Postural balance, handgrip strength and mobility in Brazilian children and adolescents with osteogenesis imperfecta

Abstract Objective To describe postural balance, handgrip strength and mobility in children and adolescents with different types of osteogenesis imperfecta. Methods Cross-sectional study. Fifty selected subjects diagnosed with types I (n = 11), III (n = 21), and IV (n = 18), followed up at Brazilian reference center for osteogenesis imperfecta in the Midwest region, aged 2-21 years (9.2 ± 5.0), were enrolled in this study. Children and adolescents were evaluated for postural balance in the upright position with eyes-open and eyes-closed conditions, handgrip strength and the mobility domain (Pediatric Dysfunction Assessment Inventory). Data normality and difference between groups was verified. Results Handgrip strength was significantly lower in people with type III of osteogenesis imperfecta when compared to the osteogenesis imperfecta types I and IV, and to the age-specific reference data. Center of pressure length and mean velocity in the condition with eyes closed were worse compared to the open-eyes condition for children and adolescents with type I of osteogenesis imperfecta. There were worse results in the mobility domain for the participants classified with the most severe type of osteogenesis imperfecta. Conclusions It was observed that the severity of the osteogenesis imperfecta disease affected handgrip strength and locomotor function assessed by the mobility domain. Comparing osteogenesis imperfecta types, the higher the severity of osteogenesis imperfecta, the lower the handgrip strength. These results can contribute to new strategies of treatment focused on improving functional capacity and quality of life in people with osteogenesis imperfecta.

Estudo comparativo entre hábitos vocais, sedentarismo e qualidade de vida em idosos frequentadores da unidade de saúde Vila Nova / Comparative study between vocal habits, sedentarism and quality of life in elderly frequent health unit Vila Nova

OBJETIVO:Verificar se as orientações sobre a saúde vocal e a prática de atividade física oferecem melhores formas de prevenção, retardando o envelhecimento vocal precoce e melhorando a qualidade de vida.MÉTODOS:Participaram deste estudo 30 idosos, de ambos os sexos, com faixa etária entre 60 e 83 anos, sendo 10 fisicamente ativos e 20 sedentários. Os idosos foram separados em três grupos, a saber: GSS: Grupo sedentário, sem orientação de saúde vocal; GSC: Grupo sedentário, com orientação de saúde vocal e GFAC: Grupo fisicamente ativo, com orientação de saúde vocal. Aplicaram-se dois questionários, um com questões do tipo fechadas e outro com questionário de qualidade de vida em voz (QVV).RESULTADOS:Os grupos sedentários apresentaram valores dos escores total do QVVmenores e uma porcentagem maior de problemas de saúde quando comparados com os fisicamenteativos, porém sem impactar na qualidade de vida.CONCLUSÃO:O estilo de vida saudável e a práticaregular de atividade física ajudam a reduzir a ocorrência de problemas de saúde, no entanto não houve diferença estatisticamente significante entre os grupos quanto à orientação sobre a saúde vocal, não se mostrando uma medida preventiva importante quando isolada. É possível que outros fatoresconcorram de forma mais significante para o retardo do envelhecimento vocal e melhoria na qualidade de vida, sendo necessárias mais pesquisas para identificá-los e colocá-los em prática.

OBJECTIVE:To assess whether vocal health guidance and physical activity offer better ways of preventing and slowing down early vocal aging and improving the overall quality of life.METHODS:A group of 30 elderly people, male and female, aged between 60 and 83 years, 10 physically active and 20 sedentary, were divided into three groups: GSS: sedentary without vocal health guidance; GSC: sedentary with vocal health guidance and GFAC: physically active with vocal health guidance. To each elderly person was applied two questionnaires, the first one was consisted of closed-type questionscreated by the researchers and the second one was the questionnaire of quality of life in voice (QVV).The data collected were analyzed and the results submitted to statistical analysis using the statisticalpackage GraphPad Prism version 4.0.RESULTS:The sedentary group presented smaller overall scores on the QVV and a larger percentage of health problems compared with physically active but without causing any impact on the quality of life.CONCLUSION:A healthy lifestyle and regular physical activity can help reduce the occurrence of health problems although there was no statistically significantdifference between the groups regarding vocal health guidance, therefore vocal health guidance didnot prove to be an important preventive measure when applied isolated. It is possible that other factorscontribute more significantly to the retardation of vocal aging and improvement in the overall quality oflife and more research is needed to identify them and put them into practice.