Acquisition of motor abilities up to independent walking in very low birth weight preterm infants

Objective: To determine chronological and corrected ages at acquisition of motor abilities up to independent walking in very low birth weight preterms and to determine up to what point it is necessary to use corrected age.Methods: This was a longitudinal study of preterms with birth weight < 1,500 g and gestational age <= 34 weeks, free from neurosensory sequelae, selected at the high-risk infants follow-up clinic at the Hospital das Clinicas, Faculdade de Medicine de Botucatu, Universidade Estadual Paulista (UNESP) in Botucatu, Brazil, between 1998 to 2003, and assessed every 2 months until acquisition of independent walking.Results: Nine percent of the 155 preterms recruited were excluded from the study, leaving a total of 143 patients. The mean gestational age was 30 +/- 2 weeks, birth weight was 1,130 +/- 222 g, 59% were female and 44% were small for gestational age. Preterms achieved head control in their second month, could sit independent at 7 months and walked at 12.8 months' corrected age, corresponding to the 4th, 9th and 15th months of chronological age. There were significant differences between chronological age and corrected age for all motor abilities. Preterms who were small for their gestational age acquired motor abilities later, but still within expected limits.Conclusions: Very low birth weight preterms, free from neurosensory disorders, acquired their motor abilities within the ranges expected for their corrected ages. Corrected age should be used until independent walking is achieved.

Velocidade ideal da esteira para estimular passadas do andar em bebês

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

Efeito da intervenção em esteira motorizada na aquisição da marcha independente e desenvolvimento motor em bebês de risco para atraso desenvolvimental

OBJETIVO: Examinar o efeito de intervenção em esteira motorizada na idade de aquisição da marcha independente em bebês de risco para atraso de desenvolvimento. MÉTODOS: Estudo experimental com 15 lactentes a partir do 5º mês de idade, sendo cinco deles com risco de atraso de desenvolvimento submetidos a sessões de fisioterapia e intervenção em esteira motorizada (Grupo Experimental); cinco com risco de atraso de desenvolvimento submetidos apenas a sessões de fisioterapia (Grupo Controle de Risco); e cinco bebês sem risco de atraso (Grupo Controle Típico). As sessões de fisioterapia ocorreram duas vezes por semana, seguidas de intervenção em esteira motorizada para o grupo experimental. Todos os bebês foram avaliados mensalmente pela Alberta Infant Motor Scale e os participantes do grupo experimental foram filmados durante a realização das passadas na esteira. Comparações entre os grupos ao longo do tempo foram realizadas por análise de variância (ANOVA) e de multivariância (MANOVA). RESULTADOS: Os bebês do Grupo Experimental adquiriram a marcha independente aos 12,8 meses e os do Grupo Controle de Risco aos 13,8 meses de idade corrigida, sendo que a aquisição do Grupo Controle de Risco ocorreu mais tarde em relação ao Grupo Controle Típico (1,1 meses; p<0,05). Os bebês do grupo experimental apresentaram padrão alternado das passadas na esteira, que aumentou ao longo da intervenção (p<0,05), e mostraram melhora do desenvolvimento motor global em relação aos bebês do Grupo Controle de Risco. CONCLUSÕES: A esteira pode ser considerada um agente facilitador para a aquisição do andar independente e do desenvolvimento motor global de bebês com risco de atraso de desenvolvimento.

Efeitos da experiência no andar na organização da passada durante a ultrapassagem sobre obstáculos em bebês

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Uso da esteira motorizada na promoção do desenvolvimento motor de bebês com risco de atraso desenvolvimental

Pós-graduação em Ciências da Motricidade - IBRC

Análise das variáveis eletromiográficas e da pressão plantar na marcha em aclive, declive e plano

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeito de dois diferentes programas de intervenção sobre parâmetros cinemáticos da marcha e testes de mobilidade em pacientes com doença de parkinson

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Effects of postural threat on walking features of Parkinson's disease patients

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

The use of somatosensory information during the acquisition of independent upright stance

This study investigated developmental changes in the use of a contact surface during the acquisition of upright posture. Standing infants were longitudinally examined at four developmental epochs: pulling to stand (PS); standing alone (SA); walking onset (WO); and 1.5 months post-walking (PW). The results revealed that as standing experience increased the force applied to the contact surface by the hand and the body sway decreased. Applied force and body sway were consistently related in the anterior-posterior direction (r approximate to 0.65). Temporally, body sway led applied force (approximate to 45 ms) at the PS, SA, and WO developmental periods. However, at PW, the temporal relationship reversed and applied force led body sway (approximate to 140 ms). These results indicate that initially infants use surface contact for mechanical purposes but later for orientation information that affords prospective control of posture.

Impact of muscle fatigue on mechanics and motor control of walking

Pós-graduação em Ciências da Motricidade - IBRC

Reproducibility of 6-minute walking test in patients with COPD

The reproducibility of the 6-min walking test (6MWT) needs to be more solidly studied. This study aimed to investigate the reproducibility of two 6MWTs performed on subsequent days in a large and representative sample of patients with chronic obstructive pulmonary disease (COPD), and to quantify the learning effect between the two tests, as well as its determinants.In a retrospective observational study, 1,514 patients with COPD performed two 6MWTs on subsequent days. Other measurements included body composition (dual X-ray absorptiometry), dyspnoea (Medical Research Council scale) and comorbidity (Charlson index).Although the 6MWT was reproducible (intraclass correlation coefficient=0.93), patients walked farther in the second test (391 m, 95% CI 155-585 m versus 418 m, 95% CI 185-605 m; p < 0.0001). on average, the second 6MWT increased by 27 m (or 7%), and 82% of patients improved in the second test. Determinants of improvement >= 42 m in the second test (upper limit of the clinically important change) were as follows: first 6MWT < 350 m, Charlson index < 2 and body mass index < 30 kg.m(-2) (OR 2.49, 0.76 and 0.60, respectively).The 6MWT was statistically reproducible in a representative sample of patients with COPD. However, the vast majority of patients improved significantly in the second test by an average learning effect of 27 m.

Is walking in daily life a moderate intensity activity in patients with chronic obstructive pulmonary disease?

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

On the optimum parameters of a device for harvesting energy from running and walking

This paper investigates the feasibility of using an energy harvesting device tuned such that its natural frequency coincides with higher harmonics of the input to capture energy from walking or running human motion more efficiently. The paper starts by reviewing the concept of a linear resonant generator for a tonal frequency input and then derives an expression for the power harvested for an input with several harmonics. The amount of power harvested is estimated numerically using measured data from human subjects. Assuming that the input is periodic, the signal is reconstructed using a Fourier series before being used in the simulation. It is found that although the power output depends on the input frequency, the choice of tuning the natural frequency of the device to coincide with a particular higher harmonic is restricted by the amount of damping that is needed to maximize the amount of power harvested, as well as to comply with the size limit of the device. It is also found that it is not feasible to tune the device to match the first few harmonics when the size of the device is small, because a large amount of damping is required to limit the motion of the mass.

Expression of genes related to apoptosis, cell cycle and signaling pathways are independent of TP53 status in urinary bladder cancer cells

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