Refinement and initial validation of a multidimensional composite scale for use in assessing acute postoperative pain in cats

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

The performance of conventional and fluorescence-based methods for occlusal caries detection An in vivo study with histologic validation

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Validation of the Brazilian versions of two inventories for measuring oral health-related quality of life of edentulous subjects

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

The Pediatric Rheumatology International Trials Organization American-College-of-Rheumatology provisional criteria for the evaluation of response to therapy in juvenile systemic lupus erythematosus: Prospective validation of the definition of improvement

Objective. To use the Pediatric Rheumatology International Trials Organization (PRINTO) core set of outcome measures to develop a validated definition of improvement for the evaluation of response to therapy in juvenile systemic lupus erythematosus (SLE).Methods. Thirty-seven experienced pediatric rheumatologists from 27 countries, each of whom had specific experience in the assessment of juvenile SLE patients, achieved consensus on 128 patient profiles as being clinically improved or not improved. Using the physicians' consensus ratings as the gold standard measure, the chi-square, sensitivity, specificity, false-positive and false-negative rates, area under the receiver operating characteristic curve, and kappa level of agreement for 597 candidate definitions of improvement were calculated. Only definitions with a kappa value greater than 0.7 were retained. The top definitions were selected based on the product of the content validity score multiplied by its kappa statistic.Results. The definition of improvement with the highest final score was at least 50% improvement from baseline in any 2 of the 5 core set measures, with no more than 1 of the remaining worsening by more than 30%.Conclusion. PRINTO proposes a valid and reproducible definition of improvement that reflects well the consensus rating of experienced clinicians and that incorporates clinically meaningful change in core set measures in a composite end point for the evaluation of global response to therapy in patients with juvenile SLE. The definition is now proposed for use in juvenile SLE clinical trials and may help physicians to decide whether a child with SLE responded adequately to therapy.

Electromyographic validation of the trapezius and serratus anterior muscles in military press exercises with open grip.

It was studied the trapezius muscle and serratus anterior muscle in 24 male volunteers using a 2-channel TECA TE 4 electromyograph and Hewlett Packard surface electrodes, during the execution of four different modalities of military press exercises with open grip. The results showed that TS acted significantly in the modalities standing and sitting press behind neck, while SI acted in all the modalities, i.e., standing and sitting press behind neck and forward, justifying their inclusion as basic exercises for physical conditioning programmes.

Electromyographic validation of the trapezius and serratus anterior muscles in military press exercises with open and middle grip

Electromyographic activity of the trapezius muscle and serratus anterior muscle was analysed in 4 different modalities of military press exercises, each of them with 2 grips: open and middle. It was analyzed 24 male volunteers using a 2-channel TECA TE 4 electromyograph and Hewlett Packard surface electrodes. The TS and SI muscles acted with high and very high activity in all the modalities of military press exercises. Statistically, they did not show significative difference in the performance of the exercises with open and middle grip, justifying the inclusion of this group of exercises with both grips for the physical conditioning programmes.

Electromyographic validation of the trapezius and serratus anterior muscles in military press exercises with middle grip

Electromyographic activity of the trapezius muscle and serratus anterior muscle was analysed in 24 male volunteers using a 2-channel TECA TE 4 electromyograp, during the execution of four different modalities of military press exercises with middle grip. The trapezius acted preferentially in the modalities standing press behind neck; and sitting forward and press behind neck, while SI did not show any significative difference among the modalities. The high levels of action potentials with which TS and SI acted justify the inclusion of these exercises in physical programmes.

Electromyographic validation of the trapezius and serratus anterior muscles in frontal-lateral cross, dumbbells exercises

Based on the lack of electromyographic researches on sport and programmes of physical conditioning, we can say that it is necessary to reexamine some exercises routinely used in the programmes of physical conditioning. Thus, the trapezius and serratus anterior muscles were studied electromyographically so that we could evaluate the validity in some ways of execution of the frontal-lateral cross, dumbbells exercises for the development of these muscles. We analyzed 24 male volunteers, 18 to 25 years old, using a 2-channel TECA TE 4 electromyograph and Hewlett Packard surface electrodes. For the execution of the exercise it was used a supine bench, a straight board and two bars of 40 cm made of light wood. The results showed that TS acted preferentially in standing modality and in the inclined supine modality, however with activity levels that do not justify its inclusion in physical fitness programmes.

Electromyographic validation of the trapezius and serratus anterior muscles in the rowing and frontal-lateral cross, dumbbells exercises

The trapezius and serratus anterior muscles were studied in four modalities of rowing exercises executed with two grips, middle and closed, in comparison with the four different modalities of frontal-lateral cross, dumbbells exercise. It was used 24 male volunteers, 18 to 25 years old using a 2-channel TECA TE 4 electromyograph and Hewlett Packard surface electrodes. The results showed that TS acted in a higher significant way in all the modalities of rowing than in the supine lateral raise, inclined supine lateral raise and reverse supine lateral raise, dumbbells exercises, and demonstrated no standing frontal-lateral cross, dumbbells. The SI acted more significantly difference among all the execution modalities of rowing and the inclined supine lateral raise, dumbbells exercises than in all the rowing exercises; even though the activity levels do not make us suggest them as an excellent group of exercises for the development of this muscle.

Electromyographic validation of the trapezius and serratus anterior muscles in rowing exercises with middle grip

Because the lack of textbooks based on electromyographic studies in the area of exercises for physical conditioning, the authors proposed to study the trapezius (upper portion) (TS) and the serratus anterior (lower portion) (SI) muscles during the execution of four different modalities of rowing exercises with middle grip in 24 male volunteers, 18 to 25 years old. For the recordings, it was used a two-channel TECA TE 4 electromyograph and Hewlett Packard surface electrodes. For the movements, a supine bench and a 120 cm-long bar made of low weight wood were used. The results showed that TS acted significantly in upright, sitting and inclined rowing, justifying its inclusion in physical conditioning programmes, while SI, in spite of acting preferentially in upright and sitting rowing, presented activity levels which do not justify its inclusion.

Electromyographic validation of the double pulley equipment during movements of the lower limbs

The double pulley equipment was tested on ten male volunteers during contraction of the semitendinosus and biceps femoris (caput longum) muscles in the following movements of the lower limbs: 1) hip extension with extended knee and erect trunk, 2) hip extension with flexed knee and erect trunk, 3) hip extension with flexed knee and erect trunk, 3) hip extension with extended knee and inclined trunk, 5) hip abduction along the midline, 7) hip abduction with extension beyond the midline, 8) adduction with hip flexion beyond the midline, 8) adduction with hip flexion beyond the midline, and 9) adduction with hip extension beyond the midline. The myoelectric signals were taken up by Lec Tec surface electrodes connected to a 6-channel Lynx electromyographic signal amplifier coupled with a computer equipped with a model CAD 10/26 analogue digital conversion board and with a specific software for signal recording and analysis. The semitendinosus and biceps femoris muscles presented the highest potentials in movements 1; 2; 7, 8 and 9, whereas the potentials in the remaining movements were negligible. The pattern of activity of the semitendinosus and the biceps femoris was similar in exercises 1, 2, 3, 4 and 8. The potentials of the semitendinosus prevailed in movements 5, 6 and 7, and the strongest potentials observed in movement 9 were those of the biceps femoris.

Electromyographic validation of the trapezius and serratus anterior muscles in rowing exercises with closed grip

Because the lack of specialized textbooks, the select of basic exercises for physical conditioning programmes is based on empirical knowledge. This fact led the authors to propose the study on electromyographic activity of the trapezius (upper portion) (TS) and the serratus anterior (lower portion) (SI) muscles in rowing exercises with closed grip in three different modalities. The tests were carried out with 24 male volunteers, 18 to 25 years old, by using a two-channel TECA TE 4 electromyograph and Hewlett Packard surface electrodes. For exercises execution, a long bar made of light wood was used. TS acted significantly in the three different modalities, that is, upright, sitting and bent over, while SI acted preferentially in upright and sitting rowing exercises, justifying their inclusion as basic exercises in physical conditioning programmes.

Electromyographic validation of the trapezius and serratus anterior muscles in rowing exercises with middle and closed grip

Because the lack of specialized textbooks on the select and indication of basic exercises for physical conditioning programmes, an electromyographic study of the trapezius (upper portion) (TS) and the serratus anterior (lower portion) (SI) muscles in rowing exercises with middle and closed grip in three different modalities, upright, sitting and bent over was performed. The tests were carried out with 24 male volunteers, 18 to 25 years old, by using a two-channel TECA TE 4 electromyograph and Hewlett Packard surface electrodes. For exercises execution, a supine bench, a straight board and a 1,20 m-long bar made of light wood were used. The results showed that TS acted preferentially with closed grip sitting and bent over modalities, and presented no difference among the grips for upright rowing. SI acted preferentially with closed grip in all modalities, however, with activity levels that do not justify its indication for physical conditioning programmes.

Electromyographic validation of basic exercises for physical conditioning programmes IV. Analysis of the deltoid muscle (anterior portion) and pectoralis major muscle (clavicular portion) in frontal-lateral cross, dumbbells exercises

The electromyographic activity of the shoulder muscles deltoid - anterior portion (DA) and pectoralis major - clavicular portion (PMC) was tested on 24 male volunteers using a 2 channel TEC A TE4 electromyograph and Hewlett Packard surface electrodes during the execution of four different modalities of frontal-lateral cross, dumbbells exercises. The results showed that all of the tested exercises developed high levels of action potential for both muscles. So, we jusfity the indication of all of them for physical fitness programmes for DA and PMC. Some suggestions to the use of the tested exercises are presented.

Electromyographic validation of basic exercises for physical conditioning programmes V. The comparison of the response in the deltoid muscle (anterior portion) and the pectoralis major muscle (clavicular portion) determined by the frontal-lateral cross, dumbbells and the rowing exercises

The action potential level for shoulder muscles deltoid-anterior portion (DA) and pectoralis major-clavicular portion (PMC) determined by four different modalities of execution of rowing exercises, each one with two different grips, was recorded. These were compared with the action potential level determined for the same muscles by four different modalities of execution of the frontal-lateral cross, dumbbells exercises. Twenty-four male volunteers were examined using a 2 channel TECA TE4 electromyograph and Hewlett Packard surface electrodes. The statistic analysis showed significant (p<0,05) superiority for all the frontal-lateral cross, dumbbells exercises in comparison to all rowing exercises for the PMC, for the DA this generalized supremacy was not observed.