Introduction:The Temporomandibular disorder (TMD) is greatly prevalent in the population and can be associated with bruxism. This disorder produces several signs and symptoms. Among them, pain is one of the most important because it reduces life quality and productivity of people who have such disorder. The aim of this research was to study if massage causes pain relief and/or electromyographic (EMG) changes.Materials and methods:The subjects were chosen by a questionnaire and divided into 2 different groups. Their ages varied from 19 to 22 years. The experimental group consisted of 6 TMD patients, who were submitted to the massage treatment and 4 EMG-sessions (the 1st EMG-session occurred before the treatment and the others in the 1st, 15th and 30th days after the treatment). The control group consisted of 6 TMD patients, who were submitted to the same 4 EMG-sessions. While EMG activity was recorded, subjects were asked to keep mandibular rest position (MRP) and to perform maximal voluntary clenching (MVC). The treatment consisted of 15 massage-sessions on face and neck and in application of Visual Analogue Scale (VAS) for measuring pain level. The massage sessions had 30 minutes of duration and were performed daily. The EMG data were processed to obtain the Root Mean Square (RMS), which were normalized by MVC.Results:It was demonstrated that (1) RMS-MRP of the right masseter in experimental group at the 1st EMG-session was higher than at the 2nd EMG-session and (2) statistically significant reduction was found for VAS values after massage session.Conclusion:Unfortunately the sample is insufficient to draw any conclusions, therefore, more studies regarding the use of massage in the management of myogenic TMD are necessary.

IntroductionStrong evidence shows that exercise is effective to improve fall risk factors among older people. However, older people's participation and adherence to exercise programmes is suboptimal. Type of exercise and apathy are reported to be barriers to exercise participation, suggesting that new effective interventions are needed. The primary aim of this randomised controlled trial is to investigate the effect of Senior Dance plus brief education for falls prevention on balance among people aged 60 years or over, compared with a control group receiving only brief education.Methods and analysisThis single-blind randomised controlled trial will involve 82 community-dwelling older people aged 60 years or over who are cognitively intact. Participants allocated to the intervention group will attend a single educational class on strategies to prevent falls, and will participate in a 12-week, twice-weekly group-based programme of Senior Dance. The Senior Dance consists of different choreographies, which include rhythmic and simple movements with rhythmic folk songs. Participants allocated to the control group will attend the same educational class that intervention group participants will receive, and will be instructed not to take part in any regular exercise programme. The primary outcome will be single-leg stance with eyes closed. Secondary outcomes include: Short Physical Performance Battery, Falls Efficacy Scale, Trail Making Test and the Montreal Cognitive Assessment. Continuous outcomes will be reported using mean (SD) or median (IQR), depending on the distribution of the data. The linear regression approach to analysis of covariance will be used to compare the mean effect between groups. All patients will be included in the analyses following an intention-to-treat approach.Ethics and disseminationEthics approval has been granted by the Human Ethics Committee of the São Paulo State University (CAAE 48665215.9.0000.5402). Outcomes will be disseminated through publication in peer-reviewed journals and presentations at conferences.Trial registration numberNCT02603523, Pre-results.

ResumoIntrodução: A Hansenísase é uma doença infecciosa que pode ser responsável pelo desenvolvimento de inúmeras sequelas. Embora seja considerada uma doença de níveis de incidência descendentes, o tratamento e acompanhamento dos pacientes persistem mesmo com a cura da doença, em virtude das incapacidades deixadas por sequelas. Objetivos: Detectar o grau de incapacidade física inicial e final ao tratamento com poliquimioterapia de 1998-2008 de pessoas com hanseníase. Material e Métodos: Foram acompanhados periodicamente, desde a primeira consulta diagnóstica até a alta clínica, 325 prontuários de pacientes com hanseníase de ambos os sexos. Foi utilizado o Formulário para Registro de Incapacidades Físicas para classificar as incapacidades em graus e localização. Os dados pertencem ao setor de fisioterapia da unidade na qual os pacientes eram avaliados e orientados com frequência enquanto, paralelamente, eram assistidos por outros profissionais, como médicos e enfermeiros para controle de sintomas e terapia medicamentosa, bem como cuidados com feridas e orientações gerais. Resultados: Após o tratamento 65% dos pacientes apresentavam grau zero de comprometimento, decorrente da redução nos graus I e II e manutenção de 1% no grau III. Conclusão: O maior problema enfrentado foi anestesia, tanto para mãos quanto para pés e olhos. O número de complicações em cada caso diminuiu após o tratamento.Descritores: Avaliação em Saúde; Doenças do Sistema Nervoso Periférico; Hanseníase. Abstract Introduction: Hansen's disease is an infectious disease responsible for the development of numerous sequelae. Although it is considered a disease with descending levels of incidence, treatment and monitoring of patients persists even with the cure of the disease due to disabilities left by these sequelae. Objective: Detect the degree of physical disability before and after the treatment with polychemotherapy involving leprosy patients from 19982-2008. Material and Methods: Periodically, we monitored 325 medical records of leprosy patients of both sex, since their first medical visit for diagnosis until their hospital discharge. We used a Physical Disability Registration Form to classify the degrees of disability and their location. Data were retrieved from the medical files of the physiotherapy sector from the facility where patients were frequently evaluated and assisted. At the same time, they were assisted by other professionals such as physicians and nurses to control symptoms and drug therapy, as well as caring for wounds and general guidelines. Results: After treatment, 65% of the patients presented disability scored as grade zero due to reduction in grades, I and II, as well as the maintenance of 1% of the patients in grade III. Conclusion: The major problem found was anesthesia for hands, feet, and eyes. In general, the number of complications decreased after treatment in each case.Descriptors: Health Evaluation; Peripheral Nervous System Diseases; Diseases, Leprosy/Hansen's Disease. IntroduçãoA hanseníase é uma doença infecciosa...

Resumo -Os objetivos do estudo foram avaliar o alinhamento, no plano sagital, da coluna de indivíduos com alterações na medida da gibosidade, comparando com um grupo sem alterações; testar a confiabilidade do instrumento utilizado e verificar se existem correlações entre as medidas da gibosidade e os valores das curvaturas vertebrais. Foram avaliados 40 jovens, divididos em grupo controle -ausência ou presença de gibosidades inferiores a 0,5 cm na curvatura torácica e 0,7 cm na lombar (n=20) e, grupo experimental -gibosidades superiores às descritas (n=20). A gibosidade e as curvaturas no plano sagital foram mensuradas com um instrumento adaptado a um nível d'água e o teste de Adams. As coletas foram realizadas em duas datas distintas, nos dois grupos. Após aplicação do teste MannWhitney não foi encontrada diferença entre as ocasiões de coletas e, emparelhando-se os grupos, foi encontrada diferença apenas na medida cervical. Na verificação de existência de relação entre as medidas coletadas, foi encontrada correlação linear (Spearmann) no grupo controle -curvatura torácica e gibosidade torácica; em ambos os grupos -curvaturas torácica e lombar; e no grupo experimental -gibosidade torácica e as curvaturas lombar e sacral e, curvatura sacral e curvaturas torácica e lombar. Pôde-se concluir que a medida da gibosidade tem relações com as curvaturas no plano sagital. Por ser um método confiável, simples e acessível, pode ser reproduzido sem altos custos financeiros e sem causar prejuízo à saúde do paciente. Palavras-chave: Escoliose; Coluna vertebral; Curvaturas da coluna vertebral; Cifose; Lordose. Abstract -

RESUMOO envelhecimento tem como uma de suas características o declínio do equilíbrio que predispõe idosos à queda, e por meio de programas supervisionados, pode-se reverter este quadro. O objetivo foi analisar o equilíbrio, marcha e riscos de queda em idosos submetidos a um programa de exercícios. Estudo longitudinal quantitativo, composto por 94 idosos, de ambos os sexos, com idade média de 70,4+7,5 anos, no qual os participantes foram avaliados por meio da Escala de Equilíbrio e Marcha de Tinetti nos momentos inicial e após seis meses de intervenção. Quando comparadas as variáveis da escala de Tinetti, após seis meses de programa, encontrouse diferença significativa em ambos os grupos, bem como a diminuição do risco de quedas. Houve a melhora de equilíbrio e marcha, e diminuição do risco de quedas nos participantes do programa de exercícios físicos, mostrando eficácia e importância dessa atividade.Palavras-chave: Idoso. Equilíbrio postural. Marcha. ABSTRACTAging has declining balance characteristics that predispose the elderly to fall, and through supervised programs, we can reverse this situation. The objective was to analyze the balance, gait and risk of falling in the elderly undergoing an exercise program. The study quantitative longitudinal, composed of 94 elderly of both sexes, mean age 70.4 + 7.5 years, in which participants were assessed using the Balance Scale and the Tinetti Gait and the initial moments after six months of intervention. When comparing the variables of the Tinetti scale, after six months of the program, found a significant difference in both groups, as well as reducing the risk of falls. There was improvement of balance and gait, and decreased risk of falls among participants in the exercise program, showing effectiveness and importance of this activity. ARTIGO ORIGINALAnálise da alteração do equilíbrio, da marcha e o risco de queda em idosos participantes de um programa de fisioterapia -19 a 24 ARTIGO ORIGINAL Análise da alteração do equilíbrio, da marcha e o risco de queda em idosos participantes de um programa de fisioterapia -19 a 24

Aim: To evaluate of the effect of two different occlusal splints on police officers with TMD. Methods: Thirty police officers were selected based on Research Diagnostic Criteria for TMD and on clinical exams. Volunteers (ten per group) were distributed according to occlusal splints: group A-Control, group B-Michigan Occlusal Splint (MOS), and group C-Planas Appliance (PA). Experimental groups were analyzed using a visual analog pain scale (VAPS), subject to a clinical evaluation of temporomandibular joint. Bilateral surface electromyographic activities of anterior and posterior temporal, masseter and suprahyoid muscles were analyzed at rest and during clenching, before and after four weeks using the occlusal splints. Results: The left and right temporal and masseter muscles sensitivity decreased after using both splints. Pain symptoms increased for group A (Control) and decreased for group C. Conclusions: Planas Appliance was more efficient on pain reduction than the Michigan Occlusal Splint.

Introduction: Scoliosis is characterized as a three-dimensional deformity. In this scenario, the use of shims can promote correction of postural imbalances. Objective: To verify the static changes associated with unilateral manipulation of shims in idiopathic scoliosis. Methods: Two experimental groups composed of participants with scoliosis with double and single curves, and a control group of participants without scoliosis. 10 reflective markers were used, filmed for 15 seconds in the static position in three conditions (no shim; low shim of 1 cm, and high shim of 3 cm) on the right and left foot. The following postural angles were calculated: alpha 1, alpha 2, alpha 3, and alpha 4. Results: There were differences in the shim condition between the control group (CG) and experimental scoliosis with "S" (GES) for alpha 2 and 4 and Scoliosis "C" (GEC) for alpha 2. For shims under the right foot, there were differences between the control group and GES for alpha 4 and the GEC for alpha 1, 2 and 4, and between shims for the GES for alpha 3 and 4. Shims under the left foot were responsible for significant differences between the control group and the GES and GEC groups. Conclusion: These static postural changes indicate that scoliosis curves show adaptability and postural

-Diabetic peripheral neuropathy (DPN) is a common complication of diabetes mellitus when glycemic levels are poorly controlled. Sometimes DPN is accompanied by vasculopathy (DPV), which can worsen the clinical prognosis. The aim of this study was to analyze the gait parameters of nondiabetic individuals and diabetic individuals with DPN with or without DPV. Method: The study included 68 individuals (50 to 65 years old) divided into three groups: people without diabetes mellitus (n = 33), diabetic patients with DPN (n = 18), and diabetic patients with both DPN and DVP (n = 17). The participants underwent a gait evaluation using electronic baropodometry to obtain the single and double support, velocity, and pressure-time integral. Results: The pressure-time integral, velocity, and single support variables were lower, and the double support and double support/single support ratio were higher in the diabetic neuropathy and vasculopathy group. The velocity was lower the greater the degree of impairment of the diabetic foot. Some correlations were identified with velocity. Conclusion: In diabetic individuals, there was a significant worsening of the gait parameters analyzed according to increasing degree of clinical impairment.