Chronic Low Back Pain (CLBP) is a public health problem and older women have higher incidence of this symptom, which affect body balance, functional capacity and behavior. The purpose of this study was to verifying the effect of exercises with Nintendo Wii on CLBP, functional capacity and mood of elderly. Thirty older women (68 ± 4 years; 68 ± 12 kg; 154 ± 5 cm) with CLBP participated in this study. Elderly individuals were divided into a Control Exercise Group (n = 14) and an Experimental Wii Group (n = 16). Control Exercise Group did strength exercises and core training, while Experimental Wii Group did ones additionally to exercises with Wii. CLBP, balance, functional capacity and mood were assessed pre and post training by the numeric pain scale, Wii Balance Board, sit to stand test and Profile of Mood States, respectively. Training lasted eight weeks and sessions were performed three times weekly. MANOVA 2 x 2 showed no interaction on pain, siting, stand-up and mood (P = 0.53). However, there was significant difference within groups (P = 0.0001). ANOVA 2 x 2 showed no interaction for each variable (P > 0.05). However, there were significant differences within groups in these variables (P < 0.05). Tukey's post-hoc test showed significant difference in pain on both groups (P = 0.0001). Wilcoxon and Mann-Whitney tests identified no significant differences on balance (P > 0.01). Capacity to Sit improved only in Experimental Wii Group (P = 0.04). In conclusion, physical exercises with Nintendo Wii Fit Plus additional to strength and core training were effective only for sitting capacity, but effect size was small.
ZrCN coatings were deposited by dc reactive magnetron sputtering with N 2 flows ranging from 2 to 10 sccm in order to investigate the influence of the nitrogen incorporation on structure and properties. Information about the chemical composition was obtained by glow discharge optical emission spectroscopy and Rutherford backscattering spectroscopy. The evolution of the crystal structure studied by X-ray diffraction revealed the formation of a face-centred cubic ZrCN phase for N 2 flows greater than 4 sccm. Additionally, the presence of an amorphous phase in the coatings deposited with the highest N 2 flows could be evidenced by Raman spectroscopy and X-ray photoelectron spectroscopy. This phase can act as a lubricant resulting in a low coefficient of friction as shown in the conducted ball-on-disc tests. Nanoindentation measurements showed that coatings deposited with a 6 sccm N 2 flow had the maximum hardness which also revealed the best performance in the conducted dry cutting tests.
Radical surgical removal of SPM is possible with minimal morbidity and may cure the patient. The effectiveness and outcome of surgery for small petroclival meningiomas should be compared with series treated by radiosurgery.
Resumo: Objetivo: Avaliar a eficácia do método Pilates na redução da dor crônica associada à escoliose não estrutural. Método: Participaram do estudo ensaio clínico controlado e aleatorizado 31 universitárias, com idade entre 18 e 25 anos, com diagnóstico de escoliose não estrutural e apresentando dor crônica na coluna vertebral. A amostra foi dividida em grupo controle (n=11) que não foi submetido a nenhuma intervenção terapêutica e grupo experimental (n=20) que participou do programa de mecanoterapia pelo método Pilates. A intervenção consistiu de vinte e quatro sessões. Os movimentos foram orientados de acordo com a convexidade da escoliose de cada indivíduo. Foi utilizado o teste de Adams, radiografia panorâmica da coluna vertebral (pré tratamento) e um questionário mediante a "Escala de dor percebida CR 10 de Borg" (pré e pós tratamento). O tratamento estatístico utilizado foi a ANOVA 2x2 de medidas repetidas, seguida do teste post hoc de Tukey. Resultados: Os resultados identificaram diminuição significativa de 66% da dor no grupo experimental (P = 0,0002). Conclusão: Pode-se verificar que o programa de exercícios utilizando-se o método Pilates para jovens com escoliose não estrutural, apresentando dor na coluna vertebral é eficaz, pois houve redução da intensidade de dor. Palavras-chave: Cinesioterapia, Mecanoterapia, Postura.
Reduction of the chronic pain associated to the scoliosis non structural, in university students submitted to the Pilates methodAbstract: Objective: To evaluate the effectiveness of the Pilates method in the reduction of the chronic pain associated to a non structural scoliosis. Method: 31 academical subjects participated in the clinical aleatorical controlled experiment study, under age between 18 and 25 years, with diagnosis of non structural scoliosis and presenting chronic pain in the spine. The sample was divided into: control group (n=11) that the was not submitted to any therapeutic intervention and experimental group (n=20) that participated of the mecanotherapy program for the Pilates method. The intervention consisted of twenty-four sessions. The movements were guided in agreement with the convexity of each individual's scoliosis. The test of Adams, panoramic x-ray of the spine was used (pre treatment) and a questionnaire by the "Scale of noticed pain CR 10 of Borg" (pre and post treatment). The used statistical treatment was ANOVA 2x2 of repeated measures with the test post hoc of Tukey. Results: Findings demonstrated a significant decrease of 66% of the pain for the experimental group (P = 0,0002). Conclusion: It can be observed that the exercise program using the Pilates method to young people is effective and improved the reduction of chronic pain among young subjects presenting non structural scoliosis.
BACKGROUND: Ballet is a high-performance activity that requires an advanced level of
technical skills. Ballet places great stress on tendons, muscles, bones, and
joints and may act directly as a trigger of injury by overuse. OBJECTIVES: 1) to describe the main types of injuries and affected areas related to classical
ballet and 2) to compare the frequency of musculoskeletal injuries among
professional and non-professional ballet dancers, considering possible gender
differences among the professional dancers. METHOD: A total of 110 questionnaires were answered by professional and non-professional
dancers. The questionnaire contained items related to the presence of injury, the
regions involved, and the mechanism of the injury. RESULTS: We observed a high frequency of musculoskeletal injuries, with ankle sprains
accounting for 69.8% of injuries in professional dancers and 42.1% in
non-professional dancers. Pirouettes were the most frequent mechanism of injury in
professional dancers, accounting for 67.9% of injuries, whereas in the
non-professional dancers, repetitive movement was the most common mechanism
(28.1%). Ankle sprains occurred in 90% of the women's injuries, and muscle sprains
occurred in 54.5% of the men's injuries. The most frequent injury location was the
ankle joint in both sexes among the professional dancers, with 67.6% in women and
40.9% in men. CONCLUSIONS: The identification of the mechanism of injury and time of practice may contribute
to better therapeutic action aimed at the proper function of the dancers' bodies
and improved performance by these athletes.
INTRODUÇÃO: Em 13 de outubro de 1969 com o Decreto-Lei 938, a fisioterapia se legitimou como profissão e desde então vem evoluindo a prática clínica com a pesquisa científica. OBJETIVOS: O presente estudo teve por objetivo levantar a evolução científica da fisioterapia brasileira em 40 anos de profissão. MATERIAIS E MÉTODOS: Foram realizadas buscas em bases de dados eletrônicas MEDLINE e Biblioteca Virtual de Saúde, nos sites SCImago, Google Acadêmico, Capes, CNPq e Inep, com filtro para título e palavras-chave na língua inglesa e portuguesa: fisioterapia, evidências científicas e área da saúde. RESULTADOS: Somente há 40 anos foi estabelecido que os fisioterapeutas diplomados por escolas e cursos reconhecidos são profissionais de nível superior. Há 1.145 fisioterapeutas/TO com curso de doutorado e 4.675 com curso de mestrado. Isto representa 4% e 11%, respectivamente, dos profissionais stricto sensu da grande área da saúde. Dentro das profissões de saúde, a fisioterapia ocupa a penúltima posição em quantidade de doutores. A produção científica da Fisioterapia brasileira em relação ao mundo ocupa, de acordo com o ranking do SCImago, de 1996 a 2008, o 11º lugar no número total de documentos produzidos e o 30º lugar no índice H. Dentre os países da América Latina, ocupa o 1º lugar na maioria dos quesitos. CONCLUSÃO: Ainda há muito para se fazer a fim de aumentar a quantidade de pesquisadores, com a criação de outros programas stricto sensu.
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