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1.
Odontoestomatol ; 12(15): 39-45, sept. 2010. ilus, tab
Article in Spanish | LILACS | ID: lil-576238

ABSTRACT

La elección de un aparato bucal apropiado para lograr los mejores resultados en el tratamiento de la apnea obstructiva del sueño es importante. El objetivo de este estudio fue evaluar el efecto de un aparato bucal específico, el PMPositioner, para el tratamiento del ronquido y la apnea obstructiva del sueño leve, a través de polisomnografía y la Escala de Epworth del sueño, después de seis meses de uso del mencionado aparato. Se incluyeron en el estudio 17 pacientes divididos en dos grupos: un grupo de roncadores (n=7) y otro grupo (n=10) con apnea obstructiva leve. Los resultados fueron significativos para el segundo grupo, revelando una disminución en el índice de apnea-hipoapnea de 7,4 +- 5,0 a 3,0 +- 2,5 (p<0.05), aumento del sueño REM de 16,0+-4,0 a 19+-6,0 y una mejora de la somnolencia en la Escala Epworth de 12,5+-5,4 a 7,4+-2,4. Se constató una disminución en los ronquidos y los síntomas subjetivos. PMPositioner, fue efectivo en el tratamiento de los ronquidos y la apnea obstructiva leve, la reducción de la somnolencia y de otros síntomas.


The choice of an adequate oral appliance is very important in the treatment of obstructive sleep apnea. The present study evaluated the effect of PMPositioner for the treatment of snoring and mild obstructive sleep apneathrough polysomnography and Epworth Sleep Scale prior to treatment and after six months. Seventeen patients, divided into 2 groups, snoring (n=7) and 10 with mild obstructive sleep apnea were enrolled. The results were significant for obstructive sleep apnea group reveling a decrease in the apnea/hypopnea index from 7.4±5.0 to 3.0±2.5 (p<0.05), anincrease in oxigen saturation from 88.0±6.0 to 90.0±2.8 (p<0.05), an increase in REM sleep from 16.0±6.0 to 19±4.0 and a sleepiness improved in from 12.5±5.4 to 7.4±2.4. Furthermore, it was noticed an improvement in snoring and subjective symptoms. The PM Positioner is efficient in the treatment of snoring and mild obstructive sleep apnea and in reduction of sleepness and others symptoms.


Subject(s)
Orthodontic Appliances , Respiratory Sounds , Sleep Apnea Syndromes , Sleep Wake Disorders
2.
Braz. j. phys. ther. (Impr.) ; 11(2): 121-125, mar.-abr. 2007. graf
Article in Portuguese | LILACS | ID: lil-458016

ABSTRACT

CONTEXTUALIZAÇÃO: Existe um conceito difundido entre professores de educação física, fisioterapeutas e ortopedistas de que o joelho não deve ser demasiadamente anteriorizado em relação à ponta do pé na direção ântero-posterior durante qualquer tipo de agachamento de modo a diminuir a carga mecânica sobre o joelho. No entanto, são escassas as evidências quantitativas que corroboram esse conceito. OBJETIVO: Estimar forças e torque na articulação do joelho em indivíduos saudáveis durante o exercício de agachamento livre com peso em dois modos diferentes de execução: a) joelho não ultrapassando a linha vertical que passa pelos dedos do pé; b) joelho ultrapassando essa linha vertical. MÉTODOS: Análise tridimensional com câmeras de vídeo e plataforma de força do movimento de agachamento em dez adultos jovens saudáveis. Quinze repetições em cada condição do agachamento por sujeito foram executadas sobre uma plataforma de força. As forças e torques articulares no tornozelo, joelho e quadril foram calculados pelo procedimento de dinâmica inversa. RESULTADOS: Os resultados obtidos mostram que o pico do torque no joelho é, em média, cerca de 38 ± 31 por cento e a força patelofemoral é, em média, cerca de 28 ± 27 por cento maiores na condição ultrapassando o joelho que na condição não ultrapassando o joelho. CONCLUSÕES: Esses resultados demonstram que não ultrapassar o joelho da linha do pé diminui a força de compressão patelofemoral, levando assim a uma menor solicitação mecânica nessa articulação.


BACKGROUND: There is a widespread notion among physical education teachers, physical therapists and orthopedists that, during any type of squatting, the knee should not be brought forward too much in relation to the tip of the foot, so as to reduce the mechanical loading on the knee. However, there is little quantitative evidence to corroborate this notion. OBJECTIVE: To estimate the forces and torque on the knee joint in healthy individuals during free squatting exercises using weights performed in two different ways: a) knee not going beyond a vertical line going through the toes; b) knee going beyond this vertical line. METHOD: Three-dimensional analysis using video cameras and a force platform was performed on squatting movements performed by ten healthy young adults. Fifteen repetitions of each of the two squatting conditions were performed by each subject on the force plate. The forces and joint torque at the ankle, knee and hip were calculated using an inverse dynamic procedure. RESULTS: The results obtained showed that the mean peak torque on the knee was around 38 ± 31 percent greater, and the mean patellofemoral force was around 28 ± 27 percent greater, when the knee went beyond the tip of the foot, than when it did not. CONCLUSIONS: These results demonstrate that, when the knee does not go beyond the line of the foot, the patellofemoral compression force is less, which leads to lower mechanical demand on this joint.


Subject(s)
Humans , Male , Female , Exercise , Exercise Movement Techniques , Knee , Knee Joint
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