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1.
Fisioter. Bras ; 22(3): 425-441, Jul 15, 2021.
Article in Portuguese | LILACS | ID: biblio-1290534

ABSTRACT

A disfunção do assoalho pélvico envolve condições nosológicas, como incontinência urinária e disfunção sexual, com impacto negativo na qualidade de vida. O presente estudo objetivou avaliar a força muscular do assoalho pélvico de mulheres com disfunção pélvica. Trata-se de desenho analítico transversal realizado com uma amostra de conveniência de 167 mulheres com queixas de disfunções musculares do assoalho pélvico. Foram analisadas características sociodemográficas e clínicas, qualidade de vida relacionada à incontinência e força muscular pélvica. Estatísticas univariadas e bivariadas foram calculadas. A idade média das mulheres foi de 50,2 anos. A maioria foi classificada com impacto muito grave (76,6%) na qualidade de vida relacionada à incontinência, 41 (24,6%) apresentaram contração muscular não sustentada e 7 (4,2%) apresentaram contração. Associações significativas foram identificadas entre força muscular pélvica e idade (p = 0,025), menopausa (p = 0,039) e histerectomia (p = 0,026). A pesquisa permitiu concluir que os fatores de risco responsáveis por problemas no assoalho pélvico podem ser considerados cruciais para avaliar o nível de impacto da incontinência urinária e sua evolução como resultado de intervenções precoces, simples e de baixo custo na atenção primária à saúde. As disfunções do assoalho pélvico afetam negativa e substancialmente a qualidade de vida das mulheres. (AU)


Pelvic floor dysfunction involves nosological conditions, such as urinary incontinence and sexual dysfunction, which have a negative impact on quality of life. This study aimed to evaluate pelvic floor muscle strength of women with pelvic dysfunction. This is an analytical cross-sectional performed design with a convenience sample of 167 women with complaints of pelvic floor muscle dysfunctions. Sociodemographic and clinical characteristics, quality of life related to incontinence and pelvic muscle strength were analyzed. Univariate and bivariate statistics were calculated. The mean age of women was 50.2 years. Most were classified having a very severe impact (76.6%) on incontinencerelated quality of life, 41 (24.6%) presented non-sustained muscle contraction and 7 (4.2%) presented in contraction. Significant associations were identified between pelvic muscle strength and age (p = 0.025), menopause (p = 0.039) and hysterectomy (p = 0.026). This study allowed us to conclude that the risk factors responsible for pelvic floor problems can be considered crucial to assess the level of impact of urinary incontinence and its evolution as a result of early, simple and low cost interventions in primary health care. Pelvic floor dysfunctions affect negatively and substantially the quality of life of women. (AU)


Subject(s)
Humans , Female , Pelvic Floor , Muscle Strength , Quality of Life , Urinary Incontinence , Muscle Contraction
2.
Rev. bras. med. esporte ; 27(2): 201-206, Apr.-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1280061

ABSTRACT

ABSTRACT Introduction: We applied three-dimensional gait analysis to assess the effects of enhanced active contraction of the transversus abdominis (EACTA) during walking. We sought to evaluate the effect of EACTA during walking in order to improve walking quality. Methods: Thirty college students were recruited and trained to perform EACTA during walking. We examined gait parameters under different conditions, including EACTA and habitual ACTA (natural walking with mild contraction of the feedforward mechanism of ACTA, HACTA) during walking using three-dimensional gait analysis. We compared differences in gait parameters under the two walking conditions using SPSS 16.0 statistical software. Results: The following gait parameters were significantly lower under EACTA conditions than under HACTA conditions (P < 0.05): stance phase, 59.151% ± 1.903% vs. 59.825% ± 1.495%; stride time, 1.104 s ± 0.080 s vs. 1.134 s ± 0.073 s:; stance time, 0.656 s ± 0.057 s vs. 0.678 s ± 0.053 s; and swing time, 0.447 s ± 0.028 s vs. 0.454 s ± 0.031 s, respectively. Gait parameters single support phase and mean velocity were significantly higher for EACTA than for HACTA conditions (both P < 0.05). Conclusions: Overall, the results revealed that EACTA during walking can improve gait. This method is simple, and EACTA training during walking to improve gait quality in daily life could provide a positive basis for people to strengthen the transverse abdominal muscle. Level of evidence III; Retrospective comparative study .


RESUMEN Introducción: Aplicamos el análisis tridimensional de la marcha para evaluar los efectos del aumento de la contracción activa del músculo transverso del abdomen (EACTA) durante la caminata. Buscamos evaluar el efecto del EACTA durante la caminata para mejorar su calidad. Métodos: Treinta estudiantes universitarios fueron reclutados y entrenados para realizar el EACTA durante la caminata. Examinamos los parámetros de la marcha en diferentes condiciones, incluyendo EACTA y ACTA habitual (caminata natural con leve contracción del mecanismo de feedforward del ACTA, HACTA) durante la caminata usando análisis tridimensional de la marcha. Comparamos las diferencias en los parámetros de la marcha en las dos condiciones de caminata en el software estadístico SPSS 16.0. Resultados: Los siguientes parámetros de marcha fueron significativamente más bajos en la condición EACTA que en condiciones HACTA (P <0,05): fase de apoyo 59,151 ± 1,903% vs 59,825 ± 1,495%, tiempo de zancada 1,104 s ± 0,080 s vs 1,134 s ± 0,073 s, tiempo de apoyo 0,656 s ± 0,057 s vs 0,678 s ± 0,053 s y tiempo de balance 0,447 s ± 0,028 s vs 0,454 s ± 0,031 s, respectivamente. Los parámetros de la marcha, fase de apoyo simple y velocidad promedio fueron significativamente mayores en el EACTA que en las condiciones HACTA (ambos P <0,05). Conclusiones: En general, los resultados revelaron que el EACTA durante la caminata puede mejorar la marcha. Este método es simple, y el entrenamiento del EACTA durante la caminata para mejorar la calidad de la marcha en la vida diaria puede ser una base positiva para el fortalecimiento del músculo transverso del abdomen. Nivel de evidencia III; Estudio retrospectivo comparativo .


RESUMO Introdução: Aplicamos a análise tridimensional da marcha para avaliar os efeitos do aumento da contração ativa do músculo transverso do abdome (EACTA) durante a caminhada. Procuramos avaliar o efeito do EACTA durante a caminhada para melhorar sua qualidade. Métodos: Trinta estudantes universitários foram recrutados e treinados para realizar o EACTA durante a caminhada. Examinamos os parâmetros da marcha em diferentes condições, incluindo EACTA e ACTA habitual (caminhada natural com leve contração do mecanismo de feedforward do ACTA, HACTA) durante a caminhada usando análise tridimensional da marcha. Comparamos as diferenças nos parâmetros da marcha nas duas condições de caminhada no software estatístico SPSS 16.0. Resultados: Os seguintes parâmetros da marcha foram significativamente mais baixos na condição EACTA do que em condições HACTA (P < 0,05): fase de apoio 59,151 ± 1,903% vs. 59,825 ± 1,495%, tempo de passada 1,104 s ± 0,080 s vs. 1,134 s ± 0,073 s, tempo de apoio 0,656 s ± 0,057 s vs. 0,678 s ± 0,053 s e tempo de balanço 0,447 s ± 0,028 s vs. 0,454 s ± 0,031 s, respectivamente. Os parâmetros da marcha fase de apoio simples e velocidade média foram significativamente maiores no EACTA do que nas condições HACTA (ambos P < 0,05). Conclusões: No geral, os resultados revelaram que o EACTA durante a caminhada pode melhorar a marcha. Esse método é simples, e o treinamento do EACTA durante a caminhada para melhorar a qualidade da marcha na vida diária pode ser uma base positiva para o fortalecimento do músculo transverso do abdome. Nível de evidência III; Estudo retrospectivo comparativo .


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Abdominal Muscles/physiology , Gait , Muscle Contraction/physiology , Imaging, Three-Dimensional , Gait Analysis
3.
Int. braz. j. urol ; 47(1): 120-130, Jan.-Feb. 2021. tab, graf
Article in English | LILACS | ID: biblio-1134327

ABSTRACT

ABSTRACT Aim: To evaluate the radiotherapy (RT) effect in the pelvic floor muscles (PFM) function in men with prostate cancer (PC). Materials and Methods: A cross-sectional study included three groups of patients with PC and RT indication: 1) Pre-RT group: evaluated before the beginning of RT; 2) Acute group: evaluated between six months and one year after RT; 3) Late Group: evaluated between two and a half years and four years post-RT. PFM assessment was divided into: a) functional assessment through the digital anal palpation (Modified Oxford Scale) and surface electromyography (sEMG) with anal probe; b) anatomical assessment by pelvic magnetic resonance imaging (MRI) with thickness measurements of levator ani muscle and pelvic specific parameters at rest and under Valsalva maneuver. We used Student t test, considering as significant p <0.05. Results: Thirty-three men were assessed: Pre-RT (n=12); Acute (n=10) and Late (n=11) groups. PFM functional assessment showed Late group with lower electromyographic activity, especially in the sustained contractions when compared to the Pre-RT (p=0.003) and Acute groups (p=0.006). There was no significant difference between groups in MRI. Conclusion: PFM functional assessment showed a decrease in sEMG activity in the Late group post-RT. Most of the sample (72.7%) did not know how to actively contract the PFM or had a weak voluntary contraction when assessed by digital anal palpation. Also, these patients presented higher prevalence of pelvic complaints. No changes were observed in the morpho-functional parameters evaluated by MRI, except the measurement of the membranous urethra length when comparing Pre-RT Group and Acute and Late Groups.


Subject(s)
Humans , Male , Prostate/immunology , Pelvic Floor/diagnostic imaging , Palpation , Magnetic Resonance Imaging , Cross-Sectional Studies , Electromyography , Muscle Contraction
4.
Rev. bras. med. esporte ; 27(1): 98-102, Jan.-Mar. 2021. tab, graf
Article in English | LILACS | ID: biblio-1156116

ABSTRACT

ABSTRACT Introduction When a person is in a standing position, the plantar flexor muscles are involved in most static and dynamic body movements. Objectives The aim of this study was to investigate the trial to trial and factorial reliability of measuring the contractile characteristics of PF muscles using a simple novel field test. Methods The sample consisted of 452 healthy subjects, 120 male and 332 female. The research was conducted by means of the trial to trial testing method, using isometric dynamometry performed in field conditions. ANOVA was used to estimate the differences among the trials, Cronbach's alpha and interclass correlation to estimate the correlations among the trials, and principal component analysis to evaluate the contribution of each trial to overall variability. Results The main findings of this study are that trials differed significantly (p<0.000) for maximal force (Fmax) and maximal rate of force development (RFDmax), indicating that the three procedural trials were necessary. The trials were highly correlated (Fmax, RFDmax, r>0.9), proving that measuring was reliable, and the factorial analysis separated the second and third trials, the second trial accounting for most of the total variability. Conclusions The simple novel field test for the measurement of plantar flexor contractile characteristics recommended by this study proved to be as highly reliable as laboratory testing, but was easy to perform in conditions outside of scientific or diagnostic institutions, which greatly facilitates the work of scientists, coaches and professionals. Level of Evidence II; Diagnostic Studies - Investigating a diagnostics test.


RESUMO Introdução Quando uma pessoa está em pé, os músculos flexores plantares são envolvidos na maioria dos movimentos corporais estáticos e dinâmicos. Objetivos O objetivo deste estudo foi investigar a confiabilidade teste-reteste e fatorial da mensuração das características contráteis dos músculos plantares, usando um novo teste de campo simples. Métodos A amostra consistiu em 452 indivíduos saudáveis, 120 homens e 332 mulheres. O estudo foi realizado pelo método de teste-reteste, com dinamometria isométrica conduzida em condições de campo. Empregou-se a ANOVA para estimar a diferença entre os testes o alfa de Cronbach e a correlação interclasse para estimar a correlação entre os testes e análise de componentes principais , para avaliar a contribuição de cada teste para a variabilidade global. Resultados Os principais achados deste estudo são que os testes diferiram significativamente (p < 0,000) para a força máxima (Fmáx) e a taxa máxima de desenvolvimento de força (TDFmáx), indicando que os três testes de procedimento foram necessários. Os testes foram altamente correlacionados (Fmáx, TDFmáx, r > 0,9), provando que a medição era confiável, e a análise fatorial separou o segundo e o terceiro testes, sendo que o segundo teste apresentou a maior parte da variabilidade total. Conclusões O novo teste de campo simples para medição das características contráteis dos flexores plantares recomendado por este estudo provou ser tão confiável quanto os testes de laboratório e, ao mesmo tempo, mais fácil de realizar fora das instituições científicas ou de diagnóstico, o que facilita muito o trabalho de cientistas, treinadores e profissionais. Nível de Evidência II; Estudos Diagnósticos - Investigação de um exame para diagnóstico.


RESUMEN Introducción Cuando una persona está de pie, los músculos flexores plantares son involucrados en la mayoría de los movimientos corporales estáticos y dinámicos. Objetivos El objetivo de este estudio fue investigar la confiabilidad test-retest y factorial de la medición de las características contráctiles de los músculos plantares, usando un nuevo test de campo simple. Métodos La muestra consistió en 452 individuos saludables, 120 hombres y 332 mujeres. El estudio fue realizado a través del método de test-retest, con dinamometría isométrica conducida en condiciones de campo. Se empleó ANOVA para estimar la diferencia entre los tests, alpha de Crombach y la correlación interclase para estimar la correlación entre los tests y el análisis de componentes principales, para evaluar la contribución de cada test para la variabilidad global. Resultados Los principales hallazgos de este estudio son que los tests difirieron significativamente (p<0,000) para la fuerza máxima (Fmáx) y la tasa máxima de desarrollo de fuerza (TDFmáx) indicando que los tres tests de procedimiento fueron necesarios. Los tests fueron altamente correlacionados (Fmáx, TDFmáx, r>0,9) probando que la medición era confiable, y el análisis factorial separó el segundo y tercer test, siendo que el segundo test presentó la mayor parte de variabilidad total. Conclusiones El nuevo test de campo simple para medición de las características contráctiles de los flexores plantares recomendado por este estudio probó ser tan confiable como los tests de laboratorio y, al mismo tiempo, más fácil de realizar fuera de las instituciones científicas o de diagnóstico, lo que facilita mucho el trabajo de científicos, entrenadores y profesionales. Nivel de evidencia II; Estudios diagnósticos - Investigación de un examen para diagnóstico.


Subject(s)
Humans , Male , Adult , Young Adult , Muscle, Skeletal/physiology , Muscle Strength/physiology , Muscle Contraction/physiology , Reproducibility of Results , Analysis of Variance
5.
Rev. Fac. Med. (Bogotá) ; 68(3): 438-445, July-Sept. 2020. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1143733

ABSTRACT

Abstract Introduction: Multiple signal processing studies have reported the application of surface electromyography (sEMG) signals in robotics and motor rehabilitation processes. Objective: To conduct a literature review on the use of sEMG signals as an alternative method for knee torque estimation in order to objectively measure the progress of patients at different stages of knee injury rehabilitation. Materials and methods: A literature review of studies published between 1986 and 2018, without geographical limits, was carried out in the Engineering Village, IEEE Xplore, Science-Direct, Web of Science, Scopus, and PubMed databases by combining 8 search terms. Results: After completing the initial search, 355 records were retrieved. Duplicated publications were eliminated, and 308 articles were analyzed to determine if they met the inclusion criteria. Finally, 18 studies describing, in a comparative way, how to estimate torque based on sEMG signals were included. Conclusion: The use of sEMG signals to calculate joint torque is an alternative method that allows therapists to obtain quantitative parameters and assess the progress of patients undergoing knee rehabilitation processes.


Resumen Introducción. Múltiples estudios de procesamiento de señales han reportado la aplicación de las señales de electromiografía de superficie (sEMG) en robótica y en procesos de rehabilitación motora. Objetivo. Realizar una revisión de la literatura sobre el uso de señales de sEMG como alternativa para la estimación del par de rodilla con el fin de medir objetivamente el progreso de los pacientes en las diferentes etapas de rehabilitación de lesiones de rodilla. Materiales y métodos. Se realizó una revisión de la literatura publicada entre 1986 y 2018, sin límites geográficos, en las bases de datos Engineering Village, IEEE Xplore, ScienceDirect, Web of Science, Scopus y PubMed mediante la combinación de 8 términos de búsqueda. Resultados. Al finalizar la búsqueda inicial se obtuvieron 355 registros. Luego de realizar la remoción de duplicados esta cifra descendió a 308, los cuales fueron analizados para determinar si cumplían con los criterios de inclusión. Finalmente se incluyeron 18 estudios que describen de forma comparativa cómo estimar el par a partir de señales de sEMG. Conclusión. El uso de señales de sEMG para calcular el par en una articulación es una herramienta alternativa que permite al terapeuta acceder a parámetros cuantitativos y, de esta forma, valorar el progreso de los pacientes durante el proceso de rehabilitación de rodilla.


Subject(s)
Humans , Electromyography , Knee Joint , Muscle Contraction
6.
Rev. bras. cir. cardiovasc ; 35(4): 459-464, July-Aug. 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1137286

ABSTRACT

Abstract Objective: To verify the concurrent validity between the inspiratory muscle strength (IMS) values obtained in static (maximal inspiratory pressure [MIP]) and dynamic (S-Index) assessments. Methods: Healthy individuals were submitted to two periods of evaluation: i) MIP, static maneuver to obtain IMS, determined by the Mueller's maneuver from residual volume (RV) until total lung capacity (TLC); ii) and S-Index, inspiration against open airway starting from RV until TLC. Both measures were performed by the same evaluator and the subjects received the same instructions. Isolated maneuvers with differences < 10% were considered as reproducible measures. Results: Data from 45 subjects (21 males) were analyzed and that showed statistical difference between MIP and S-Index values (133.5 ± 33.3 and 125.6 ± 32.2 in cmH2O, respectively), with P=0.014. Linear regression showed r2=0.54 and S-Index prediction formula = 39.8+(0.75×MIP). Pearson's correlation demonstrated a strong and significant association between the measures with r=0.74. The measurements showed good concordance evidenced by the Bland-Altman test. Conclusion: S-Index and MIP do not present similar values since they are evaluations of different events of the muscular contraction. However, they have a strong correlation and good agreement, which indicate that both are able to evaluate the IMS of healthy individuals.


Subject(s)
Humans , Male , Female , Young Adult , Respiratory Muscles , Maximal Respiratory Pressures , Muscle Strength , Muscle Contraction
7.
Rev. colomb. reumatol ; 27(2): 130-134, ene.-jun. 2020. tab
Article in Spanish | LILACS | ID: biblio-1251647

ABSTRACT

RESUMEN El síndrome de persona rígida afecta el sistema nervioso central. Los signos clínicos relevantes son la rigidez, los espasmos musculares y sensibilidad incrementada a los estímulos externos, que inducen las contracciones musculares. Las mujeres son afectadas de 2 a 3 veces más con relación a los hombres. Hay marcadores de tipo clínico y electrofisiológico característicos. La etiología se asocia con la mediación por anticuerpos y puede ser la expresión de un síndrome paraneoplásico. El tratamiento farmacológico se realiza con medicamentos relajantes musculares y medicamentos con mecanismo inmunomodulador o inmunosupresor. Adicionalmente, se requiere un plan complementario de rehabilitación. El propósito del grupo es hacer una descripción del caso clínico, que consideramos es relevante por su baja frecuencia de presentación y realizar una actualización sobre el tema.


A B S T R A C T Stiff person syndrome affects the central nervous system. Relevant clinical signs are stiffness, muscle spasms, increased sensitivity with external stimuli that increase muscle contractions. Women are affected twice to three times more, in comparation with the men. There are characteristic clinical and electrophysiological type markers. The etiology is associated with mediation by antibodies and may be the expression of a paraneoplastic syndrome. Pharmacological treatment is focused on muscle relaxant-type medications, drugs with immunomodulatory or immunosuppressive mechanism. In adition, complementary rehabilitation treatment is required. The purpose of the group is to make the description of the clinical case that is relevant due to the low frequency of presentation and to carry out an update of the topic.


Subject(s)
Humans , Female , Therapeutics , Central Nervous System , Stiff-Person Syndrome , Paraneoplastic Syndromes , Signs and Symptoms , Women , Sensitivity and Specificity , Muscle Contraction
8.
Rev. bras. ortop ; 55(2): 254-257, Mar.-Apr. 2020. graf
Article in English | LILACS | ID: biblio-1138001

ABSTRACT

Abstract Bilateral fracture of the femoral neck secondary to seizure is a rare event. The occurrence of these lesions is related to vigorous tonic-clonic muscular contractions and to the use of anticonvulsive medications. Femoral neck fractures in young adults treated with total hip arthroplasty are the exception, and the choice of surgical access should consider several factors; the direct anterior approach is a possibility for total hip arthroplasty. The authors present the case of a 36-year-old male with bilateral fracture of the femoral neck secondary to seizure, and in regular use of phenytoin. Due to the risk of fixation failure and prolonged evolution time, bilateral total hip arthroplasty was the procedure of choice. The choice of the approach should take into consideration the patient's anatomy, material availability, and surgeon's experience. Thus, the greater ease of preparation and positioning of the patient, the shorter hospital stay, the early postoperative rehabilitation, and the mastery of the technique by the surgeon, are possible justifications for the adoption of the direct anterior approach.


Resumo A fratura bilateral do colo do fêmur secundária à crise convulsiva é um evento raro. A ocorrência dessas lesões está relacionada a contrações musculares tônico-clônicas vigorosas e ao uso de medicações anticonvulsivantes. As fraturas do colo do fêmur no adulto jovem tratadas com artroplastia total do quadril são exceção, e a escolha do acesso cirúrgico deve levar em consideração diversos fatores; o acesso anterior direto é uma possibilidade para artroplastia total do quadril. Os autores apresentam o caso de um homem de 36 anos com fratura bilateral do colo do fêmur secundária a crise convulsiva e em uso regular de fenitoína. Devido ao risco de falha da fixação e ao tempo de evolução prolongado, optou-se pela artroplastia total do quadril bilateral. A escolha da via de acesso deve levar em consideração a anatomia do paciente, a disponibilidade de materiais e a experiência do cirurgião. Dessa forma, a maior facilidade de preparo e posicionamento do paciente, o menor tempo de internação, a reabilitação pós-operatória precoce e o domínio da técnica pelo cirurgião são possíveis justificativas para a adoção do acesso anterior direto.


Subject(s)
Humans , Male , Adult , Rehabilitation , Seizures , Arthroplasty, Replacement, Hip , Epilepsy , Fractures, Bone , Femoral Neck Fractures , Hip , Length of Stay , Muscle Contraction , Anticonvulsants
9.
Int. j. odontostomatol. (Print) ; 14(1): 42-47, mar. 2020. tab
Article in Spanish | LILACS | ID: biblio-1056499

ABSTRACT

RESUMEN: El objectivo de este estudio fue describir los valores promedio de oximetría, frecuencia cardíaca y eventos de apnea durante la noche y la actividad de los músculos maseteros y temporales en un grupo de adultos jóvenes con BS. Estudio observacional descriptivo de serie de casos que consideró una muestra 20 jóvenes entre 21 y 25 años diagnosticados con BS mediante polisomnografía. Se describieron las condiciones de actividad de los músculos maseteros y temporales mediante electromiografía y los valores e los signos vitales mediante polisomnografía. El análisis estadístico fue de tipo descriptivo, se aplicaron medidas de tendencia central, frecuencias absolutas y relativas. El promedio de la actividad muscular durante la masticación de los maseteros fue (D: 86) (I: 520). El promedio de la actividad muscular durante la masticación de los temporales fue (D: 340) (I: 510). El promedio en los episodios de hipopnea fue de (28,9). El promedio de oximetría fue (NMOR: 93,5) (MOR: 93,8). El promedio de la tasa cardiaca fue (NMOR: 65,4) (MOR: 66,8) latidos/minuto. El promedio de eventos de bruxismo fue (NREM: 135,4) (REM: 120,2).y el índice (eventos BS/hora) (40,60). Las características de las musculares masticatorias y los signos vitales durante el sueño de los sujetos con BS pueden ayudar al entendimiento y a la toma de decisiones en el tratamiento.


ABSTRACT: The objective of the study was to describe the average oximetry, heart rate, and apnea events values during sleep, and the activity of masseter and temporal muscles in a group of young adults with SB (Sleep Bruxism). This serial case and observational descriptive study comprised of a sample of 20 young people between 21 and 25 years of age, who were diagnosed with SB through a polysomnography test. Electromyography recordings served to describe the activity conditions of masseter and temporal muscles, while polysomnography was used to obtain measurement values and vital signs. A descriptive statistical analysis accounting for measures of central tendency, absolute and relative frequencies was performed. During mastication, the average masseter and temporal muscle activity values registered at (D: 86) (I: 520), and (D: 340) (I: 510) respectively. While, the average value for hypopnea episodes was (28.9), and (NREM: 93.5) (REM: 93.8) for oximetry. The average heart rate exhibited a value of (NREM: 65.4) (REM: 66.8) beats / minute, while the values for bruxism events registered at (NREM: 135.4) (REM: 120.2) with an index value of (SB events / hour) (40.60). Muscles of mastication characteristics, and vital signs during sleep for subjects with SB can aid in understanding and decision making in treatment.


Subject(s)
Humans , Male , Female , Adult , Bruxism , Sleep Bruxism/complications , Sleep Bruxism/diagnosis , Heart Rate/drug effects , Apnea , Oximetry , Epidemiology, Descriptive , Polysomnography , Dental Occlusion , Electromyography , Observational Study , Mastication , Mexico , Muscle Contraction
10.
Rev. Asoc. Méd. Argent ; 133(1): 12-20, mar. 2020. graf, tab
Article in Spanish | LILACS | ID: biblio-1097697

ABSTRACT

La rigidez cadavérica (rigor mortis) es un proceso no muy bien comprendido por la mayoría de los médicos. El conocimiento de la intimidad del proceso de la rigidez cadavérica es de vital importancia ya que es una de las variables que junto con las livideces (livor mortis) y la temperatura (algor mortis) del cadáver ayudan a determinar el cronotanatodiagnóstico, tanatocronodiagnóstico o intervalo postmortal del período inmediato de la muerte. Para entender el mecanismo de la rigidez y el espasmo cadavérico es preciso hacer un repaso de la contracción muscular fisiológica en el vivo. Hay que tener presente que el tipo de fibra muscular predominante modificará las características de la contracción muscular fisiológica en el vivo, y también la rigidez y el espasmo cadavérico. (AU)


The cadaveric rigidity (rigor mortis) is a process which is not very well understood by the majority of the doctors. The knowledge of the intimacy of the cadaveric stiffness process is of vital importance since it is one of the variables that, as well as the postmortem lividity (livor mortis) and the body temperature post mortem (algor mortis) help determine the chronotanatodiagnostic, tanatochronodiagnostic or postmortal interval of the immediate period of death. In order to understand the mechanism of stiffness and cadaveric spasm, it is necessary to review the physiological muscle contraction in vivo. We should keep in mind that the predominant type of muscle fiber will modify the characteristics of physiological muscle contraction in vivo, as well as stiffness and cadaveric spasm. (AU)


Subject(s)
Humans , Rigor Mortis/physiopathology , Spasm/physiopathology , Muscle Fibers, Skeletal/classification , Muscle Fibers, Skeletal/physiology , Time Factors , Muscle Contraction/physiology , Muscle Relaxation/physiology
11.
Article in Chinese | WPRIM | ID: wpr-828517

ABSTRACT

OBJECTIVE@#To investigate the protective effect of melatonin against myocardial ischemia reperfusion (IR) injury in isolated rat hearts and explore the underlying mechanisms.@*METHODS@#The isolated hearts from 40 male SD rats were randomly divided into 4 groups (=10): the control group, where the hearts were perfused with KH solution for 175 min; IR group, where the hearts were subjected to global ischemia for 45 min followed by reperfusion for 120 min; IR+melatonin (Mel+IR) group, where melatonin (5 μmol/L) was administered to the hearts 1 min before ischemia and during the first 5 min of reperfusion, followed by 115 min of reperfusion; and IR+2, 3-butanedione monoxime (IR+BDM) group, where the hearts were treated with BDM (20 mmol/L) in the same manner as melatonin treatment. Myocardial injury in the isolated hearts was assessed based on myocardial injury area, caspase-3 activity, and expressions of cytochrome C and cleaved caspase-3 proteins. Cardiac contracture was assessed using HE staining and by detecting lactate dehydrogenase (LDH) activity and the content of cardiac troponin I (cTnI) in the coronary outflow, measurement of left ventricular end-diastolic pressure (LVEDP) and electron microscopy. The content of ATP in the cardiac tissue was also determined.@*RESULTS@#Compared with those in the control group, the isolated hearts in IR group showed significantly larger myocardial injury area and higher caspase-3 activity and the protein expressions of cytochrome C and cleaved caspase-3 with significantly increased LDH activity and cTnI content in the coronary outflow and elevated LVEDP at the end of reperfusion; HE staining showed obvious fractures of the myocardial fibers and the content of ATP was significantly decreased in the cardiac tissue; electron microscopy revealed the development of contraction bands. In the isolated hearts with IR, treatment with Mel or BDM significantly reduced the myocardial injury area, caspase-3 activity, and protein expressions of cytochrome C and cleaved caspase-3, obviously inhibited LDH activity, lowered the content of cTnI and LVEDP, reduced myocardial fiber fracture, and increased ATP content in the cardiac tissue. Both Mel and BDM inhibited the formation of contraction bands in the isolated hearts with IR injury.@*CONCLUSIONS@#Mel can alleviate myocardial IR injury in isolated rat hearts by inhibiting cardiac contracture, the mechanism of which may involve the upregulation of ATP in the cardiac myocytes to lessen the tear of membrane and reduce cell content leakage.


Subject(s)
Animals , Heart , Male , Melatonin , Pharmacology , Therapeutic Uses , Muscle Contraction , Myocardial Reperfusion Injury , Drug Therapy , Myocytes, Cardiac , Rats , Rats, Sprague-Dawley
12.
Article in Chinese | WPRIM | ID: wpr-828168

ABSTRACT

Human motion control system has a high degree of nonlinear characteristics. Through quantitative evaluation of the nonlinear coupling strength between surface electromyogram (sEMG) signals, we can get the functional state of the muscles related to the movement, and then explore the mechanism of human motion control. In this paper, wavelet packet decomposition and : coherence analysis are combined to construct an intermuscular cross-frequency coupling analysis model based on wavelet packet- : coherence. In the elbow flexion and extension state with 30% maximum voluntary contraction force (MVC), sEMG signals of 20 healthy adults were collected. Firstly, the subband components were obtained based on wavelet packet decomposition, and then the : coherence of subband signals was calculated to analyze the coupling characteristics between muscles. The results show that the linear coupling strength (frequency ratio 1:1) of the cooperative and antagonistic pairs is higher than that of the nonlinear coupling (frequency ratio 1:2, 2:1 and 1:3, 3:1) under the elbow flexion motion of 30% MVC; the coupling strength decreases with the increase of frequency ratio for the intermuscular nonlinear coupling, and there is no significant difference between the frequency ratio : and : . The intermuscular coupling in beta and gamma bands is mainly reflected in the linear coupling (1:1), nonlinear coupling of low frequency ratio (1:2, 2:1) between synergetic pair and the linear coupling between antagonistic pairs. The results show that the wavelet packet- : coherence method can qualitatively describe the nonlinear coupling strength between muscles, which provides a theoretical reference for further revealing the mechanism of human motion control and the rehabilitation evaluation of patients with motor dysfunction.


Subject(s)
Adult , Algorithms , Electromyography , Humans , Movement , Muscle Contraction , Muscle, Skeletal , Physiology , Range of Motion, Articular
13.
Int. braz. j. urol ; 45(6): 1196-1203, Nov.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1056345

ABSTRACT

ABSTRACT Aims: Radical prostatectomy (RP) can result in urinary incontinence (UI) and erectile dysfunction (ED), which negatively impact quality of life (QoL). This study aimed to evaluate the effects of a perioperative pelvic floor muscle training (PFMT) program versus usual care on early recovery of urinary continence and erectile function after RP. Materials and Methods: Of 59 eligible men, 31 were randomly allocated into 2 groups: Group 1 (Control, N=15) received usual post-RP care; and Group 2 (Physical therapy, N=16) received two pre-RP physical therapist-guided PFMT sessions, including exercises and electromyographic biofeedback, and verbal and written instructions to continue PFMT until RP, which was then resumed after urethral catheter removal. The International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and the 5-item version of the International Index of Erectile Function (IIEF-5) questionnaire were used to evaluate UI and ED, respectively. Results: Demographic characteristics were similar in both groups. Three months after RP, the UI rate was 72.7% and 70.0% in Groups 1 and 2, respectively (P >0.05). The severity and frequency of UI and its impact on QoL were evaluated by the ICIQ-Short Form, with scores of 6.9±6.26 in Group 1 and 7.0±5.12 in Group 2 (P >0.05). The IIEF-5 scores were similar in Groups 1 and 2 (5.73±7.43 vs. 6.70±6.68, respectively) (P >0.05). Conclusion: Our pre-RP protocol of two physical therapist-assisted sessions of PFMT plus instructions did not significantly improve urinary continence or erectile function at 3 months after RP.


Subject(s)
Humans , Male , Aged , Prostatectomy/rehabilitation , Urinary Incontinence/rehabilitation , Pelvic Floor/physiopathology , Perioperative Care/methods , Muscle Stretching Exercises/methods , Erectile Dysfunction/rehabilitation , Prostatectomy/adverse effects , Prostatectomy/methods , Prostatic Neoplasms/surgery , Prostatic Neoplasms/pathology , Quality of Life , Urinary Incontinence/etiology , Urinary Incontinence/physiopathology , Adenocarcinoma/surgery , Adenocarcinoma/pathology , Prospective Studies , Surveys and Questionnaires , Treatment Outcome , Neurofeedback , Neoplasm Grading , Erectile Dysfunction/etiology , Erectile Dysfunction/physiopathology , Middle Aged , Muscle Contraction/physiology , Neoplasm Staging
14.
Int. arch. otorhinolaryngol. (Impr.) ; 23(3): 317-321, July-Sept. 2019. tab, graf
Article in English | LILACS | ID: biblio-1040028

ABSTRACT

Abstract Introduction Chewing and swallowing are physiologically interconnected functions, which share motor structures and supranuclear regions of the central nervous system (CNS), involving a sensorimotor synchrony. Objective To analyze the influence of masticatory behavior on muscular compensations in the oral phase of swallowing in smokers compared with nonsmokers. Methods A cross-sectional study comparing smokers and nonsmokers composed of 24 participants in each group. The aspects of food crunching, masticatory pattern, masticatory speed, atypical muscular contractions, and lip closure were analyzed during mastication. In swallowing, aspects of contraction of the orbicular and mental muscles, head movement and presence of deglutition, mastication, smoking, and of stomatognathic system of residues after swallowing were characterized. Results Statistically significant differences were identified between the study groups related to food grinding pattern, masticatory velocity, and mental contraction during swallowing. There was no significant association between masticatory function and compensations during swallowing. Conclusion Differences were observed in the pattern of chewing and swallowing in smokers compared with nonsmokers, but no influence of masticatory performance was observed in the presence of muscle compensations during the oral phase of swallowing.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Deglutition/physiology , Mastication/physiology , Masticatory Muscles/physiology , Stomatognathic System/physiology , Comparative Study , Cross-Sectional Studies , Smokers , Muscle Contraction/physiology
15.
Rev. bras. anestesiol ; 69(4): 335-341, July-Aug. 2019. tab, graf
Article in English | LILACS | ID: biblio-1042004

ABSTRACT

Abstract Introduction Malignant hyperthermia is an autosomal dominant pharmacogenetic disorder, characterized by hypermetabolic crisis triggered by halogenated anesthetics and/or succinylcholine. The standard method for diagnosing malignant hyperthermia susceptibility is the in vitro muscle contracture test in response to halothane-caffeine, which requires muscle biopsy under anesthesia. We describe a series of anesthetic procedures without triggering agents in malignant hyperthermia, comparing peripheral nerve block and subarachnoid anesthesia. Method We assessed the anesthetic record charts of 69 patients suspected of malignant hyperthermia susceptibility who underwent muscle biopsy for in vitro muscle contracture in the period of 7 years. Demographic data, indication for malignant hyperthermia investigation, in vitro muscle contracture test results, and surgery/anesthesia/recovery data were analyzed. Results Sample with 34 ± 13.7 years, 60.9% women, 65.2% of in vitro muscle contracture test positive. Techniques used: peripheral nerve blocks — lateral femoral and femoral cutaneous, latency 65 ± 41 min — (47.8%); subarachnoid anesthesia (49.3%), and total venous anesthesia (1.4%). There was 39.4% failure of peripheral nerve block and 11.8% of subarachnoid anesthesia. Adverse events (8.7%) occurred only with subarachnoid blockade (bradycardia, nausea, and transient neurological syndrome). All patients remained in the post-anesthesia care unit until discharge. Age and weight were significantly higher in patients with blockade failure (ROC cut-off point of 23.5 years and 59.5 kg) and blockade failure was more frequent in the presence of increased idiopathic creatine kinase. Conclusion Anesthesia with non-triggering agents has been shown to be safe in patients with malignant hyperthermia susceptibility. Variables such as age, weight, and history of increased idiopathic creatine kinase may be useful in selecting the anesthetic technique for this group of patients.


Resumo Introdução Hipertermia maligna é uma doença farmacogenética autossômica dominante, caracterizada por crise hipermetabólica desencadeada por anestésicos halogenados e/ou succinilcolina. O padrão para diagnóstico da suscetibilidade à hipertermia maligna é o teste de contratura muscular in vitro em resposta ao halotano-cafeína, para o qual é necessária biopsia muscular sob anestesia. Descrevemos uma série de anestesias sem agentes desencadeantes na hipertermia maligna e comparamos bloqueios de nervo periférico e anestesias subaracnóideas. Método Foram analisados os prontuários/fichas anestésicas de 69 pacientes suspeitos de susceptibilidade à hipertermia maligna, submetidos à biópsia muscular para teste de contratura muscular in vitro durante sete anos. Analisamos dados demográficos, indicação para investigação de hipertermia maligna, resultado do teste de contratura muscular in vitro e dados da cirurgia/anestesia/recuperação. Resultados Amostra com 34 ± 13,7 anos, 60,9% mulheres, 65,2% de teste de contratura muscular in vitro positivos. Técnicas empregadas: 47,8% bloqueios de nervo periférico (femoral e cutâneo femoral lateral, latência 65 ± 41 minutos), 49,3% anestesias subaracnóideas e 1,4% anestesia venosa total. Falha em 39,4% dos bloqueios de nervo periférico e 11,8% das anestesias subaracnóideas. Eventos adversos (8,7%) como bradicardia, náuseas e síndrome neurológica transitória só ocorreram com bloqueio subaracnóideo. Todos os pacientes permaneceram na sala de recuperação pós-anestésica até liberação. Idade e peso foram significativamente maiores nos pacientes com falha no bloqueio (ponto de corte da curva ROC de 23,5 anos e 59,5 Kg) e esta foi mais frequente na presença de aumento idiopático de creatinoquinase. Conclusão Anestesia com agentes não desencadeantes mostrou-se segura em pacientes suscetíveis à hipertermia maligna. Variáveis como idade, peso e antecedente de aumento idiopático de creatinoquinase podem ser úteis para selecionar a técnica anestésica nesse grupo.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Anesthesia/methods , Malignant Hyperthermia/diagnosis , Muscle Contraction/physiology , Nerve Block/methods , Biopsy/methods , Caffeine/administration & dosage , Retrospective Studies , Longitudinal Studies , Disease Susceptibility , Halothane/administration & dosage , Middle Aged , Muscles/metabolism
16.
Rev. bras. cir. plást ; 34(2): 187-195, apr.-jun. 2019. ilus
Article in English, Portuguese | LILACS | ID: biblio-1015965

ABSTRACT

Introdução: A utilização de implantes mamários vem aumentando. O posicionamento do implante na literatura é relatado como subglandular, subfascial, submuscular total e parcial, cada qual com suas indicações, limitações e complicações. Métodos: Este trabalho mostra uma manobra para cobertura do implante e sua sustentação utilizando dois retalhos musculares. Entre novembro de 2009 e abril de 2012, foram analisados 80 casos de pacientes submetidas à inclusão de implantes em posição submuscular em duplo bolso, independentemente da via de acesso, do grau de flacidez e ptose. Resultados: A versatilidade desta manobra permite que seja utilizada em uma ampla variedade de mamas, desde aumento sem flacidez a mamopexia com implante, podendo ser realizada por via periareolar, inframamária ou aberta. Foi utilizada em cirurgias primárias e secundárias, com ou sem uso de retalho de tecido mamário e retirada de pele. Conclusões: A cobertura do implante com o músculo peitoral pela técnica de duplo bolso demonstrou ótimos resultados, com baixo índice de complicações e reintervenções. Esta técnica está sendo utilizada em uma maior casuística e um seguimento mais longo tem sido feito para confirmar os resultados obtidos até o momento.


Introduction: The use of implants is steadily increasing. Reports have been published of implants in the subglandular, subfascial, total, and partial submuscular positions each with its indications, limitations, and complications. Methods: This study presents a technique to cover the implant and support it using two muscle flaps. Between November 2009 and April 2012, 80 patients who submitted to inclusion of implants in the submuscular position in double pocket were analyzed, regardless of the access route, the degree of flaccidity, and ptosis. Results: The versatility of this maneuver allows it to be used in a wide variety of breasts, from breast augmentation without flaccidity to mastopexy with implant, and may be carried out via the periareolar, inframammary, or open access routes. It was used in primary and secondary surgeries, with or without the use of breast tissue flap and removal of skin. Conclusions: The coverage of the implant with the pectoral muscle by the double pocket technique displayed excellent results, with a low rate of complications and reinterventions. This technique is being studied in a larger sample with a longer follow-up to confirm the results obtained so far.


Subject(s)
Humans , Female , Adolescent , Adult , Middle Aged , Breast Implantation/adverse effects , Breast Implantation/methods , Reconstructive Surgical Procedures/methods , Implant Capsular Contracture/surgery , Modalities, Position , Muscle Contraction
17.
Biosci. j. (Online) ; 35(2): 640-649, mar./apr. 2019. ilus, graf
Article in English | LILACS | ID: biblio-1048617

ABSTRACT

The muscle co-contraction is a phenomenon characterized by the simultaneous contraction of two or more muscles around a joint. The objective of this study was to compare the antagonist co-contraction of the local and global trunk muscles during side bridge exercise, in four situations: (a) stable; (b) instability in the upper limbs with bosu; (c) instability in the upper limbs with disc and (d) double instability. The sample consisted of 20 male volunteers and data collection was performed with simple differential surface electrodes. The electromyographic activity was collected from the Rectus Abdominis (RA), Internal Oblique Abdominis (IO), Multifidus (MF) and Erector Spinae (ES). Were utilized specific routines developed in the Matlab program (Mathworks Natick, USA) to calculate the percentage of antagonist co-contraction between local (IO/MF) and global muscles (RA/ES). The collected data were submitted to parametric statistical analysis (repeated measures ANOVA) or non-parametric (Friedman). The results demonstrated that no significant differences were observed in the pattern of global and local co-contraction in the different side bridge exercises with and without unstable surface. It is concluded that the use of unstable surface in the side bridge stabilization exercise does not increase the level of co-contraction of the trunk flexor and extensor muscles compared to normal stability. However, future studies should use a longer time ofisometric contraction in trunk stabilization exercises to optimize the understanding of the effects of different unstable equipment on global and local levels of co-contraction of the trunk muscles


A cocontração muscular é um fenômeno caracterizado pela contração simultânea de dois ou mais músculos em torno de uma articulação. Objetivou-se comparar a cocontração antagonista da musculatura local e global do tronco durante o exercício prancha lateral, em quatro situações: (a) estável; (b) instabilidade no membro superior com bosu; (c) instabilidade no membro superior com disco e (d) instabilidade dupla. A amostra foi composta por 20 voluntários do gênero masculino e a coleta de dados foi realizada com eletrodos de superfície diferenciais simples. A atividade eletromiográfica foi coletada dos músculos Reto do Abdome (RA), Oblíquo Interno do Abdome (OI), Multifido (MU) e Eretor da Espinha (EE). Foram utilizadasrotinas específicas desenvolvidas no programa Matlab (Mathworks Natick, EUA) para calcular a porcentagem de cocontração antagonista entre os músculos locais (OI / MU) e globais (RA / ES). Os dados obtidos foram submetidos à análise estatística paramétrica (ANOVA medidas repetidas) ou não paramétrica (Friedman). Os resultados demonstraram que não foram observadas diferenças significativas no padrão de cocontração global e local nos distintos exercícios de prancha lateral com e sem superfície instável. Conclui-se que a utilização de superfície instável no exercício de estabilização de prancha lateral não aumenta o nível de cocontração dos músculos flexores e extensores do tronco em comparação a estabilidade normal. Todavia, futuros estudosdevem utilizar um tempo maior de contração isométrica nos exercícios de estabilização do tronco para otimizar a compreensão dos efeitos dos diferentes equipamentos instáveis sobre os níveis de cocontração global e local dos músculos do tronco.


Subject(s)
Exercise , Electromyography , Muscle Contraction
18.
Arq. bras. cardiol ; 112(4): 408-409, Apr. 2019.
Article in English | LILACS | ID: biblio-1001286
19.
Rev. bras. anestesiol ; 69(2): 152-159, Mar.-Apr. 2019. tab
Article in English | LILACS | ID: biblio-1003412

ABSTRACT

Abstract Background and objectives: Malignant hyperthermia is an autosomal dominant hypermetabolic pharmacogenetic syndrome, with a mortality rate of 10%-20%, which is triggered by the use of halogenated inhaled anesthetics or muscle relaxant succinylcholine. The gold standard for suspected susceptibility to malignant hyperthermia is the in vitro muscle contracture test in response to halothane and caffeine. The determination of susceptibility in suspected families allows the planning of safe anesthesia without triggering agents for patients with known susceptibility to malignant hyperthermia by positive in vitro muscle contracture test. Moreover, the patient whose suspicion of malignant hyperthermia was excluded by the in vitro negative muscle contracture test may undergo standard anesthesia. Susceptibility to malignant hyperthermia has a variable manifestation ranging from an asymptomatic subject presenting a crisis of malignant hyperthermia during anesthesia with triggering agents to a patient with atrophy and muscle weakness due to central core myopathy. The aim of this study is to analyze the profile of reports of susceptibility to malignant hyperthermia confirmed with in vitro muscle contracture test. Method: Analysis of the medical records of patients with personal/family suspicion of malignant hyperthermia investigated with in vitro muscle contracture test, after given written informed consent, between 1997 and 2010. Results: Of the 50 events that motivated the suspicion of malignant hyperthermia and family investigation (sample aged 27 ± 18 years, 52% men, 76% white), 64% were investigated for an anesthetic malignant hyperthermia crisis, with mortality rate of 25%. The most common signs of a malignant hyperthermia crisis were hyperthermia, tachycardia, and muscle stiffness. Susceptibility to malignant hyperthermia was confirmed in 79.4% of the 92 relatives investigated with the in vitro muscle contracture test. Conclusion: The crises of malignant hyperthermia resembled those described in other countries, but with frequency lower than that estimated in the country.


Resumo Justificativa e objetivo: Hipertermia maligna é uma síndrome farmacogenética hipermetabólica, autossômica dominante, com mortalidade entre 10%-20%, desencadeada por uso de anestésico inalatório halogenado ou relaxante muscular succinilcolina. O padrão-ouro para pesquisa de suscetibilidade à hipertermia maligna é o teste de contratura muscular in vitro em resposta ao halotano e à cafeína. A determinação da suscetibilidade nas famílias suspeitas permite planejar anestesias seguras sem agentes desencadeantes para os pacientes confirmados como suscetíveis à hipertermia maligna pelo teste de contratura muscular in vitro positivo. Além disso, o paciente no qual a suspeita de hipertermia maligna foi excluída pelo teste de contratura muscular in vitro negativo pode ser anestesiado de forma convencional. Suscetibilidade à hipertermia maligna tem manifestação variável, desde indivíduo assintomático que apresenta crise de hipertermia maligna durante anestesia com agentes desencadeantes, até paciente com atrofia e fraqueza muscular por miopatia central core disease. O objetivo deste trabalho é analisar o perfil dos relatos de suscetibilidade à hipertermia maligna confirmados com teste de contratura muscular in vitro. Método: Análise das fichas de notificação dos pacientes com suspeita pessoal/familiar de hipertermia maligna investigados com teste de contratura muscular in vitro, após assinatura do termo de consentimento, entre 1997-2010. Resultados: Dos 50 eventos que motivaram a suspeita de hipertermia maligna e a investigação familiar (amostra com 27 ± 18 anos, 52% homens, 76% brancos), 64% foram investigados por crise de hipertermia maligna anestésica, com mortalidade de 25%. Sinais mais comuns da crise de hipertermia maligna foram hipertermia, taquicardia e rigidez muscular. Suscetibilidade à hipertermia maligna foi confirmada em 79,4% dos 92 parentes investigados com teste de contratura muscular in vitro. Conclusão: Crises de hipertermia maligna assemelharam-se às descritas em outros países, porém com frequência inferior à estimada no país.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Aged , Young Adult , Anesthetics, Inhalation/adverse effects , Genetic Predisposition to Disease , Malignant Hyperthermia/diagnosis , Muscle Contraction/drug effects , In Vitro Techniques , Brazil , Caffeine/administration & dosage , Family Health , Retrospective Studies , Anesthetics, Inhalation/administration & dosage , Halothane/administration & dosage , Malignant Hyperthermia/physiopathology , Malignant Hyperthermia/prevention & control , Middle Aged , Muscle Contraction/physiology
20.
Article in Korean | WPRIM | ID: wpr-786053

ABSTRACT

PURPOSE: This study examined the effects of slashpipe exercise on reducing the thickness of the left and right external oblique, internal oblique, transverse abdominis, erector spinae, and multifidus muscles.METHODS: A total of 29 healthy adult men and women were included in the study. They performed trunk flexion in the supine position and trunk extension in the prone position with a slashpipe and weight bar. The external oblique, internal oblique, and transverse abdominis muscles were measured in the supine position, while the erector spinae and multifidus muscles were measured in the prone position. The data were analyzed using the SPSS ver 21.0 statistical program. The difference in thickness between the right and left sides of the trunk muscle was analyzed by repeated measures analysis. The statistical significance level was set to p<0.05.RESULTS: The results showed that the slashpipe exercise reduced significantly the difference in thickness of the oblique internus and erector spinae muscles compared to the weight bar exercise.CONCLUSION: The chaotic fluidity of the fluid filled inside the slashpipe could be used as sensory feedback information on body mal-alignment, which would have positively affected the symmetrical contraction of the trunk muscles as a trigger for self-correction. Therefore, it will have a useful effect not only on the health of the general public, but also on low back patients and athletes with muscle asymmetry.


Subject(s)
Adult , Athletes , Feedback, Sensory , Female , Humans , Male , Muscle Contraction , Muscles , Paraspinal Muscles , Prone Position , Supine Position
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