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)

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...

Estudo comparativo do desempenho empresarial no Brasil e na China no período de 2005-2009: uma análise de empresas de capital aberto do setor de siderurgia

A teoria em finanças tem evoluído cada vez mais aproximando a teoria financeira às práticas reais adotadas nas empresas e nos mercados financeiros. A partir de Modigliani e Miller, que contribuíram para o ramo das finanças com a teoria da Irrelevância Financeira, o caminho se abriu para uma série de debates a cerca da importância das variáveis financeiras na determinação do valor da empresa. Foram levantados questionamentos a respeito da perfeição dos mercados e apresentado argumentos como a assimetria de informações, os custos de agência, a restrição financeira e outras implicações à teoria do investimento. Atualmente o que se sabe é que o fator investimento está altamente ligado às finanças e, portanto, relaciona-se com os meios de financiamento presentes no mercado e com a organização interna e financeira das firmas, esse ramo de estudo recebe o nome de Finanças Corporativas. Diante da teoria financeira, o objetivo é analisar a indústria siderúrgica de duas economias atualmente em destaque, Brasil e China através da análise econômico-financeira de quatro empresas de capital aberto do setor: Gerdau, Usiminas, Baosteel e Masteel. Cabe destacar que a indústria siderúrgica é base para outras indústrias, como construção civil, automóveis, máquinas, entre outros e, por isso, é tida como sinalizadora do desenvolvimento econômico de um país, assim também, o Brasil e a China são caracterizados como grandes potenciais emergentes e fontes de atração de investimentos internacionais

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)...

Flexão e análise dinâmico-mecânica de compósitos 5HS e NCF com resina epóxi monocomponente produzidos por RTM

In order to study resin distribution and homogeneity of composite laminates manufactured by RTM, it was used CYCOM 890 monolithic toughened epoxy as a matrix with two different configurations of intermediated modulus (IM) carbon fibers: Satin Weave (5HS) and non crimp fabric (NCF). The injection parameters were defined based on Thermo Gravimetric Analysis (TG), Differential Scanning Calorimetry (DSC) and rheological analysis. After processing the material, the resin/fiber impregnation was studied using ultrasonic test, Thermo Gravimetric Analysis, Differential Scanning Calorimetry, Dynamic Mechanical Analysis (DMA) and flexural tests. Therefore, it was able to observe an internal residual stress during the cooling process in both laminates, higher in the composite using NCF fabric due to the lack of symmetry, although a good proportion of fiber/matrix has been verified by the lower values of flexural modulus deviation. The DMA enabled the visualization of glass transition and its association with the inter and intra molecular interaction and movement, in which the NCF composite presented better permeability due to the lowest temperature of glass transition, when compared to the Satin Weave composite

Comportamento e organização dos cromossomos holocêntricos de heterópteros da região Sul do Brasil baseados em sequências repetitivas DNA, meiose e análise ultraestrutural

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Características psicológicas, faciais e buco-dentárias de crianças com bruxismo da clínica de odontopediatria da Faculdade de Odontologia Araçatuba - Unesp

Pós-graduação em Ciência Odontólogica - FOA

Prevalência das más oclusões em crianças na clínica de graduação da Faculdade de Odontologia de Araraquara - UNESP

The aim of this study was to evaluate in dental models the occlusal relationship of children treated or in orthodontic treatment of the Undergraduate Clinic of Araraquara Dental School – UNESP. It was analyzed the vertical, anteroposterior and transversal relationships of the casts models of 388 children by two previous calibrated examiners. The results were analyzed by descriptive statistics and it was found higher prevalence of occlusal deviations in the vertical direction, followed by the sagital dimension and in lower prevalence of the transverse direction.

Avaliação das alterações dentárias e esqueléticas induzidas pelo uso do aparelho de Herbst no tratamento da classe II na dentadura mista: Revisão sistemática

Objective: evaluate the immediate dental and skeletal changes induced by the Herbst appliance on early treatment of Angle´s Class II malocclusion. Material and Method: several electronic databases such as Scopus, Pub Med, Medline, Cochrane Library, Lilacs and Scielo were searched. The abstracts that fullfilled the selection criteria were selected and those that did not provide enough information about these criteria were selected but the final decision of including them or not on the research, was taken after the complete reading of the article. The selection criteria were: clinical studies with Class II individuals, both male and female, with initial age of 7 to 10 years, treated with the Herbst appliance that analysed the dental and/or skeletal changes evaluated on lateral cephalometric radiographs; researches where the treatment performed did not involve extractions or surgical interventions; studies that included patients without syndromes or health concerns and articles published in English or Portuguese. Results and Conclusions: five articles were selected. The articles showed that significant changes happened in the mandibular sagittal lenght, on facial convexity angle, on maxillo-mandibular relationship, on retroclination of the upper incisors and on distal movement of the upper molars, on proclination of the lower incisors and on extrusion of the lower molars. The appliance exerted a limited effect on the anterior relocation of the maxillary complex and on facial heights. However, more studies about the performance of the Herbst appliance on early treatment of Class II are needed.

Tratamiento de la deformidad facial causada por la hiperplasia condilar: relato de caso

The condylar hyperplasia is an acquired development anomaly, rare, characterized by an excessive and progressive growing, affecting neck, condilar head, body and the mandible bough, provoking an important facial asymmetry. In the article we present a case of male patient, 22-years-old, reclaiming of painful sintomatology in the region of temporomandibular joint and severe facial asymmetry. It was instituted an orthodontic-surgical treatment by means of orthognathic combined surgery and high condilectomy. After six years of post-surgical controlling, the patient is now in a good shape, without recurrence of facial asymmetry and condylar hyperplasia.

Treatment of severe facial asymmetry secondary to osteochondroma of the mandibular condyle: case report

Osteochondroma (OC) is the most common benign tumor of long bones. However it is rarely found in the facial skeleton, being the coronoid process and mandibular condyle the most affected sites in this region. It basically consists in bone growth covered by cartilage. The etiology is still controversial: neoplastic, developmental, reparative and traumatic origins have been discussed in literature. The treatments of these lesions include total condylectomy or local resection of the lesion. This paper aims to report a case of a patient with history of trauma and possible fracture of the mandibular condyle in childhood, which in youth developed dentofacial deformity with severe facial asymmetry. The treatment consisted of resection of lesion both with maxillary and mandibular osteotomies associated with graft from the iliac crest bone. Actually, the patient is with a favorable aesthetic, without functional deficit and absence of lesion’s recurrence.

Estudo anatomico da posição do forame mandibular e da língula em mandíbulas secas

Purpose: The authors tried to verify the anatomic location of the mandibular foramen and língula in dry jaws regarding the anterior and posterior border of the mandible and the incisure, alveolar border and mandibular base, in order to correlate the data with the sagittal split ramus osteotomy. Methods: There were evaluated 44 mandibles (88 sides) from the Morphology Department of the Araraquara Dental School of the São Paulo University (UNESP). The distances measured were previously deter - mined according to the figures presented in this article and were done by the use of a sliding caliper (Brow & Sharpe Digit-Cal Plus), with the mandibles positioned over a Erickson table, and the distan - ces were always measured in millimeters. Results: The pre-determined points and distances founded were X=17,67; Y=14,35; W=20,96 and Z=21,89 for the mandibular foramen, and the relationship between this anatomical structure and the língula shows that the mandibular foramen is in average 5,82 mm below the língula. Conclusions: The authors conclude that the mandibular foramen is lightly posterior in comparison with the ramus mandibular center and that the língula is a very important anatomic landmark for the ramus surgeries as well the knowledge of the distance between it and the mandibular foramen entrance.

Lateral cephalometric diagnosis of asymmetry in Angle Class II subdivision compared to Class I and II

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Modulação autonômica cardíaca após exercícios com haste oscilatória em ambos os sexos

Pós-graduação em Fisioterapia - FCT

Desempenho perceptivo-auditivo de crianças na identificação de contrastes fonológicos entre as oclusivas

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