Navegando por Palavras-chave "amplitude de movimento articular"
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- ItemAcesso aberto (Open Access)Incidência da escápula alada e morbidade dos membros superiores de pacientes no pós-operatório do tratamento do câncer de mama com abordagem axilar(Universidade Federal de São Paulo (UNIFESP), 2015-02-28) Rizzi, Samantha Karlla Lopes de Almeida [UNIFESP]; Facina, Gil [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The incidence of winged scapula was 8.03% after 15 days of surgery breast cancer with axillary approach. After six months postoperatively the prevalence dropped to 3.27%. 2) The scapular winging was associated with higher frequency of lymphadenectomy Axillary (22.58%) compared to the sentinel lymph node biopsy (2.86%). There was no significant difference in the incidence of different types of breast surgery. 3) dyskinesia scapula increased, mainly from three months surgery. 4) The presence of scapular asymmetry did not change over six months postoperative, or had no relation to the appearance of winged scapula or increased dyskinesia scapula after surgery. 5) There was a decrease in the amplitude of flexion, adduction, abduction and shoulder external rotation postoperative recovery and amplitude average of all movements during the six months post-surgery. 6) The increased pain after surgery, but remained low throughout the follow-up and six months after surgery showed no difference when compared to the preoperative phase. 7) The scapular winging was associated with greater morbidity for shoulder the movements of flexion, abduction and adduction, no difference to ache.
- ItemAcesso aberto (Open Access)Índices de confiabilidade da análise do ângulo poplíteo através da biofotogrametria(Sociedade Brasileira de Medicina do Exercício e do Esporte, 2014-12-01) Duarte, Ricardo B.; Romanatti, Sandro V.; Gongora, Hélcio; Antonietti, Leandro Stetner; Pires, Leonardo; Cohen, Moises [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction:The assessment and objective measurement of joint range of motion are of fundamental importance for the diagnosis, planning and monitoring treatment. With the advancement of technology, photogrammetry is beginning to be used with greater frequency in the physical therapy practice, measuring the amount of joint motion. The popliteal angle was chosen because it provides an indirect measure of flexibility of the hamstring muscles. The retraction of the hamstrings can result in significant postural problems and produce a continuous posterior tilt of the pelvis, affecting the gait and sports movements, as well as causing muscle or joint pain.Objectives:To confirm the reliability intra- and inter-examiner analysis of popliteal angle through computerized photogrammetry using the Postural Assessment Software (SAPO), to establish the repeatability and reproducibility of the method.Methods:Twenty-three patients (46 knees) were evaluated. Volunteers were positioned supine with hip and knee of the evaluated leg flexed at 90 degrees, keeping the contralateral limb in extension. Next, the knee of the tested limb was passively extended until the point at which the first resistance to stretching was perceived. At this point, the popliteal angle was recorded. Statistical analysis of inter- and intra-examiner reliability was determined by the results of the coefficient of intra-class correlation (ICC) of types 1.1 and 3.1 in the Pearson correlation test, considering a significance level of p<0.05.Results:The measurement of the popliteal angle by photogrammetry showed strong intra-examiner reliability (ICC=0.786) and very strong inter-examiner reliability (ICC=0.920).Conclusion:The photogrammetry is an appropriate method for the evaluation of the popliteal angle since the coefficient of intra-class correlation and intra and inter- examiners reached strong and very strong levels, respectively, confirming the reproducibility and repeatability of this assessment technique.