Treinamento resistido com tubos elásticos versus aparelhos de musculação em adultos aparentemente saudáveis insuficientemente ativos e em pacientes com DPOC

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

Resposta metabólica e inflamatória em exercício aeróbio moderado contínuo e intermitente de alta intensidade com volume equalizado

Pós-graduação em Fisioterapia - FCT

Efeitos da associação dos tratamentos de crioterapia e ultrassom terapêutico na reparação da lesão muscular de ratos wistar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Efeitos do treinamento resistido e do destreinamento na inflamação e expressão de genes do metabolismo muscular e tecido adiposo de ratos alimentados por dieta hiperlipídica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Mensurando níveis de atividade física e seu impacto na qualidade do sono e na dor lombar

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

Dor femoropatelar: uma contribuição considerando aspectos da dor e sua influência em parâmetros eletromiográficos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Fatores de risco relacionados à perda de produtividade laboral e aumento dos custos ambulatoriais de pacientes atendidos por unidades básicas de saúde

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

Modulação autonômica cardíaca de mulheres pós cirurgia de câncer de mama

Pós-graduação em Fisioterapia - FCT

Efeitos do treinamento aeróbio intervalado periodizado sobre os parâmetros antropométricos, bioquímicos e clínicos em portadores de síndrome metabólica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Concepção de um dispositivo fisioterápico: parapodium mecanizado

This paper presents a proposal to redesign a physical therapy device for patients with quadriplegia, called parapodium. With the help of the Association of Parents and Exceptional Friends of Guaratinguetá, it was possible to know the currently used device and from this it was conceived changes, allowing the increase of freedom of its central portion, in the down and across positions with mechanical drive . This adaptation is to introduce improvements in the routine of physical therapy professionals and reduce ergonomic problems resulting from repetitive strain during the transfer of patients to the parapodium. In addition to providing greater security for patients who require the use of this equipment. The proposed device comprises: wheel, gearbox and brake systems used for actuation, allowing a degree of turning of the rear post, along an axis which is fixed to the gearbox and the rear structure that permits posterior movement. The mechanism allows the rear post rotate from 0 ° to 90 °. The estimated cost to make the proposal is lower than the marketed parapodiuns, reaching the device's functional expectations

Concepção de um dispositivo fisioterápico: parapodium mecanizado

This paper presents a proposal to redesign a physical therapy device for patients with quadriplegia, called parapodium. With the help of the Association of Parents and Exceptional Friends of Guaratinguetá, it was possible to know the currently used device and from this it was conceived changes, allowing the increase of freedom of its central portion, in the down and across positions with mechanical drive . This adaptation is to introduce improvements in the routine of physical therapy professionals and reduce ergonomic problems resulting from repetitive strain during the transfer of patients to the parapodium. In addition to providing greater security for patients who require the use of this equipment. The proposed device comprises: wheel, gearbox and brake systems used for actuation, allowing a degree of turning of the rear post, along an axis which is fixed to the gearbox and the rear structure that permits posterior movement. The mechanism allows the rear post rotate from 0 ° to 90 °. The estimated cost to make the proposal is lower than the marketed parapodiuns, reaching the device's functional expectations

Do muscle strengthening exercises improve performance in the 6-minute walk test in postmenopausal women?

Background: Walking speed seems to be related to aerobic capacity, lower limb strength, and functional mobility, however it is not clear whether there is a direct relationship between improvement in muscle strength and gait performance in early postmenopausal women. Objective: To evaluate the effect of muscle strengthening exercises on the performance of the 6-minute walk test in women within 5 years of menopause. Methods: The women were randomized into control group (n=31), which performed no exercise, and exercise group (n=27), which performed muscle strengthening exercises. The exercises were performed twice a week for 3 months. The exercise protocol consisted of warm-up, stretching, and strengthening of the quadriceps, hamstring, calf, tibialis anterior, gluteus maximus, and abdominal muscles, followed by relaxation. Muscular strength training started with 60% of 1MR (2 series of 10-15 repetitions), reaching 85% until the end of the 3-month period (4 series of 6 repetitions each). Results: The between-group comparisons pre- and post-intervention did not show any difference in distance walked, heart rate or blood pressure (p>0.05), but showed differences in muscle strength post-intervention, with the exercise group showing greater strength (p<0.05). In the within-group comparison, there were differences in final heart rate and quadriceps and hamstring strength pre- and post-intervention in the exercise group (p<0.05). Conclusion: The results suggest that muscle strengthening of the lower limbs did not improve performance in the 6-minute walk test in this population of postmenopausal women. Trial registration ACTRN12609001053213.

Fotogrametria na identificação de assimetrias posturais em cadetes e pilotos da academia da força aérea brasileira

Objective: To identify whether flight training activities cause postural changes in cadets and pilots of the Brazilian Air Force Academy (AFA). Methods: Eighty subjects were assessed through photographic images in anterior and right side views. Four groups of cadets (n=20 per group) divided according to the year since enlistment and a fifth group of fifteen pilots from the Air Demonstration Squadron (ADS) were included. Pictures were analyzed using the Postural Analysis Program (SAPO) and angles related to head vertical alignment (HVA), head horizontal alignment (HHA), acromion horizontal alignment (AHA) and anterior-superior iliac spine horizontal alignment (HAS) were plotted. Results: We did not find statistical significant differences in the angles: HVA, HHA and AHA. However, a significant difference was found for the HAS angle with pilots having lower values than cadets, suggesting greater postural stability for this variable in pilots. Conclusion: The horizontal alignment of the anterior-superior iliac spine was the only measure that showed significant difference in the comparison between pilots and cadets. The remaining alignments were not different, possibility because of the strict criteria used for admission of cadets at the AFA and the efficiency of the physical training that is performed periodically.

Low pressure support changes the rapid shallow breathing index (RSBI) in critically ill patients on mechanical ventilation

Background: The rapid shallow breathing index (RSBI) is the most widely used index within intensive care units as a predictor of the outcome of weaning, but differences in measurement techniques have generated doubts about its predictive value. Objective: To investigate the influence of low levels of pressure support (PS) on the RSBI value of ill patients. Method: Prospective study including 30 patients on mechanical ventilation (MV) for 72 hours or more, ready for extubation. Prior to extubation, the RSBI was measured with the patient connected to the ventilator (Drager (TM) Evita XL) and receiving pressure support ventilation (PSV) and 5 cmH(2)O of positive end expiratory pressure or PEEP (RSBI_MIN) and then disconnected from the VM and connected to a Wright spirometer in which respiratory rate and exhaled tidal volume were recorded for 1 min (RSBI_ESP). Patients were divided into groups according to the outcome: successful extubation group (SG) and failed extubation group (FG). Results: Of the 30 patients, 11 (37%) failed the extubation process. In the within-group comparison (RSBI_MIN versus RSBI_ESP), the values for RSBI_MIN were lower in both groups: SG (34.79 +/- 4.67 and 60.95 +/- 24.64) and FG (38.64 +/- 12.31 and 80.09 +/- 20.71; p<0.05). In the between-group comparison, there was no difference in RSBI_MIN (34.79 +/- 14.67 and 38.64 +/- 12.31), however RSBI_ESP was higher in patients with extubation failure: SG (60.95 +/- 24.64) and FG (80.09 +/- 20.71; p<0.05). Conclusion: In critically ill patients on MV for more than 72h, low levels of PS overestimate the RSBI, and the index needs to be measured with the patient breathing spontaneously without the aid of pressure support.

Changes in FDB and soleus muscle activity after a train of stimuli during upright stance

Background: Evidence of self-sustained muscle activation following a brief electrical stimulation has been reported in the literature for certain muscles. Objectives: This report shows that the foot muscle (Flexor Digitorum Brevis - FDB) shows a self-sustained increase in muscle activity during upright stance in some subjects following a train of stimuli to the tibial nerve. Methods: Healthy subjects were requested to stand upright and surface EMG electrodes were placed on the FDB, Soleus and Tibialis Anterior muscles. After background muscle activity (BGA) acquisition, a 50 Hz train of stimuli was applied to the tibial nerve at the popliteal fossa. The root mean square values (RMS) of the BGA and the post-stimulus muscle activation were computed. Results: There was a 13.8% average increase in the FDB muscle EMG amplitude with respect to BGA after the stimulation was turned off. The corresponding post-stimulus Soleus EMG activity decreased by an average of 9.2%. We hypothesize that the sustained contraction observed in the FDB following stimulus may be evidence of persistent inward currents (PIC) generated in FDB spinal motoneurons. The post-stimulus decrease in soleus activity may have occurred due to the action of inhibitory interneurons caused by the PICs, which were triggered by the stimulus train. Conclusions: These sustained post-stimulation changes in postural muscle activity, found in different levels in different subjects, may be part of a set of possible responses that contribute to overall postural control.