Navegando por Palavras-chave "escoliose"

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    Alterações posturais e dores musculoesqueléticas
    (Universidade Federal de São Paulo (UNIFESP), 2005-11-30) Faria, Ivan Barreira Cheida [UNIFESP]; Simões, Manuel de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Background: Good posture is the one that best fits our musculoskeletal system, balancing and distributing all the effort of our daily activities, encouraging the lowest overhead and helping to prevent pain. Objective: The purpose of this study was to verify the presence of musculoskeletal pain and postural deviations according to age and gender of visitors from the beaches of Santos and Guaruja cities. Methods: We evaluated 2394 subjects from 5 years of age being 43.27% males and 56.73% female. To determine the postural deviations and musculoskeletal pain were carried out data collection and assessment posture. Results: The total prevalence of pain and postural deviations were 64.66% and 63.28% respectively. The most affected area by pain was the backbone with 43.98% of the complaints, in which 17.04% of subjects evaluated cited as the lumbar region most affected. As for postural changes, the misalignment with scoliosis was the largest representation with 64.66%, followed by lumbar hyperlordosis with 38.18% and 30.03% with hyperkyphosis. Conclusion: It was concluded that the postural deviations and musculoskeletal pain have high prevalence among evaluated, especially in women and aged between 41 and 60 years, necessitating the implementation of programs aimed at prevention and correction of such findings.
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    Avaliação da capacidade de exercício de pacientes com escoliose idiopática do adolescente pelo incremental shuttle walk test
    (Universidade Federal de São Paulo (UNIFESP), 2013-02-27) Sperandio, Evandro Fornias [UNIFESP]; Dourado, Victor Zuniga [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Although the exercise limitation of patients with adolescent idiopathic scoliosis (AIS) has been described in cardiopulmonary exercise testing, there is scarce information about the todal distance traveled and physiological responses related to the incremental shuttle-walk test (ISWT) in these patients. Objective: To evaluate the total distance traveled (ISWD) and physiological responses to the ISWT in patients with AIS and in healthy adolescents. We also evaluated the respiratory muscle strength and pulmonary function of the participants. Methods: Twenty-nine adolescents with EIA (Cobb angle = 40 ± 13o) and 20 healthy adolescents aged between 10 and 18 years performed two ISWT. During the second test, oxygen uptake (VO2), CO2 production (VCO2), ventilation (VE) and heart rate (HR) were monitored using a telemetric gas analyzer. The submaximal relationshps ΔVO2/Δwalking velocity, ΔHR/ΔVO2, ΔVE/ΔVCO2, and linearized Δtidal volume (VT)/ΔVE (ΔVT/ΔlnVE) were evaluated by linear regressions, representing respectively aerobic, cardiovascular and respiratory eficiencies, and breathing pattern. Maximal inspiratory (MIP) and expiratory (MEP) pressures, forced expiratory volume in the first second (FEV1), forced vital capacity (FVC) and FEV1/FVC were also evaluated. Results: Patients with AIS showed ISWD (498 ± 144 m), peak VO2 [median (interquartile range), 25 (21-27) mL/min/kg] and VE (43 ± 16 L / min) significantly reduced at the end of the ISWT compared to control participants [respectively 604 ± 85 m, 28 (24-33) ml/min/kg and 52 ± 14L/min). Patients with AIS showed significantly worse respiratory pattern during ISWT (ΔVT/ΔlnVE: 0.32 ± 12 vs. 0.45 ± 16). In patients, peak VO2 correlated significantly with ISWD (r = 0.80), FVC (r = 0.78), FEV1 (r = 0.73) and ΔVT/ΔlnVE (r = 0.58). The MIP, MEP, FVC and FEV1 were also significantly lower in patients [(respectively, 54 ± 19 vs. 78 ± 25 cmH2O, 50 (37-62) vs. 80 (60-85) cmH2O; 2.77 (2.48 to 3.17) vs. 3.33 (3.16 to 3.81) L and 2.51 ± 0.68 vs. 2.94 ± 0.66 L)]. Conclusion: Patients with AIS showed a significant reduction of functional exercise capacity associated with reduced pulmonary function. The ISWT was able to quantify this impairment. There was no influence of severity of scoliosis on functional exercise limitation. Our results suggest that walking-based aerobic exercises should be encouraged in patients with AIS.