Navegando por Palavras-chave "posture"

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    Alinhamento de cabeça e ombros em pacientes com hipofunção vestibular unilateral
    (Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, 2010-08-01) Coelho Júnior, Adamar N.; Gazzola, Juliana Maria [UNIFESP]; Gabilan, Yeda Pereira Lima [UNIFESP]; Mazzetti, Karen Renate [UNIFESP]; Perracini, Monica R.; Ganança, Fernando Freitas [UNIFESP]; Universidade Bandeirante de São Paulo Programa de Reabilitação Vestibular e Inclusão Social; Universidade Federal de São Paulo (UNIFESP); Universidade Cidade de São Paulo Programa de Mestrado em Fisioterapia
    OBJECTIVES: To investigate head and shoulder alignment among patients with unilateral vestibular hypofunction (UVH), using computerized biophotogrammetry (CB) and to correlate these measurements with gender, age, duration of clinical evolution, self-perception of intensity of dizziness and occurrences of falls. METHODS: This was a cross-sectional study. Thirty individuals with UVH and 30 with normal vestibular function and without complaints of dizziness underwent CB in the anterior, right and left and posterior views, in an upright standing position. AlcimageTM 2.0 was used to evaluate three angles in order to verify the anterior deviation and inclination of the head, and the alignment of the shoulders. The groups were paired according to age, gender and height. The statistical analysis consisted of the Mann-Whitney test, Kruskal-Wallis test followed by the Dunn test, and the Spearman Correlation Coefficient. RESULTS: The patients with UVH had greater forward (55.44±16.33) and lateral (2.03±1.37) head deviation angles than did the normal individuals (34.34±4.60 and 1.34±1.05 respectively), with a statistically significant difference (p<0.001). The increment of forward and lateral deviation in the UVH group was 38.05% and 33.78% respectively. Forward head was associated with the duration of clinical symptoms of the vestibular disease (p=0.003), age (p=0.006), intensity of dizziness (p<0.001) and occurrence of falls (p=0.002). CONCLUSIONS: Patients with UVH had greater forward and lateral head deviations. Forward head deviation increased with age, duration of clinical symptoms and greater self-perception of the intensity of dizziness. Forward head deviation was also greater among patients who reported having had falls.
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    Body position and obstructive sleep apnea in children
    (Amer Acad Sleep Medicine, 2002-02-01) Prado, Lucila Bizari Fernandes do [UNIFESP]; Li, Xianbin B. [UNIFESP]; Thompson, Richard; Marcus, Carole L.; Universidade Federal de São Paulo (UNIFESP); Johns Hopkins Univ
    Study Objectives: In adults, sleep apnea is worse when the patient is in the supine position. However, the relationship between sleep position and obstructive apnea in children is unknown. The objective of this study was to evaluate the relationship between obstructive apnea and body position during sleep in children.Design: Retrospective analysis of the relationship between body position and obstructive apnea in obese and non-obese children.Setting: Tertiary care pediatric sleep center.Patients: Otherwise healthy children, aged 1-10 years, undergoing polysomnography for suspected obstructive sleep apnea syndrome. Obese and non-obese children were evaluated separately.Interventions: Retrospective review of the relationship between sleep position and obstructive apnea during polysomnography.Measurements and Results: Eighty polysomnograms from 56 non-obese and 24 obese children were analyzed. Body position was determined by a sensor during polysomnography, and confirmed by review of videotapes. Children had a lower obstructive apnea hypopnea index when supine vs. prone, and shorter apneas when supine then when on their side. There was no difference in apnea duration between the supine and prone positions. Obese and non-obese children showed similar positional changes.Conclusions: Children with obstructive sleep apnea, in contrast to adults, breathe best when in the supine position.
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    Influência da hipertrofia mamária na capacidade funcional das mulheres
    (Sociedade Brasileira de Reumatologia, 2007-04-01) Araújo, Carlos Delano Mundim [UNIFESP]; Gomes, Heitor Carvalho [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Hochman, Bernardo [UNIFESP]; Fernandes, Paulo Magalhães [UNIFESP]; Novo, Neil Ferreira [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade do Vale do Sapucaí; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: to investigate the influence of breast hypertrophy in the musculoskeletal-system through the evaluation of the functional capacity in women. METHOD: 50 women with breast hypertrophy were studied and the results were compared to the 50 women without breast hypertrophy. The STANFORD HEALTH ASSESSMENT QUESTIONNAIRE 20 (HAQ-20) was applied to assess the functional capacity. It contains 20 questions about daily activities in which the patient has four answer options, which are scored. Lower scores indicate better functional capacity. RESULTS: the mean score in the control group was 0.10, while in the breast hypertrophy group it was 0.71. When Mann-Whitney test was run, hypertrophy group showed statistically higher scores (p < 0.00). CONCLUSION: breast hypertrophy patients have more difficulties to perform common activities of the daily life.
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    Prevalence and factors associated with thoracic alterations in infants born prematurely
    (Associação Médica Brasileira, 2012-12-01) Davidson, Josy [UNIFESP]; Garcia, Kessey Maria Bini [UNIFESP]; Yi, Liu Chiao [UNIFESP]; Goulart, Ana Lucia [UNIFESP]; Dos Santos, Amelia Miyashiro [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To determine the prevalence of thoracic musculoskeletal alterations and associated factors in infants born prematurely. METHODS: This was a cross sectional study with infants in the first year of age, born prematurely with birth weight < 2,000 g, who were followed up at the Premature Clinic from February, 2007 to December, 2008. Exclusion criteria were: maj or congenital malformations as defined by the Centers for Disease Control and Prevention (CDC), grade III/IV intraventricular hemorrhage, or periventricular leucomalacia. Physical examinations performed independently by two physiotherapists were used to assess shoulder elevation and thoracic retractions. Comparisons between groups were performed using the chi-squared test or Fisher's exact test for categorical variables, and Mann-Whitney's test or Student's t-test were used for continuous variables. Interobserver reliability between the two physiotherapists was assessed by the kappa coefficient. Variables associated with these thoracic musculoskeletal alterations were studied by univariate and multiple logistic analyses. Statistical differences were considered significant when p < 0.05. This study was approved by the ethical committee of the institution, and parents/guardians signed an informed consent. RESULTS: 121 infants with a gestational age of 31.1 ± 2.8 weeks and birth weight of 1,400 ± 338 g were included. Thoracic alterations were detected by Physiotherapist 1 in 81 (66.9%) infants, and in 83 (68.6%) by Physiotherapist 2 (kappa coefficient = 0.77). By multivariate logistic regression analysis, factors associated with thoracic musculoskeletal alterations were: respiratory distress syndrome (odds ratio [OR] = 3.246, 95% confidence interval [CI]: 1.237-8.732), bronchopulmonary dysplasia (OR = 11.138, 95% CI: 1.339-92.621), and low length/age ratio (OR = 4.571, 95% CI: 1.371-15.242). CONCLUSION: The prevalence of thoracic alterations was high in infants born prematurely, and was associated with pulmonary disease and low length/age ratio.