307 resultados para Elbow tendionitis


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Currently individuals are affected by a routine busy and they don't have time for physical activity, highlighting the sedentary lifestyle, a risk factor for cardiovascular diseases. For this reason, it focuses too much on cardiovascular diseases and the importance of physical practice. With the largest divulgation and variety of physical activities, activities that were not as practiced became popular, as is the case of resistive exercise. Much is said of the influence of resistance exercise in physical strength, in muscle development and in the quest for a more defined body. However, studies have shown beneficial contributions of resistance exercise on the cardiovascular system. During the physical effort, some changes occur in the body in order to meet the increased demand for oxygen. Among them is the increase in heart rate (HR), which varies with the intensity of effort. Thus, this research sought to contribute with an analysis of the HR behavior before, during and after 3 sets of hypertrophy, as far for the flexor group of the elbow as to the extensor group. It was observed that, although the HR has increased in the course of the series, the variations of HR were not significant between the flexor group and extensor group of the elbow joint. Also were not significant the differences between the variations of the HR from the 1ª to the 2ª series between the flexor group and extensor group, as well as to the variations from the 2ª to the 3ª series

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The present study aimed to analyze the performance of 'boost' among water polo athletes. Twelve athletes (13,9  1,08 years, 169,0  6,0 cm and 59,5  13,5 kg of bodyweight) were under went to anthropometric assessment, body composition and maximum concentric strength of lower limbs. The jump test in the water was done by 'boost' and scaled to jump height. According to the results of strength (Leg Press 45: 157,08  43,30 kg Leg Extension: 72,08  12,86 kg), anthropometry (arm circumf.: 26,04  3,25 cm, thigh circumf.: 50,47  7,65 cm, sholder circumf.: 95,97  8,00 cm, elbow diam.: 4,74  0,51 cm, wrist diam.: 3,21  0,34 cm, knee diam.: 7,89  0,58 cm, biacromial diam.: 37,49  3,81 cm and bi-iliac diam.: 25,43  4,34 cm) and body composition (BMI: 20,74  4,00 kg / m² and% fat: 8,45  4,28), only stature showed a linear correlation (r= 0,595) to the values of vertical jump (height: 47,80  4,35 cm) performance. This anthropometric variable was one able to influence the height of performance by modifying it self, perhaps by maturity. However maturity may be an implicity feature of performance, since force is a concerned effect of the growth. Otherwise technique could play a mains role to the performance of the 'boost'. It can be conclude that possibly is advantageous for water polo athlete be higher and more mature for the realization of 'boost', and the training directed for the technique, but is necessary muscle fitness for the holder

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Exacerbation of the immune response against Mycobacterium leprae can lead to neuritis, which is commonly treated via immunosuppression with corticosteroids. Early neurolysis may be performed concurrently, especially in young patients with a risk of functional sequelae. We report the case of a young patient experienced intense pain in the left elbow one year after the treatment of tuberculoid-tuberculoid leprosy. The pain was associated with paresthesias in the ulnar edge and left ulnar claw. After evaluation, the diagnosis was changed to borderline tuberculoid leprosy accompanied with neuritis of the left ulnar nerve. Early neurolysis resulted in rapid reduction of the pain and recovery of motor function.

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

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Pós-graduação em Engenharia Mecânica - FEG

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Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC

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This study did evaluate the handgrip strength capacity of bull riding practitioners and recreational practitioners in order to obtain parameters of the muscular fitness of subjects undertaken this sports practice. Twenty right-handed subjects were grouped into bull riding athletes (10 individuals at AMT: 174.5 ± 5.2 cm of height, 78.9 ± 12 kg of body weight, 24.7 ± 6.1 years, and 13,8 ± 2.4% for body fat) and non-athletes (10 subjects n-AMR: 178.5 ± 7.3 cm of height, 81.2 ± 8.8kg of body weight, 21.7 ± 2.3 years, and 13.8 ± 1.9% of body fat). They were underwent to protocols of handgrip strength evaluation by a standard and specific dynamometry (simulating a bull riding posture) of right (DPD e DED) e left (DEP e DEE) hands. The dynamic force values from one repetition to maximum test (1RM) were either obtained in conventional load-based system for upper limbs exercises. The values were compared by the test-t for independent data, assuming ρ ≤ 0.05. The relationship between the values of strength from handgrip and dynamic exercises were drawn by Pearson correlation. The results of the AMT to DPD (43.8 ± 6.8kgf), DPE (39.4 ± 7.7kgf), DED (44.9 ± 5.6kgf), and DEE (39.8 ± 8.3kgf). For the n-AMT in DPD (47.0 ± 3.0kgf), DPE (42.2 ± 6.1kgf), DED (49.2 ± 1.5kgf), and DEE (46.2 ± 4.1kgf). Significant difference was observed between DED and DEE. The strength tests of 1RM at bench press (73.2 ± 12.0kg and 82.0 ± 12.0kg), arm-curl (45.2 ± 8.9kg and 43.8 ± 8.9kg), triceps pulley (67.0 ± 6.3kg and 72.0 ± 6.3kg), and pulley (73.5 ± 8.5kg and 73.7 ± 7.5kg) for groups n-AMT and AMT did not showed differences. Correlations were showed between all handgrip tests and elbow flexor force for AMT, and between DPD and elbow extensor, abductor, adductor and extensor of shoulder for n-AMT. influences to the performance of the force dynamometry. It could be concluded that handgrip force and dynamic strength of upper limbs did not were putative responses for bull riding practice.

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Twelve athletes (13,9±1,1 years, 169,0±6,0 cm and 59,5±13,5 kg ofbody weight) were under went to anthropometric and body compositionassessments, and maximum concentric strength of lower limbs. The jumptest in the water was done by ‘boost’ and scaled to jump height. The resultsof strength (Leg Press 45: 157,1±43,3 kg; Leg Extension: 72,1±12,9 kg),anthropometry (circumferences of arm: 26,0±3,3 cm; thigh: 50,5±7,7 cm;shoulder: 96,0±8,0 cm, and diameter of elbow: 4,7±0,5 cm; wrist: 3,2±0,3cm; knee: 7,9±0,6 cm; bi-acromial: 37,5±3,8 cm; and bi-iliac: 25,4±4,3cm), BMI (20,7±4,0 kg/m²), and body composition (fat: 8,5±4,3%) were notrelated to the values of vertical jump performance (47,80 ? 4,35 cm), as didshowed for body height (0,595). Thus, athletes height was one able to influencethe jump performance by modifying it self, perhaps by maturity.

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Degeneration of tendon tissue is a common cause of tendon dysfunction with the symptoms of repeated episodes of pain and palpable increase of tendon thickness. Tendon mechanical properties are directly related to its physiological composition and the structural organization of the interior collagen fibers which could be altered by tendon degeneration due to overuse or injury. Thus, measuring mechanical properties of tendon tissue may represent a quantitative measurement of pain, reduced function, and tissue health. Ultrasound elasticity imaging has been developed in the last two decades and has proved to be a promising tool for tissue elasticity imaging. To date, however, well established protocols of tendinopathy elasticity imaging for diagnosing tendon degeneration in early stages or late stages do not exist. This thesis describes the re-creation of one dynamic ultrasound elasticity imaging method and the development of an ultrasound transient shear wave elasticity imaging platform for tendon and other musculoskeletal tissue imaging. An experimental mechanical stage with proper supporting systems and accurate translating stages was designed and made. A variety of high-quality tissue-mimicking phantoms were made to simulate homogeneous and heterogeneous soft tissues as well as tendon tissues. A series of data acquisition and data processing programs were developed to collect the displacement data from the phantom and calculate the shear modulus and Young’s modulus of the target. The imaging platform was found to be capable of conducting comparative measurements of the elastic parameters of the phantoms and quantitatively mapping elasticity onto ultrasound B-Mode images. This suggests the system has great potential for not only benefiting individuals with tendinopathy with an earlier detection, intervention and better rehabilitation, but also for providing a medical tool for quantification of musculoskeletal tissue dysfunction in other regions of the body such as the shoulder, elbow and knee.

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Objective: To evaluate the prognostic value of absent thumb pain sensation in newborns and young infants with birth brachial plexopathy. Methods: We evaluated 131 patients with birth brachial plexopathy with less than two months of age. Pain sensation was evoked by thumb nail bed compression to evaluate sensory fibers of the upper trunk (C6). The patients were followed-up monthly. Patients with less than antigravity elbow flexion at six months of age were considered to have a poor outcome. Results: Thirty patients had absent thumb pain sensation, from which 26 showed a poor outcome. Sensitivity of the test was 65% and specificity was 96%. Conclusion: Evaluation of thumb pain sensation should be included in the clinical assessment of infants with birth brachial plexopathy.

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Objective: To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury. Methods: 19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injury and surgery was 7.5 months. Four patients had cervical fractures associated with brachial plexus injury. The postoperative follow-up was 15.7 months. Results: Eight patients recovered elbow flexion strength MRC grade 4; two, MRC grade 3 and nine, MRC <3. There was no impairment of the previous ulnar nerve function. Conclusion: The surgical results of ulnar nerve neurotization at the motor branch of brachii biceps muscle are dependent on the interval between brachial plexus injury and surgical treatment, the presence of associated fractures of the cervical spine and occipital condyle, residual function of the C8-T1 roots after the injury and the involvement of the C7 root. Signs of reinnervation manifested up to 3 months after surgery showed better results in the long term. Level of Evidence: IV, Case Series.

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Background: We aimed to investigate the effect of rest interval, between successive contractions, on muscular fatigue. Methods: Eighteen subjects performed elbow flexion and extension (30 repetitions) on an isokinetic dynamometer with 80 degrees of range of motion. The flexion velocity was 120 degrees/s, while for elbow extension we used 5 different velocities (30, 75, 120, 240, 360 degrees/s), producing 5 different rest intervals (2.89, 1.28, 0.85, 0.57 and 0.54 s). Results: We observed that when the rest interval was 2.89 s there was a reduction in fatigue. On the other hand, when the rest interval was 0.54 s the fatigue was increased. Conclusions: When the resting time was lower (0.54 s) the decline of work in the flexor muscle group was higher compared with different rest interval duration.

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Background: Exercise training (ET) can reduce blood pressure (BP) and prevent functional disability. However, the effects of low volumes of training have been poorly studied, especially in elderly hypertensive patients. Objectives: To investigate the effects of a multi-component ET program (aerobic training, strength, flexibility, and balance) on BP, physical fitness, and functional ability of elderly hypertensive patients. Methods: Thirty-six elderly hypertensive patients with optimal clinical treatment underwent a multi-component ET program: two 60-minute sessions a week for 12 weeks at a Basic Health Unit. Results: Compared to pre-training values, systolic and diastolic BP were reduced by 3.6% and 1.2%, respectively (p < 0.001), body mass index was reduced by 1.1% (p < 0.001), and peripheral blood glucose was reduced by 2.5% (p= 0.002). There were improvements in all physical fitness domains: muscle strength (chair-stand test and elbow flexor test; p < 0.001), static balance test (unipedal stance test; p < 0.029), aerobic capacity (stationary gait test; p < 0.001), except for flexibility (sit and reach test). Moreover, there was a reduction in the time required to perform two functional ability tests: "put on sock" and "sit down, stand up, and move around the house" (p < 0.001). Conclusions: Lower volumes of ET improved BP, metabolic parameters, and physical fitness and reflected in the functional ability of elderly hypertensive patients. Trial Registration RBR-2xgjh3.

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Objective: This study assessed the muscular activity during root canal preparation through kinematics, kinetics, and electromyography (EMG). Material and Methods: The operators prepared one canal with RaCe rotary instruments and another with Flexofiles. The kinematics of the major joints was reconstructed using an optoelectronic system and electromyographic responses of the flexor carpi radial's, extensor carpi radialis, brachioradialis, biceps brachii, triceps brachii, middle deltoid, and upper trapezius were recorded. The joint torques of the shoulder, elbow and wrist were calculated using inverse dynamics. In the kinematic analysis, angular movements of the wrist and elbow were classified as low risk factors for work-related musculoskeletal disorders. With respect to the shoulder, the classification was medium-risk. Results: There was no significant difference revealed by the kinetic reports. The EMG results showed that for the middle deltoid and upper trapezius the rotary instrumentation elicited higher values. The flexor carpi radialis and extensor carpi radialis, as well as the brachioradialis showed a higher value with the manual method. Conclusion: The muscular recruitment for accomplishment of articular movements for root canal preparation with either the rotary or manual techniques is distinct. Nevertheless, the rotary instrument presented less difficulty in the generation of the joint torque in each articulation, thus, presenting a greater uniformity of joint torques.

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In animal and clinical trials low-level laser therapy (LLLT) using red, infrared and mixed wavelengths has been shown to delay the development of skeletal muscle fatigue. However, the parameters employed in these studies do not allow a conclusion as to which wavelength range is better in delaying the development of skeletal muscle fatigue. With this perspective in mind, we compared the effects of red and infrared LLLT on skeletal muscle fatigue. A randomized double-blind placebo-controlled crossover trial was performed in ten healthy male volunteers. They were treated with active red LLLT, active infrared LLLT (660 or 830 nm, 50 mW, 17.85 W/cm(2), 100 s irradiation per point, 5 J, 1,785 J/cm(2) at each point irradiated, total 20 J irradiated per muscle) or an identical placebo LLLT at four points of the biceps brachii muscle for 3 min before exercise (voluntary isometric elbow flexion for 60 s). The mean peak force was significantly greater (p < 0.05) following red (12.14%) and infrared LLLT (14.49%) than following placebo LLLT, and the mean average force was also significantly greater (p < 0.05) following red (13.09%) and infrared LLLT (13.24%) than following placebo LLLT. There were no significant differences in mean average force or mean peak force between red and infrared LLLT. We conclude that both red than infrared LLLT are effective in delaying the development skeletal muscle fatigue and in enhancement of skeletal muscle performance. Further studies are needed to identify the specific mechanisms through which each wavelength acts.