Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 276
Filter
1.
Rev. bras. med. esporte ; 28(6): 672-675, Nov.-Dec. 2022. tab, graf
Article in English | LILACS | ID: biblio-1376762

ABSTRACT

ABSTRACT Introduction Physical training is a well-known training method in competitive sports. However, in the majority of the physical training classes, the focus is still on the traditional exercises of physical conditioning as strength, speed, resistance, etc., directed for young athletes that are in the growth and development phase, without a literary base to assure actual effectiveness in the load increases for the athletic performance facing the risks in the athletes' physical proprioception. Objective Explores the effect of functional training on the physical sensibility of sports athletes. Methods The data collection method is used in the daily training of six notable athletes in a district sports school: judo, martial arts, wrestling, tennis team, swimming team, and table tennis team, adding the functional training protocol in body movement. Results The average performance of the groups before and after the experiment was collected and confronted, the difference test was performed, and the test result found P>0.05. The athletes in the experimental group not only improved the footwork speed and physical coordination, the movement speed of the footwork and the speed of the connection between movements increased significantly in the sixth week, reflecting more excellent stability and motor coordination in the movements. Proprioception is one of the essential sports qualities of the human body; it is directly related to physical qualities such as speed and strength and is also closely related to the different neural pathways. Conclusion Functional training can improve athletes' physical flexibility and motor coordination; it can also stimulate body proprioceptors, increase athletes' confidence, and make training more efficient and effective. Evidence level II; Therapeutic Studies - Investigating the results.


RESUMO Introdução O treinamento físico é um método de treinamento bastante conhecido em esportes competitivos. Porém, na maioria das aulas de treinamento físico, o foco ainda está nos exercícios tradicionais de condicionamento físico como força, velocidade, resistência, etc., voltados para jovens atletas que estão em fase de crescimento e desenvolvimento, sem embasamento literário para assegurar uma real eficácia nos aumentos de carga para o desempenho atlético frente aos riscos na propriocepção física dos atletas. Objetivo Explorar o efeito do treinamento funcional na sensibilidade física de atletas esportivos. Métodos O método de coleta de dados é utilizado no treinamento diário de seis diferentes atletas especiais em uma escola de esportes distrital: judô, artes marciais, luta livre, equipe de tênis, equipe de natação e equipe de tênis de mesa, agregando o protocolo de treino funcional em movimento corporal. Resultados O desempenho médio dos grupos antes e depois do experimento foram coletados e confrontados, o teste de diferença foi realizado, sendo o resultado do teste encontrado P>0,05. Os atletas do grupo experimental não apenas melhoraram a velocidade de trabalho com os pés e a coordenação física, a velocidade do movimento do trabalho com os pés e a velocidade da conexão entre os movimentos aumentaram significativamente na sexta semana, refletindo maior estabilidade e coordenação motora nos movimentos. A propriocepção é uma das qualidades esportivas essenciais do corpo humano, não está apenas diretamente relacionada às qualidades físicas, como velocidade e força, mas também está intimamente relacionada as diferentes vias neurais. Conclusão O treinamento funcional pode melhorar a flexibilidade física e a coordenação motora dos atletas; também pode estimular os proprioceptores corporais, aumentar a confiança dos atletas e tornar o treinamento mais eficiente e eficaz. Nível de evidência II; Estudos terapêuticos - Investigação de resultados.


RESUMEN Introducción El entrenamiento físico es un método de entrenamiento muy conocido en los deportes de competición. Sin embargo, en la mayoría de las clases de entrenamiento físico, el enfoque sigue siendo los ejercicios tradicionales de acondicionamiento físico como fuerza, velocidad, resistencia, etc., dirigidos para jóvenes atletas que están en fase de crecimiento y desarrollo, sin base literaria para asegurar una eficacia real en los aumentos de carga para el rendimiento atlético frente a los riesgos en la propiocepción física de los atletas. Objetivo Explorar el efecto del entrenamiento funcional en la sensibilidad física de los deportistas. Métodos El método de recogida de datos se utiliza en el entrenamiento diario de seis atletas especiales diferentes en una escuela deportiva distrital: judo, artes marciales, lucha, equipo de tenis, equipo de natación y equipo de tenis de mesa, añadiendo el protocolo de entrenamiento funcional en el movimiento corporal. Resultados Se recogió el rendimiento medio de los grupos antes y después del experimento y se confrontó, se realizó la prueba de la diferencia y el resultado de la prueba fue P>0,05. Los atletas del grupo experimental no sólo mejoraron la velocidad del trabajo de pies y la coordinación física, sino que la velocidad del movimiento de pies y la velocidad de la conexión entre los movimientos aumentaron significativamente en la sexta semana, lo que refleja una mayor estabilidad y coordinación motora en los movimientos. La propiocepción es una de las cualidades deportivas esenciales del cuerpo humano, no sólo está directamente relacionada con cualidades físicas como la velocidad y la fuerza, sino que también está estrechamente relacionada con las diferentes vías neuronales. Conclusión El entrenamiento funcional puede mejorar la flexibilidad física y la coordinación motora de los atletas; también puede estimular los propioceptores corporales, aumentar la confianza de los atletas y hacer que el entrenamiento sea más eficiente y eficaz. Nivel de evidencia II;Estudios terapéuticos - Investigación de resultados.


Subject(s)
Humans , Male , Female , Proprioception/physiology , Sports/physiology , Exercise/physiology , Athletes , Motor Skills/physiology
3.
Rev. Pesqui. Fisioter ; 11(2): 320-327, Maio 2021. tab, ilus
Article in English, Portuguese | LILACS | ID: biblio-1253506

ABSTRACT

INTRODUÇÃO: A propriocepção é essencial durante a implementação do movimento para atualizar os comandos de alimentação adiante resultantes da imagem visual e no planejamento e alteração de comandos motores gerados internamente. A escala integrada de rastreio da propriocepção (IPSS) avalia a propriocepção em vários domínios diferentes em pessoas com doença de Parkinson. OBJETIVOS: Determinar as limitações da IPSS enfrentadas por fisioterapeuta neurológico e voluntários geriátricos em ambientes clínicos. MATERIAIS E MÉTODOS: Dez Neuro-fisioterapeutas e trinta voluntários geriátricos de cada terapeuta foram recrutados para este estudo de viabilidade de pesquisa transversal. Os participantes foram selecionados de acordo com os critérios de inclusão. Os questionários foram projetados e criados para avaliar as dificuldades enfrentadas pelos terapeutas e voluntários geriátricos em termos de tempo necessário para a administração da escala, do nível de compreensão da escala e seus subníveis, e o esforço físico experimentado pelo terapeuta e voluntários geriátricos. A IPSS foi administrada pelo terapeuta. Goniômetro Universal, fita métrica e dispositivo de rastreamento de movimento foram usados durante a administração da IPSS. Após a administração, os questionários foram distribuídos e preenchidos por Neuro-fisioterapeutas e voluntários geriátricos. O teste Shapiro-Wilk foi usado para testar a normalidade, pois os dados eram inferiores a 50. RESULTADOS: Os dados foram expressos em mediana e intervalo. Skewness e Kurtosis também foram medidos. As variáveis foram expressas na forma de gráficos circulares. CONCLUSÃO: O estudo concluiu que o IPSS tem várias limitações como subjetivamente relatado pelos terapeutas e voluntários.


INTRODUCTION: Proprioception is essential during the movement implementation to update the feedforward commands resulting from the visual image and in planning and amendment of internally generated motor commands. The integrated proprioception screening scale (IPSS) assesses proprioception in different domains in people with Parkinson's disease. OBJECTIVES: To determine the limitations of IPSS faced by Neuro-physiotherapists and geriatric volunteers in clinical settings. MATERIALS AND METHODS: Ten Neuro-physiotherapists and thirty geriatric volunteers under each therapist were recruited for this feasibility cross-sectional survey study. Participants were selected according to the inclusion criteria. Questionnaires were designed and created to evaluate difficulties faced by therapists and geriatric volunteers in terms of time taken for the administration of the scale, level of understanding of the scale and its sublevels, and physical exertion experienced by both therapists and geriatric volunteers. The therapist administered IPSS. Universal Goniometer, measuring tape, and motion tracking device were used during the IPSS administration. After administration, Questionnaires were circulated and filled by Neuro-physiotherapists and geriatric volunteers. Shapiro-Wilk test was used for testing the normality, as data was less than 50. RESULTS: As the data follows not a normal distribution, data was expressed in median and range. Skewness and Kurtosis were also measured. Variables were expressed in the form of pie charts. CONCLUSION: The study concluded that IPSS has several limitations as subjectively reported by the therapists and volunteers.


Subject(s)
Proprioception , Surveys and Questionnaires , Physical Therapy Modalities
4.
Dement. neuropsychol ; 15(1): 105-111, Jan.-Mar. 2021. tab
Article in English | LILACS | ID: biblio-1286179

ABSTRACT

ABSTRACT. Cross-sectional studies show an association of decline in mental flexibility and inhibitory control with reduced gait speed and falls, as well as divided attention deficit and difficulty in initiating gait. Objective: To investigate the relationships between cognitive function and gait performance in patients with Parkinson's disease (PD) who participated in a hospital neurorehabilitation program. Methods: A total of 107 patients (79 males, 28 females; mean age 61.00±8.2 years; mean schooling 11.7±4.1 years) with idiopathic PD (mean disease duration 5.5±4.1 years) were recruited for this study. Among them, 78.50% were in stages I and II of the Hoehn & Yahr Scale. Cognitive functions were evaluated through the Digit Span test, Trail Making Test, and Addenbrooke's Cognitive Examination III. Motor function was assessed with the 10-Meter Walk Test, the short version of the Balance Evaluation Systems Test (Mini-BESTest), and the Timed Up and Go Test. Results: Balance skills were significantly correlated with global cognition and specific domains, including divided attention, verbal fluency, and visuospatial function. Functional mobility showed a significant association with all cognitive tests, except for the number of errors on TMT-A. Gait speed presented a significant correlation with global cognition scores, memory, and attention, including divided attention. Conclusions: These findings might help early identification of cognitive deficits or motor dysfunctions in PD patients who may benefit from rehabilitation strategies, as well as facilitate fall risk assessments and strategies to prevent falls. Future prospective studies are needed to investigate the effects of cognitive training on motor performance, since the difficulty in motor rehabilitation may be more related to cognitive loss than to motor damage.


RESUMO. Estudos transversais mostram associação entre declínio da flexibilidade mental e controle inibitório com redução da velocidade de marcha e quedas, assim como déficit de atenção dividida e dificuldade para iniciar a marcha. Objetivo: Investigar as relações entre a função cognitiva e o desempenho da marcha em pacientes com Doença de Parkinson (DP) que participaram de um programa de reabilitação hospitalar. Métodos: Um total de 107 pacientes (79 homens, 28 mulheres; idade média de 61,00±8,2 anos, média de escolaridade 11,7±4,1) apresentando DP idiopática (duração média da doença: 5,5±4,1 anos) foram recrutados para o estudo. Desses, 78,50% estavam nos estágios I e II da Hoehn e Yahr. As funções cognitivas foram avaliadas por meio do teste de Dígitos Spam, Teste de Trilhas e Exame Cognitivo de Addenbrooke (terceira versão). A função motora foi examinada por meio do teste de caminhada de 10 metros, Mini BESTest e teste Timed Up and Go. Resultados: As análises de correlação mostraram que as habilidades de equilíbrio estavam significativamente correlacionadas com a cognição global e com domínios específicos, incluindo atenção dividida, fluência verbal e função visuoespacial. Além disso, a mobilidade funcional apresentou correlação significativa com todos os testes cognitivos, exceto TMT-A (erro). A velocidade da marcha mostrou correlação significativa com escores globais de cognição, memória e atenção, incluindo atenção dividida. Conclusões: Esses achados podem ajudar na identificação precoce de déficits cognitivos ou disfunções motoras em pacientes com DP que podem se beneficiar de estratégias de reabilitação, facilitar avaliações de risco de queda e estratégias de prevenção de queda. Estudos prospectivos futuros são necessários para investigar os efeitos do treino cognitivo no desempenho motor, uma vez que a dificuldade na reabilitação motora pode estar mais relacionada à perda cognitiva do que aos prejuízos motores.


Subject(s)
Humans , Parkinson Disease , Proprioception , Executive Function , Cognitive Dysfunction , Gait
5.
Clinics ; 76: e2486, 2021. tab, graf
Article in English | LILACS | ID: biblio-1249581

ABSTRACT

OBJECTIVES: To evaluate how transtibial amputation (TT) affects bodyweight distribution, voluntary knee joint position sense (JPS), and quadriceps (QUA) and hamstrings (HAM) strength in prosthetized patients. METHODS: Only TT patients who had been prosthetized for more than one year were included, and an age-paired able-bodied group was used as control. The participants stood on force plates with their eyes open to measure bodyweight distribution between the limbs. Knee voluntary JPS was assessed by actively reproducing a set of given arbitrary joint angles using a video analysis approach, and QUA and HAM strength were assessed isometrically with a hand-held dynamometer. RESULTS: Sixteen TT subjects (age: 39.4±4.8 years) and sixteen age-paired control subjects (age: 38.4±4.3 years) participated in the study. The amputees supported their bodyweight majorly on the sound limb (54.8±8.3%, p<0.001). The proprioceptive performance was similar between the amputated (absolute error (AE): 2.2±1.6°, variable error (VE): 1.9±1.6°, constant error (CE): -0.7±2.0°) and non-amputated limbs (AE: 2.6±0.9°, VE: 2.1±0.9°, CE: 0.02±2.3°), and was not different from that of control subjects (AE: 2.0±0.9°, VE: 1.4±0.4°, CE: -1.1±1.7°). There was a considerable weakness of the QUA and HAM in the amputated limb compared with the sound limb and control subjects (p<0.001 both). CONCLUSIONS: The asymmetric bodyweight distribution in the transtibial amputees was not accompanied by a reduction in knee proprioception. There was significant weakness in the amputated limb, which could be a potential issue when designing rehabilitation programs.


Subject(s)
Humans , Adult , Amputees , Proprioception , Cross-Sectional Studies , Muscle Strength , Knee
6.
Fisioter. Bras ; 21(3): 253-264, Ago 31, 2020.
Article in English | LILACS | ID: biblio-1283089

ABSTRACT

Objective: To identify whether physiotherapy treatment in water is more effective than the treatment in land environment, aiming at improving the process of physical limitation or functional inability (gait speed, balance, motor abilities) caused by lack of balance in elderly with risk of fall. Methods: Randomized clinical trial, experimental study. The sample was composed of 35 senior individuals of both sexes, with average age of 65. Nineteen people composed the control Group /Conventional Physiotherapy, while the rest composed the experimental Group/Aquatic Physical therapy. Both groups were submitted to twenty sessions of physical therapy, twice a week, for 50 minutes in individual treatment. Aerobic activities were conducted for both groups separately. Exercises using water specific therapy, such as Halliwick rotation control and Bad Ragaz ring method, were used in the aquatic group and in the conventional group, physiotherapeutic techniques were applied, approaching the concepts of proprioceptive neuromuscular facilitation (PNF) and decubitus change training. The following tests were used to measure the risk of fall/balance: Timed Up and Go Test, Sit-to-Stand in 30 seconds and Functional Reach. Results: Both physiotherapeutic interventions, aquatic and conventional, showed to be greatly efficient however aquatic physiotherapy showed certain advantages compared to conventional physical therapy, promoting more beneficial effects in the gait speed, balance, motor abilities and, mainly, in the reduction of the risk of fall. (AU)


Objetivo: Identificar se a Fisioterapia aquática é mais eficaz que a fisioterapia convencional, visando a melhora do processo de limitação física ou incapacidade funcional (Velocidade da marcha, equilíbrio, habilidades motoras) causada por desequilíbrio em pacientes idosos com risco de queda. Métodos: Ensaio clínico randomizado, estudo experimental. A amostra foi composta por 35 idosos de ambos os sexos, com uma média de idade de 65 anos. Dezenove pessoas compuseram o Grupo Controle/Fisioterapia Convencional, enquanto o restante constituiu o Grupo Experimental / Fisioterapia Aquática. Ambos os grupos foram submetidos a vinte sessões de fisioterapia, duas vezes por semana, durante 50 minutos em tratamento individual. As atividades aeróbicas foram realizadas para ambos os grupos separadamente. Exercícios utilizando terapia específica da água, como o controle de rotação de Halliwick e o método do anel de Bad Ragaz, foram utilizados no grupo aquático e, no grupo convencional, foram aplicadas técnicas fisioterapêuticas, abordando os conceitos de facilitação proprioceptiva e treinamento de mudança de decúbito. Os seguintes testes foram usados para medir o risco de queda/equilíbrio: Timed Up and Go Teste, Teste de sentar e levantar em 30 segundos e Teste de Alcance Funcional. Resultados: Ambas as intervenções fisioterapêuticas, aquáticas e convencionais se mostraram bastante eficientes, entretanto a fisioterapia aquática apresentou certas vantagens em relação à fisioterapia convencional, promovendo efeitos mais benéficos na velocidade da marcha, equilíbrio, habilidades motoras e, principalmente, na redução do risco de queda. (AU)


Subject(s)
Humans , Aged , Physical Therapy Modalities , Aquatic Environment , Proprioception , Accidental Falls , Motor Skills
7.
Geriatr., Gerontol. Aging (Impr.) ; 14(2): 98-107, 30/06/2020. tab
Article in English | LILACS | ID: biblio-1103693

ABSTRACT

OBJECTIVE: To compare balance between older adults with and without chronic obstructive pulmonary disease (COPD) in tasks involving proprioceptive changes and respiratory muscle load, and to investigate the association between balance, functional capacity, and peripheral and respiratory muscle strength. METHODS: Fourteen older adults with COPD undergoing pulmonary rehabilitation and nine older adults without pulmonary disease were evaluated for static balance on a force platform under four conditions: eyes open, eyes closed, eyes closed on foam, and eyes open with respiratory overload. Differences between groups, among conditions and group/condition interactions, were tested using two-way ANOVA. Associations were explored using Pearsons correlation coefficient. RESULTS: No differences in the posturographic variables were found in the group/condition interactions (p ≥0.23). The COPD group exhibited greater total displacement (F = 8.79, p = 0.003), mediolateral sway (F = 4.01, p = 0.04) and anteroposterior velocity (F = 4.28, p = 0.04) in the group effect analysis. Significant differences were found between eyes closed on foam and other conditions for all posturographic variables: anteroposterior sway (F = 13.39), mediolateral sway (F = 28.58), total displacement (F = 59.4), area (F = 37.68), anteroposterior velocity (F = 26.42), and mediolateral velocity (F = 33.29), in the condition effect analysis (p <0.001, post-hoc). In the COPD group, significant correlations were found between the Glittre-ADL test, anteroposterior sway (r = 0.68, p = 0.01), and anteroposterior velocity (r = 0.67, p = 0.009); the 6MWT was also correlated with anteroposterior velocity (r = 0.59, p = 0.03). CONCLUSION: Older adults with COPD present balance deficits compared to healthy individuals. The unstable surface caused greater postural instability compared to other conditions in both groups. Impaired balance was associated with reduced physical function and exercise capacity.


OBJETIVO: Comparar o equilíbrio entre idosos com e sem doença pulmonar obstrutiva crônica (DPOC) em tarefas envolvendo alterações proprioceptiva e sobrecarga muscular respiratória além de investigar a associação entre equilíbrio, capacidade funcional e força muscular respiratória e periférica. METODOLOGIA: Quatorze idosos com DPOC participantes de reabilitação pulmonar e nove idosos sem doença pulmonar tiveram seu equilíbrio estático avaliado em uma plataforma de força em quatro condições: olhos abertos, olhos fechados, olhos fechados com espuma e olhos abertos com sobrecarga respiratória. As diferenças entre os grupos, condições e interações grupo/condição foram testadas utilizando a ANOVA bidirecional. As associações foram testadas utilizando o coeficiente de correlação de Pearson. RESULTADOS: Não foram observadas diferenças nas variáveis posturográficas nas interações grupo/condição (p ≥0,23). O grupo com DPOC apresentou maior deslocamento total (F = 8,79, p = 0,003), oscilação médio-lateral (F = 4,01, p = 0,04) e velocidade anteroposterior (F = 4,28, p = 0,04) na análise do efeito grupo. Foram encontradas diferenças significativas entre a condição de olhos fechados com espuma e as demais condições em todas as variáveis posturográficas: oscilação anteroposterior (F = 13,39) e médio-lateral (F = 28,58), deslocamento total (F = 59,4), área (F = 37,68), velocidade anteroposterior (F = 26,42) e médio-lateral (F = 33,29), na análise do efeito condição (p <0,001, post-hoc). No grupo DPOC, foram observadas correlações significativas entre o teste Glittre-AVD, oscilação anteroposterior (r = 0,68, p = 0,01) e velocidade anteroposterior (r = 0,67, p = 0,009); o TC6m também foi correlacionado com a velocidade anteroposterior (r = -0,59, p = 0,03). CONCLUSÃO: Os idosos com DPOC apresentaram déficits de equilíbrio em relação aos indivíduos saudáveis. A superfície instável provocou maior instabilidade postural em comparação às outras condições em ambos os grupos. O equilíbrio prejudicado está associado ao desempenho funcional reduzido e à baixa capacidade de exercício.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Proprioception , Pulmonary Disease, Chronic Obstructive/rehabilitation , Postural Balance , Spirometry , Respiratory Muscles , Brazil , Health of the Elderly , Muscle Strength , Walk Test
8.
Rev. Pesqui. Fisioter ; 10(2): 264-273, Maio 2020. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-1223617

ABSTRACT

Os meniscos desempenham um papel fundamental na articulação, além de gerar estabilidade e congruência articular, influenciam na propriocepção do joelho. Lesões nesta estrutura muitas vezes só podem ser reparadas cirurgicamente, pelo fraco suprimento sanguíneo local, acarretando uma regeneração insatisfatória. A hipótese desse estudo é que possa existir menores déficits proprioceptivos em pacientes submetidos à sutura meniscal quando comparados aos submetidos à menistectomia parcial, devido a conservação da estrutura que tem importância proprioceptiva. OBJETIVO: Avaliar o déficit proprioceptivo do joelho em pacientes submetidos à menistectomia parcial e à sutura meniscal. METODOLOGIA: Estudo observacional transversal realizado na clínica de ortopedia e reumatologia da UNISA, em São Paulo. Participantes foram divididos em dois grupos. No Grupo I, indivíduos submetidos à menistectomia parcial, enquanto no Grupo II, a submetidos à sutura meniscal, sendo recrutados indivíduos de até 4 semanas de pós-operatório. Aprovado pelo comitê de ética seguido pelo CAAE 94144218.0.0000.0081. Para coleta dos dados foram realizados três testes: teste de senso de posicionamento ativo e passivo e teste de cinestesia. RESULTADOS: Participaram deste estudo uma amostra por conveniência de oito indivíduos (Grupo I, n=4 e Grupo 2, n=4), de ambos os gêneros, com média de idade de 33,4 anos (±11 anos). Os sujeitos do grupo I apresentaram maior déficit de proprioceptivo em comparação com o grupo II, nos testes realizados. Teste ativo do grupo I: 15°= 11,9° ±6,1; 30°= 11,6° ±5,0; 45°= 9,4° ±3,5 e do grupo II, 15°= 7,6° ±3,9; 30°= 6,9° ±2,8. Teste de Cinestesia: Grupo I 132ms ±51,5 vs Grupo II 96ms ±28,8). CONCLUSÃO: Os meniscos demonstraram ser estruturas influentes para a propriocepção do joelho, apresentando maiores déficits em indivíduos que retiraram a estrutura.


Menisci play a fundamental role in the joint, in addition to generating joint stability and congruence, they influence knee proprioception. Lesions in this structure can often only be repaired surgically, due to the weak local blood supply, leading to unsatisfactory regeneration. The hypothesis of this study is that there may be less proprioceptive deficits in patients undergoing meniscal suture when compared to those undergoing partial menistectomy. OBJECTIVE: To evaluate the proprioceptive deficit of the knee in patients undergoing partial menistectomy and meniscal suture. METHODS: Cross-sectional observational study carried out at the UNISA orthopedics and rheumatology clinic in São Paulo. Participants were divided into two groups. In Group I, individuals who underwent partial menistectomy, while in Group II, who underwent meniscal suture, individuals were recruited up to 4 weeks after surgery. Approved by the ethics committee followed by CAAE 94144218.0.0000.0081. For data collection, three tests were performed: test of active and passive sense positioning and kinesthesia test. RESULTS: Four individuals participated in Group I and four individuals in Group II, of both genders, between 20 and 40 years old. The results indicate that the patients who underwent partial menistectomy and meniscal suture showed proprioceptive differences between the operated and the non-operated limbs, however the subjects who had the preserved structure presented smaller values of difference in comparison with the operated members of the two groups (Active Test: 30 ° = Group I 11.6 ° ± 5.0 vs Group II 6.9 ° ± 2.8, p = 0.010; 45 ° = Group I 9.4 ° ± 3.5 vs Group II 6.5 ° ± 2.8, p = 0.035; 60 ° = Group I 9.7 ° ± 4.3 vs Group II 6.5 ° ± 4.9, p = 0.103; Kinesthesia Test: Group I 132ms ± 51.5 vs Group II 96ms ± 28.8, p = 0.046). CONCLUSION: Higher proprioceptive deficits were found in subjects undergoing menistectomy compared to the sutured limb group, with a statistically significant difference.


Subject(s)
Proprioception , Meniscus , Knee
9.
J. Phys. Educ. (Maringá) ; 31: e3134, 2020. tab, graf
Article in English | LILACS | ID: biblio-1134734

ABSTRACT

ABSTRACT Anterior cruciate ligament (ACL) rupture is an injury in young adults, triggering undesirable neuromuscular effects. A rehabilitation program is structured with exercises that aid in intensive care training, and proprioceptive training has been proposed as one of the training/rehabilitation methods in patients undergoing ACL reconstruction. Thus, this study aimed to analyze, through a systematic literature review, the effects of including proprioceptive training on different outcomes (stability/balance, proprioception, strength, functional capacity, coordination) after ACL reconstruction surgery in young adults. The search of the articles included studies in the last ten years, being a search conducted in November 2018. Searches were conducted in the electronic databases of PubMed and Science Direct with a following search methodology: (("Proprioception" [Mesh] ) OR "Proprioception" [Word Text]) AND ("Anterior Cruciate Ligament" [Mesh] OR "Anterior Cruciate Ligament Reconstruction" [Mesh] OR "Anterior Cruciate Ligament Injury" [Mesh]). Six studies were selected for the analysis and the results obtained there is insufficient scientific evidence showing the positive effects of training in proprioceptive training after ACL reconstruction in adults, in view of a shortage of studies, such as discrepancies in findings, without time of intervention and in the tests contracted in the analysis of the variables.


RESUMO A ruptura do ligamento cruzado anterior (LCA) é a lesão de joelho mais frenquente em adultos jovens, desencadeando consequências neuromusculares indesejáveis. Um programa de reabilitação bem estruturado com exercícios que ajudem a minimizar os efeitos deletérios dessas consequências são necessários, e o treinamento proprioceptivo tem sido proposto como um dos métodos de treinamento/reabilitação em pacientes submetidos a reconstrução do LCA. Assim, esse estudo teve como objetivo analisar por meio de revisão sistemática de literatura os efeitos da inclusão do treinamento proprioceptivo sobre diferentes desfechos (estabilidade/equilíbrio, propriocepção, força, capacidade funcional, coordenação) após cirurgia de reconstrução de LCA em adultos jovens. A busca dos artigos incluiu estudos produzidos nos últimos dez anos, sendo a busca realizada no mês de novembro de 2018. Foram conduzidas buscas nas bases de dados eletrônicas PubMed e Science Direct com a seguinte estratégia de busca: (("Proprioception"[Mesh] OR "Proprioception"[Text Word])) AND ("Anterior Cruciate Ligament"[Mesh] OR "Anterior Cruciate Ligament Reconstruction"[Mesh] OR "Anterior Cruciate Ligament Injuries"[Mesh]). Seis estudos foram selecionados para análise e os resultados mostraram que não há evidencias científicas suficientes que mostrem os efeitos positivos da inclusão do treinamento proprioceptivo após cirurgia de reconstrução de LCA em adultos, tendo em vista a escassez de estudos, as discrepâncias nos achados, no tempo de intervenção e nos testes utilizados nas análises das variáveis.


Subject(s)
Humans , Male , Female , Adult , Proprioception , Surgical Procedures, Operative/rehabilitation , Anterior Cruciate Ligament Reconstruction/rehabilitation , Rehabilitation , Anterior Cruciate Ligament , Program Development , Neuromuscular Manifestations , Postural Balance , Anterior Cruciate Ligament Injuries/rehabilitation
10.
Rev. cuba. invest. bioméd ; 38(2): 226-237, abr.-jun. 2019. tab
Article in Spanish | LILACS-Express | LILACS, CUMED | ID: biblio-1093402

ABSTRACT

Introducción: El fútbol es un deporte de varias acciones motrices, que provoca en el cuerpo un desequilibrio constante, enfatizado en edades tempranas, siendo a su vez la propiocepción una estrategia para potenciar el equilibrio en futbolistas de iniciación. Objetivo: Valorar los efectos de una intervención propioceptiva a corto plazo sobre el déficit de equilibrio en miembros inferiores de futbolistas infantiles. Métodos: Estudio cuasi-experimental de corte transversal a una población de 12 futbolistas infantiles (10-12 años), se aplicó un entrenamiento propioceptivo de cuatro semanas de duración enfatizando en aspectos específicos para potenciar el equilibrio corporal en su fase estática. Se valoraron tres variables para cada pie a partir de la aplicación del Y Balance Test en dos momentos de la preparación deportiva. Resultados: El test empleado determinó un nivel de significancia estadística: Pie Derecho Movimiento Izquierdo (p= 0,005), Pie Derecho Movimiento Central (p= 0,004), Pie Derecho Movimiento Derecho (p= 0,005), Pie Izquierdo Movimiento Izquierdo (p= 0,003), Pie Izquierdo Movimiento Central (p= 0,003), Pie Izquierdo Movimiento Derecho (p= 0,004). Conclusiones: Un entrenamiento propioceptivo a corto plazo es efectivo para mejorar significativamente el equilibrio estático en extremidades inferiores en futbolistas infantiles(AU)


Introduction: Soccer is a sport of several motor actions, which causes a constant imbalance in the body, emphasized at an early age, is the proprioception of a strategy to strengthen the balance in initiation players. Objective: To assess the effects of a short-term proprioceptive intervention on the balance deficit in lower limbs of child soccer players. Methods: Quasi-experimental cross-sectional study of a population of 12 child soccer players (10-12 years), a four-week proprioceptive training was applied, emphasizing specific aspects to enhance body balance in its static phase. Three variables were assessed for each foot from the application of the Y Balance Test in two moments of sports preparation. Results: The test used determined a level of statistical significance: Right Foot Left Movement (p= 0.005), Right Foot Central Movement (p= 0.004), Right Foot Right Movement (p= 0.005), Left Foot Left Movement (p= 0.003), Left Foot Central Movement (p= 0.003), Left Foot Right Movement (p= 0.004). Conclusions: Short-term proprioceptive training is effective in significantly improving the static balance in the lower extremities in child soccer players(AU)


Subject(s)
Humans , Child , Proprioception , Soccer , Cross-Sectional Studies , Exercise Movement Techniques/methods , Postural Balance , Non-Randomized Controlled Trials as Topic , Mentoring/methods
11.
Rev. Kairós ; 22(1): 231-247, mar. 2019. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1015046

ABSTRACT

O objetivo deste estudo foi avaliar e comparar o desempenho dos sistemas de manutenção do equilíbrio corporal de jovens, adultos e idosos para caracterização dos futuros idosos em relação à prevalência de distúrbios do equilíbrio. Foram avaliados 62 sujeitos a partir da Posturografia Dinâmica. Os achados neste estudo sugerem um aumento da prevalência de distúrbios do equilíbrio entre indivíduos idosos no Brasil nos próximos 30-40 anos.


The aim of this study was to evaluate and compare the performance of body balance maintenance systems of young, adult and elderly individuals for possible characterization of the future trend of elderly, in relation to the prevalence of balance disorders. The performances of 62 subjects were measured using the Foam-Laser Dynamic Posturography. The findings in this study suggest an increase in prevalence of balance disorders among elderly individuals in Brazil in the next 30 - 40 years.


El objetivo de este estudio fue evaluar y comparar el desempeño de los sistemas de mantenimiento del equilibrio corporal de jóvenes, adultos y ancianos para caracterizar a los futuros ancianos en relación a la prevalencia de disturbios del equilibrio. Se evaluaron 62 sujetos a partir de la Posturografía Dinámica. Los hallazgos en este estudio sugieren un aumento de la prevalencia de disturbios del equilibrio entre individuos ancianos en Brasil en los próximos 30-40 años.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Proprioception , Aging , Postural Balance , Cross-Sectional Studies
12.
Cienc. act. fís. (Talca, En línea) ; 20(1): 1-12, ene. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-994825

ABSTRACT

El objetivo de esta experiencia fue analizar el efecto de un programa de propiocepción sobre el equilibrio en un grupo de jóvenes futbolistas. Se planteó un programa de 8 ejercicios, los cuales fueron extraídos del programa de calentamiento realizado por Bizzini, Junge, & Dvorak (2007) "11+ un programa completo de calentamiento para prevenir las lesiones en el fútbol", los cuales fueron adaptados y aplicados durante 4 semanas, 4 veces, en sesiones de 15 a 20 minutos. Se aplicó en un grupo de 17 deportistas cuyas edades oscilaban entre 14 y 15 años, pertenecientes a la escuela de fútbol del Club Deportivo Once Caldas S.A. a los cuales se les administró un pre-test y post-test con la prueba de Romberg y Romberg sensibilizado. Los resultados al final del programa mostraban la mejora en el equilibrio estático, aumentando este en un 18% según el test de Romberg y un 29% en el test de Romberg sensibilizado. Como conclusión se destaca la eficacia del programa de propiocepción para mejorar equilibrio en este grupo.


The target of this study was to analyze the effect of a propioception program on the balance in a group of young soccer players. A program of 8 exercises was proposed, which were extracted from the warm-up program developed by Bizzini, Junge, & Dvorak (2007) "11 + a finished warm-up program to prepare for injuries in the soccer", which were adapted and applied for 4 weeks, 4 times a week in meetings that lasted between 15 and 20 minutes. It was applied to a group of 17 athletics whose ages range between 14 and 15 years old, belonging to the Eleven Caldas S.A school of soccer club, to which a previous evaluation was applied with the Romberg test and the Romberg sensitive test. The athletics were reevaluated after having finished the four week program obtaining results, that were positive and demonstrated the propioception program improved their balance, with an increase of 18% in the Romberg test and 29% in the Romberg sensitive test. As conclusions, one emphasizes the efficacy of propioception program to improve balance.


Subject(s)
Humans , Male , Adolescent , Proprioception , Soccer , Postural Balance
13.
Audiol., Commun. res ; 24: e2080, 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1011373

ABSTRACT

RESUMO Objetivo Avaliar a vertical visual subjetiva em indivíduos adultos jovens sem queixas vestibulares e/ou alterações do equilíbrio corporal. Método Estudo do tipo observacional, descritivo, analítico, de delineamento transversal, no qual foram avaliados 50 adultos jovens, com idade entre 18 e 30 anos. Foram excluídos do estudo indivíduos com alteração neurológica, alteração cognitiva evidente, deficiência física que influenciasse no equilíbrio corporal, alteração visual sem uso de lentes corretivas, uso de medicamentos com ação sobre o sistema nervoso central e/ou vestibular, relato de ingestão alcoólica 24 horas antes da avaliação e indivíduos com alterações e/ou queixas vestibulares. Os participantes foram submetidos à anamnese e à avaliação da vertical visual subjetiva, por meio do teste do balde. O teste foi realizado em três condições sensoriais diferentes: 1- Indivíduo sentado, com os dois pés sobre superfície estável (piso de paviflex); 2- Indivíduo sentado, com os pés em cima de uma espuma; 3- Indivíduo em pé sobre uma espuma. Resultados A vertical visual subjetiva não apresentou diferença significativa (p= 0,93) entre as condições sensoriais estudadas. Conclusão Em adultos jovens hígidos, o sistema proprioceptivo não influenciou significativamente a avaliação da vertical visual subjetiva, realizada por meio do teste do balde.


ABSTRACT Objective To evaluate subjective visual vertical in young adults without vestibular complaints and/or body balance problems. Methods This was a descriptive cross-sectional, observational and analytical study that assessed 50 young adults aged 18 to 30 years. Adult were excluded from the study if they had neurological and cognitive disorders, physical disability that affected their balance, visual impairment with no use of corrective lenses, use of drugs with effects on the central nervous system and/or the vestibular system and self-report of alcoholic use 24 hours before the assessment, and adults with vestibular problems and/or complaints The participants answered questions in a medical history interview and underwent subjective visual vertical assessment with the bucket method. The test was performed under three different sensory conditions: 1 - Subjects sitting with both feet on a stable surface (Paviflex® flooring); 2- Subjects sitting with their feet on top of foam; 3- Subjects on top of foam. Results The subjective visual vertical did not show a significant difference (p = 0.93) among the study sensory conditions. Conclusion The proprioceptive system did not significantly influence the measurement of the subjective visual vertical in young healthy adults.


Subject(s)
Humans , Adolescent , Adult , Proprioception , Visual Perception , Vestibule, Labyrinth , Bilateral Vestibulopathy/diagnosis , Otolithic Membrane , Saccule and Utricle , Ear, Inner , Medical History Taking
14.
Article in Korean | WPRIM | ID: wpr-765413

ABSTRACT

PURPOSE: This examined the effect of Kinesio taping pre-intervention on the pain, tenderness, proprioceptive sensation, and muscle strength associated with delayed onset muscle soreness. METHODS: Thirty subjects were divided into a Kinesio taping application group of 15 subjects and a control non-taped group of 15 subjects, and the changes in individual variables were analyzed before taping and at 24, 48, and 72 hours after taping using two-way repeated ANOVA. Post-hoc t-tests were conducted in the cases with intergroup interactions, and the significance level α was set to α=0.01. RESULTS: The changes in pain during rest were significantly different only for the times, while the changes in pain during exercise were significantly different for the times, interactions between the times and groups, and intergroup changes (p<0.05). The changes in tenderness were significantly different for the times and for interactions between the times and groups (p<0.05). The changes in proprioceptive sensation were significantly different for the times, interactions between times and groups, and intergroup changes (p<0.05). The changes in muscle strength were significantly different only for the times (p<0.05). CONCLUSION: The application of Kinesio taping had positive effects on the pain, tenderness, and proprioceptive sensation of delayed onset muscle soreness. These results suggest that Kinesio taping can be a useful therapeutic factor in future studies and in clinical settings.


Subject(s)
Muscle Strength , Myalgia , Proprioception , Sensation
15.
Article in Korean | WPRIM | ID: wpr-786655

ABSTRACT

PURPOSE: The purpose of this study was to provide basic data for injury prevention and rehabilitation program development of Taekwondo demonstration team by comparing lower extremity muscles function and proprioceptive senses of Taekwondo demonstration team with or without anterior cruciate ligament (ACL) injury. The subjects were ACL injured Taekwondo demonstration player group (ATD, n=13) who underwent ACL reconstruction and Kukkiwon Taekwondo demonstration player group (KTD, n=13) without injury history.METHODS: To evaluate the lower extremity muscles function, we measured the flexor-extensor muscle strength ratio and isokinetic muscle strength of the knee joint using a isokinetic muscle strength measuring device. In order to investigate the proprioceptive sensory function, position sense, and threshold to detection of passive motion was using a isokinetic muscle strength measuring device. The experiment was conducted on average 26 months after surgery.RESULTS: The results of this study are as follows. There was no significant difference between the two groups in the knee joint flexor-extensor ratio. But there was a significant difference in Knee joint flexion and extension strength between two groups at an angular velocity of 60°/sec, 180°/sec, and 300°/sec. and KTD group was higher than ATD groups (p=0.014, p=0.001, p=0.029, p=0.005, p=0.043, p=0.041, respectively). There was no significant difference between the two groups in the proprioceptive sensory test.CONCLUSION: The results of this study showed that the normal flexor to extensor ratio (50%–70%), But it was close to the injury risk level. Therefore, the training program for the improvement of the muscle strength and the imbalance of the strength of the lower extremity muscle function should be performed in both groups.


Subject(s)
Anterior Cruciate Ligament Reconstruction , Anterior Cruciate Ligament , Education , Knee Joint , Lower Extremity , Muscle Strength , Muscles , Program Development , Proprioception , Rehabilitation , Sensation
16.
Article in English | WPRIM | ID: wpr-762654

ABSTRACT

OBJECTIVE: To compare balance performance and lower limb muscle strength between older adults with type 2 diabetes mellitus (DM), with and without sensory impairments and non-DM groups. Influence of a number of sensory impairments, and muscle strength on balance performance were explored. METHODS: Ninety-two older adults with and without type 2 DM, were examined relative to visual function with the Snellen chart, Melbourne Edge test, and Howard-Dolman test, vestibular function with the modified Romberg test, proprioception of the big toe, and diabetic peripheral neuropathy with the Michigan Neuropathy Screening Instrument. Balance performances were evaluated with the Romberg test, Functional Reach Test (FRT), and Timed Up and Go test (TUG). Strength of knee and ankle muscles was measured. RESULTS: FRT of type 2 DM groups with at least two sensory impairments, was lower than the non-DM group (p<0.05). TUG of all DM groups, was worse than the non-DM group (p<0.01). Lower limb muscle strength of type 2 DM groups with two and three sensory impairments, was weaker than non-DM group (p<0.05). Regression analysis showed that type 2 DM with three sensory impairments, ankle dorsiflexors strength, and age were influential predictors of TUG. CONCLUSION: There were significant differences, of muscle strength and balance performance among groups. Poorer balance and reduced lower limb strength were marked in older adults with type 2 DM, even ones without sensory impairment. Muscle weakness seemed to progress, from the distal part of lower limbs. A greater number of sensory impairments, weaker dorsiflexors, and advanced age influenced balance performance.


Subject(s)
Adult , Aged , Ankle , Diabetes Mellitus, Type 2 , Hallux , Humans , Knee , Lower Extremity , Mass Screening , Michigan , Muscle Strength , Muscle Weakness , Muscles , Peripheral Nervous System Diseases , Proprioception , Vestibular Function Tests
17.
Article in English | WPRIM | ID: wpr-761830

ABSTRACT

For a basketball player who had scapholunate interosseous ligament injury related to sport, it is crucial to secure the active range of motion (ROM) and regain proprioception of the wrist. The player was involved in a 21-week rehabilitation procedure based on controlling pain with inactive treatments, restoring the wrist ROM with active treatments. We measured the visual analog scale (VAS) for pain, upper extremity functional outcome measurement (Disabilities of Arm, Shoulder, and Hand [DASH]) for the functionality, and active ROMs of the wrist. The VAS was decreased (after surgical treatment, 8.7; 1 week, 2.5; 12 week, 3–5; 21 week, 0). The DASH score was decreased when he returned to play (after surgical treatment, 78; end of the rehabilitation, 23). Wrist flexion and extension ROM were increased to 55° and 67°, respectively. To restore the function of the wrist for basketball performance, improvement of active ROM and proprioception is the primary goal to return to play.


Subject(s)
Arm , Basketball , Hand , Ligaments , Proprioception , Range of Motion, Articular , Rehabilitation , Return to Sport , Shoulder , Sports , Upper Extremity , Visual Analog Scale , Wrist
18.
Chinese Acupuncture & Moxibustion ; (12): 1034-1040, 2019.
Article in Chinese | WPRIM | ID: wpr-776218

ABSTRACT

OBJECTIVE@#To observe the clinical efficacy and correlation of electroacupuncture combined with proprioceptive neuromuscular facilitation (PNF) on proprioception and motor function of lower limbs in stroke patients.@*METHODS@#A total of 96 stroke patients were randomized into an electroacupuncture (EA) group, a PNF group and a combination group, 32 cases in each one. In the EA group, acupuncture was applied at cephalic motor and sensory areas, Huantiao (GB 30), Yanglingquan (GB 34), Xuanzhong (GB 39), Zusanli (ST 36) and Sanyinjiao (SP 6) on affected side, and electroacupuncture was adopted at Yanglingquan (GB 34) and Xuanzhong (GB 39), continuous wave and 2 Hz in frequency for 20 min, once every day. In the PNF group, PNF was performed for 20 min, once a day. In the combination group, electroacupuncture was given before PNF, once a day. 4 weeks as one course and totally 3 courses were required, the effect was followed up after half a year. Before treatment, after 4, 8, 12 weeks of treatment and in follow-up, the average trace error (ATE) and Time, the scores of Fugl-Meyer scale (FMA) and modified Barthel index (MBI) were observed in the 3 groups. Correlation analysis between ATE, Time and FMA was performed.@*RESULTS@#① The total effective rate in the combination group was 90.3% (28/31), which was superior to 64.5% (20/31) in the EA group and 62.5% (20/32) in the PNF group (<0.05). ②After 4, 8, 12 weeks of treatment and in follow-up, the ATE and Time in the 3 groups were reduced compared with before treatment (<0.05, <0.01). After 8, 12 weeks of treatment and in follow-up, the ATE in the combination group were lower than the EA group and the PNF group (<0.05, <0.01). After 12 weeks of treatment and in follow-up, the Time in the combination group were lower than the EA group and the PNF group (<0.05, <0.01). ③After 4, 8, 12 weeks of treatment and in follow-up, the FMA scores in the EA group and the combination group were increased compared with before treatment (<0.01). After 8, 12 weeks of treatment and in follow-up, the FMA scores in the PNF group were increased compared with before treatment (<0.01). After 8, 12 weeks of treatment and in follow-up, the FMA scores in the combination group were higher than the EA group and the PNF group (<0.05, <0.01). ④After 4, 8, 12 weeks of treatment and in follow-up, the MBI scores in the 3 groups were increased compared with before treatment (<0.01). After 8, 12 weeks of treatment and in follow-up, the MBI scores in the combination group were higher than the EA group (<0.01). After 12 weeks of treatment and in follow-up, the MBI scores in the combination group were higher than the PNF group (<0.01). ⑤ The correlation coefficients of ATE, Time and FMA were from 0.4 to 0.75 (<0.05), suggesting a moderate intensity correlation.@*CONCLUSION@#Electroacupuncture, PNF and combination therapy can improve proprioception and motor function of lower limbs and activities of daily living, and combination therapy has a better effect. Proprioception and motor function have a strong correlation in the recovery of stroke patients.


Subject(s)
Activities of Daily Living , Electroacupuncture , Methods , Hemiplegia , Therapeutics , Humans , Lower Extremity , Proprioception , Stroke , Stroke Rehabilitation , Treatment Outcome
19.
Rio de Janeiro; s.n; 2019. 78 p.
Thesis in Portuguese | LILACS, ColecionaSUS | ID: biblio-1179101

ABSTRACT

A amputação é definida como a retirada, geralmente cirúrgica, total ou parcial de um membro do corpo. As amputações traumáticas correspondem a aproximadamente 20% das amputações de membros inferiores não eletivas, sendo a amputação no nível transtibial o tipo mais frequente. Estudos anteriores já demonstraram alterações na sensibilidade do coto de amputação e quadro de hipotrofia muscular causada pelo desuso, tendo como principal consequência a deficiência de força. Diante disso, é importante identificar a influência da amputação na propriocepção, força e distribuição de carga entre os membros de pacientes com amputação transtibial de etiologia traumática. Objetivo: Avaliar alterações na distribuição de carga, propriocepção e capacidade de produção de força muscular dos músculos do joelho em indivíduos usuários de prótese devido à amputação no nível transtibial de origem traumática. Métodos: Estudo transversal no qual participaram 16 voluntários amputados, protetizados há mais de um ano e 16 indivíduos não amputados, que compuseram o grupo-controle. Os grupos foram avaliados através dos questionários de Perfil de Atividade Humana e Escala de Tegner para avaliar o perfil de atividade física. Os pacientes foram também avaliados em relação à distribuição de carga entre os membros, propriocepção, através do senso de posição articular, e força isométrica, na flexão e extensão dos joelhos. Resultados: Este estudo demonstrou que o grupo de pacientes amputados apresenta maior debilidade física. Observou-se que o membro amputado recebe menos peso corporal, não possui deficiência na propriocepção e apresenta força da musculatura isquiotibial maior quando comparados com os demais grupos. Conclusão: A amputação não provoca deficiência na propriocepção, mas acarreta um quadro de limitação física. Apesar disso, os músculos isquiotibiais apresentam mais força quando comparados com os demais grupos avaliados, o que torna interessante o desenvolvimento de mais estudos sobre a influência da amputação na biomecânica do ser humano


Amputation is generally defined as the surgical, total or partial removal of a body member. Traumatic amputations account for about 20% of non-elective lower limb amputations, with amputation at the transtibial level being the most frequent type. Previous studies have already shown changes in sensitivity of the amputation stump and muscle hypotrophy caused by disuse, with the main consequence being the strength deficit. Therefore, it is important to gain further insight into influence of amputation on proprioception, strength and load distribution among members of the transtibial amputee of traumatic etiology. Objective: To evaluate changes in load distribution, proprioception and muscle strength production capacity of knee muscles in prosthesis users due to amputation at transtibial level of traumatic origin. Methods: The study included 16 amputee volunteers who had been prosthetized for more than one year, and 16 non-amputees, who comprised the control group. The groups were submitted to the Human Activity Profile (HAP) and Tegner Scale questionnaires to assess their physical activity profile in addition to tests who evaluated load distribution, proprioception, through the sense of articular position, and isometric force, in flexion and knee extension. Results: Our study showed that the amputee group is physically impaired. We also noted that amputated limb receives less body weight, has no proprioceptive deficit, and has greater hamstring muscle strength when compared to other groups. Conclusion: Amputation does not cause proprioceptive deficit but causes physical limitation. Nevertheless, the hamstring muscles are stronger when compared to the other groups evaluated which makes interesting the development of further studies on the influence of amputation on human physiology


Subject(s)
Proprioception/physiology , Muscle Strength , Muscle Strength Dynamometer , Amputation/nursing
20.
Rev. Pesqui. Fisioter ; 8(4): 528-534, nov., 2018. ilus
Article in English, Portuguese | LILACS | ID: biblio-968815

ABSTRACT

INTRODUÇÃO: Tarefas motoras treinadas em ambiente aquático parecem potencializar o sistema proprioceptivo. Porém, é necessário investigar o efeito do meio aquático no desempenho neuromuscular de atletas. OBJETIVO: Avaliar o efeito de uma intervenção por exercícios neuromusculares funcionais aquáticos, com ênfase no sistema sensorial proprioceptivo, nas variáveis altura do salto e potência muscular, tendo a acuidade proprioceptiva como covariável. METODOLOGIA: Amostra composta por 14 homens universitários praticantes de futsal e dividida em grupo controle (GC/n=7) e grupo intervenção (GI/n=7). As variáveis potência mecânica muscular e altura do salto foram avaliadas por meio do teste de salto vertical de 60 segundos. A acuidade proprioceptiva foi avaliada pelo senso de posição articular e pela cinestesia quantificados pelo teste de percepção de movimentos passivos lentos (Tpassivo) e pelo teste de senso de posição articular (Tativo). As variáveis de desfecho foram mensuradas em dois momentos: antes e após a intervenção. A intervenção aquática foi aplicada durante seis semanas com três sessões em cada semana. RESULTADOS: Não houve efeito de grupo e nem do momento da avaliação na altura do salto, sendo que o GC alcançou altura de salto de 19,9±0,8 cm em comparação com o GI chegando a altura de 20,3±1,4 cm. Na potência mecânica muscular não houve efeito do momento, mas houve efeito do grupo, em que o GC apresentou potência de 366,2±17,6 W, enquanto GI apresentou 332,0±21,2 W, sendo menor que o GC. Nem o Tativo e nem o Tpassivo influenciaram a altura de salto e a potência mecânica muscular. CONCLUSÃO: A intervenção de exercícios neuromusculares aquáticos funcionais, com ênfase na propriocepção não afetou nem a potência muscular nem a altura do salto, este resultado não foi influenciado pela acuidade proprioceptiva. [AU]


INTRODUCTION: Motor skills trained in aquatic environment seem to potentiate the proprioceptive system. However, it is necessary to investigate the effect of the aquatic environment on the neuromuscular performance of athletes. AIM: To evaluate the effect of an intervention by functional aquatic neuromuscular exercises, with emphasis on the proprioceptive sensory system, on the variables jump height and muscular power, with proprioceptive acuity as a covariate. METHODOLOGY: Sample composed of 14 college men practicing futsal and divided into control group (CG/n=7) and experimental group (EG/n=7). The variables mechanical muscle power and jump height were evaluated using the 60 seconds vertical jump test. Proprioceptive acuity was assessed by the sense of joint position and kinesthesia quantified by the slow passive sensory perception test (Tpassive) and by the joint position sense test (Tactive). The outcome variables were measured in two moments: before and after the intervention. The aquatic intervention was applied for six weeks with three sessions each week. RESULTS: There was no group effect nor of the moment at the time of the jump. In the muscular mechanical power, there was no effect of the moment, but there was an effect of the group, with the CG presenting higher values than the EG. Neither Tactive nor Tpassive influenced jump height and muscular mechanical power. CONCLUSION: The intervention of functional aquatic neuromuscular exercises with emphasis on proprioception affected neither muscular power nor jump height, this result was not influenced by proprioceptive acuity. [AU]


Subject(s)
Humans , Male , Adolescent , Adult , Young Adult , Proprioception/physiology , Muscle Strength/physiology , Athletic Performance/physiology , Hydrotherapy , Soccer/physiology
SELECTION OF CITATIONS
SEARCH DETAIL