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1.
Arq. ciências saúde UNIPAR ; 26(1): 33-45, Jan-Abr. 2022.
Article in Portuguese | LILACS | ID: biblio-1362669

ABSTRACT

Objetivo: Investigar a relação entre o perfil de adesão e barreiras percebidas por estudantes universitários para permanência no Programa de Extensão "Yoga: Awaken ONE". Métodos: Foram realizados dois cortes transversais com universitários da Universidade Federal do Recôncavo da Bahia. O primeiro foi composto por 16 indivíduos e investigou o perfil demográfico, socioeconômico, antropométrico, da aptidão física e da qualidade de vida dos universitários que ingressaram no Programa de Extensão. O segundo visou identificar as barreiras para permanência de 13 estudantes (dentre os 16 iniciais) que haviam se afastado do Programa após quatro meses do início. Resultados: Houve predominância de indivíduos do sexo feminino, dos cursos de graduação em Educação Física e Pedagogia e da classe socioeconômica C. A maioria dos participantes estava com indicadores adequados de gordura corporal. Observou-se grande proporção de indivíduos com indicadores baixos de flexibilidade e força muscular. Para a qualidade de vida, a menor mediana foi observada para o domínio meio ambiente e a maior para o domínio relações sociais. As principais barreiras percebidas para a prática de yoga pelos universitários foram "jornada de estudos extensa" e "jornada de trabalho extensa". Observou-se correlação do perfil sociodemográfico, indicadores de obesidade, variáveis hemodinâmicas, flexibilidade, força muscular e qualidade de vida com barreiras percebidas para permanência no Programa de Extensão universitária "Yoga: Awaken ONE". Conclusões: Estes achados sugerem que o perfil do público universitário pode ser determinante para a permanência ou evasão de programas de promoção de exercícios físicos e precisa ser considerado em propostas de programas de extensão universitária.


Objective: Investigate the relationship between the member adherence profile and barriers perceived by university students to remain in the "Yoga: Awaken ONE" Extension Program. Methods: Two cross-sections were carried out with university students from the Federal University of Recôncavo da Bahia. The first was composed of 16 individuals and investigated the demographic, socioeconomic, anthropometric, physical fitness, and quality of life profile of university students joining the Extension Program. The second aimed at identifying the barriers to remain in the program faced by 13 students (out of the initial 16) who had withdrawn from the Program four months after the beginning. Results: There was a predominance of female individuals, from undergraduate courses in Physical Education and Pedagogy, and from the C socioeconomic class. Most participants had adequate body fat indexes. There was a large proportion of individuals with low flexibility and muscle strength. For quality of life, the lowest median was observed for the environment domain, while the highest could be noted for the social relationship domain. The main barriers perceived for the practice of yoga by university students were "long study hours" and "long work hours". There was a correlation between sociodemographic profile, obesity indicators, hemodynamic variables, flexibility, muscle strength, and QOL with the perceived barriers to stay in the "Yoga: Awaken ONE" university extension program. Conclusions: These findings suggest that the profile of the university audience can be a determinant for the permanence or dropout of programs that promote physical exercise and therefore, it should be taken into consideration in proposals for university extension programs.


Subject(s)
Humans , Male , Female , Adult , Students , Universities/organization & administration , Yoga , Program Evaluation , Quality of Life/psychology , Work Hours , Exercise , Body Mass Index , Adipose Tissue , Student Health , Health Status Indicators , Range of Motion, Articular , Abdominal Fat , Adiposity , Muscle Strength , Arterial Pressure , Obesity/prevention & control
2.
Fisioter. Bras ; v.22(4): 584-596, Nov 2, 2021.
Article in Portuguese | LILACS | ID: biblio-1353401

ABSTRACT

Após a cirurgia para câncer de mama, algumas complicações podem levar a restrições da amplitude de movimento (ADM), dor e impacto negativo na realização das tarefas de vida diária. Neste contexto, a fisioterapia é importante na recuperação da funcionalidade. Objetivo: Avaliar o efeito da fisioterapia na amplitude de movimento, na intensidade de dor e no desempenho funcional do membro superior após a cirurgia para câncer de mama de mulheres no menacme. Métodos: Ensaio clínico não controlado, considerando mulheres que realizaram cirurgia para câncer de mama associada a linfonodectomia axilar. Foram avaliados a ADM pela fleximetria, intensidade de dor pela escala visual analógica (EVA) e o desempenho funcional pelo questionário "deficiência do ombro braço e mão" (DASH). Resultados: Após as 10 sessões de fisioterapia, foi observado aumento significativo da ADM de todos os movimentos, diminuição da intensidade de dor de 4,09 ± 2,51) para 2,54 ± 2,18, (p = 0,04), e dos escores do DASH de 35,31 ± 17,23 para 17,75 ± 13,09, (p = 0,001), indicando significativa melhora do desempenho funcional. Conclusão: A abordagem fisioterapêutica foi satisfatória em melhorar a ADM, intensidade de dor e o desempenho funcional em mulheres na pré-menopausa. Contudo, acompanhamento por mais longo prazo e incrementar os exercícios podem trazer melhora adicional. (AU)


Subject(s)
Female , Breast Neoplasms , Range of Motion, Articular , Pain , Physical Therapy Modalities , Mastectomy
3.
Rev. bras. med. esporte ; 27(3): 286-290, July-Sept. 2021. tab, graf
Article in English | LILACS | ID: biblio-1288570

ABSTRACT

ABSTRACT Introduction Among the many cases of sports injuries, the incidence of musculoskeletal injuries remains high. After a musculoskeletal injury occurs, athletes often need to suspend training and undergo rehabilitation. A suitable sport mode requires athletes to have sufficient joint range of motion, core stability, and balance ability in different positions to complete various complex movements in training and competition. Objective The paper analyzes the impact of warm-up exercises before the test on the test results of functional sports biological image data screening ( FMS TM ) and provides references for unifying test conditions, checking the reliability of FMS TM repeated tests, and discussing the comparability of the research results. Methods The paper used the same password and process to test 12 young male volleyball professional athletes without warm-up and warm-up. The two-dimensional motion analysis system Dartfish Pursuit 8.0 was used to analyze the video data recorded by the two cameras simultaneously. Results In the two tests before and after, the hurdle step score (1.75±0.62 vs. 2.42±0.52) and the total score (13.50±2.20 vs. 16.42±2.15) were significantly higher than those without the warm-up test (P<0.01). Besides, in squats (1.58±0.67 vs. 1.92±0.67), straight lunges (2.00±0.43 vs. 2.50±0.52), active straight leg lifts (1.50±0.67 vs. 2.00±0.60), rotation stability (1.42) ±0.52 vs. 1.92±0.29) showed a significant increase in the score (P<0.05). Conclusions Warm-up exercises before the test can improve the test results. This abnormal movement pattern observed only by visual inspection may not truly reflect the "dysfunction" of the movement. In the case of ignoring the pre-test warm-up factors, feedback on sports performance and formulating training strategies, this conclusion of predicting injury risk and evaluating training effects may have specific limitations in its reference value. Level of evidence II; Therapeutic studies - investigation of treatment results.


RESUMO Introdução Dentre os diversos casos de lesões esportivas, a incidência de lesões musculoesqueléticas permanece elevada. Após a ocorrência de uma lesão musculoesquelética, os atletas geralmente precisam suspender o treinamento e se submeter à reabilitação. Um modo de esporte adequado requer que os atletas tenham amplitude de movimento articular suficiente, estabilidade central e capacidade de equilíbrio em diferentes posições para completar vários movimentos complexos em treinamento e competição. Objetivo o artigo analisa o impacto dos exercícios de aquecimento antes do teste sobre os resultados dos testes de triagem de dados de imagens biológicas esportivas funcionais (FMSTM) e fornece referências para unificar as condições de teste, verificar a confiabilidade de testes FMSTM repetidos e discutir a comparabilidade dos resultados da pesquisa . Métodos O artigo utilizou a mesma senha e processo para testar 12 jovens atletas profissionais do sexo masculino de voleibol sem aquecimento e com aquecimento. O sistema de análise de movimento bidimensional Dartfish Pursuit 8.0 foi usado para analisar os dados de vídeo gravados pelas duas câmeras simultaneamente. Resultados Nos dois testes antes e depois, a pontuação do hurdle step (1,75 ± 0,62 vs. 2,42 ± 0,52) e a pontuação total (13,50 ± 2,20 vs. 16,42 ± 2,15) foram significativamente maiores do que aqueles sem o teste de aquecimento ( P <0,01). Além disso, em agachamentos (1,58 ± 0,67 vs. 1,92 ± 0,67), estocadas retas (2,00 ± 0,43 vs. 2,50 ± 0,52), levantamentos ativos de perna reta (1,50 ± 0,67 vs. 2,00 ± 0,60), estabilidade de rotação (1,42) ± 0,52 vs. 1,92 ± 0,29) mostrou um aumento significativo na pontuação (P <0,05). Conclusão Os exercícios de aquecimento antes do teste podem melhorar os resultados do teste. Este padrão de movimento anormal observado apenas por inspeção visual pode não refletir verdadeiramente a "disfunção" do movimento. No caso de ignorar os fatores de aquecimento pré-teste, feedback sobre o desempenho esportivo e formulação de estratégias de treinamento, esta conclusão de prever o risco de lesões e avaliar os efeitos do treinamento pode ter limitações específicas em seu valor de referência. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.


RESUMEN Introducción Entre los muchos casos de lesiones deportivas, la incidencia de lesiones musculoesqueléticas sigue siendo alta. Después de que ocurre una lesión musculoesquelética, los atletas a menudo necesitan suspender el entrenamiento y someterse a rehabilitación. Un modo de deporte adecuado requiere que los atletas tengan suficiente rango de movimiento articular, estabilidad central y capacidad de equilibrio en diferentes posiciones para completar varios movimientos complejos en el entrenamiento y la competencia. Objetivo El documento analiza el impacto de los ejercicios de calentamiento antes de la prueba en los resultados de las pruebas de detección de datos de imágenes biológicas deportivas funcionales (FMSTM) y proporciona referencias para unificar las condiciones de prueba, verificar la confiabilidad de las pruebas FMSTM repetidas y discutir la comparabilidad de los resultados de la investigación. Métodos El documento utilizó la misma contraseña y proceso para evaluar a 12 jóvenes atletas profesionales de voleibol sin calentamiento y con calentamiento. El sistema de análisis de movimiento bidimensional Dartfish Pursuit 8.0 se utilizó para analizar los datos de video grabados por las dos cámaras simultáneamente. Resultados En las dos pruebas antes y después, la puntuación del paso de valla (1,75 ± 0,62 frente a 2,42 ± 0,52) y la puntuación total (13,50 ± 2,20 frente a 16,42 ± 2,15) fueron significativamente más altas que aquellas sin la prueba de calentamiento ( P <0,01). Además, en sentadillas (1,58 ± 0,67 vs 1,92 ± 0,67), estocadas rectas (2,00 ± 0,43 vs 2,50 ± 0,52), levantamientos activos de piernas rectas (1,50 ± 0,67 vs 2,00 ± 0,60), estabilidad de rotación (1,42) ± 0,52 vs. 1,92 ± 0,29) mostró un aumento significativo en la puntuación (P <0,05). Conclusión Los ejercicios de calentamiento antes de la prueba pueden mejorar los resultados de la prueba. Este patrón de movimiento anormal observado solo por inspección visual puede no reflejar realmente la "disfunción" del movimiento. En el caso de ignorar los factores de calentamiento previos a la prueba, la retroalimentación sobre el rendimiento deportivo y la formulación de estrategias de entrenamiento, esta conclusión de predecir un riesgo de lesión y evaluar los efectos del entrenamiento puede tener limitaciones específicas en su valor de referencia. Nivel de evidencia II; Estudios terapéuticos: investigación de los resultados del tratamiento.


Subject(s)
Humans , Male , Adolescent , Athletic Injuries/prevention & control , Range of Motion, Articular/physiology , Volleyball , Warm-Up Exercise/physiology , Triage
4.
Revista Brasileira de Ciência e Movimento ; 28(4): 63-69, ago. 2021. tab
Article in Portuguese | LILACS | ID: biblio-1342443

ABSTRACT

O objetivo desse estudo foi avaliar a amplitude de movimento articular de praticantes de um programa de condicionamento extremo. O estudo transversal, descritivo, caracteriza-se por uma pesquisa quanti-qualitativa. Os praticantes responderam perguntas sociodemográficas, relacionadas à prática da modalidade, se possuía alguma dor/desconforto articular e realizaram testes para a avaliação da amplitude articular de ombro, punho, quadril e tornozelo. Os testes realizados foram: Reverse Wall Slide para o ombro, Weight-Bearing Box Test para o punho, Supine Kness-To-Chest para o quadril e Weight-Bearing Lunge Test para a articulação do tornozelo. Foram avaliados 46 praticantes, sendo 26 mulheres e 20 homens. Os resultados foram analisados e apresentados de forma descritiva com cálculo da média e desvio padrão. Nos praticantes avaliados cerca de 30,43%; 80,45%; 58,69% e 60,28% apresentaram avaliação positiva para a amplitude de movimento de ombro, punho, quadril e tornozelo, respectivamente. Foi encontrado correlação positiva e fraca somente entre o resultado do teste de mobilidade do tornozelo e dor/desconforto.(AU)


The objective of this study was to evaluate the range of articular movement of practitioners of an extreme conditioning program. The cross-sectional, descriptive study is characterized by quantitative and qualitative research. The practitioners answered sociodemographic questions, related to the practice of the sport, if they had any joint pain / discomfort and performed tests to assess the shoulder, wrist, hip and ankle joint amplitude. The tests performed were: Reverse Wall Slide for the shoulder mobility, WeightBearing Box Test for the wrist mobility, Supine Kness-To-Chest for the hip mobility and Weight-Bearing Lunge Test for the ankle mobility. Was evaluated 46 practitioners, 26 women and 20 men. The results were analyzed and presented descriptively with calculation of the mean and standard deviation. In the evaluated practitioners about 30.43%; 80.45%; 58.69% and 60.28% had a positive evaluation for the range of motion of the shoulder, wrist, hip and ankle, respectively. A positive and weak correlation was found only between the result of the ankle mobility test and pain / discomfort.(AU)


Subject(s)
Humans , Male , Female , Pain , Shoulder , Range of Motion, Articular , Amplitude , Hip , Ankle , Ankle Joint , Sports , Women , Men
5.
Arq. bras. med. vet. zootec. (Online) ; 73(4): 843-852, Jul.-Aug. 2021. tab, ilus
Article in English | LILACS, VETINDEX | ID: biblio-1285273

ABSTRACT

Maneuvers to activate the equine's core can make a difference in their physical and psychic health. Although these activities are recommended and practiced, there is little research proving their effectiveness. This article aims to describe, through surface electromyography, the occurrences, durations and sequences activity of longissimus dorsi, rectus abdominis and gluteus medius during thoracolumbar flexion (TLF), lumbar and lumbosacral flexion (LLSF), global flexion (GF), which is the combination of TLF and LLSF, and tail traction (TT). Seven healthy adult horses of three different breeds performed five repetitions of these movements for five seconds (sec). Electromyographic activity was captured with non-invasive superficial sensors positioned in the skin regions covering these muscles. The sequence was performed once per animal, muscle activity captured by surface electromyography, data from two replicates of each animal were selected, analyzed on matLab software and data tabulation were described during each maneuver. These maneuvers provoked punctual and transient activation of muscles mentioned above, confirming the ability to activate equine core muscles. However, responses were not standardized, which means there were variations of occurrence, duration and sequence, suggesting that for practical application of those maneuvers it is necessary to perform more repetitions with longer durations to activate more muscles.(AU)


Manobras para ativação da musculatura do core equino podem ser diferenciais para saúde física e psíquica dos animais, sendo recomendadas e praticadas, mas existem poucas pesquisas comprovando a eficácia delas. Este artigo tem como objetivo descrever, por meio da eletromiografia de superfície, as ocorrências, as durações e as sequências temporais da atividade muscular do longuíssimo dorsal, do reto abdominal e do glúteo médio durante a realização das manobras de flexão toracolombar, flexão lombar e lombossacra, flexão global (toracolombar e lombossacra) e tração de cauda. Para isso, sete equinos adultos e hígidos de três raças realizaram esses quatro movimentos clássicos para ativar o core equino, com cinco repetições e manutenção do estímulo reflexivo por cinco segundos. Durante a realização, a atividade eletromiográfica foi capturada com a utilização de sensores superficiais posicionados de forma não invasiva em regiões cutâneas referentes a cada músculo. O protocolo completo de manobras foi realizado uma vez por cada animal enquanto a atividade muscular era capturada. Posteriormente, duas repetições de cada animal foram triadas e submetidas ao software matLab para análise. Com base na tabulação dos dados, foram descritas as variáveis eletromiográficas de presença ou ausência de ativação muscular, a duração média dos picos eletromiográficos superiores ao RMS (root mean square) e a sequência da atividade muscular observada durante cada manobra. Essas manobras provocaram ativações pontuais e transitórias nos três músculos, o que confirma a capacidade de excitar músculos do core equino. Contudo, as respostas não foram padronizadas, sugerindo que, na prática dessa atividade, devem-se realizar mais repetições com durações superiores a cinco segundos, a fim de se buscarem maiores ativações.(AU)


Subject(s)
Animals , Range of Motion, Articular/physiology , Exercise Movement Techniques/veterinary , Muscle Stretching Exercises , Horses/physiology , Musculoskeletal System/anatomy & histology , Electromyography/veterinary , Warm-Up Exercise
6.
Coluna/Columna ; 20(2): 114-117, Apr.-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1249662

ABSTRACT

ABSTRACT Objective: To assess the impact of stiffness associated with lumbar spinal fusion on disability and quality of life. Methods: This is a retrospective study including 40 patients (mean age: 57.7 ± 16.2) who underwent spinal surgery with fusion including the lumbar segment and a minimum of 24-month postoperative follow-up. The version translated and adapted to Portuguese of the Lumbar Stiffness Disability Index (LSDI) questionnaire was applied to assess the disability associated with stiffness secondary to lumbar spinal fusion. To quantify postoperative clinical lumbar stiffness / mobility, the Modified-Modified Schober Test (MMST) was applied. Results: There was a moderate negative correlation (r = -0.320), but significant (p = 0.04), between the MMST value and the LSDI score. The average of LSDI score in patients with extension of spinal fusion to the sacrum was higher than in patients without extension to the sacrum (p = 0.002), indicating greater disability in those with extension to the sacrum. Conclusions: In patients undergoing lumbar spinal fusion, the disability related to lumbar stiffness, measured by the LSDI score, was directly related to clinical lumbar stiffness, measured by the modified-modified Schöber test. The inclusion of the sacrum in fusion showed an association with worsening of disability related to lumbar stiffness. Level of evidence III; Retrospective analysis.


RESUMO Objetivo: Avaliar o impacto da rigidez associada a artrodese lombar sobre a capacidade funcional e qualidade de vida. Métodos: Trata-se de um estudo retrospectivo que incluiu 40 pacientes (média de idade: 57,7±16,2) submetidos a cirurgia da coluna vertebral com artrodese incluindo o segmento lombar, com mínimo de seguimento pós-operatório de 24 meses. A versão traduzida e adaptada paro o Português do questionário Lumbar Stiffness Disability Index (LSDI) foi aplicada para avaliar as limitações funcionais associadas à rigidez secundária à artrodese lombar. Para quantificar a rigidez/mobilidade clínica lombar pós-operatória, foi aplicado o teste modificado-modificado de Schöber (TMMS). Resultados: Houve correlação negativa moderada (r= -0,320), porém significativa (p= 0,04), entre o valor do TMMS e o escore LSDI. A média do escore LSDI dos pacientes com extensão da artrodese ao sacro foi maior que nos pacientes sem extensão ao sacro (p= 0,002), indicando maior limitação funcional naqueles com extensão ao sacro. Conclusões: Em pacientes submetidos à artrodese da coluna lombar, a capacidade funcional relacionada a rigidez lombar, medida pelo escore LSDI, se mostrou diretamente relacionada com a rigidez lombar clínica, medida pelo teste modificado-modificado de Schöber. A inclusão do sacro na artrodese mostrou associação com piora da capacidade funcional relacionada à rigidez lombar. Nível de evidência III; Análise retrospectiva.


RESUMEN Objetivo: Evaluar el impacto de la rigidez asociada con la artrodesis lumbar en la capacidad funcional y la calidad de vida. Métodos: Este es un estudio retrospectivo que incluyó 40 pacientes (edad media: 57.7 ± 16.2) que se sometieron a cirugía del artrodesis de la columna, incluido el segmento lumbar, con un mínimo de 24 meses de seguimiento postoperatorio. La versión traducida y adaptada al portugués del cuestionario Lumbar Stiffness Disability Index (LSDI) se aplicó para evaluar las limitaciones funcionales asociadas con la rigidez secundaria a la artrodesis lumbar. Para cuantificar la rigidez / movilidad clínica lumbar postoperatoria, se aplicó la prueba modificada-modificada de Schöber (PMMS). Resultados: Hubo una correlación negativa moderada (r = -0.320), pero significativa (p = 0.04), entre el valor del PMMS y el puntaje LSDI. El puntaje promedio de LSDI de pacientes con extensión de artrodesis al sacro fue mayor que en pacientes sin extensión al sacro (p = 0.002), lo que indica una mayor limitación funcional en aquellos con extensión al sacro. Conclusiones: En pacientes sometidos a artrodesis de columna lumbar, se demostró que la capacidad funcional relacionada con la rigidez lumbar, medida por el puntaje LSDI, estaba directamente relacionada con la rigidez clínica lumbar, medida por prueba modificada-modificada de Schöber. La inclusión del sacro en la artrodesis mostró una asociación con el empeoramiento de la capacidad funcional relacionada con la rigidez lumbar. Nivel de evidencia III; Análisis retrospectivo.


Subject(s)
Humans , Spine , Arthrodesis , Quality of Life , Range of Motion, Articular
7.
Arq. ciências saúde UNIPAR ; 25(1): 31-36, jan-abr. 2021.
Article in Portuguese | LILACS | ID: biblio-1151403

ABSTRACT

A aptidão física se relaciona com marcadores de saúde na infância. O objetivo do presente estudo é mensurar os níveis de aptidão física de escolares, de 10 anos, de acordo com as classificações da base de dados do Projeto Esporte Brasil, 2016 e comparar os resultados das avaliações entre os escolares da rede pública e privada. Participaram desse estudo cento e vinte e seis escolares das cidades de Leme e Pirassununga. Foram determinados o Índice de Massa Corporal e Razão Cintura-Estatura dos indivíduos, que também foram avaliados quanto à aptidão cardiorrespiratória, flexibilidade, resistência muscular abdominal, potência de membros superiores, potência de membros inferiores, agilidade e velocidade. Concluímos que os estudantes da rede pública de ensino apresentaram nível de aptidão física superior em detrimento aos estudantes da rede particular e que os estudantes do sexo masculino da rede privada obtiveram resultados considerados abaixo dos níveis saudáveis para a faixa etária.


Physical fitness is related to health markers in childhood. The aim of this study is to measure the physical fitness levels of 10-year-old schoolchildren according to the classifications in the 2016 Projeto Esporte Brasil database and to compare the results among public and private schoolchildren. One hundred and twenty-six schoolchildren from the cities of Leme and Pirassununga took part in this study. The Body Mass Index and Waist-to-Height Ratio of the individuals were determined. The children were also evaluated for cardiorespiratory fitness, flexibility, abdominal muscle resistance, upper limb power, lower limb power, agility, and speed. It could be concluded that students from the public school system presented a higher level of physical fitness when compared to those from the private system, and that male students from the private school system presented results which were considered below the healthy levels for that age group.


Subject(s)
Humans , Male , Female , Child , Schools , Students , Physical Fitness , Physical Education and Training , Body Height , Body Mass Index , Child Health , Range of Motion, Articular , Abdominal Muscles , Waist Circumference , Pediatric Obesity , Cardiorespiratory Fitness
8.
Rev. chil. ortop. traumatol ; 62(1): 2-10, mar. 2021. ilus, tab
Article in Spanish | LILACS | ID: biblio-1342583

ABSTRACT

INTRODUCCIÓN: La artrodesis de cuatro esquinas es una técnica de salvataje para los pacientes con artrosis avanzada del carpo. Los objetivos quirúrgicos son disminuir el dolor y mantener cierto movimiento de la muñeca. En el último tiempo, se han descrito técnicas percutáneas con asistencia artroscópica que han logrado resultados favorables, a pesar de que la técnica abierta sigue siendo el gold estándar para realizar esa técnica quirúrgica. OBJETIVO: Comparar resultados funcionales y radiológicos en pacientes con muñecas con colapso avanzado escafolunar (scapholunate advanced collapse, SLAC) o colapso avanzado en la pseudoartrosis del escafoides (scaphoid nonunion advanced collapse, SNAC) operados con técnica quirúrgica abierta versus técnica percutánea con asistencia artroscópica. MATERIALES Y MÉTODOS: Estudio retrospectivo tipo caso-control, de fichas clínicas e imagenología de pacientes con artrosis avanzada del carpo operados con técnica percutánea y asistencia artroscópica y cirugía abierta. Se estudian variables demográficas, dolor mediante la Escala Visual Analógica (EVA), función en rangos de movilidad, tiempo de consolidación, y corrección del ángulo capitolunar. Se describe la técnica quirúrgica de la cirugía abierta y la cirugía percutánea con asistencia artroscópica. RESULTADOS: Se estudiaron 22 pacientes del sexo masculino con edad promedio de 32,5 años. Había 13 pacientes en el grupo de casos (técnica percutánea con asistencia artroscópica) y 9 pacientes en el grupo de controles (técnica abierta). El dolor en la EVA al momento del egreso hospitalario fue de 3 para los casos y de 5 para los controles (p » 0,008), y a los 30 días del postoperatorio, fue de 0 y 3 respectivamente (p » 0,00). Los rangos de extensión y flexión fueron de 52,6° y 38,7° para los casos y de 35,7° y 32,4° para los controles (p » 0,1119 y 0,0016, respectivamente). El ángulo capitolunar fue de 10° para los controles y de 5° para los casos (p » 0,0008). El tiempo de consolidación fue de 8,8 semanas para los casos y de 12,5 semanas para los controles (p » 0,039). DISCUSIÓN: Tanto la técnica percutánea con asistencia artroscópica cuanto la cirugía abierta para realizar una artrodesis de cuatro esquinas son técnicas reproducibles y efectivas en lograr consolidación, disminución del dolor, y mantenimiento de rangos de movimiento en la muñeca. CONCLUSIÓN: En el presente trabajo se demuestran mejores promedios de los parámetros evaluados con la técnica percutánea que con la cirugía abierta; sin embargo, es necesario realizar estudios prospectivos para realizar una recomendación con respecto a la técnica quirúrgica de elección.


INTRODUCTION: Four-corner arthrodesis is a salvage technique for patients with advanced carpal osteoarthritis. This procedure aims to reduce pain and preserve wrist motion. Even though percutaneous techniques with arthroscopic assistance reportedly have favorable outcomes and the advantages of minimal invasiveness, open surgery remains the gold standard for four-corner arthrodesis. OBJECTIVE: The present study aims to compare the functional and radiological outcomes of patients with scapholunate advanced collapse (SLAC) or scaphoid nonunion advanced collapse (SNAC) submitted to open surgery versus percutaneous surgery with arthroscopic assistance. MATERIALS AND METHODS: Retrospective case-control study of clinical records and radiological images of patients with advanced carpal osteoarthritis submitted to percutaneous surgery with arthroscopic assistance versus open surgery. Demographic variables, pain score using the visual analog scale (VAS), function ranges of motion, time until consolidation, and correction of the capitolunate angle were analyzed. Both techniques are described. RESULTS: In total, 22 male patients with an average age of 32.5 years were studied, including 13 patients from the case group (percutaneous surgery with arthroscopic assistance) and 9 patients from the control group (open surgery). The VAS score for pain at discharge was of 3 for the cases and of 5 for the controls (p » 0.008); 30 days postoperatively, it was of 0 and 3 respectively (p » 0.00). The ranges of extension and flexion were of 52.6° and 38.7° for the case group, and of 35.7° and 32.4° for the control group (p » 0.119 and 0.0016 respectively). The capitolunate angle was of 10° for the controls and of 5° for the cases (p » 0.0008). The time until consolidation was of 8.8 weeks for the cases and of 12.5 weeks for the controls (p » 0.039). DISCUSSION: Both four-corner arthrodesis techniques are reproducible and effective in achieving consolidation, pain reduction and preservation of wrist motion. CONCLUSION: The present study demonstrates the superiority of the percutaneous technique with arthroscopic assistance over open surgery. Further prospective studies are required for an adequate recommendation.


Subject(s)
Arthrodesis/methods , Wrist Joint/surgery , Scaphoid Bone/surgery , Pain, Postoperative/prevention & control , Arthroscopy , Wrist Joint/physiopathology , Wrist Joint/diagnostic imaging , Pain Measurement , Retrospective Studies , Range of Motion, Articular , Scaphoid Bone/physiopathology , Scaphoid Bone/diagnostic imaging
9.
Rev. Ciênc. Plur ; 7(1): 30-39, jan. 2021. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1147555

ABSTRACT

Introdução:A disfunção temporomandibular,distúrbio que acomete as estruturas ósseas, musculares e articulares da região orofacial tem sido cada vez mais recorrente. Esse distúrbio causa dores, limitação de movimento e alteração na qualidade de vida dos pacientes acometidos com a doença. Se fazemnecessáriasmedidas de controle e tratamento dessadoença de prevalência crescente. Objetivo:Avaliar a amplitude de abertura bucal em pacientes portadores de disfunção temporomandibular, submetidos ao tratamento com fisioterapia após 1 e 3 meses de tratamento.Metodologia:Avaliou-se a amplitude de abertura bucal de 25 pacientes submetidos ao tratamento com fisioterapia. Todos os pacientes foram diagnosticados com disfunçãode acordo com o eixo 1 do "Research Diagnostic Criteria for Temporomandibular Disorders". Os dados colhidos foram avaliados através do programa SPSS e foi realizado o teste Wilcoxon, com nível de confiança de 95%. Resultados:Para pacientes que apresentavam comprometimento da amplitude de abertura máxima sem auxílio, a fisioterapia possibilitou melhora significativa do ganho de amplitude no tempo inicial e após um mês de terapia (p= 0,002), mantendo a amplitude até o terceiro mês, sem apresentar ganho significativo. Conclusões:Para a variável amplitude de abertura bucal, a fisioterapia se mostra como uma boa alternativa de tratamento, alcançando resultados satisfatórios para o ganho de amplitude e melhoria do quadro sintomático do paciente (AU).


Introduction:Temporomandibulardisorder, a disorder that affects bone, muscle and joint structures in the orofacial region has been increasingly recurrent. This disorder causes pain, movement limitation and changes in the quality of life of patients affected by the disease. Control measures and treatment of the disease of increasing prevalence are necessary. Objective:To evaluate the range of mouth opening in patients undergoing treatment with physiotherapy after 1 and 3 months of treatment. Methodology:It was the amplitude of mouth opening in 25 patients submitted to treatment with physiotherapy. All patients were diagnosed with disorder according to axis 1 of the Research Diagnostic Criteria for Temporomandibular Disorders. The collected data were evaluatedusing the SPSS program and the Wilcoxon test was performed, with a 95% confidence level. Results:For patients who presented impairment of the maximum opening amplitude without assistance, physiotherapy enabled a significant improvement in amplitude gainin the initial time and after one month of therapy (p= 0.002), maintaining the amplitude until the third month, without showing any significant gain. Conclusions:For the variable mouth opening amplitude, physiotherapy is shown to be a good treatment alternative, achieving satisfactory results for gaining amplitude and improving the patient's symptomatic condition (AU).


Introducción: El trastorno temporomandibular, un trastorno que afecta las estructuras óseas, musculares y articulares en la región orofacial, ha sido cada vez más recurrente. Este trastorno causa dolor, limitación de movimiento y cambios en la calidad de vida de los pacientes afectados por la enfermedad. Son necesarias medidas de control y tratamiento de la enfermedad de prevalencia creciente.Objetivo: Evaluar la amplitud de la apertura de la boca en pacientes con disfunción temporomandibular, sometidos a tratamiento con fisioterapia después de 1 y 3 meses de tratamiento.Metodología: Se evaluó la amplitud de la apertura de la boca en 25 pacientes sometidos a tratamiento de fisioterapia. Todos los pacientes fueron diagnosticados con trastorno de acuerdo con el eje 1 del Criterios de diagnóstico de investigación para trastornos temporomandibulares. Los datos recopilados se evaluaron utilizando el programa SPSS y se realizó la prueba de Wilcoxon, con un nivel de confianza del 95%. Resultados: Para los pacientes que presentaron deterioro de la amplitud máxima de apertura sin asistencia, la fisioterapia permitió una mejora significativa en la ganancia de amplitud en el tiempo inicial ydespués de un mes de terapia (p=0,002), manteniendo la amplitud hasta el tercer mes, sin mostrar ninguna ganancia significativa.Conclusiones: Para la amplitud variable de apertura de la boca, se muestra que la fisioterapia es una buena alternativa de tratamiento, logrando resultados satisfactorios para aumentar la amplitud y mejorar la condición sintomática del paciente (AU).


Subject(s)
Humans , Male , Female , Adult , Temporomandibular Joint Disorders , Temporomandibular Joint Dysfunction Syndrome/pathology , Range of Motion, Articular , Physical Therapy Specialty , Quality of Life , Brazil , Longitudinal Studies , Statistics, Nonparametric
10.
Rev. Asoc. Argent. Ortop. Traumatol ; 86(4) (Nro Esp - ACARO Asociación Argentina para el Estudio de la Cadera y Rodilla): 463-474, 2021.
Article in Spanish | LILACS, BINACIS | ID: biblio-1353947

ABSTRACT

Introducción: Las enfermedades degenerativas de la cadera y la columna vertebral son causas comunes de discapacidad y dolor y los síntomas suelen superponerse. Cuando algún parámetro se altera, otro debe modificarse para evitar el choque femoroacetabular y una posible luxación. Se piensa que la fijación lumbar afectaría la adaptación de la unidad espino-pélvica en las diferentes posturas. El objetivo de este estudio fue analizar el comportamiento espino-pélvico en pacientes con artroplastia total de cadera y artrodesis lumbar. Materiales y Métodos: Se realizó un estudio no aleatorizado, retrospectivo, de casos y controles en pacientes con artroplastia total de cadera evaluados con radiografía lumbopélvica de frente y de perfil en posición erecta y en sedestación, divididos en dos grupos: con artrodesis lumbar o sin ella. Se midieron parámetros espino-pélvicos y femoroacetabulares. Resultados: La muestra tenía 50 pacientes: 25 en cada grupo. Quince tenían artroplastia total de cadera bilateral y el nivel de fijación lumbar más frecuente era L5-S1. No hubo diferencia estadísticamente significativa en la edad y el sexo entre ambos grupos. Los pacientes con artrodesis lumbar necesitaron más flexión de cadera para sentarse, sin un aumento significativo asociado en la tasa de luxación. Conclusiones: La composición ideal de los componentes aún es difícil de alcanzar. La reconsideración de las "zonas seguras" de los componentes ha comenzado a alejarse de los valores del plano coronal de Lewinnek. Se ha propuesto un nuevo enfoque en las zonas seguras del plano sagital más apropiadas y precisas en pacientes seleccionados con enfermedad espino-pélvica grave. Nivel de Evidencia: III


Introduction: Degenerative diseases of the hip and spine are common causes of disability and pain, and the symptoms usually overlap. When a parameter is altered, another one should be modified to avoid femoroacetabular impingement and a potential dislocation. It is believed that lumbar fixation would affect the adaptation of the spinopelvic unit in different postures. This article aims to analyze the spinopelvic behavior in patients with Total Hip Arthroplasty (THA) and lumbar arthrodesis. Materials and Methods: A non-randomized retrospective study of cases and controls was carried out in patients with THA, who were assessed using anterior and lateral X-ray views in functional sitting and standing postures, divided into two groups depending on the presence or absence of lumbar arthrodesis. Spinopelvic parameters as well as femoroacetabular parameters were measured. Results: A sample of 50 patients was selected, 25 in each group. In total, 15 patients had bilateral THA, and the most common level of lumbar fixation was L5-S1. There was no statistically significant difference in gender and age between both groups. Lumbar arthrodesis patients required more hip flexion to sit, without being associated with a significant increase in the rate of dislocation. Conclusion: The ideal composition of the components is still difficult to achieve. The review of the "safe zones" of the components has started to depart from the values of the body plane proposed by Lewinnek. A new approach has been proposed to the safe zones of the sagittal plane, which are more appropriate and accurate in selected patients with severe spinopelvic pathology. Level of Evidence: IIII


Subject(s)
Aged , Pelvis , Spinal Fusion , Range of Motion, Articular , Arthroplasty, Replacement, Hip , Joint Dislocations
11.
Article in Spanish | LILACS, BINACIS | ID: biblio-1353926

ABSTRACT

Introducción: La artroscopia bilateral de rodilla en un solo tiempo quirúrgico permite cursar un solo posoperatorio y una única rehabilitación. El objetivo de este estudio fue evaluar los resultados clínico-funcionales y el tiempo hasta el retorno laboral y deportivo en una serie de pacientes sometidos a una artroscopia bilateral en un solo tiempo quirúrgico. materiales y métodos: Se evaluó a una serie retrospectiva de pacientes desde abril de 2016 hasta abril de 2019, que fueron sometidos a una artroscopia bi-lateral de rodilla en un solo tiempo quirúrgico. Se analizaron los resultados clínico-funcionales a corto y mediano plazo, y el tiempo para el retorno laboral y deportivo. Resultados: La edad promedio fue de 41 años (rango 18-63). El seguimiento promedio fue de 18 meses (rango 6-37). Los tiempos de anestesia y quirúrgico promedio fueron 105 min (rango 60-170) y 85 min (rango 50-150), respectivamente. El tiempo promedio para el retorno laboral fue de 2 meses (rango 1-5). Todos los pacientes recuperaron el rango completo de movilidad articular. Conclusiones: Si bien se han obtenido buenos resultados clínicos con la artroscopia bilateral de rodilla en un solo tiempo, en pacientes seleccionados, no se pueden establecer comparaciones ni conclusiones relevantes debido a la baja casuística y a la gran diversidad de las cirugías realizadas. La principal ventaja radicaría en evitar procedimientos en dos tiempos quirúrgicos, lo que implicaría dos operaciones, dos anestesias y dos programas de rehabilitación diferentes. Nivel de Evidencia: IV


Introduction: Single-stage bilateral arthroscopic surgery allows the patient to undergo a single postoperative and rehabilitation period. The aim of this article was to evaluate the functional-clinical outcomes and time to return to work and sports in a series of patients who had undergone single-stage bilateral arthroscopy. Materials and Methods: We evaluated a retrospective series of patients who had undergone single-stage bilateral knee arthroscopy from April 2016 to April 2019. Short- and medium-term clinical-functional outcomes, and time to return to work and sports were analyzed. Results: The average age of the patients was 41 years (range 18 - 63), with an average follow-up of 18 months (6-37). The average anesthesia time was 105 minutes (range 60 - 170) and the average surgical time was 85 minutes (50 to 150). The average time to return to work was 2 months (range 1-5). Joint range of motion was fully recovered in all patients. Conclusion: Although single-stage bilateral arthroscopy has shown good clinical outcomes in selected patients, no relevant comparisons or conclusions can be established due to the low casuistry and the great diversity of the surgeries performed. The main advantage would be in avoiding procedures in two surgical stages, which would imply two operations, twice the anesthesia and two different rehabilitation programs. Level of Evidence: IV


Subject(s)
Adult , Middle Aged , Arthroscopy/methods , Range of Motion, Articular , Treatment Outcome , Minimally Invasive Surgical Procedures , Return to Work , Return to Sport , Knee Joint/surgery
12.
Rev. Asoc. Argent. Ortop. Traumatol ; 86(4) (Nro Esp - ACARO Asociación Argentina para el Estudio de la Cadera y Rodilla): 519-528, 2021.
Article in Spanish | LILACS, BINACIS | ID: biblio-1353953

ABSTRACT

Introducción: El reemplazo total de rodilla en pacientes con anquilosis representa un desafío para el cirujano, tanto por la alta demanda técnica de la cirugía como por la elevada tasa de complicaciones comunicada. El objetivo de este artículo es presentar tres pacientes con anquilosis tratados con un reemplazo total de rodilla y una revisión bibliográfica actualizada. materiales y métodos: Se evaluaron las distintas etiologías, la movilidad preoperatoria, la técnica quirúrgica y el tipo de implante utilizado en cada caso. En el seguimiento, se evaluaron la tasa de complicaciones, el rango de movilidad y la supervivencia del implante. Por último, se realizó una revisión actualizada de la bibliografía. Resultados: Dos pacientes tenían artritis reumatoide juvenil y uno, una secuela de osteomielitis crónica de rodilla. Los pacientes no tenían movilidad articular y sufrían un severo compromiso para realizar las actividades de la vida cotidiana. En los tres pacientes, se efectuó un abordaje pararrotuliano medial seguido de una amplia liberación de partes blandas. En dos casos, se utilizaron prótesis primarias con vástagos y, en el restante, una prótesis de bisagra rotacional. El rango de movilidad alcanzado fue de 90° en promedio y los pacientes refirieron una tasa alta de satisfacción. No se registraron complicaciones. Conclusiones: El reemplazo total de rodilla en pacientes con anquilosis es una opción terapéutica por considerar, y tiene un impacto beneficioso en la calidad de vida. Por la complejidad que representa debe afrontarse como una cirugía de revisión, con una detenida planificación preoperatoria. Nivel de Evidencia: IV


Introduction: Performing a Total Knee Replacement (TKR) in patients with ankylosed knees is technically demanding and associated with considerable complications. The purpose of this study is to report three cases of patients with ankylosed knees treated with TKR and present an updated literature review. Materials and methods: We evaluated etiologies, preoperative range of motion, surgical technique and type of implant utilized in each case. Complications and postoperative range of motion were also analyzed. Radiographs were used to evaluate loosening or osteolysis. Lastly, we performed an updated literature review. Results: The etiologies were juvenile rheumatoid arthritis in two cases and chronic osteomyelitis in one. The patients did not have range of motion at all and the ability to perform daily life activities was severely affected. A medial parapatellar approach was used in all cases followed by an extensive soft tissue release. A primary posterior-stabilized design was used in two cases and a rotating-hinge in one case. The mean postoperative range of motion was 90° and all three patients reported a high satisfaction rate. No complications were reported. Conclusions: TKR in patients with ankylosed knees has substantially improved the clinical outcome and the arc of movement. Due to its complexity, it must be approached as a revision surgery, with careful preoperative planning. Level of Evidence: IV


Subject(s)
Adolescent , Adult , Middle Aged , Range of Motion, Articular , Treatment Outcome , Arthroplasty, Replacement, Knee , Knee Joint/surgery , Ankylosis
13.
Article in Spanish | LILACS | ID: biblio-1352785

ABSTRACT

RESUMEN. El estudio se centró en determinar los niveles de actividad física que presentan los escolares de 10 a 11 años que asisten a un Colegio de la Ciudad de Concepción, relacionarlo y compararlo con la flexibilidad. La metodología utilizada corresponde a un estudio cuantitativo, transversal, descriptivo-correlacional; con muestreo intencionado, se evaluó a 49 escolares, para medir el nivel de actividad física se utilizó la encuesta INTA y para medir la flexibilidad se utilizó el test de V-Sit And Reach. Se utilizó la prueba de Shapiro Wilk arrojando la normalidad de los datos, la prueba Z score para establecer medias, la prueba t de Student para el nivel de significancia entre grupo, y, por último, en la relación de las variables se empleó la correlación de Pearson. Los resultados muestran que las niñas tienen un nivel de flexibilidad mayor a los niños siendo estadísticamente significativa, en cambio en el nivel de actividad física se obtiene un nivel regular no existiendo diferencias significativas. No existe correlación entre las variables estudiadas.


ABSTRACT. The study focuses on determining levels of physical activity presented by children between the ages 10 and 11, attending a school in the City of Concepción, relating it and comparing it with flexibility. The methodology used corresponds to a quantitative, cross-sectional, descriptive-correlational study; with intentional sampling, 49 students were evaluated, the INTA survey was used to assess the level of physical activity, and the V-Sit And Reach test were used to measure flexibility. The Shapiro-Wilk test was used, yielding the normality of the data, the Z score test to establish means, the Student's T test for the level of significance between the groups, and, finally, for the relationship of the variables, Pearson's correlation was used. The results show that girls have a higher level of flexibility than boys, being statistically significant, while in the level of physical activity a regular level is obtained, without significant differences. There is no correlation between the variables studied.


Subject(s)
Humans , Male , Female , Child , Students , Exercise , Range of Motion, Articular , Chile , Sex Factors , Cross-Sectional Studies , Surveys and Questionnaires , Age Factors
14.
Rev. Fac. Odontol. (B.Aires) ; 36(82): 7-14, 2021. ilus, tab, graf
Article in Spanish | LILACS | ID: biblio-1290750

ABSTRACT

Objetivo: evaluar la rehabilitación funcional de la ATM en pacientes con osteoartrosis, con abordaje neuromuscular. La osteoartrosis se caracteriza por la degeneración del cartílago articular y la cortical ósea, que conduce a dolor e inmovilidad. Se incluyó a 8 mujeres entre 20 y 42 años de edad con dolor en la región orofacial, signos de oclusión disfuncional e imágenes compatibles con trastornos degenerativos en ATM. Clínicamente se evaluó el dolor y la oclusión y, mediante tecnología electrónica, se obtuvieron datos objetivos de los movimientos de apertura-cierre y lateralidades, la velocidad de apertura-cierre mandibulares y de los ruidos articulares. Las mediciones fueron realizadas al inicio y al finalizar el tratamiento de estabilización mandibular con una ortosis neuromuscular. Para determinar la significación estadística se utilizaron el Student`s test de comparaciones múltiples y el análisis de varianza, ANOVA, de un factor. Las diferencias entre medias se consideraron significativas con p <0.05. Los resultados demostraron ausencia de dolor en el 100% de los casos al primer mes de tratamiento. Se incrementaron la apertura bucal (6,73 mm promedio), ambas lateralidades (P=0.0023), velocidad en apertura y en cierre (no estadísticamente significativo). Después de estabilizar la mandíbula se redujo la frecuencia de los ruidos. En conclusión, la oclusión dental disfuncional es el principal factor etiológico de la artrosis de la ATM. El establecimiento de una oclusión fisiológica produce la descompresión de la ATM, aumenta el rango de los movimientos mandibulares y disminuye significativamente el dolor (AU)


Objective: to evaluate the functional rehabilitation of the TMJ in patients with osteoarthritis, with a neuromuscular approach. Osteoarthrosis is characterized by degeneration of articular cartilage and bone cortex, which leads to pain and immobility. Eight women between 20 and 42 years of age with pain in the orofacial region, signs of dysfunctional occlusion, and images consistent with degenerative TMJ disorders were included. Clinically, pain and occlusion were evaluated and, using electronic technology, objective data were obtained on the opening-closing movements and lateralities, the opening-closing speed of the jaws and joint noises. Measurements were made before and at the end of the mandibular stabilization treatment with a neuromuscular orthosis. To determine the statistical significance, the Student`s multiple comparisons test and the analysis of variance, ANOVA, of one factor were used. The differences between means were considered significant with p <0.05. The results showed absence of pain pain in 100% of cases in the first month of treatment. Mouth opening (6.73 mm average), both lateralities (P = 0.0023), opening and closing speed (not statistically significant) were increased. After stabilizing the jaw the noise frequency value was reduced. In conclusion, dysfunctional dental occlusion is the main etiologic factor of TMJ osteoarthritis. Establishing a physiological occlusion causes TMJ decompression, increases the range of mandibular movements, and significantly decreases pain (AU)


Subject(s)
Humans , Female , Adult , Osteoarthritis/rehabilitation , Facial Pain , Temporomandibular Joint Disorders , Orthotic Devices , Argentina , Statistical Analysis , Analysis of Variance , Range of Motion, Articular , Masticatory Muscles/physiopathology
15.
Horiz. enferm ; 32(1): 15-27, 2021. tab, ilus
Article in Spanish | LILACS, BDENF | ID: biblio-1224692

ABSTRACT

OBJETIVO: Determinar la efectividad de un programa de yoga sobre la flexibilidad y el equilibrio de la población adulta mayor de la fundación EMTEL, centro vida sur de Popayán Colombia. METODOLOGÍA: Estudio de Enfoque cuantitativo, de diseño cuasi-experimental, de corte longitudinal y de tipo prospectivo. El estudio se realizó con 18 adultos mayores a quienes se evaluó la flexibilidad y el equilibrio antes y después del programa de yoga ejecutado durante 10 semanas. Para el análisis de datos se utilizó SPSS 23.0. Se aplicó estadística descriptiva e inferencial por medio de las pruebas de Wilcoxon y t-students según resultado de la prueba de normalidad Shapiro Wilks. RESULTADOS: Las pruebas que demostraron significancia estadística fueron chair-sit and reach-test (p=0.005) y foot up-and-go test (p=0,000). CONCLUSIÓN: Este estudio comprobó que el programa de yoga es efectivo para la mejora de la flexibilidad del miembro inferior y el equilibrio dinámico, permitiendo un mejoramiento en la funcionalidad del adulto mayor.


INTRODUCTION: The eldest adult is a vulnerable population whose functionalityis affected, largely by the aging process and lifestyles, so it is necessary to generate programs that improve the physical condition of this population, such as yoga. OBJECTIVE: To determine the effectiveness of a yoga program on the flexibility and balance of the eldest adult population of the Foundation of the Telecommunications Company of Popayán Centro Vida Sur, Colombia. METHODOLOGY: Study of quantitative approach, quasi-experimental design, longitudinal cutting and prospective type. The study universe consisted of 86 older adults, of whom a non-probablist sample was determined at convenience with 18 older adults who were assessed for flexibility and balance before and after the yoga program executed for 10 weeks. SPSS 23.0 was used for data analysis. Descriptive and inferential statistics were applied through Wilcoxon and t-students tests as a result of the Shapiro Wilks normality test. RESULTS: Tests that demonstrated statistical significance were chair-sit and reach-test (p=0.005) and foot up-and-go test (p=0.000). CONCLUSION: It was found in the study that the yoga program is effective for improving lower limb flexibility and dynamic balance, allowing an improvement in the functionality of the older adult.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Yoga , Range of Motion, Articular/physiology , Postural Balance/physiology , Exercise Therapy/methods , Quality of Life , Aging/physiology , Longitudinal Studies , Colombia
16.
Artrosc. (B. Aires) ; 28(1): 40-47, 2021.
Article in Spanish | LILACS, BINACIS | ID: biblio-1252442

ABSTRACT

Introducción: El objetivo de este trabajo es describir e identificar variables determinantes de la progresión del rango de movilidad articular (RMA) postoperatorio en artroplastia total de rodilla primaria (ATRp). Materiales y métodos: estudio prospectivo de pacientes con gonartrosis, operados de ATRp por un mismo equipo quirúrgico, implante y protocolo de rehabilitación. Se excluyeron pacientes con seguimiento menor a seis meses. Se midió el RMA (extensión-flexión) preoperatorio, durante la hospitalización y al primer, tercer y sexto mes postoperatorio. Se definió RMA funcional y satisfactorio como 5-95º y 0-120º, respectivamente. El análisis estadístico incluyó modelos mixtos, buscando relación entre la progresión del RMA postoperatorio y variables demográficas, pre, intra y postoperatorias externas a la técnica quirúrgica (p < 0.05).Resultados: cincuenta pacientes (53 ATRp), edad mediana 68 (49-91), 75.5% mujeres. Al sexto mes, el 100% presentó un RMA funcional y un 72.2% un RMA satisfactorio. Un umbral de 105º de flexión al tercer mes fue significativo para discriminar aquellos pacientes que alcanzaron un RMA favorable al sexto mes (sensibilidad = 97.1%; especificidad = 75%). Conclusión: la progresión del RMA postoperatorio de ATRp fue determinante del RMA satisfactorio (0-120º) a los seis meses. Un umbral de 105º de flexión al tercer mes postoperatorio posee una excelente capacidad de identificar aquellos pacientes que no lograrán el RMA apropiado. Nivel de Evidencia: Estudio pronóstico Nivel I


Introduction: This study aims to describe and identify determinants for the postoperative RMA progression after a primary total knee arthroplasty (pTKA).Materials and methods: prospective study in patients with knee osteoarthritis who underwent pTKA. Patients were operated by the same surgical team, implant, and followed the same rehabilitation protocol. Exclusion criteria included a follow-up of less than six months. The RMA (extension-flexion) was evaluated preoperatively, during the hospital stay, and postoperatively (first, third and sixth months). Functional and satisfactory RMA were established as 5-95º and 0-120º, respectively. Statistical analysis included mixed models for association between postoperative RMA and demographic, pre, intra, and postoperative non-related surgical technique variables (p < 0.05).Results: fifty patients (53 pTKA), median age 68 (49-91), 75.5% females. At six months, 100% of patients presented with functional RMA, and 72.2% with satisfactory RMA. A threshold of 105º of flexion at the third postoperative month, was statistically significant for identifying patients who achieved an acceptable RMA at six months (sensitivity = 97.1%; specificity = 75%).Conclusions: the postoperative RMA progression was determinant for a satisfactory RMA at six months after pTKA. A threshold of 105º of flexion at the third postoperative month has an excellent accuracy to identify patients who will not achieve an acceptable RMA. Level of Evidence: Prognostic study Level I


Subject(s)
Adult , Middle Aged , Prospective Studies , Follow-Up Studies , Range of Motion, Articular , Arthroplasty, Replacement, Knee
17.
Clinics ; 76: e2840, 2021. tab
Article in English | LILACS | ID: biblio-1249590

ABSTRACT

OBJECTIVES: Arthrocentesis is the simplest surgical intervention for the temporomandibular joint (TMJ). It can be performed on an outpatient basis at a low cost and with low morbidity. The objective is to release the articular disc by disrupting the adhesion formed between its surfaces and the mandibular fossa through hydraulic pressure generated by irrigation of the upper compartment of the TMJ. Viscosupplementation with hyaluronic acid during or after arthrocentesis improves clinical outcomes, increases mouth opening, and reduces pain levels. The aim of this study was to evaluate the efficiency of arthrocentesis plus hyaluronic acid viscosupplementation through clinical examination and preoperative magnetic resonance imaging in patients with unilateral disc displacement without reduction (DDwoR). METHODS: This analytical retrospective cross-sectional study clinically and radiologically evaluated 72 patients of both sexes with unilateral DDwoR. The following data were collected: sex, pain, age, duration of pain, maximum mouth opening, and patient pain perception on a visual analog scale. TMJ arthrocentesis was performed only once for each of the indicated joints. Data were collected before arthrocentesis (baseline) and at 7, 14, 30, 60, 90, and 180 days after the procedure (final evaluation). RESULTS: Between the baseline and final evaluation, there was a significant reduction in pain (p=0.001) and restoration of articular function. In addition, there was a significant increase in maximum mouth opening (p=0.001). CONCLUSION: Patients with DDwoR undergoing arthrocentesis combined with hyaluronic acid injection showed significant improvement in the perceived pain and maximum mouth opening in the mid-term follow-up periods.


Subject(s)
Humans , Male , Female , Joint Dislocations , Viscosupplementation , Cross-Sectional Studies , Retrospective Studies , Range of Motion, Articular , Treatment Outcome , Temporomandibular Joint Disc , Arthrocentesis
18.
Article in Chinese | WPRIM | ID: wpr-888354

ABSTRACT

OBJECTIVE@#The finite element analysis method was used to compare the biomechanical performance of the individualized interbody fusion cage, the clinically common double bullet type fusion cage and the healthy lumbar spine model under different working conditions.@*METHODS@#According to the CT scan data of the lumbar spine of a real healthy human body, a finite element model of the lumbar spine of a healthy human body was designed using finite element software as a normal control group. On this basis, the individualized lumbar fusion cage model and the clinical standard bullet type fusion cage lumbar spine model were further established. These three finite element models were applied with different loads such as vertical compression, forward flexion, extension, and lateral bending to observethe changes in the stress distribution and stress magnitude of each component of the lumbar spine.@*RESULTS@#The maximum stress values of the vertebral body and the fusion cage under the extension condition in the clinical standard bullet type fusion cage lumbar spine model were 45.81 MPa and 97.07 MPa, respectively. The stress of the vertebral body and the fusion cage in the individualized lumbar fusion cage model was closer to the stress of the vertebral body and the intervertebral disc in the healthy lumbar spine model. From the perspective of displacement, the displacement of each component of the lumbar spine models of the two fusion cages was smaller than that of the healthy lumbar spine model, indicated that the internal fixation of the fusion cage limited the range of motion of the vertebral body. On the other hand, it also confirmed the validity of the finite element model established in the study. The displacement of the fusion cage and the vertebral body in the individualized model under different working conditions was generally smaller thanthat of the standard model fusion cage and the vertebral body.@*CONCLUSION@#The fusion cage can replace the diseased intervertebral disc to a certain extent, so as to reduce the patient's pain and restore the lumbar function. The personalized design of the fusion cage can better meet the needs of individual patients, which has the great significance to the recovery of the patient's lumbar spine function, the service life of the fusion cage and the protection of the contact vertebral body, and provides certain guidance for actual clinical treatment.


Subject(s)
Equipment Design , Humans , Lumbar Vertebrae/surgery , Printing, Three-Dimensional , Range of Motion, Articular , Spinal Fusion
19.
Article in Chinese | WPRIM | ID: wpr-888343

ABSTRACT

OBJECTIVE@#To observe the change of cervical curvature and range of motion (ROM) on imaging at 6 months after Hybrid surgery.@*METHODS@#A total of 29 patients with cervical degenerative disease who underwent Hybrid surgery from January 2017 to July 2018 were retrospectively analyzed. Also, they all met the inclusion criteria and had complete preoperative and 6 months postoperative imaging data. There were 11 males and 18 females, aged from 34 to 76 (55.86±10.69) years, and the operation time was from 2 to 4(3.03±0.51) hours. The Cobb angle method was used to measure the changes of cervical curvature and ROM of C@*RESULTS@#There was no statistically significant difference in C@*CONCLUSION@#Hybrid surgery reconstructs the lordotic curvature of the entire cervical spine and the responsible segment, retains the ROM of the cervical replacement segment, and restores the biomechanical function of cervical spine.


Subject(s)
Cervical Vertebrae/surgery , Diskectomy , Female , Humans , Male , Range of Motion, Articular , Retrospective Studies , Spinal Fusion
20.
Article in Chinese | WPRIM | ID: wpr-888329

ABSTRACT

OBJECTIVE@#To investigate the effect and safety of ulnar osteochondroma resection, ulnar minimally invasive osteotomy, external fixation and ulnar lengthening in the treatment of forearm deformity of metaphyseal extension of ulna.@*METHODS@#From August 2005 to December 2013, there were 20 cases of ulnar metaphyseal sequelae, including 15 males and 5 females, aged from 7 to 13(10.00±2.34) years, the course of disease ranged for 6 to 11(8.10±1.52) months. The clinical manifestations were shortening of the affected forearm and bending to the ulnar side. The postoperative evaluation included pain, activities of daily living, orthopedic effect and the range of motion of wrist, elbow and forearm. The radiological evaluation included ulnar length, radial joint inclination angle and wrist epiphysis growth.@*RESULTS@#All patients healed without infection. The only operation related to complications was ulnar lengthening, including 1 case of nonunion, 2 cases of ulnar lengthening callus fracture and 1 case of temporary radial nerve palsy. All patients were followed up for 4 to 7.5 years, with an average of (6.03±1.33) years. There were statistically significant differences in changes of wrist radial deviation, ulnar deviation, forearm pronation and supination in all cases (@*CONCLUSION@#Ulnar lengthening is not beneficial to prevent the development of long-term deformity. Simple resection of osteochondroma of distal ulna is beneficial to prevent the development of deformity. Patients with limited rotation of wrist joint and forearm and strong demand for improvement of appearance can be actively treated.


Subject(s)
Activities of Daily Living , Elbow Joint , Female , Humans , Male , Radius/surgery , Range of Motion, Articular , Treatment Outcome , Ulna/surgery , Wrist Joint/surgery
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