944 resultados para Joints.


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

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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OBJETIVO: Avaliar a qualidade de vida e sua associação com a atividade física nos diferentes contextos da vida diária de pacientes com osteoartrite (OA) encaminhados pelas unidades básicas de saúde para um serviço universitário. MÉTODOS: Estudo transversal, série de casos, em que a atividade física foi avaliada pelo International Physical Activity Questionnaire (IPAQ) e a qualidade de vida foi avaliada pelos questionários Medical Outcomes Study 36 Short-Form Health Survey (SF-36), Western Ontario and McMaster Universities Index (WOMAC) e Australian/Canadian Osteoarthritis Hand Index (AUSCAN). Para verificação da intensidade da dor, utilizou-se também a Escala Visual Analógica (EVA). RESULTADOS: Foram incluídos 100 pacientes (92 mulheres e oito homens), com média de idade de 59,9 ± 9,4 anos. As articulações mais comprometidas foram joelhos e mãos. Dez pacientes tinham comprometimento de uma única articulação, 69 de duas, oito de três e 13 de quatro. O IPAQ demonstrou que 70 pacientes eram ativos ou muito ativos e 30 eram insuficientemente ativos ou sedentários. A atividade física associou-se positivamente aos domínios do SF-36, que avaliam a saúde física (capacidade funcional, aspectos físicos, dor, estado geral da saúde). Houve associação entre atividade física e qualidade de vida quando avaliada pelo WOMAC, e quanto mais intensa a dor, pior a qualidade de vida. CONCLUSÃO: Nessa população, a maioria dos pacientes apresenta piora dos aspectos físicos da qualidade de vida, mas mantém as atividades físicas cotidianas.

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OBJETIVO: Este trabalho teve como objetivo estimar as forças plantares nos dedos dos pés de mulheres com hálux valgo e/ou pés planos. MÉTODOS: Trata-se de um estudo transversal envolvendo mulheres com hálux valgo e/ou pés planos confirmado através de análise radiográfica. Mediram-se as forças plantares, utilizando plataformas de forças. Coletaram-se estas forças com as mulheres descalças e em posição ereta, por três medidas sendo obtida uma média. Os dados foram adquiridos através da ponte amplificadora Spider 8 da HBM e analisados através do programa Catman®. Obtiveram-se as medidas de forças dos dedos de ambos os pés e as médias foram comparadas pelo teste t de Student segundo a presença de hálux valgo e pés planos; a associação entre essas deformidades foi estimada pelo teste exato de Fischer bicaudal, a significância estatística adotada foi alfa = 5%. RESULTADOS: Foram incluídas no estudo, vinte mulheres com presença ou não de hálux valgo. As forças médias encontradas mostraram-se maiores no 5º dedo em relação ao 1º dedo de ambos os pés (p< 0,05) em ambas as situações. CONCLUSÃO: Neste estudo encontraram-se, ao contrário de outros trabalhos, forças no 5º dedo maiores que no 1º em ambos os pés.

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Objetivou-se neste estudo verificar radiográfica e morfologicamente a existência de comunicação entre a bolsa do osso navicular (BN) e a articulação interfalangeana distal (AID), estabelecendo sua freqüência, sua forma e identificação das estruturas anatômicas envolvidas no processo. Para tanto, foram utilizados membros torácicos e pélvicos de 16 animais vivos, sendo 8 animais jovens e 8 animais adultos. Contraste iodado era injetado na BN dos membros direitos e na AID dos membros esquerdos. em seguida, realizavam-se radiografias em projeções látero-medial ou médio-lateral, dorsopalmar ou dorsoplantar, para a constatação de possível comunicação entre as estruturas em questão, que, posteriormente, seriam identificadas por meio da técnica de dissecação. Não foram observadas comunicações entre as estruturas em questão ou qualquer outra na porção distal dos membros, porém, em dois membros torácicos, constataram-se variações morfológicas nas extremidades laterais da BN, caracterizadas por projeções que se estendiam até o terço proximal da falange média, sendo mais pronunciada na face lateral que na medial.

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Objetivou-se neste estudo verificar anatômica e radiograficamente a existência de comunicação entre a bolsa do osso navicular (BN) e a articulação interfalangeana distal (AID), estabelecendo sua freqüência e forma e identificando as estruturas anatômicas envolvidas no processo. Desta forma, foram utilizadas 140 peças anatômicas de membros torácicos e pélvicos de eqüinos. Com o auxílio de fluoroscópio, foi injetada uma mistura de contraste iodado, Neoprene látex e corante na BN dos membros direito e na AID dos membros esquerdos, com subseqüentes exposições radiográficas. Constatadas comunicações, identificavam-se as estruturas e os locais envolvidos, mediante técnica de dissecação. Verificou-se, em duas observações, comunicação entre a BN e a AID, após injeção de contraste iodado, látex e corante na bolsa do osso navicular, sendo um no membro torácico direito (MTD) e outro no membro pélvico direito (MPD). Comunicação entre a AID e a bainha do tendão do músculo flexor profundo do dedo (BTMFPD) ocorreu em uma peça, pertencente ao membro torácico esquerdo (MTE). Comunicação entre a BN e a BTMFPD foi observada na peça de um membro torácico direito. Variações morfológicas nas extremidades laterais da BN, constituindo projeções que se estendiam até o terço proximal da falange média, sendo mais pronunciada na face lateral do que na medial, ocorreram em cinco membros. Mediante a administração de contraste iodado, látex e corante na AID, nenhuma comunicação foi observada entre a AID e a BN.

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O trabalho foi conduzido no Setor de Ovinocultura do Departamento de Zootecnia da UFLA, em Lavras, com o objetivo de estudar o crescimento alométrico dos tecidos ósseo, muscular e adiposo dos cortes comerciais em cordeiros. Foram utilizados 24 cordeiros machos inteiros da raça Santa Inês. Os animais foram submetidos a regime de confinamento e receberam alimentação ad libitum. O abate ocorreu quando os animais atingiram os pesos vivos de 15, 25, 35 e 45 kg. Após a carcaça ter sido limpa e resfriada, foram obtidos os cortes comerciais a partir da meia carcaça esquerda. A quantidade dos diferentes tecidos foram obtidos por intermédio da dissecação de perna, lombo, costeleta, costela/ fralda e paleta. O estudo do desenvolvimento relativo da composição tecidual foi feito por meio do modelo de HUXLEY (1932). Constatou-se crescimento heterogônico negativo (b < 1) para o tecido ósseo e heterogônico positivo (b > 1) para o tecido adiposo de todos os cortes. Quanto ao tipo de crescimento do tecido muscular da costela/fralda e paleta, foi verificado crescimento isogônico (b=1) deste tecido em relação aos cortes.

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In this study we investigated the hypothesis that the simple set of rules used to explain the modulation of muscle activities during single-joint movements could also be applied for reversal movements of the shoulder and elbow joints. The muscle torques of both joints were characterized by a triphasic impulse. The first impulse of each joint accelerated the limb to the target and was generated by an initial burst of the muscles activated first (primary mover). The second impulse decelerated the limb to the target, reversed movement direction and accelerated the limb back to the initial position, and was generated by an initial burst of the muscles activated second (secondary movers). A third impulse, in each joint, decelerated the limb to the initial position due to the generation of a second burst of the primary movers. The first burst of the primary mover decreased abruptly, and the latency between the activation of the primary and secondary movers varied in proportion with target distances for the elbow, but not for the shoulder muscles. All impulses and bursts increased with target distances and were well coupled. Therefore, as predicted, the bursts of muscle activities were modulated to generate the appropriate level of muscle torque. (C) 2005 Elsevier Ltd. All rights reserved.

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The study of the influence of motion and initial intra-articular pressure (IAP) on intra-articular pressure profiles in equine cadaver metatarsophalangeal (MTP) joints was undertaken as a prelude to in vivo studies, Eleven equine cadaver MTP joints were submitted to 2 motion frequencies of 5 and 10 cycles/min of flexion and extension, simulating the condition of lower and higher (double) rates of passive motion. These frequencies were applied and pressure profiles generated with initial normal intra-articular pressure (-5 mmHg) and subsequently 30 mmHg intra-articular pressure obtained by injection of previously harvested synovial fluid.The 4 trials performed were 1) normal IAP; 5 cyles/min; 2) normal IAP; 10 cycles/min; 3) IAP at 30 mmHg; 5 cycles/min and 4) IAP at 30 mmHg; 10 cycles/min. The range of joint motion applied (mean +/- s.e.) was 67.6 +/- 1.61 degrees with an excursion from 12.2 +/- 1.2 degrees in extension to 56.2 +/- 2.6 degrees in flexion, Mean pressure recorded in mmHg for the first and last min of each trial, respectively, were 1) -5.7 +/- 0.9 and -6.3 +/- 1.1; 2) -5.3 +/- 1.1 and -6.2 +/- 1.1; 3) 58.8 +/- 8.0 and 42.3 +/- 7.2; 4) 56.6 +/- 3.7 and 40.3 +/- 4.6. Statistical analyses showed a trend for difference between the values for the first and last minute in trial 3 (0.05>P<0.1) with P = 0.1 and significant difference (P = 0.02) between the mean IAP of the first and last min in trial 4. The loss of intra-articular pressure associated with time and motion was 10.5, 16.9, 28.1 and 28.9% for trials 1-4, respectively. As initial intraarticular pressure and motion increased, the percent loss of intra-articular pressure increased.The angle of lowest pressure was 12.2 +/- 1.2 (mean +/- s.e.) in extension in trials 1 and 2, In trials 3 and 4, the lowest pressures were obtained in flexion with the joints at 18.5 +/- 2.0 degrees (mean +/- s.e.). This demonstrated that the joint angle of least pressure changed as the initial intra-articular pressure changed and there would not be a single angle of least pressure for a given joint.The volume of synovial fluid recovered from the MTP joints in trial 3 compared to 4 (trials in which fluid was injected to attain IAP of 30 mmHg) was not significantly different, supporting a soft tissue compliance change as a cause for the significant loss of intra-articular pressure during the 15 min of trial 4.The pressure profiles generated correlate well with in vivo values and demonstrated consistent pressure profiles. Our conclusions are summarised as follows:1. Clinically normal equine MTP joints which were frozen and then later thawed were found to have mostly negative baseline intra-articular pressures, as would be expected in living subjects,2. Alternate pressure profiles of the dorsal and plantar pouch at baseline intra-articular pressure document the presence of pressure forces that would support 'back and forth' fluid movement between joint compartments. This should result in movement of joint fluid during motion, assisting in lubrication and nutrition of articular cartilage,3. If joint pressure was initially greater than normal (30 mmHg), as occurs in diseased equine MTP joints, joint motion further increased joint capsule relaxation (compliance) and, therefore, reduced intra-articular pressure.4. Peak intra-articular pressures reached extremely high values (often >100 mmHg) in flexion when initial pressure was 30 mmHg. Joint effusion pressures recorded for clinical MCP joints are frequently 30 mmHg. These IAP values are expected to produce intermittent synovial ischaemia in clinical cases during joint flexion.5, Additional in vivo studies are necessary to confirm our conclusions from this study and to identify the contributions of fluid absorption and the presence of ischaemia in a vascularised joint.

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Welding in the dentistry has been used for great part of the specialized dentist-surgeons in the implants area to solve prosthesis supported by implant adaptation problems. The development of new equipments Laser and TIG allowed a larger use of these processes in the prosthesis production. In this work, it was studied welded joints made by Laser and TIG, using commercial purity titanium, cpTi, applied in prosthesis supported by implants. The weld characterizations were carried out by light microscopy, EDS_elementary mapping, microhardness and tensile test. Through metallographic characterization, the weld bead presented a martensitic microstructure in the Laser welding process, originated from shear provoked by deformations in the lattice. This caused structural changes of the transformed area, which determines a fine plate-like morphology. In the weld bead from TIG, besides presenting higher hardness, was observed formation of Widmansttaten structure, which is characteristic of a geometric model, resulted of new phase formation along of the crystallographic plans. The martensitic structure is more refined than Widmansttaten structure, due to the high-speed cooling (10(3)degrees C/s) imposed by the Laser process.

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This paper presents a non-model based technique to detect and locate structural damage with the use of artificial neural networks. This method utilizes high frequency structural excitation (typically greater than 30 kHz) through a surface-bonded piezoelectric sensor/actuator to detect changes in structural point impedance due to the presence of damage. Two sets of artificial neural networks were developed in order to detect, locate and characterize structural damage by examining changes in the measured impedance curves. A simulation beam model was developed to verify the proposed method. An experiment was successfully performed in detecting damage on a 4-bay structure with bolted-joints, where the bolts were progressively released.

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Statistical methods of multiple regression analysis, trend surface analysis and principal components analysis were applied to seismographic data recorded during production blasting at a diabase quarry in the urban area of Campinas (SP), Brazil. The purpose of these analyses was to determine the influence of the following variables: distance (D), charge weight per delay (W), and scaled distance (SD) associated with properties of the rock body (orientation, frequency and angle of geological discontinuities; depth of bedrock and thickness of the soil overburden) in the variation of the peak particle velocity (PPV). This approach yielded variables with larger influences (loads) on the variation of ground vibration, as well as behavior and space tendency of this variation. The results showed a better relationship between PPV and D, with D being the most important factor in the attenuation of the ground vibrations. The geological joints and the depth to bedrock have a larger influence than the explosive charges in the variation of the vibration levels, but frequencies appear to be more influenced by the amount of soil overburden.

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Some tendons wrap around joints and receive compressive forces besides transferring the tension forces from muscle to bone. These tendons develop a fibrocartilaginous structure which enables them to withstand pressure. This article describes the existence and distribution of microfibrils (or preelastic fibers) in the pressure-bearing tendons of rabbits and dogs by the application of histochemical assays and transmission electron microscopy. Rabbit and dog tendons possess no mature elastic fibers. The rabbit tendon exhibits some response to Weigert's method prior to oxidation which indicates the existence of the so-called elaunin fibers, especially in the pressure zone. Oxidation with peracetic acid or oxone discloses intricate aspects of the oxytalan fiber distribution in both tension and pressure zones of the dog and rabbit tendons. Bundles of 12 nm microfibrils were demonstrated in the rabbit tendon by electron microscopy after fixation in the presence of tannic acid. The existence of preelastic fibers in the pressure-bearing tendons has been neglected and they are assumed to have importance in the microarchitecture of the tissue and in the ability of the tendon to support tension and compression forces.

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This work focuses on the dynamic modeling of a flexible robotic manipulator with two flexible links and two revolute joints, which rotates in the horizontal plane. The dynamic equations are derived using the Newton-Euler formulation and the finite element method, based on elementary beam theory. Computer simulation results are presented to illustrate this study. The dynamic model becomes necessary for use in future design and control applications.

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The paper evaluates the applicability of products of remote sensing in studies related to the structural conditionings of slope stability in saprolites, usually conducted through field surveys. In this article we use a regional approach concentrating on an area of lane duplication of a major highway. In that area, resistance reduction to stress and the low cohesions of muscovite saprolites - schists and gneiss which are associated to geological discontinuities, all result in inumerous instabilities. The joints and foliations were extracted from satellite images as well as aerial photographs. Following that, the study area was divided into various sectors based on the directions and dips of the foliation. Different relationships between the structures and the slopes were analyzed in order to indicate the most feasible type of slope failure in each sector of analysis. The aim of the study is to subsidize further detailed future research.