Navegando por Palavras-chave "range of motion"
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- ItemAcesso aberto (Open Access)Avaliação do déficit de rotação medial e do encurtamento posterior do ombro em jogadores profissionais de basquetebol(Sociedade Brasileira de Medicina do Exercício e do Esporte, 2012-06-01) Nunes, Valquíria [UNIFESP]; Santos, Ricardo Vinícius dos [UNIFESP]; Wodewotzky, Fabricio [UNIFESP]; Pereira, Hugo Maxwell [UNIFESP]; Leme, Lígia [UNIFESP]; Ejnisman, Benno [UNIFESP]; Andreoli, Carlos Vicente [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Throwing is distinguished as one of the main gestures that involve the shoulder joint. Athletes who practice throwing over the head are more prone to develop lesions in the shoulder and can provide significant increase in lateral rotation (LR) and decreased medial rotation (MR). The deficit of MR is called GIRD (Glenohumeral Internal Rotation Deficit). The objective of this study was to verify the existence of changes in mobility of the glenohumeral joint in basketball professional athletes and if there is a correlation between range of motion (ROM) of MR and shoulder posterior shortening. METHOD: 19 professional basketball players were evaluated. The MR and LR shoulder were measured through goniometry and photogrammetry in addition to the test for shoulder posterior shortening. RESULTS: There were no significant differences between genders or between rotations (LR and MR) when dominant and non-dominant shoulders were compared. Concerning the shortening test, no statistically significant differences were observed either. There were no correlations between RM decrease and the test for shoulder posterior shortening. CONCLUSION: No changes in mobility of the glenohumeral joint in professional basketball athletes in this sample, or correlation between ROM of MR and shortening of the shoulder posterior shortening were found.
- ItemAcesso aberto (Open Access)Eficácia da cinesioterapia, acupuntura sistêmica e pastilhas de óxido de silício (Stiper®) na reabilitação das disfunções físico-funcionais de pacientes submetidas ao tratamento cirúrgico por câncer de mama: ensaio clínico randomizado(Universidade Federal de São Paulo, 2022-08-29) Giron, Patricia Santolia [UNIFESP]; Facina, Gil [UNIFESP]; Nazário, Afonso Celso Pinto [UNIFESP]; Haddad, Cinira Assad Simão [UNIFESP]; http://lattes.cnpq.br/0266384667983727; http://lattes.cnpq.br/5999034606911576; http://lattes.cnpq.br/1029334251705417; http://lattes.cnpq.br/3200101239429958Introdução: O tratamento do câncer de mama pode desencadear dificuldades físico-funcionais e psicológicas como dor, depressão, limitação de função do membro superior e da amplitude de movimento de ombro. A cinesioterapia é reconhecida no tratamento dessas disfunções e outra forma de tratamento é a acupuntura, porém, a maioria dos estudos avalia apenas o desfecho dor. Objetivo: Comparar a eficácia terapêutica na reabilitação de mulheres submetidas ao tratamento cirúrgico por câncer de mama em estudo prospectivo randomizado que empregou três grupos distintos de tratamento, a saber: cinesioterapia, acupuntura e Stiper®, segundo os parâmetros dor, depressão, função de membros superiores e amplitude de movimento (ADM). Métodos: Setenta e nove mulheres com dor acima de 3 na escala visual analógica de dor (EVA) e com mais de 90 dias de cirurgia foram incluídas neste ensaio clínico randomizado. Foram divididas aleatoriamente em três grupos distintos que receberam tratamento semanal, durante 10 semanas, sendo o grupo I (G1) tratado com cinesioterapia padrão, terapêutica pré-definida baseada em alongamentos da musculatura cervical, cintura escapular e exercícios para ADM de ombro com duração de 30 minutos; o grupo II (G2) foi tratado com 30 minutos de acupuntura com agulhas utilizando-se pontos pré-definidos e no grupo III (G3) empregou-se os mesmos pontos de acupuntura do grupo II, porém, utilizando- Artigos 20 se o Stiper® (pastilha de quartzo micronizado de óxido de silício) no lugar das agulhas. Resultados: Sessenta e sete pacientes completaram o tratamento, sendo 26 do G1, 23 do G2 e 18 do G3. Houve melhora estatisticamente significante da dor ao longo do tempo nos três grupos, porém, não entre os grupos. A melhora foi notada entre a primeira sessão comparada com a quinta (p < 0,001) e com a décima (p < 0,001), contudo, entre a quinta e a décima sessões não houve diferença estatisticamente significante dos níveis de dor (p = 0,624). No questionário Beck houve diferença estatisticamente significante dos sintomas depressivos ao longo do tempo nos três grupos, mas não entre os grupos. Entre a primeira sessão e a décima (p = 0,001), entre a primeira e a quinta sessão (p = 0,052), a diferença foi marginalmente não-significativa e entre quinta e a décima sessões não houve diferenças estatisticamente significante dos níveis de depressão (p=0,79). Em relação ao questionário DASH, utilizado para avaliar a capacidade funcional do membro superior, houve diferenças estatisticamente significante ao longo do tempo em todos os momentos avaliados (p<0,001) mas não entre os grupos. Em relação aos resultados da avaliação da ADM de ombro, houve diferenças estatisticamente significante ao longo do tempo em todos os movimentos avaliados. Em relação aos grupos, entretanto, não foram identificadas diferença estatisticamente significante entre eles. Conclusão: A reabilitação das disfunções físico-funcionais de mulheres sobreviventes do câncer de mama através da cinesioterapia, acupuntura e Stiper® na dor, depressão, função de membros superiores e ADM, mostrou-se eficaz, sem diferença estatisticamente significante entre os grupos, o que nos leva a concluir que a acupuntura não apresentou superioridade de resultados quando comparados com a cinesioterapia, sendo assim, uma abordagem eficaz na reabilitação dessas mulheres.
- 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.
- ItemAcesso aberto (Open Access)Influência do número de séries e tempo de alongamento estático sobre a flexibilidade dos músculos isquiotibiais em mulheres sedentárias(Soc Brasileira Med Esporte, 2009-11-01) Milazzotto, Mariana Vita; Corazzina, Luciana Gruba; Liebano, Richard Eloin [UNIFESP]; Univ Cidade Sao Paulo; Universidade Federal de São Paulo (UNIFESP)Introduction and objective: Stretching exercises are largely used in rehabilitation programs, but the ideal duration and the number of sets have not been determined yet. The purpose of this study was to evaluate the effects of 10 sets-30 seconds and 3 sets-3 minutes of static stretch on flexibility of hamstring muscles, comparing different volumes within 10 minutes. Moreover, to verify the difference between the two stretching programs. Method: 25 women (17 to 25 years old) were randomly assigned to one of 3 groups: group GC (control), G30 and G3. G30 stretched 10 X 30 seconds and G3 3 X 3 minutes. In all volunteers the stretching was performed by a pulley system, using weight corresponding to 10% of their body weight. This protocol took 6 weeks. Measurements were taken at the beginning of the protocol (Av1), after 6 weeks (Av2), and after 5 months (Av3). Flexibility of the hamstring was determined by measuring knee extension range of movement (ROM) with 90 of hip flexion. A two-way repeated measures Analysis of Variance (Anova) was used and significance level was set at 5% (p <= 0.05). Results: There was no statistically significant difference between 30 seconds (G30) and 3 minutes (G3) in knee extension ROM after 6 weeks (Av2) (p > 0.05) and neither after 5 months (Av3) (p>0.05). Both the G30 as the G3 showed increasing flexibility at the end of protocol (Av1xAv2) (p<0.05) and after 5 months (Av1xAv3) (p<0.05). Conclusion: Stretching sets of 30 seconds and 3 minutes can increase the hamstrings flexibility and keep the flexibility obtained after 5 months from the end of intervention. There was no difference on the flexibility obtained with sets of 30 seconds or 3 minutes.
- ItemSomente MetadadadosPediatric Escola Paulista de Medicina Range of Motion scale: A reduced joint count scale for general use in juvenile rheumatoid arthritis(J Rheumatol Publ Co, 1999-04-01) Len, Claudio Arnaldo [UNIFESP]; Ferraz, M. B.; Goldenberg, J.; Oliveira, L. M.; Araujo, P. P.; Quaresma, M. R.; Terreri, Maria Teresa [UNIFESP]; Hilário, Maria Odete Esteves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective, Different instruments are available to measure functional status in juvenile rheumatoid arthritis (JRA); however, none is based on the evaluation of joint range of motion (ROM). We designed and evaluated a ROM scale to be used as a complementary instrument in daily practice with JRA as well as in trials.Methods. The 10 joint movements of the Pediatric Escola Paulista de Medicina Range of Motion scale (Pediatric EPM-ROM) were derived from 25 initial movements. The selection was based on 2 criteria: (I) consensus among 3 pediatric rheumatologists, one physical therapist, and one occupational therapist; and (2) choice of movements that presented the highest scores in a pilot study involving patients with JRA. The score for each joint ranges from 0 (full movement) to 3 (severe limitation) and the cutoff degrees of motion are, in general, based on the lack of ability to perform some activities of daily living. The test-retest reliability was assessed by administering the scale twice by the same observer, 4 to 10 days apart, always in the morning, The interobserver reliability was evaluated on the same day by 2 independent observers. Cross sectional construct validity was also assessed by correlating the values of some clinical variables with the scores of the Pediatric EPM-ROM scale.Results. The instrument was applied to 34 patients with JRA, 11 systemic, 11 polyarticular, and 12 pauciarticular. The mean EPM-ROM score was 0.57 (SD 0.54, min 0, max 2.05). The test-retest and interobserver correlation coefficients were 0.96 and 0.98, respectively. The Pearson correlation coefficients comparing scores of the Pediatric EPM-ROM scale and other variables were satisfactory: Childhood Health Assessment Questionnaire, r = 0.55 (p < 0.001); American College of Rheumatology global functional class, r = 0.56 (p < 0.001); and number of limited joints, r = 0.65 (p < 0.001).Conclusion. Our results provide evidence that the Pediatric EPM-ROM scale is a valid instrument to measure joint ROM in JRA.