Eletromiografia de superfície da musculatura supra-hióidea durante a deglutição de idosos sem doenças neurológicas e idosos com Parkinson

OBJETIVO: investigar as diferenças entre os achados eletromiográficos dos músculos supra-hióideos direito e esquerdo durante a deglutição de um líquido e um pastoso fino, em sujeitos idosos com doença de Parkinson e idosos sem doença neurológica. MÉTODOS: 30 sujeitos de ambos os sexos participaram deste estudo, 15 idosos sem doença neurológica e os demais com doença de Parkinson. Todos foram submetidos a um protocolo de avaliação clínica e avaliação eletromiográfica de superfície. RESULTADOS: foram constatadas diferenças significantes nos valores entre os sujeitos (f=14.4 e p= 0.000) e entre os lados (f=4.4 e p=0.0037). em relação ao tempo de duração da contração muscular durante a deglutição as diferenças foram significantes apenas entre as consistências (f=8.2 e p=0.005). CONCLUSÃO: a amplitude eletromiográfica foi menor nos sujeitos com doença de Parkinson e maior nos músculos supra-hiódeos do lado direito em ambos os grupos. A duração da contração muscular não diferiu significativamente entre os sujeitos com doença de Parkinson e idosos sem doença neurológica e foi menor para a consistência líquida.

Torque, myoeletric sygnal and heart rate responses during concentric and eccentric exercises in older men

Background: The literature reports that the eccentric muscular action produces greater force and lower myoelectric activity than the concentric muscular action, while the heart rate (HR) responses are bigger during concentric contraction. Objectives: To investigate the maximum average torque (MAT), surface electromyographic (SEMG) and the heart rate (HR) responses during different types of muscular contraction and angular velocities in older men. Methods: Twelve healthy men (61.7 +/- 1.6years) performed concentric (C) and eccentric (E) isokinetic knee extension-flexion at 60 degrees/s and 120 degrees/s. SEMG activity was recorded from vastus lateralis muscle and normalized by Root Mean Square-RMS (mu V) of maximal isometric knee extension at 60 degrees. HR (beats/min) and was recorded at rest and throughout each contraction. The data were analyzed by the Friedman test for repeated measures with post hoc Dunn's test (p<0.05). Results: The median values of MAT (N.m/kg) was smaller and the RMS (mu V) was larger during concentric contraction (C60 degrees/s=2.80 and 0.99; C120 degrees/s=2.46 and 1.0) than eccentric (E60 degrees/s=3.94 and 0.85; E120 degrees/s=4.08 and 0.89), respectively. The HR variation was similar in the four conditions studied. Conclusion: The magnitude of MAT and RMS responses in older men were dependent of the nature of the muscular action and independent of the angular velocity, whereas HR response was not influenced by these factors.

Comparative analysis of electromyographic pattern in the forearm muscles of hemiplegic patients

It was purposed the use of electromyography (EMG) to evaluate the activation of the agonists and antagonists muscles of spastic patients, to test the viability in the development of an instrument that given quantitative data of the patient spasticity. 30 hemiplegic and 15 normal volunteers had been submitted to the EMG of flexor and extensor carpi ulnaris muscles during the flexion and extension movements of the wrist. The individuals with less severe spasticity (mAS (modified Ashworth Scale) ringing 0 to 3 degree), had presented deficit in the activation of the flexor muscles in plegic side in relation to the non plegic side and that the individuals seriously compromised by the spasticity (mAS = 4 degree) present deficit of reciprocal inhibition. One evidenced is that the non plegic member does not present a similar neuro-motor comportment when compared to the normal member. The surface electromyography is a practical clinical instrument to evaluate the patient with spasticity and the hemiplegic patient needs to be evaluated on both sides (deficient and no deficient) because the no compromised side do not show a normality standard.

Behavior analysis of electromyographic activity of the masseter muscle in sleep bruxers

The effects of occlusal splint on the electric activity of masseter were studied in 15 women who presented sleep bruxism using surface electromyography. Sleep bruxism was defined by its clinical characteristics. The signal acquisition was done during mandible occlusion without clenching and maximum voluntary contraction in two situations. The first was after a workday without using the occlusal splint; and the second, after a sleeping night using occlusal splints. Evaluating masseter muscles during mandible occlusion without clenching, it could be observed that lower values were noticed after splint wearing in both sides. The same results were verified in maximum voluntary contraction (MVC). These results confirmed that the use of occlusal splints reduced the electromyographic activity of the right and left masseters, showing its myorelaxing effect. © 2009 Elsevier Ltd. All rights reserved.

Electromyographic analysis of masseter and anterior temporalis muscle in sleep bruxers after occlusal splint wearing

Bruxism is widely defined as an anxiety response to environmental stress. Occlusal splints are frequently used in sleep bruxism, to protect teeth from damage resulting from the contraction force of mandibular muscles, or to reduce the orofacial pain by relaxing masticatory muscles. Surface electromyography (EMG) of the right and left masseter and temporalis muscles was performed in 15 women presenting sleep bruxism and temporomandibular disorders related to occupational stress, after nocturnal use of the occlusal splint. The EMG signals were recorded twice per patient: After a work shift (pre-splint) and after a night of sleep with the occlusal splint (post-splint) before a new workday. The parametric t-paired test was used to compare differences of the RMS amplitude between pre and post-splint records, for resting and maximal clenching effort. The level of significance for each comparison was set to p < 0.05. The results of the study supports the premise that the use of occlusal splint reduces EMG activity in the masseter and anterior temporalis muscles, in patients who presented with sleep bruxism related to occupational stress. © 2011 Elsevier Ltd.

Speech therapy intervention before dental management in patients with special needs: A case report

Fragile X syndrome is a cytogenetic abnormality related to chromosomal X. This syndrome is frequently associated to intellectual disability, psychological problems, as well as heart, skeletal and join alterations. Intraoral anomalies include malloclusion, ogival palate, cleft palate, presence of mesiodens, dental hypomineralization and abrasion of the occlusal surfaces and incisai edges. The study of characteristics of this syndrome is important for the dentist in order to guide dental treatment and prevention. The aim of this study is to present a myofunctional therapy protocol, evaluated by surface electromyography. A case of a 21 year-old young man who attended the Training Program in Dentistry for Persons with Disabilities, School of Dentistry of São José dos Campos/UNESP is reported. He underwent myofunctional therapy before dental treatment and the masticatory muscles were evaluated by surface electromyography. The exercises of myofunctional therapy consisted of active and passive simple movements of opening and closing the mouth, tongue protrusion and retrusion, digital manipulation and also by using an electric massager on intraoral and perioral region of the masseter, buccinator and orbicularis oris. Action potentials of the masticatory muscles decreased in almost all the muscles and values for the bite force and mandibular opening capacity increased. This study showed that brief and immediate myofunctional therapy optimized clinical practice with positive repercussion on dental care.

Fisioterapia Aquática na Transferência do Sentado para Ortostatismo no Paciente com AVC: Relato de Caso

Introduction. Studies show that 70% of body weight in patients with stroke during the transfer from sitting to standing position is transferred to the uninvolved limb. Significantly interfering with activities of daily living. Objective. The influence of aquatic therapy on eight in the affected hemisphere during the transition from sitting to standing. Method. Participated in this study a patient with right hemiparesis, the protocol lasted eight sessions in a liquid medium. The data of activation of the gluteus muscle were collected from surface electromyography and data as the weight transfer was examined by baropodometry platform. Results. Initial electromyography (151.1uv right gluteus maximus and left gluteus maximus 229.1uv) and Final electromyography (113.6 uv right gluteus maximus and left gluteus maximus113.3uv). Evolution was 19% in weight transferin paretic hemibody compared the pre and post intervention. Conclusion. The results showed that treatment was favorable to the patient, because at the end of application of the observed activation of the gluteus maximus and improved weight-bearing, and consequently these factors interfered positively in the security and independe in transferring from sitting to standing position.

Facial pain associated with fibromyalgia can be marked by abnormal neuromuscular control: A cross-sectional study

Background. Temporomandibular disorder (TMD) development in fibromyalgia syndrome (FMS) is not yet fully understood, but altered neuromuscular control in FMS may play a role in triggering TMD. Objective. The purpose of this study was to verify the association between neuromuscular control and chronic facial pain in groups of patients with FMS and TMD. Design. A cross-sectional study was conducted. Methods. This study involved an analysis of facial pain and electromyographic activity of the masticatory muscles in patients with FMS (n=27) and TMD (n=28). All participants were evaluated according to Research Diagnostic Criteria for Temporomandibular Disorders and surface electromyography (SEMG). Myoelectric signal calculations were performed using the root mean square and median frequency of signals. Results. The data revealed premature interruption of masticatory muscle contraction in both patient groups, but a significant correlation also was found between higher median frequency values and increased facial pain. This correlation probably was related to FMS because it was not found in patients with TMD only. Facial pain and increased SEMG activity during mandibular rest also were positively correlated. Limitations. Temporal conclusions cannot be drawn from the study. Also, the study lacked a comparison group of patients with FMS without TMD as well as a control group of individuals who were healthy. Conclusions. Altered neuromuscular control in masticatory muscles may be correlated with perceived facial pain in patients with FMS. © 2013 American Physical Therapy Association.

Estudo clínico e eletromiográfico da dinâmica do sistema mastigatório em pacientes adultos com paralisia cerebral

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Sinal eletromiográfico e a identificação da fadiga muscular durante corrida em esteira: diferentes propostas de análise

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Influência da facilitação neuromuscular proprioceptiva na alteração da fibra do músculo rectus femoris vista através da eletromiografia de superfície e dinamometria analógica

A Facilitação Neuromuscular Proprioceptiva – FNP – é uma técnica que cada vez mais vem sendo utilizada no treinamento muscular de pessoas saudáveis e atletas. Pesquisas vêm mostrando que exercícios de resistência, dentre eles a FNP, são capazes de converter o tipo das fibras musculares treinadas. Esta pesquisa teve como objetivo verificar a eficiência da FNP no acréscimo de força muscular e verificar por métodos não invasivos se haveria indicativo de conversão de tipo de fibra muscular após o treinamento. Um grupo amostral de 22 jovens, universitárias do sexo feminino com idade entre 18 e 25 anos e fisicamente ativas, foi dividido em: grupo controle (GC n=10) e grupo experimental (GE n=12). Foram inicialmente mensurados: I - força da Contração Voluntária Máxima - CVM do músculo quadríceps por dinamometria analógica e root mean square - RMS e II - área de ativação muscular por eletromiografia de superfície (EMG) de todos os sujeitos. Após a primeira coleta de dados o GE realizou treinamento baseado na FNP no membro inferior dominante por 15 sessões em 5 semanas. Ao final, nova mensuração foi feita em todos. Quanto à força muscular, houve acréscimo em ambos os grupos, significativa no GC (p<0,01) e no GE (p<0,05); para RMS e tempo de CVM, houve aumento não significativo no GE, mas a interação Vxt aumentou significativamente para este grupo. Os resultados corroboram a literatura ao mostrar que músculos com predomínio de fibras resistentes (fibras I/ II A) possuem maior tempo de contração com mais ativação elétrica e de que a FNP é capaz fibras tipo II B para II A. Concluiu-se que para a amostra estudada o treinamento foi eficiente no acréscimo de força muscular e os dados EMG apresentados mostram fortes evidências da conversão das fibras do músculo treinado.

Aspectos ergonômicos do levantamento manual de carga em mulheres: relação com equação de NIOSH

Pós-graduação em Engenharia Mecânica - FEG

Atividade eletromiográfica durante exercícios de propriocepção de tornozelo em apoio unipodal

Propriocepção refere-se à percepção dos mecanorreceptores para discriminar a posição do corpo e movimentos articulares, bem como tensões sobre os tendões na fase estática ou dinâmica da marcha. Objetivou-se avaliar por eletromiografia a ativação muscular do gastrocnêmio e tibial anterior em diferentes exercícios de propriocepção do tornozelo em apoio unipodal, comparando graus de dificuldade. Foram selecionados 54 voluntários, sedentários, destros, do sexo masculino (20-35 anos). Exercícios foram feitos no balancinho, prancha de equilíbrio, cama elástica e solo, à razão de três repetições de 15 segundos cada, com intervalo de 15 segundos entre as repetições. Ao final dos testes os voluntários indicaram a maior dificuldade. A atividade elétrica de ambos os músculos foi significativamente maior durante o teste no balancinho. No solo, ambos os músculos apresentaram menor atividade, mas apenas no gastrocnêmio essa diferença foi significativa. No exercício na prancha de equilíbrio e na cama elástica não se encontrou diferença quanto à ativação dos músculos. Na análise intermúsculo foi observada maior atividade do tibial anterior, exceto no balancinho. Assim, para o treino do apoio unipodal na aquisição do ganho proprioceptivo, o equipamento adotado deve ser escolhido com cuidado: no balancinho é maior o recrutamento dos músculos tibial anterior e gastrocnêmio, assim como é maior o grau de dificuldade para manutenção do equilíbrio.

Associações entre, índices fisiológicos e fadiga neuromuscular com padrões de deslocamento e desempenho do chute de finalização no futsal

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Effect of 808 nm low-level laser therapy in exercise-induced skeletal muscle fatigue in elderly women

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)