation are discussed. (C) 2000 Elsevier B.V. B.V. All rights reserved. PsycINFO classification. 3297. 2330.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Background: Ageing is characterized by a number of physical changes that contribute to a decline in the ability to perform daily tasks. Stretching has been proposed to reduce hip flexion contracture and increase hip and pelvis range of motion, thus improving gait performance. Objective: The purpose of this study was to determine whether a supervised stretching program designed to improve the range of motion of the lower limbs alters gait kinematics in older adults. Methods: Twenty healthy older adult women (65.9 +/- 4.2 years old and BMI 24.9 +/- 3.5) were divided into 2 groups. The experimental group undertook 12 sessions of stretching exercises, whereas the control group did not engage in any physical activity. Gait performance was assessed at the beginning of the experiment and after the 4-week intervention period. Results: Those in the experimental group showed increased step length, higher velocity and reduced double support time after training. In addition, participants involved in the stretching program showed greater anterior and lateral pelvis tilt and also greater rotation (p < 0.05). Conclusions: Based on our results, we can suggest that a supervised stretching program is effective to alter a number of gait variables. Moreover, after the stretching protocol, aged participants displayed gait parameters which were similar to those reported in young healthy adults. Therefore, stretching can be used as an effective means to improve range of motion and reverse some age-related changes that influence gait performance. Copyright (C) 2009 S. Karger AG, Basel
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The decline in frontal cognitive functions contributes to alterations of gait and increases the risk of falls in patients with dementia, a category which included Alzheimer's disease (AD). The objective of the present study was to compare the gait parameters and the risk of falls among patients at different stages of AD, and to relate these variables with cognitive functions. This is a cross-sectional study with 23 patients with mild and moderate AD. The Clinical Dementia Rating was used to classify the dementia severity. The kinematic parameters of gait (cadence, stride length, and stride speed) were analyzed under two conditions: (a) single task (free gait) and (b) dual task (walking and counting down). The risk of falls was evaluated using the Timed Up-and-Go test. The frontal cognitive functions were evaluated using the Frontal Assessment Battery (FAB), the Clock Drawing Test (CDT) and the Symbol Search Subtest. The patients who were at the moderate stage suffered reduced performance in their stride length and stride speed in the single task and had made more counting errors in the dual task and still had a higher fall risk. Both the mild and the moderate patients exhibited significant decreases in stride length, stride speed and cadence in the dual task. Was detected a significant correlation between CDT, FAB, and stride speed in the dual task condition. We also found a significant correlation between subtest Similarities, FAB and cadence in the dual task condition. The dual task produced changes in the kinematic parameters of gait for the mild and moderate AD patients and the gait alterations are related to frontal cognitive functions, particularly executive functions.
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Background: It is not yet established if the use of body weight support (BWS) systems for gait training is effective per se or if it is the combination of BWS and treadmill that improves the locomotion of individuals with gait impairment. This study investigated the effects of gait training on ground level with partial BWS in individuals with stroke during overground walking with no BWS.Methods: Twelve individuals with chronic stroke (53.17 +/- 7.52 years old) participated of a gait training program with BWS during overground walking, and were evaluated before and after the gait training period. In both evaluations, individuals were videotaped walking at a self-selected comfortable speed with no BWS. Measurements were obtained for mean walking speed, step length, stride length and speed, toe-clearance, durations of total double stance and single-limb support, and minimum and maximum foot, shank, thigh, and trunk segmental angles.Results: After gait training, individuals walked faster, with symmetrical steps, longer and faster strides, and increased toe-clearance. Also, they displayed increased rotation of foot, shank, thigh, and trunk segmental angles on both sides of the body. However, the duration of single-limb support remained asymmetrical between each side of the body after gait training.Conclusions: Gait training individuals with chronic stroke with BWS during overground walking improved walking in terms of temporal-spatial parameters and segmental angles. This training strategy might be adopted as a safe, specific and promising strategy for gait rehabilitation after stroke.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Introduction: The aim of this study was to evaluate craniofacial asymmetry by using 2-dimensional (2D) poster-oanterior cephalometric images, 3-dimensional cone-beam computed tomography (CBCT), and physical measurements (gold standard). Methods: Ten dry human skulls were assessed, and radiopaque markers were placed on 17 skeletal landmarks. Twenty linear measurements were taken on each side to compare the right and left sides and to compare these measurements with the physical measurements made with a digital caliper. To acquire the 2D posteroanterior radiographs, an Extraoral Phosphor Storage Plate (Air Techniques, Chicago, Ill) was used as the image receptor with a Eureka x-ray-Duocon Machlett unit (Machlett Laboratores, Chicago, Ill). Three-dimensional imaging data were acquired from a CB MercuRay (Hitachi Medical, Tokyo, Japan). Results: on average, the right side was larger than the left for most of the 20 distances evaluated in the digital 2D and the CBCT images, and there was poor agreement between the digital 2D images and the physical measurements (kappa = 0.0609) and almost perfect agreement (kappa = 0.92) between the CBCT and physical measurements when individual measurements were considered. Conclusions: Human skulls, with no apparent asymmetry, had some differences between the right and left sides, with dominance for the right side but with no clinical significance. CBCT can better evaluate craniofacial morphology when compared with digital 2D images. (Am J Orthod Dentofacial Orthop 2011; 139: e523-e531)
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We establish the bridge between the commonly used Nabetani-Ogaito-Sato-Kishimoto (NOSK) formula for the asymmetry parameter a(Lambda) in the Lambda p -> np emission of polarized hypernuclei, and the shell-model (SM) formalism for finite hypernuclei. We demonstrate that the s-wave approximation leads to a SM formula for a(Lambda) that is as simple as the NOSK one and that reproduces the exact results for (5)(Lambda)He and (12)(Lambda)C better than initially expected. The simplicity achieved here is indeed remarkable. The new formalism makes the theoretical evaluation of a(Lambda) more transparent and explains clearly why the one-meson exchange model is unable to account for the experimental data of (5)(Lambda)He.
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We have performed the first direct measurement of the time-integrated flavor untagged charge asymmetry in semileptonic B-s(0) decays A(SL)(s,unt) by comparing the decay rate of B-s(0) -> mu(+) D-s(-) nu X, where D-s(-) -> phi pi(-) and phi -> K+K-, with the charge-conjugate (B) over bar (0)(s) decay rate. This sample was selected from 1: 3 fb(-1) of data collected by the D0 experiment in run II of the Fermilab Tevatron collider. We obtain A(SL)(s,unt) = [1.23 +/- 0.97(stat) +/- 0.17(syst)] x 10(-2). Assuming that Delta m(s)/(Gamma) over bar (s) >> 1, this result can be translated into a measurement of the CP-violating phase in B-s(0) mixing: Delta Gamma(s)/Delta m(s) tan phi(s) = [2.45 +/- 1.93(stat) +/- 0.35(syst)] x 10(-2).
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A statistical model of linear-confined quarks is applied to obtain the flavor asymmetry of the nucleon sea. The model parametrization is fixed by the experimental available data, where a temperature parameter is used to fit the Gottfried sum rule violation. Results are presented for the ratios of light quark and antiquark distributions, d/u and (d) over bar/(u) over bar.
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We report the preliminary result of an exact calculation of the asymmetry parameter, alambda, in the nonmesonic hypernuclear decay, based on a one-meson-exchange (OME) model. For the case of He and including one-pion-exchange only, the result is shown not to differ considerably from the one obtained with the approximate formula widely used in the literature. In particular, the sign of alambda remains negative, in disagreement with its most recent experimental determination. Whether these facts remain true for heavier hypernuclei and in a more complete OME model is still under investigation.
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The light anti-quark and quark distribution in the proton, as well as the neutron to proton ratio of the structure functions, extracted from experimental data, are well fitted by a, statistical model of linear-confined quarks. The parameters of the model are given by a temperature, which is adjusted by the Gottfried sum-rule violation, and two chemical potentials given by the corresponding up (u) and down (d) quark normalizations in the nucleon. The quark energy levels are generated by a relativistic linear-confined scalar plus vector potential.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)