Utilização da fisioterapia na reabilitação de bezerro com poliartrite e paresia neuromuscular: relato de caso / Use of physiotherapy in the rehabilitation of calves with polyarthritis and neuromuscular paresis: case report / Uso de la fisioterapia en la rehabilitación de un ternero con poliartritis y parisia neuromuscular: reporte de caso

A reabilitação animal na medicina veterinária é um campo recente, porém crescente a cada dia. Neste sentido, a fisioterapia veterinária atua trazendo inúmeros benefícios, como melhoria dos movimentos, redução da dor, edema e outras. Interfere ainda no tempo de recuperação, redução de custos para o proprietário, podendo ser hoje utilizada como um tratamento na recuperação pós-cirúrgica. Desta forma, objetivou-se relatar o uso da fisioterapia em uma bezerra com poliartrite e paresia neuromuscular. O animal apresentou um aumento de volume nas articulações cárpicas e társicas após histórico de onfalite, permanecendo em decúbito esternal por vários dias. O proprietário resolveu aplicar ferro dextrano na região glútea do animal, o que causou uma lesão de nervo isquiático. Foram instituídos protocolos medicamentosos e fisioterápicos, que culminaram no estímulo da marcha, propriocepção, além de hipertrofia muscular. Porém, em virtude de complicações resultantes de onfalite, o animal veio a óbito.(AU)

Animal rehabilitation in veterinary medicine is a recent field, but growing every day. In this sense, veterinary physiotherapy works bringing numerous benefits, such as improved movements, reduced pain, edema and others. Reducing the recovery time, reducing costs for the owner, and today it can be used as a treatment in post-surgical recovery. In this sense, the objective was to report the use of physiotherapy in a heifer with polyarthritis and neuromuscular paresis. The animal showed an increase in volume in the carpal and tarsal joints after a history of omphalitis, remaining in sternal decubitus for several days. The owner decided to apply iron dextran to the animal's gluteal region, which caused an injury to the sciatic nerve. Medicinal and physical therapy protocols were instituted, which culminated in the stimulation of gait, proprioception, in addition to muscle hypertrophy. However, due to complications resulting from omphalitis, the animal died.(AU)

La rehabilitación animal en medicina veterinaria es un campo reciente, pero en crecimiento cada día. En este sentido, la fisioterapia veterinaria actúa aportando numerosos beneficios, como mejora de los movimientos, reducción del dolor, edemas y otros. Disminución del tiempo de recuperación, reducción de costos para el propietario, pudiendo ser utilizado hoy en día como tratamiento en la recuperación posquirúrgica. En ese sentido, el objetivo fue reportar el uso de fisioterapia en una vaquilla con poliartritis y paresia neuromuscular. El animal presentó un aumento de volumen en las articulaciones del carpo y del tarso tras un antecedente de onfalitis, permaneciendo en decúbito esternal durante varios días. El propietario decidió aplicar hierro dextrano en la región glútea del animal, lo que provocó una lesión en el nervio ciático. Se instauraron protocolos farmacológicos y de fisioterapia, que culminaron con estimulación de la marcha, propiocepción, además de hipertrofia muscular. Sin embargo, debido a complicaciones derivadas de la onfalitis, el animal falleció.(AU)

Kinesioterapia propioceptiva en la recuperación de la fuerza, en pacientes diabéticos con capsulitis adhesiva / Kinesioterapia proprioceptiva na recuperação da força em pacientes diabéticos com capsulite adesiva / Proprioceptive kinesiotherapy in the recovery of strength in diabetic patients with adhesive capsulitis

RESUMEN El hombro se considera la articulación más móvil e inestable del cuerpo humano. La capsulitis adhesiva es una patología frecuente en el hombro, es de causa desconocida, curso variable, y de tratamiento controversial, frecuentemente asociada a diabetes mellitus. La rehabilitación de la misma, tradicionalmente ha correspondido a ejercicios con peso y movimientos pendulares. La kinesioterapia propioceptiva es pilar fundamental durante la rehabilitación de esta patología. El objetivo de la investigación es demostrar la influencia de los ejercicios físico-propioceptivos en el alivio del dolor y la recuperación de la fuerza muscular, en pacientes con capsulitis adhesiva. Se realizó un estudio experimental de corte explicativo, longitudinal, cualitativo-cuantitativo con grupo control, en una población de 30 pacientes que recibieron tratamiento rehabilitador de hombro, en el Instituto de Medicina Deportiva de La Habana, Cuba, durante tres meses consecutivos, en el período comprendido entre enero y diciembre de 2017. A ambos grupos, se les realizó evaluación clínica, historia clínica y aplicación de la Escala de Constant antes y después del tratamiento. Los pacientes del Grupo Experimental realizaron un sistema de ejercicios propioceptivos y los pacientes del Grupo Control realizaron ejercicios pendulares. El alivio del dolor se alcanzó durante el primer mes de tratamiento en el grupo experimental, pues presentó mejores resultados en la recuperación de la fuerza muscular que el Grupo Control entre el segundo y tercer mes de tratamiento (p=1,000). En conclusión, los ejercicios propioceptivos permiten, en poco tiempo, aliviar el dolor de hombro, así como recuperar la fuerza muscular en pacientes con capsulitis adhesiva.

RESUMO O ombro é considerado a articulação mais móvel e instável do corpo humano. A capsulite adesiva é uma patologia comum do ombro, de causa desconhecida, curso variável e tratamento controverso, frequentemente associada ao diabetes mellitus. A reabilitação tem envolvido tradicionalmente exercícios de peso e movimentos pendulares. A Kinesioterapia proprioceptiva é um pilar fundamental durante a reabilitação desta patologia. O objetivo da pesquisa é demonstrar a influência dos exercícios físicos-proprioceptivos no alívio da dor e na recuperação da força muscular em pacientes com capsulite adesiva. Foi realizado um estudo experimental explicativo, longitudinal, qualitativo-quantitativo com um grupo de controle em uma população de 30 pacientes que receberam tratamento de reabilitação do ombro no Instituto de Medicina Esportiva em Havana, Cuba, durante três meses consecutivos, no período de janeiro a dezembro de 2017. Ambos os grupos foram submetidos a avaliação clínica, histórico clínico e aplicação da Escala Constante antes e depois do tratamento. Os pacientes do Grupo Experimental realizaram um sistema de exercícios proprioceptivos e os pacientes do Grupo de Controle realizaram exercícios de pêndulo. O alívio da dor foi alcançado durante o primeiro mês de tratamento no Grupo Experimental, que mostrou melhores resultados na recuperação da força muscular do que no Grupo de Controle entre o segundo e terceiro mês de tratamento (p=1.000). Em conclusão, os exercícios proprioceptivos permitem, em pouco tempo, aliviar a dor no ombro, assim como recuperar a força muscular em pacientes com capsulite adesiva.

ABSTRACT The shoulder is considered the most mobile and unstable joint of the human body. Adhesive capsulitis is a common pathology in the shoulder, with unknown cause, variable course, and controversial treatment, often associated with diabetes mellitus. The rehabilitation of the same traditionally has corresponded to weight-bearing exercises and pendulum movements. Proprioceptive kinesiotherapy is a fundamental pillar during the rehabilitation of this pathology. The objective of this research is to demonstrate the influence of physical proprioceptive exercises in pain relief and muscle strength recovery in patients with adhesive capsulitis. An experimental study of explanatory cut, longitudinal, qualitative-quantitative with control group, in a population of 30 patients who received rehabilitative treatment of shoulder, in the Institute of Sports Medicine of Havana, Cuba, during three consecutive months, in the period between January and December 2017 was carried out. Both groups underwent clinical evaluation, clinical history and application of the Constant Scale before and after treatment. Patients in the Experimental Group performed a proprioceptive exercise system and patients in the Control Group performed pendulum exercises. Pain relief was achieved during the first month of treatment in the experimental group, since it presented better results in the recovery of muscle strength than the Control Group between the second and third month of treatment (p=1.000). In conclusion, proprioceptive exercises allow, in a short time, to relieve shoulder pain, as well as to recover muscle strength in patients with adhesive capsulitis.

Cinesioterapia aplicada após a cirurgia no tendão da mão: estudo de qualidade metodológica / Kinesiotherapy applied after hand tendon surgery: methodological quality study

Introdução: As lesões nos tendões flexores (FTI) atingem as mãos e apresentam um desafio para a equipe multidisciplinar. Objetivo: Buscou-se em ensaios clínicos a aplicação da cinesioterapia em recuperar a função das mãos após lesão tendinosa. Métodos: Para a construção deste estudo foi realizada uma revisão da literatura baseada em artigos, que abordavam a temática de cinesioterapia aplicada a cirurgia no tendão da mão. Resultados: Os estudos encontrados aplicaram a cinesioterapia com programas de exercícios e mobilização articular em jovens e adultos que passaram por cirurgia no tendão da mão, auxiliando na recuperação funcional de acordo com a zona acometida. Conclusão: A cinesioterapia deve ser aplicada para recuperação funcional da mão após lesões tendinosas, no entanto, há uma enorme escassez quanto às publicações de ensaios clínicos bem conduzidos que direcionem o trabalho do fisioterapeuta. (AU)

Introduction: Flexor tendon injuries of the hands is a challenge to the multidisciplinary team. Objective: The aim of the clinical trials was to apply kinesiotherapy to recover hand function after tendon injury. Methods: A literature review was performed based on articles that addressed the theme of kinesiotherapy applied to hand tendon surgery. Results: The studies found applied kinesiotherapy with exercise programs and joint mobilization in young and adults who underwent surgery on the tendons of the hand, assisting in functional recovery according to the affected area. Conclusion: Kinesiotherapy should be applied for functional recovery of the hand after tendon injuries, however, there is a huge shortage of publications on well-conducted clinical trials that guide the physiotherapist's work. (AU)

Post-stroke hand spasm treated with penetrating acupuncture combined with kinesiotherapy: a randomized controlled trial / 中国针灸

OBJECTIVE@#To compare the differences in the clinical effect on post-stroke hand spasm among the combined treatment of penetrating acupuncture and kinesiotherapy, the simple application of penetrating acupuncture and the simple application of kinesiotherapy.@*METHODS@#A total of 105 patients with post-stroke hand spasm were randomized into a penetrating acupuncture group, a kinesiotherapy group and a combined treatment group, 35 cases in each one, of which, 2 cases were dropped out in either the combined treatment group and the penetrating acupuncture group, and 1 case dropped out in the kinesiotherapy group. The routine rehabilitation training, e.g. occupational therapy and Bobath exercise and medication were adopted in all of the three groups. In the penetrating acupuncture group, the penetrating needling technique was exerted from Hegu (LI 4) to Houxi (SI 3) and from Waiguan (TE 5) to Sidu (TE 9) on the affected side. In the kinesiotherapy group, the persistent movement or passive movement was exerted on the wrist joint, the metacarpophalangeal joints and the interphalangeal joints. In the combined treatment group, the penetrating acupuncture (the same as the penetrating acupuncture group) was exerted combined with kinesiotherapy (the same as the kinesiotherapy group). In each group, the treatment was given once a day, 30 min in each time, 6 treatments a week in total, with the interval of 1 day between the courses. The treatment for 2 weeks was as one course and 2 courses were required totally. Before and after treatment, the scores of hand spasm index, hand-wrist motor function and the activity of daily living (ADL) were compared in each group.@*RESULTS@#After treatment, the scores of hand spasm index were reduced as compared with those before treatment in each group (0.05).@*CONCLUSION@#Compared with the simple application of either penetrating acupuncture or kinesiotherapy, the combined treatment of them achieves the significant improvements in hand spasm degree, hand wrist motor function and ADL in patients with stroke.

Comparação da atividade eletromiográfica em músculos do powerhouse no roll up e roll back no solo e no Cadillac do método Pilates / Comparison of electromyographic activity of powerhouse muscles performing the roll up and roll back on the floor and on the Cadillac Pilates method

Introdução: A lombalgia é um problema de saúde pública que acomete grande parte da população em algum momento da vida. Exercícios físicos realizados pelo método Pilates são descritos na literatura como uma opção de tratamento. Entretanto, existem poucos estudos que elucidam movimentos adequados para este fim. Objetivo: Comparar a ativação elétrica dos músculos oblíquo externo, oblíquo interno e multífido durante exercícios abdominais no solo e no Cadillac, para identificar diferenças na atividade neuromuscular da musculatura flexora e extensora do tronco. Material e métodos: Onze mulheres realizaram oito repetições dos exercícios The Roll Up e Roll Back. Durante os movimentos, foi avaliada a extensão e flexão do quadril a partir da análise eletromiográfica de superfície. Resultados: A ativação eletromiográfica do músculo oblíquo externo foi estatisticamente significativo, nas duas fases do movimento, no exercício The Roll Up em comparação ao exercício Roll Back. Contudo, oblíquo interno e multífido não apresentaram diferenças quando comparados os exercícios. Conclusão: O exercício realizado no solo (The Roll Up) apresentou maior demanda da musculatura flexora e extensora. Esse achado representa um passo importante na compreensão de critérios objetivos para a elaboração de programas de reabilitação nas lombalgias e para o condicionamento físico utilizando o método Pilates.(AU)

Introduction: Low back pain is a public health problem and a large number of people suffer from it at some point in life. Physical exercises performed by the Pilates method are described in the literature as a treatment option. However, there are few studies that allow the development of appropriate actions for this purpose. Objective: Compare the electrical activation of external oblique, internal oblique and multifidus muscles during abdominal exercises on the floor and on the Cadillac, in order to identify the neuromuscular activity of the flexor and extensor musculature of the trunk. Methods: Eleven women performed eight repetitions of "The Roll Up" and "Roll Back" exercises. During the movements, the electromyographic surface analysis was used to measure the hip extension and flexion. Results: The electromyographic activation of the external oblique muscle was statistically significant, in the two stages of movement, The Roll Up exercise in comparison with the Roll Back exercise. However, internal oblique and multifidus did not show significant differences when exercises were compared. Conclusion: The exercise performed on the floor (The Roll Up) showed greater demand of the flexor and extensor muscles. This finding represents an important step in the understanding of objective criteria for the elaboration of rehabilitation programs in low back pain and for physical conditioning using the Pilates method. (AU)

Effect of Jianpi-bushen-huoxue Decoction Combining with Kinesiotherapy on Circulation in Ischemic Area of Patients with Cerebral Infarction: A Perfusion Weighted Imaging Study / 中国康复理论与实践

@#Objective To explore the effect of Jianpi-bushen-huoxue Decoction combining with kinesiotherapy on blood perfusion in the ischemic area in patients with cerebral infarction. Methods From May, 2016 to May 2017, 65 spleen-kidney-deficiency patients with cerebral infarction at convalescence were randomly divided into group A (n=22, accepting routine treatment), group B (n=22, accepting routine treatment and Jianpi-bushen-huoxue Decoction) and group C (n=21, accepting routine treatment, Jianpi-bushen-huoxue Decoction and kinesiotherapy), and were observed for 14 days. On the first day and the 14th day of treatment, they were scanned with perfusion weighted imaging, and the regional cerebral blood flows (rCBF) of region of interest were measured.Results rCBF increased after treatment in each group (t>3.572, P<0.05), and it ranked as group C, group B and group A with the rCBF from more to less after treatment (P<0.05).Conclusion Jianpi-bushen-huoxue Decoction is effective on blood flow in ischemic area of spleen-kidney-deficiency patients with cerebral infarction at convalescence, and it is even more effective when combining with kinesiotherapy.

Clinical Study on Acupuncture plus Medication and Kinesiotherapy for Cerebral Stroke / 上海针灸杂志

Objective To observe the clinical efficacy of acupuncture plus medication and kinesiotherapy in treating cerebral stroke.Method A total of 126 patients with cerebral stroke were randomized into a treatment group of 42 cases, control group 1 of 40 cases and control group 2 of 44 cases. The treatment group was intervened by acupuncture, Chinese medication plus kinesiotherapy, control group 1 by acupuncture alone and control group 2 by kinesiotherapy alone. Before the intervention and respectively after 2-week and 4-week treatment, the three groups were observed by adopting the modified Barthel Index (MBI) and Fugl-Meyer Assessment (FMA), as well as the Activities of Daily Living (ADL).Result After the treatment, the MBI score, FMA score and ADL grading were significantly changed in the three groups (P<0.01). After 4-week treatment, the MBI score in the treatment group was significantly different from that in control group 2 (P<0.05). After 4-week treatment, the FMA score and ADL grading in the treatment group were significantly different from those in both control group 1 and 2 (P<0.05).Conclusion Acupuncture plus medication and kinesiotherapy is an effective approach in treating cerebral stroke and it can improve the ADL.

Clinical Observation of Acupuncture plus Kinesiotherapy for Spastic Diplegia / 上海针灸杂志

Objective To observe the clinical efficacy of acupuncture plus kinesiotherapy in treating spastic diplegia. Method Sixty-nine kids with cerebral palsy were randomized into two groups. Thirty-five cases in the treatment group were intervened by acupuncture plus kinesiotherapy, while 34 cases in the control group by kinesiotherapyalone. After 3-month treatment, the release of gastrocnemius muscle tension of lower limbs (modified Ashworth Scale and foot dorsiflexion angle), improvement of standing, walking and running function [D and E items of Gross Motor Function Measure (GMFM)],and activities of daily living (ADL) were observed in the two groups.Result After treatment, the gastrocnemius muscle tension of both lower limbs declined in both groups, manifested by the increase of Ashworth score and extension of foot dorsiflexion, with statistical significances (P<0.05); the D and E item scores of GMFM increased significantly after treatment in both groups (P<0.05); after treatment, the ADL scores increased significantly in both groups (P<0.05). After the treatment, the increase of Ashworth score and extension of foot dorsiflexion in the treatment group were more significant than those in the control group (P<0.05); the D and E item scores of GMFM in the treatment group were superior to those in the control group (P<0.05); the ADL score in the treatment group was superior to that in the control group (P<0.05).Conclusion Acupuncture plus kinesiotherapy is effective in treating spastic diplegia.

Acupuntura y kinesioterapia en el tratamiento de la capsulitis adhesiva del hombro / Acupuncture and kinesiotherapy in treatment of adhesive capsulitis o shoulder

Introducción: la capsulitis adhesiva del hombro es una enfermedad que anatómicamente se caracteriza por una retracción fibrosa de la cápsula articular; lo que produce una gran limitación de la movilidad de la articulación glenohumeral, tanto activa como pasiva, en todos los movimientos. Objetivos: evaluar la efectividad de la técnica de acupuntura y kinesioterapia en pacientes con capsulitis adhesiva del hombro, así como determinar grado de dolor y la limitación funcional en los pacientes antes y después del tratamiento. Métodos: ensayo clínico terapéutico controlado para evaluar la efectividad de la acupuntura y kinesioterapia en 62 pacientes con capsulitis adhesiva del hombro, atendidos en el Policlínico Docente "Dr. Tomás Romay" del municipio Artemisa, desde enero del año 2014 hasta enero del 2015. Se conformaron 2 grupos (de estudio y control) de 31 integrantes en cada uno: los primeros recibieron acupuntura y kinesioterapia; los segundos: tratamiento de electroterapia y kinesioterapia. Resultados: a las 20 sesiones terapéuticas, el dolor se alivió considerablemente en los integrantes del grupo de estudio, lo cual tuvo diferencias significativas entre ambos grupos con respecto a la intensidad del mismo (p< 0,05). A los 3 meses la mejoría en el grupo estudio fue notable, con respecto al grupo control, tanto en el alivio del dolor como en la función habilidad del hombro. Conclusiones: se consideró de buena efectividad el tratamiento aplicado con acupuntura y kinesioterapia en la capsulitis adhesiva del hombro. Tanto el alivio del dolor como la limitación funcional de la articulación del hombro desde las primeras 20 sesiones de tratamiento, mejoraron notablemente(AU)

Introduction: Adhesive capsulitis of shoulder is a diseases anatomically characterized by a fibrous retraction of the articular capsule, which produces great limitation in all both active and passive glenohumeral motions. Objective: To evaluate the acupuncture and kinesiotherapy technique effectiveness in patients with adhesive capsulitis of shoulder, as well as to determine pain degree and functional limitation in patients before and after treatment. Methods: Controlled clinical therapeutic essay for assessing acupuncture and kinesiotherapy effectiveness in 62 patients with adhesive capsulitis of shoulder, attended in "Dr. Tomás Romay" Teaching Polyclinic of Artemisa Municipality, from January 2014 to January 2015. Two groups were made up (control group and study group) by 31 members each: the first ones received acupuncture and kinesiotherapy; the second ones, electrotherapy treatments and kinesiotherapy. Results: After 20 therapeutic sessions, the pain let up considerably in the study group members, which were significantly different between both groups regarding pain intensity (p< 0.05). After three months, the study group improvement was noticeable as compared with the control group regarding both pain relief and shoulder function-ability. Conclusions: The acupuncture and kinesiotherapy treatment was assumed as fairly affective in adhesive capsulitis of shoulder. Both pain relief and functional limitation of the shoulder as of the first 2o sessions of treatment improved noticeably(AU)

Effect of Kinesiotherapy-combined Scalp Acupuncture plus Rehabilitation on the Joint Range of Motion and Activities of Daily Life in Spastic Cerebral Palsy / 上海针灸杂志

Objective To observe the effect of kinesiotherapy-combined scalp acupuncture plus rehabilitation on the joint range of motion (ROM) and activities of daily life (ADL) in kids with spastic cerebral palsy. Method Fifty-one eligible patients with spastic cerebral palsy were divided into a treatment group of 23 cases and a control group of 28 cases by the random number table. The control group received conventional rehabilitation, whereas the treatment group received kinesiotherapy-combined scalp acupuncture in addition to the rehabilitation therapy. Before and after treatment, a joint protractor was used to measure the passive ROM of ankle, knee, and hip joints; the Modified Ashworth Scale was used to evaluate the muscular tension of the adductor muscles of lower limbs, hamstring muscles, and gastrocnemius; the scale for ADL was adopted to evaluate the ADL. Result The joint ROM was significantly improved by different degrees in the treatment group after intervention (P<0.05), and the popliteal angle and dorsal flexion of foot in the treatment group were significantly different from that in the control group (P<0.05). In the treatment group, the muscular tension of hamstring muscles and gastrocnemius after treatment was significantly different from that before treatment (P<0.05); the change of the muscular tension of gastrocnemius in the treatment group after intervention was significantly different from that in the control group (P<0.05); the change of ADL in the treatment group after intervention was significantly different from that in the control group (P<0.05). Conclusion Kinesiotherapy-combined scalp acupuncture plus conventional rehabilitation can markedly improve the ROM and ADL in patients with spastic cerebral palsy.

Efetividade da hidroterapia e da cinesioterapia na reabilitação de idosos com histórico de quedas / Effectiveness of hydrotherapy and kinesiotherapy in elderly patients with history of falls

A fisioterapia tem um papel fundamental na reabilitação funcional de idosos com histórico de quedas. O objetivo deste estudo foi avaliar a efetividade do protocolo de hidroterapia e cinesioterapia no equilíbrio, na agilidade e na estatura em idosos que costumam cair. Foram avaliados 14 idosos por meio de estadiômetro, escala de equilíbrio de Berg e Timed Up & Go. Os idosos foram alocados em dois grupos: G1, tratados com hidroterapia, e G2, tratados com cinesioterapia. O protocolo teve duração de 2 meses, sendo duas vezes por semana e sessões de 40 minutos, totalizando 16 atendimentos. Após 16 sessões, os participantes foram reavaliados. Os dados foram analisados estatisticamente pelos testes Kruskal-Wallis e Wilcox-Mann-Whitney. Comparando-se os dois grupos, verificou-se que ambos os grupos apresentaram maior pontuação na escala de equilíbrio de Berg, menor tempo na realização do Timed Up & Go e uma tendência a significância na estatura corporal após a aplicação do protocolo No entanto, não houve diferenças estatisticamente entre os grupos. Pode-se concluir que a hidroterapia e a cinesioterapia são efetivas para a melhora do equilíbrio e agilidade dos participantes, amenizando o declínio da capacidade funcional inerente ao envelhecimento.

The functional rehabilitation of elderly fallers is an objective of physicaltherapy. The aim of this study was to evaluate the effectiveness ofhydrotherapy and kinesiotherapy protocols in balance, agility andheight in falling elder ones. We evaluated 14 elderly patients withhistory of falls. The outcome measures were the Berg Balance Scalescore, Timed up & go and height. The participants were randomlydivided in two groups: G1, treated with hydrotherapy, G2 treatedwith kinesiotherapy. The experimental intervention was a 40-minutesession per day, 2 days per week for 2 months. Data were statisticallyanalyzed by the Kruskal-Wallis and Mann-Whitney-Wilcoxtests. Comparing the two groups, it was found that both groupsincreased Berg Balance Scale and decreased Timed Up & Goand there is a significance in stature after the implementation of theprotocol. However, there were no statistical differences between thetwo groups. In conclusion, this study suggests hydrotherapy andkinesiotherapy are effective for improving balance and agility in thesample of participants, reducing the decline in functional capacityinherent to the aging.

Muscle electrical activity during exercises with and without load executed on dry land and in an aquatic environment

Introduction Muscle activity in the aquatic environment was investigated using electromyographic analyses. The physical properties of water and the resistance used may influence the response of the muscle during exercise. The objective of this study was to evaluate the electrical activity in water and on the floor during flexion and knee extension exercises with and without load and aimed at understanding the muscular response while performing resistance exercises in water. Methods The sample consisted of 14 volunteers between 18 and 35 years old who were subjected to active exercises involving knee flexion and extension with and without load on the floor and in water. Electromyography was performed during the movement. Results A significant increase was found in the electrical activity of the rectus femoris muscle during exercises on the floor. The biceps femoris muscle showed increased electromyographic activity when resistance was used. A significant increase was found in the electrical activity of the rectus femoris muscle compared with exercises with and without load and the moment of rest in immersion. The electrical activity of the rectus and biceps femoris muscles was reduced in exercises with load and without load in a therapy pool compared with on the floor. Conclusion There was a reduction of the electromyographic activity in the aquatic environment compared with that on the ground, which could be attributed to the effects from hot water. Therefore, it is believed that resistance exercises can be performed early in a therapy pool, which will facilitate the prevention and treatment of musculoskeletal disorders.

Observations on theEfficacy of Wrist-ankle Acupuncture plus Continuous Exercise Therapy for Post-stroke ShoulderPain / 上海针灸杂志

ObjectiveTo investigate the clinical efficacy of wrist-ankle acupuncture plus continuous exercise therapy for post-stroke shoulder pain.MethodsEighty patients with post-stroke shoulder pain were randomly allocated to treatment and control groups, 40 cases each. The control group received continuous exercise training with an upper limb multi-joint rehabilitation training instrument and the treatment group, wrist-ankle acupuncture in addition. The affected limb SEP N9 and N13 latency values, shoulder pain severity (the VAS score) and the upper limb motor function score were observed in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.ResultsThe total efficacy rate was 90.0% in the treatment group and 75.0% in the control group; there was a statistically significant difference between the two groups (P<0.05). There was a statistically significant pre-/post-treatment difference in SEP N9-N13 wave interval on the affected side in the two groups (P<0.01). There was a statistically significant post-treatment difference in SEP N9-N13 wave interval on the affected side between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in the VAS score and the Fugl-Meyer score in the two groups (P<0.01). There were statistically significant post-treatment differences in the VAS score and the Fugl-Meyer score between the treatment and control groups (P<0.01).ConclusionsWrist-ankle acupuncture plus continuous exercise therapy is an effective way to treat post-stroke shoulder pain.

A abordagem fisioterapêutica na disfunção da articulação temporomandibular em portadores da síndrome do respirador bucal na idade pré-escolar / Influence of physical therapy intervention in the temporomandibular joint dysfunction in children with chronic oral breathing

A fisiologia normal da respiração é realizada preferencialmente por via nasal, para que o ar seja purificado, filtrado e aquecido antes de chegar aos pulmões. A sua normalidade é um importante estímulo de crescimento e desenvolvimento normal do indivíduo.Quando esse padrão respiratório é alterado para a respiração oral,conhecido como Síndrome do Respirador Bucal (SRB), ocasiona diversos desequilíbrios no organismo, tais como: alterações posturais, alterações respiratórias e faciais, e é um dos fatores que desencadeia as disfunções da articulação temporomandibular (ATM). Esta revisão teve como objetivo analisar a abordagem fisioterapêutica na disfunção da ATM em portadores da SRB na idade pré-escolar.Observou-se que estudos recentes relatam que a cinesioterapia é uma das técnicas importantes para o tratamento da disfunção da ATM, trazendo melhorias ao paciente, pois a repercussão dos exercícios terapêuticos melhora o quadro álgico e a mobilidade articular.Entretanto, sugere-se a realização de mais estudos referentes à aplicação da técnica de cinesioterapia em crianças com disfunções da ATM como resultado da SRB, visto que a carência de acervo é predominante nesta área.

The normal physiology of breathing is performed through the nasal way; then the air is purified, filtered and warmed before going to the lungs. It is essential for the proper development of the individual. When this breathing pattern is changed to mouth breathing, itis known as mouth breathing syndrome (MBS), which causes several changes in the body, such as postural-respiratory-facial changes,and is one of the factors that trigger the temporomandibular joint disorder (TMJ). This literature review aimed to analyze the influence of physical therapy in the TMJ in patients with MBS in preschoolage. It was noted that recent studies report that kinesio therapy is an important technique for TMJ treatment, bringing improvements to the patient. However, we suggest that further studies concerning kinesiotherapy in children with TMJ as a result of MBS should be performed, as there is a lack of research in this area.

Eficacia del microsistema auricular asociado a la quinesiología como coadyuvante en la terapia antihipertensiva / Effectiveness of the auricular microsystem associated with the kinesiology as an adjuvant therapy in the antihypertensive treatment

Se realizó un estudio experimental, de tipo intervención terapéutica, con la aplicación de auriculoterapia y quinesioterapia a 60 pacientes adultos hipertensos que asistían al área terapéutica del Centro Provincial de Medicina Deportiva en Santiago de Cuba durante el primer semestre de 2011. Evolutivamente se pudo demostrar la mayor eficacia de la combinación de ambas terapias en comparación con el uso de la segunda sola como coadyuvantes del tratamiento convencional, pues no se presentaron complicaciones con su empleo. Entre otras ventajas figuró la disminución del consumo de fármacos antihipertensivos en la mayoría de los integrantes de la casuística, con lo cual redujeron sus gastos por ese concepto.

An experimental study of therapeutic intervention type was carried out, with the auriculotherapy and kinesiotherapy application to 60 adult hypertensive patients who attended the therapeutic area of the Provincial Centre of Sport Medicine in Santiago de Cuba during the first semester of 2011. The higher evolutive effectiveness with the combination of both therapies could be demonstrated in comparison with the use of the second one alone, as adjuvant therapies of the conventional treatment, as complications were not present with their use. Among other advantages there was the decrease in the use of antihypertensive drugs in most of the members of the case material, which reduced their expenses due to it.

Efeito da cinesioterapia na lesão isquêmica e reperfusão em ratos / Effects of kinesiotherapy in ischemic lesion and reperfusion in rats

OBJETIVO: Verificar o efeito da cinesioterapia na funcionalidade do membro pélvico de ratos após lesão isquêmica e reperfusão. MÉTODOS: Foram utilizados 10 ratos, divididos em dois grupos, GI (controle) e GII (cinesioterapia). Todos os animais foram submetidos à isquemia por um período de três horas, seguido de reperfusão tecidual. No Grupo GII foi realizado cinesioterapia sistêmica (natação) não resistida em três sessões semanais de 50 minutos durante quatro semanas, enquanto que no grupo GI os animais permaneceram em repouso. A análise funcional do comportamento motor foi realizada semanalmente. Posteriormente, os animais foram mortos e retirados os músculos sóleo, gastrocnêmio e nervo ciático para análise histopatológica. RESULTADOS: Houve uma recuperação significativa do comportamento motor com o tratamento cinesioterapêutico ao longo das quatro semanas de tratamento. No entanto, na avaliação histológica os tecidos não mostraram alterações morfológicas de lesão e reparação celular. CONCLUSÃO: Não foi possível afirmar que o exercício mostrou-se eficiente na reparação celular, pois, tanto no grupo controle como no experimental, não apresentou diferença histológica. Por outro lado, a cinesioterapia sistêmica apresentou um efeito benéfico na reabilitação funcional após isquemia e reperfusão. Nível de Evidência III, Estudo Caso-Controle.

OBJECTIVE: To investigate the effect of kinesiotherapy on the functionality of the pelvic limb of rats after ischemic and reperfusion injury. METHODS: 10 rats were divided into two groups, GI (control) and GII (kinesiotherapy). All the animals underwent ischemia for a period of three hours, followed by tissue reperfusion. In Group GII, non-resistive systemic kinesiotherapy was performed (swimming) in three weekly sessions of 50 minutes, over a period of four weeks, while the GI animals remained at rest. Functional analysis of motor behavior was evaluated weekly. The animals were then sacrificed, and the soleus, gastrocnemius and sciatic nerve removed for histopathological analysis. RESULTS: There was a significant recovery of motor behavior with kinesiotherapeutic treatment during the four weeks of treatment. However, the histological tissues showed no morphological changes of cell injury and repair. CONCLUSION: It was not possible to affirm that the exercise was effective in cell repair, because neither of the groups (control and experimental) showed any histological difference. On the other hand, systemic kinesiotherapy showed a beneficial effect on functional rehabilitation after ischemia and reperfusion. Level of evidence III, Case-Control Study.

Análise dos efeitos da cinesioterapia e da hidrocinesioterapia sobre a qualidade de vida de pacientes com fibromialgia: um ensaio clínico randomizado / Analysis of effects of kinesiotherapy and hydrokinesiotherapy on the quality of life of patients with fibromyalgia: a randomized clinical trial

Objetivo: Verificar e comparar os efeitos da hidrocinesioterapia e da cinesioterapia na qualidade de vida de pacientes portadoras de fibromialgia. Materiais e métodos: Foi realizado um ensaio clínico randomizado, cego, para os avaliadores. Para avaliar a qualidade de vida, utilizou-se o questionário genérico SF-36 a fim de analisar os aspectos físicos e psicológicos em 24 pacientes do sexo feminino, portadoras de fibromialgia, com idade de 30 a 55 anos, alocadas aleatoriamente em dois grupos: hidrocinesioterapia e cinesioterapia. Durante um período de 23 semanas, as pacientes foram submetidas a alongamentos e exercícios aeróbios de baixa intensidade com duração de uma hora cada sessão (em ambos os grupos). Resultados: Observou-se melhora estatisticamente significante (p < 0,05) na maior parte dos aspectos abordados pelo SF-36 em ambos os grupos. Conclusão: A hidrocinesioterapia promoveu um relaxamento muscular favorável para a melhora da qualidade de vida, porém, não foi o fator principal para amenizar os efeitos da patologia, uma vez que a cinesioterapia também proporcionou efeitos benéficos para a promoção do bem-estar dessas pacientes. Portanto, os alongamentos e os exercícios aeróbios de baixa intensidade empregados em ambos os protocolos são os prováveis responsáveis pelos efeitos benéficos observados nas duas modalidades terapêuticas analisadas.

OBJECTIVE: To verify and compare the effects of hydrokinesiotherapy and kinesiotherapy in the quality of life of patients with fibromyalgia. MATERIALS AND METHODS: It was realized a randomized clinical trial, blinded, to observers. To evaluate the quality of life, it was used the generic questionnaire SF- 36 in order to analyze the physical and psychological aspects, in 24 female patients with fibromyalgia, between 30 and 55 years old, placed aleatorialy in two groups: hydrokinesiotherapy and kinesiotherapy. During a period of 23 weeks, the patients were submitted to stretching and aerobic exercises of low intensity with one hour of duration each section (in both groups). RESULTS: It was observed statistically significant increase (p < 0,05) in the majority of the aspects of SF-36 in both groups.CONCLUSION: The hydrokinesiotherapy provides a favorable muscle relaxing to improve the quality of life, however it is not the main factor to decrease the effects of the pathology, since the kinesiotherapy also provided beneficent effects to promote the well being of these patients. Therefore, stretching and aerobic exercises of low intensity employed in both protocols are the probable responsibles by positive effects observed in both therapeutic modalities analysed.

Redução da dor crônica associada à escoliose não estrutural, em universitárias submetidas ao método Pilates / Reduction of the chronic pain associated to the scoliosis non structural, in university students submitted to the Pilates method

Objetivo: Avaliar a eficácia do método Pilates na redução da dor crônica associada à escoliose não estrutural. Método: Participaram do estudo ensaio clínico controlado e aleatorizado 31 universitárias, com idade entre 18 e 25 anos, com diagnóstico de escoliose não estrutural e apresentando dor crônica na coluna vertebral. A amostra foi dividida em grupo controle (n=11) que não foi submetido a nenhuma intervenção terapêutica e grupo experimental (n=20) que participou do programa de mecanoterapia pelo método Pilates. A intervenção consistiu de vinte e quatro sessões. Os movimentos foram orientados de acordo com a convexidade da escoliose de cada indivíduo. Foi utilizado o teste de Adams, radiografia panorâmica da coluna vertebral (pré tratamento) e um questionário mediante a “Escala de dor percebida CR 10 de Borg” (pré e pós tratamento). O tratamento estatístico utilizado foi a ANOVA 2x2 de medidas repetidas, seguida do teste post hoc de Tukey. Resultados: Os resultados identificaram diminuição significativa de 66% da dor no grupo experimental (P = 0,0002). Conclusão: Pode-se verificar que o programa de exercícios utilizando-se o método Pilates para jovens com escoliose não estrutural, apresentando dor na coluna vertebral é eficaz, pois houve redução da intensidade de dor.

Objective: To evaluate the effectiveness of the Pilates method in the reduction of the chronic pain associated to a non structural scoliosis. Method: 31 academical subjects participated in the clinical aleatorical controlled experiment study, under age between 18 and 25 years, with diagnosis of non structural scoliosis and presenting chronic pain in the spine. The sample was divided into: control group (n=11) that the was not submitted to any therapeutic intervention and experimental group (n=20) that participated of the mecanotherapy program for the Pilates method. The intervention consisted of twenty-four sessions. The movements were guided in agreement with the convexity of each individual's scoliosis. The test of Adams, panoramic x-ray of the spine was used (pre treatment) and a questionnaire by the "Scale of noticed pain CR 10 of Borg" (pre and post treatment). The used statistical treatment was ANOVA 2x2 of repeated measures with the test post hoc of Tukey. Results: Findings demonstrated a significant decrease of 66% of the pain for the experimental group (P = 0,0002). Conclusion: It can be observed that the exercise program using the Pilates method to young people is effective and improved the reduction of chronic pain among young subjects presenting non structural scoliosis.

Effect of rehabilitation with early occupational therapy on unilateral spatial neglect caused by stroke / 中华物理医学与康复杂志

Objective To observe the effect of early occupational therapy intervention on unilateral spatial neglect caused by stroke.Methods A total of 92 patients with unilateral spatial neglect caused by stroke were ran- domly divided into a treatment group(46 cases)and a control group(46 cases).The cases of the control group were treated by routine clinical treatment plus positioning on the bed,passive joint motion,bridging movement,facilitation techniques,balance training in sitting and standing positions,gait training immediately after the patients' conditions got stable.The patients in the treatment group were treated with activities of daily living(ADL)training in addition to the interventions employed in the control group.Results Effect of the treatment group are superior to that of the control group as reflected by the scores with Fug1-Meyer scale and Barthel Index(P