Contribuição da amplitude de movimento articular do joelho na marcha de crianças com paralisia cerebral espástica

Individuals with spastic cerebral palsy show muscle weakness, difficulties in the control of agonist and antagonist muscles, decreased range of motion and tonus and sensibility alterations, especially in knee joint. These problems can interfere on the performance of functional activities such gait. The aim of this study was to analyze the contribution of knee range of motion on gait of hemiplegic and diplegic children considering their asymmetries. Twelve children, 6 hemiplegics e 6 diplegics from 7 to 12 years of age (age average= 9,5 ± 1,93) took part. Spasticity was assessed by the Ashworth’s Modified Scale and the passive knee range of motion by an eletrogoniometer. The task was to walk on a walkway of 8m long, in their preferred speed, in 6 attempts, been 3 on right and 3 on left sagital planes. Eigth passive markers were bilaterally fixed for the kinematic record. Orthogonally to the walkway, two digital camcorders were assembled on the sagital plane. The fotogrametric procedures were performed by the Dvideow 6.3 software. The Matlab 7.0.1 software was used to filter and to calculate the dependent variables. The U test of Mann- Whitney found differences to the cerebral palsy type for knee extension/hiperextension (U = - 2.943; p= 0.003), knee relative angle at heel contact (U = - 5.992; p= 0.001) and knee range during stride (U = - 4.099; p= 0.001). The Wilcoxon’s test revealed differences according to the asymmetries for the hemiplegics only for the knee relative angle at heel contact (T= - 2.635; p<0.008). The contributions of passive knee range of motion, revealed by the Spearman correlations, for the more afected limb of the diplegics, showed that the knee extension/hiperextension interfere on the cadence, stride duration and step width; the knee relative angle at heel contact change the stride length and duration and cadence; and the...(Complete abstract click electronic access below)

Avaliação Postural de Criança com Paralisia Cerebral Através do Software de Avaliação Postural (SAPO)

O presente estudo, que aborda a avaliação postural de crianças com Paralisia Cerebral (PC), teve como objetivos: avaliar o alinhamento da postura e controle postural nessas crianças e descrever o posicionamento dos segmentos corporais na postura ereta em vista anterior, posterior, lateral direita e esquerda. Foram avaliados, através do SAPO, 7 indivíduos com PC que se mantinham na posição ortostática sem apoio. Foi feita estatística descritiva e uma comparação dos valores de referência (teste t-Student) com nível de significância 5% para todas variáveis. No ângulo Q esquerdo (vista anterior), houve diferença significativa do valor de referência p=0,476. O ângulo perna/retropé direito (vista posterior) apresentou p=0,0257. Para a vista lateral direita: Alinhamento horizontal da cabeça (C7) obteve p<0,001; Ângulo do quadril (tronco e coxa), p=0,0126; Alinhamento horizontal da pelve, p=0,0043 e o Ângulo do Tornozelo p<0,001. Para a vista lateral esquerda: Alinhamento horizontal da cabeça (C7), p<0,001; Alinhamento horizontal da pelve p=0,0332 e o Ângulo do tornozelo obteve p-valor<0,001. Houve evidente anteversão pélvica dos sujeitos com possível aumento da lordose lombar, alterações relacionadas a joelhos e tornozelos que podem ser causadas por assimetrias das forças atuantes em seguimentos superiores e anteriorização da cabeça. Seis das sete crianças apresentaram seu centro de gravidade deslocado para o lado contralateral ao hemicorpo afetado. Sendo a PC uma desordem do movimento e postura e, levando em consideração que alterações posturais decorrentes desta desordem podem interferir no desempenho motor, sugerimos estudos que relacionem esses fatores, promovendo uma intervenção em crianças com PC baseada em evidências

Efeito agudo de diferentes volumes de alongamento estático na contração voluntária máxima de idosas

Several studies have shown that different stretching routines can lead to decreases on acute neuromuscular system performance. Although the deficit in muscle strength mediated by different methods of stretching has been systematically observed, few studies have investigated the possible existence of a dose-response relationship between the amount of stretching and muscle strength deficit in older adults. In this context, the objective of this study was to investigate the acute effect of two different stretching volumes on isometric force-time curve (Cf-t) in elderly women. The study included 13 older women (64.08 ± 4.27 years, 69.98 ± 10.56 kg, 157.90 ± 8.66 cm, 28.25 ± 4.22 kg/m²). The participants visited the laboratory for five consecutive days, among which the first two were used for familiarization. During the other three days the participants underwent experimental conditions: control (C) stretch 30 seconds (AE30) and stretch 60 seconds (AE60). For the AE30 and AE60 conditions, three series of passive static stretching were performed, with duration of 30 and 60 seconds, respectively. The experimental conditions were performed with an interval of at least 24 hours between them and the order of execution was randomized. The recording of isometric Cf-t of the knee extensor muscles was performed in extensor chair connected to a force transducer. Measurements were recorded immediately after each experimental condition, for five seconds. For statistical analysis, descriptive procedures were used and ANOVA one way to check possible changes on the Maximal Voluntary Contraction (CVM) and Peak Rate of Force Development (TDFP) among the three conditions (p <0.05). The ANOVA showed no statistically significant difference for CVM and TDFP, between the three conditions. It can be concluded that different volumes of static stretching, three sets ...(Complete abstract click electronic access below)

Efeitos de uma partida sobre o pico de torque funcional e convencional nos músculos isquiotibiais e quadríceps de jogadores de futebol de salão com e sem desequilíbrio muscular

Introdução – Uma das causas mais prováveis de lesões esportivas está relacionada aos desequilíbrios musculares e a fadiga muscular, que é evidenciada no decorrer de um jogo de futebol, principalmente no final do jogo. Esta pode ser avaliada através da comparação da força de contração máxima antes e após o exercício. A fadiga produzida durante o jogo diminui a força muscular concêntrica e excêntrica de flexores e extensores do joelho podendo aumentar a incidência de lesões. Objetivo - Avaliar o efeito de uma partida sobre o pico de torque funcional e convencional nos músculos isquiotibiais e quadríceps de jogadores de futebol de salão com e sem desequilíbrio muscular. Método – Oito jogadores de futebol de salão do gênero masculino, com idade entre 18 e 24 anos, fizeram três visitas ao laboratório: 1ª foram realizadas a antropometria e adaptação aos equipamentos; 2ª teste máximo no dinamômetro isocinético para determinar a razão do pico de torque funcional e convencional nos músculos isquiotibiais e quadríceps; 3ª idem ao 2ª, após a partida de futebol de salão. Análise estatística – através das médias ± DP dos dados obtidos foi utilizado o teste t para amostras dependentes e o Mann Whitney para comparação do pico de torque antes e após a partida de futebol de salão e para comparação da relação flexor/extensor pré e pós- esforço, respectivamente. Em ambos os testes foram adotado um nível de significância de p < 0,05. Resultados - Não foram encontradas diferenças significantes entre os grupos de atletas com desequilíbrio muscular na perna dominante (GD) e grupo equilíbrio (GE) e para os extensores e flexores do GD e GE nas condições Con60. Através do Mann Whitney foram encontradas diferenças...(Resumo completo, clicar acesso eletrônico abaixo)

Influência do alongamento prévio no pico de torque e na taxa de força em exercício de contração isométrica

The objective of this study was to investigate the influence of previous active static stretch on the isometric peak torque (PT) and rate of force development (RFD) measured from different time intervals from the beginning of muscle contraction. Participated of this study 15 male individuals, apparently healthy, with ages between 18 and 25 years, without regular physical activity practice. The individuals were submitted in different days to the following tests: 1) Familiarization session to the isokinetic dynamometer; 2) Two maximal isometric concentric contractions for knee extensors in isokinetic dynamometer to determine PT and RFD (Control), and; 3) Two active static stretching exercises for the dominant leg extensors (10 x 30 s for each exercise, with 20 s of rest). After the stretching, the isokinetic test was repeated (Post-Stretching). The conditions 2 and 3 were performed in random order. The RFD was considered as the mean slope of the moment-time curve at time intervals of 0-30, 0-50 and 0-100ms relative to the beginning of muscle contraction. It was verified significant reduction for both maximal RFD and PT after the stretching (p < 0.05). At intervals of 0- 30ms, 0-50ms and 0-100ms, the RFD at the conditions with stretching was similar to the RFD without stretching (p > 0.05). At intervals of 0-150ms and 0-200ms, the RFD obtained at the contraction without stretching was significantly higher that that obtained at the contraction with stretching (p < 0.05). It can be concluded that the static stretching, performed with duration of 600 s diminish isometric PT, maximal RFD and RFD measured at late phase (> 100 ms) of muscle contraction.

Efeitos do treinamento isocinético e isométrico sobre a taxa de desenvolvimento de força máxima

The objective of the present study was to compare the effects of a high speed isokinetic training (180°.s-1) and an isometric training (75°) on the maximum rate of force development (RFDmax) measured in the isokinetic and isometric modes. Twenty seven male non active subjects participated of this study (Mean + SD = body mass 78.6 + 14.1 kg; stature 175.1 + 8.9 cm; age 22.6 + 3.8 years). They were randomly divided into three groups: Control (GC); Isokinetic training (GISOC) and; Isometric training (GISOM). The subjects were submitted in different days to the following pre training protocols: 1) Familiarization to the isokinetic dynamometer tests; 2) Five maximum concentric isokinetic contractions of the knee extensors (180°.s-1) to access the maximum concentric torque (TMC) and the concentric RFDmax; 3) Two maximum isometric contractions of the knee extensors (75°) to access the maximum isometric torque (TMI) and the isometric RFDmax. The same tests were repeated after the training period, but without the familiarization session. Eighteen training sessions were performed (3 times per week). The GISOC performed the entire training whit concentric isokinetic contractions whit the speed of 180°.s-1. The GISOM performed the entire training whit isometric contractions whit the angle between the thigh end the leg being 75° (0° = full knee extension). TMI, TMC, concentric RFDmax, isometric RFDmax values of the GC was not different between pre and post training. GISOM increased only the TMI and the GSIOC increased the TMC, concentric RFDmax and isometric RFDmax. Furthermore, the GISOC had a higher percentage increase of the isometric RFDmax than the isokinetic RFDmax. Based on these results, it is possible to conclude that the increase in maximum strength corresponded to the training specificity theory, unlike to the RFDmax. Thus the use of isometric contraction ...(Complete abstract click electronic access below)

Restrições motoras na ultrapassagem do obstáculo: efeito da severidade na Doença de Parkinson

Os pacientes com doença de Parkinson (DP) apresentam restrições motoras que dificultam sua locomoção. Entretanto, poucos estudos tem atentado para a locomoção de idosos com DP em ambientes irregulares, principalmente relacionados às restrições motoras que os pacientes com DP apresentam para ultrapassar um obstáculo. Assim, o objetivo deste estudo é verificar se os pacientes com DP são capazes de modular a ultrapassagem de obstáculo de acordo com restrições impostas pela instrução na tarefa de ultrapassagem. Participaram deste estudo 18 idosos com diagnóstico de DP idiopática entre os estágios 1 e 3 da escala de Hoehn & Yahr. Inicialmente, os pacientes passaram por uma avaliação clínica e cognitiva. Para as tarefas experimentais, os pacientes foram convidados a andar sobre uma passarela e ultrapassar um obstáculo de madeira. A altura do obstáculo foi ajustada de acordo com o comprimento da perna do participante (metade do comprimento da perna). Os participantes realizaram a tarefa em quatro condições experimentais: velocidade preferida; elevação máxima do pé para ultrapassagem do obstáculo; máximo comprimento do passo de ultrapassagem; ultrapassagem em máxima velocidade. Foram realizadas três tentativas, em blocos, para cada condição experimental. No primeiro bloco, os participantes andaram em velocidade preferida. As outras três condições experimentais foram randomizadas entre os participantes. Para registro cinemático dos dados, uma câmera digital foi posicionada de modo a visualizar todos os marcadores, no plano sagital direito do participante. Para responder aos objetivos do estudo foi empregada ANOVA two-way, com medidas repetidas para condição experimental. Os resultados indicaram que os pacientes são capazes de lidar (modular) com as restrições impostas pelas tarefas de ultrapassagem do obstáculo. Com isso, os idosos com DP são capazes de alterar o padrão do andar, superando as restrições...

Os segredos que a natureza encerra: uso de conceitos e modelos da física para investigar questões do mundo animal

Physics governs all working patterns of the universe and could not be otherwise in a biological environment. Living things depend directly on laws and physical models to compose their body structure, allow its survival in certain environments, communication between individuals and groups and also to establish a complex sensorial system that allows interaction with the environment that surrounds them. With the advancement of science and technology, new ideas are required, and thus, many researchers began to turn their attention to those systems found in nature, as these systems often present practical solutions and with maximum efficiency. This imitation of biological systems, applied in creating innovative technological resources, is called Biomimetics. To study the biological systems based on physical concepts is essential the creation of models. These allow the distinction of the effects of the issue really essential and may be ignored side effects that do not have an effective participation in the phenomenon being analyzed. In this Work Completion of course will be studied the phenomenon of countercurrent heat exchangers, present in various situations of nature, focusing on their participation in the legs of birds, also the balance of certain birds that are supported on one leg and possible inspiration of these phenomena in the fields of engineering. Also included are videos that allow better understanding of the studied subjects

Treinamento de força unilateral: efeitos sobre a taxa de desenvolvimento de força do membro contralateral

The aim of this study was to analyze the effects of unilateral isokinetic strength training at high speed (180°.s-1) of the dominant leg on the rate of force development (RFD) of the contralateral limb. The study included 18 male individuals, apparently healthy, with an average of 23 years, and without regular practice of physical activities. The subjects were divided randomly into two groups: control group (GC) and isokinetic group (GISOC). Assessments were made of the values of peak isometric torque (PT isom) and RFD of both lower limbs in the pre-training. So, the GISOC underwent an isokinetic strength training with high speed (180°.s-1) for 6 weeks, with the dominant leg only and then reassessed. It was found that there was no significant improvement in value of PT isom (p> 0.05), and the RFD for the dominant limb had a significant improvement (p< 0.05) compared to the pre-training and that there was no transfer of values to the contralateral side (p> 0.05). It can be concluded that the isokinetic training at high speed was not enough for significant cross education

Relação entre a disparidade de força entre membros inferiores e estabilidade postural em atletas de voleibol

Volleyball is a sport in which the laterality dominant limb shows superior strength and coordination because of its preferential use. Asymmetrical tendencies during the landing after the jump when striking or blocking actions are predominant for most part of game (ARRUDA; EDUARDO, 2008). Adaptations include imbalance of forces in static and dynamic motions at the knee joint, which increases risk for injury. Also, asymmetries in balance control during jumping and landing associate with a general postural instability that can be observed during static balance tasks. The purpose of this study was to investigate relationship between unequal lower limb strength (muscle imbalance) and postural stability levels in volleyball athletes and non-athletes. Nine female volleyball athletes and 10 active non-athletes participated in this study. Four encouters with participants were scheduled: three encounters in the bodybuilding gymnasium to collect anthropometric measures (weight, height for BMI, thigh circumference, which provided an initial diagnosis about asymmetry), and to perform the isometric strength test (i.e., leg press using a load cell and a force transducer to calculate uni an bilateral strength). The last encounter was in the laboratory where a balance test on a force platform was administered under five test conditions, with three repetitions each: baseline (natural standing position), one-leg standing, right side, with full vision (D_CV), and blindfolded (D_SV), one-leg standing, left side, with full vision (E_CV), and blindfolded (E_SV). The stability levels were evaluated using the path length parameters which was based on the total displacement of the center of pressure (DTCP). . Both groups shows asymmetric strength levels between legs, with better performance for the right leg. An ANOVA three way using the DTCP for the CV condition, legs (D x E), trials (3) with repeated measures for the first two factors and with a between (three)...

A influência do alongamento prévio no pico de torque e na taxa de desenvolvimento de força

The objective of this study was to investigate the influence of previous active static stretch on the peak torque (PT) and rate of force development (TDF) during isokinetic concentric contractions at 60 and 180.s-1 in active individuals. Twelve active subjects with ages between 18 and 30 years participated of this study. The individuals were submitted in different days to the following tests: 1) Familiarization session to the isokinetic dynamometer; 2) Five maximal isokinetic concentric contractions for knee extensors at each angular velocity (60 and 180.s-1) to determine PT and TDF (Control), and; 3) Two active static stretching exercises for the dominant leg extensors (10 x 30 s for each exercise, with 20 s of rest). After the stretching, the isokinetic test was repeated (Post-Stretching). The conditions 2 and 3 were performed in random order. There was no significant modification after the stretch exercises on the PT, angle and time at which the PT was attained, at 60 and 180º.s-1. In the same way, there was no significant modification on the TDF and angle at which the maximal TDF was attained in both angular speeds. In other way, the time to attain maximal TDF (TTDF) at 180º.s-1 was significantly lower after the stretching (Pre - 98.3 ± 27.5 ms and Post - 86.6 ± 30.2 ms). There was significant modification on the torque (60 and 180º.s-1) and time (60º.s-1) at different delta of angle variations, obtained at 60º.s-1 at Control and Post-Stretching conditions. However, there was significant reduction of time after the stretching exercises on delta of angle variations of 90-88º (Pre - 46.6 ± 6.5 ms and Post - 44.1 ± 5.1 ms), 88-85º (Pre - 65.8 ± 7.9 ms and Post - 63.3 ± 4.9 ms) and 85-80º (Pre - 93.3 ± 7.7 ms and Post - 90.0 ± 4.2 ms) at 180º.s-1. With base on these data, it is possible to conclude that PT and TDF do not modify after static stretching, irrespectively on the speed...(Complete abstract click electronic access below)

Equilíbrio muscular e pico de torque após jogo de futsal

Indoor soccer is a modality of sport similar to football, which is accompanying an increasing of the number of participants. With the growth of this sport, increased as well the number of injuries, which has been requiring greater attention and care from the health professionals. AIMS: To investigate the functional balance before and after an indoor soccer game and analyze the maximum force before and after the game, in order to verify if there is a great loss of muscle strength of knee flexors and extensors during the game. METHODS: The study included seven amateur soccer players. The isokinetic evaluation was made using the Biodex 3 isokinetic dynamometer at velocities of 60°/s and 180°/s with five repetitions at each velocity for each leg. Further, the study analyzed the peak torque of each leg at each speed of the extensor muscles and flexor concentric and eccentric. RESULTS: Compared to the peak torque before and after the game, there were no significant differences. At 60°/s in the non-dominant leg, peak torque decreased after the game of the extensor concentric and eccentric. In the dominant leg there was a decrease of peak torque in eccentric flexion at 60°/s and concentric flexion to 180°/s. Comparing the peak torque between dominance, there was any significant differences in speed. However, in eccentric flexion at 60°/s before the match there was a significant difference. The peak torque of the dominant leg showed better results than the non-dominant leg. Regarding the functional balance there was no statistically significant differences between the muscles involved. CONCLUSION: From the results achieved, it is possible to conclude that the peak torque of flexor eccentric decreases depending on the length of the exercise. This muscle is stronger in the dominant leg, comparing to the non-dominant leg

Avaliação da Taxa de Exposição em Exames Radiológicos Realizados em Procedimentos Cirúrgicos - Minimização dos Riscos em Indivíduos Ocupacionalmente Expostos

This paper consists in the evaluation of the exposure rate to ionizing radiation to which professionals working in surgical procedures which require radiological examinations are subjected. Were initially performed real-time readings of exposure rate within four distinct operating rooms during the execution of four surgical procedures that made use of fluoroscopy equipment (including three orthopedic surgeries, one in the shoulder, one in the arm, another for deployment of metal pin in the leg region, and a fourth for vascular procedure); in these surgeries were used ionization chamber detector and an electrometer. In order to check the values achieved, was made a re-evaluation of the distribution of the rate of exposure to radiation, from the surgical procedures, now with thermoluminescent dosimeters (TLDs). For this, thirty TLDs were distributed in the operating rooms, arranged in points of interest as occupation by professionals. The TLDs were prepared for thirty consecutive days, after which they were removed and replaced with new dosimeters not exposed yet. The dosimeters were subjected to reading of the rate of exposure; this procedure was repeated for four months without interruption. The quantification of the results sought primarily to convert the rate of exposure for equivalent dose rate, both in measurements with ionization chamber as in measurements with TLDs, in order to highlight the presence of the biological effect of ionizing radiation for comparisons within scientific context. Then, the results were plotted to establish the relationship between the values of equivalent dose and the distance to the central axis of the x -ray source, confirming the inverse square law for distance. Finally, the values were associated with the maximum limit recommended by the legislation for occupationally exposed individuals. The methodology for the analysis and quantification of the data in this work aims at implementing a work plan that meets ...

Implementação de um sistema de aquisição de dados da técnica de judô Osotogari utilizando dummy na realização do uchikomi

Pós-graduação em Engenharia Mecânica - FEG

Revisão taxonômica do gênero Cholomyia Bigot,1884 (Diptera, Tachinidae, Myiophasiini)

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)