Influência da dor craniomandibular e cervical na atividade dos músculos mastigatórios em indivíduos com Disfunção Temporomandibular

Objective:To evaluate whether flexibility and gender influence students' posture.Method:Evaluation of 60 female and male students, aged 5 to 14 years, divided into two groups: normal flexibility (n=21) and reduced flexibility (n=39). Flexibility and posture were assessed by photogrammetry and by the elevation of the lower limbs in extension, considering the leg angle and the postural evaluation. Descriptive statistics (mean and standard deviation) were used for data analysis. Analysis of variance (ANOVA) was applied to assess the joint influence of flexibility and gender on the posture-dependent variables. After verifying an interactive effect between the variables of gender and flexibility, multiple comparisons using the t test were applied.Results:Flexibility influenced the symmetry angle of the knee (p<0.05) and anteroposterior body tilt (p<0.05). Gender did not influence postural angles (p>0.05). There was an interactive effect between the variables of gender and flexibility on the knee symmetry angle (p<0.02). Male students with reduced flexibility had greater asymmetry of the knee when compared to the other subgroups.Conclusion:Posture was influenced by an isolated effect of the variable of flexibility and by an interactive effect between gender and flexibility.

Overall, there was a positive relationship between motor behavior, in particular activities involving interlimb coordination, and academic performance. Application of these findings in the area of early assessment may be useful in the identification of later academic problems.

Relation between prone, supine and sitting positioning time and motor development up to six months old Abstract: Introduction: The acquisition of motor skills depends on factors such as environment and experience.It follows that the motor development may be influenced by the positioning of infants during the first months of life. Objective: To verify the relation between prone, supine and sitting positioning time and motor development up to six months old. Method: Were evaluated 92 infants at term, of both genders, divided into three groups according to the corresponding bimester of chronological age (1 st bimester, n = 30; 2 nd bimester, n = 30; 3 rd bimester, n = 32).To verify the time spent in each position during the awake and sleeping periods, a timeline corresponding to 24 hours was developed. Each one-hour period could be filled with a positioning option. Motor development was

Objective:To describe a clinical report pre- and post-neurofunctional intervention in a case of agenesis of the corpus callosum.Case description:Preterm infant with corpus callosum agenesis and hypoplasia of the cerebellum vermis and lateral ventricles, who, at the age of two years, started the proposed intervention. Functional performance tests were used such as the neurofunctional evaluation, the Gross Motor Function Measure and the Gross Motor Function Classification System. In the initial evaluation, absence of equilibrium reactions, postural transfers, deficits in manual and trunk control were observed. The intervention was conducted with a focus on function, prioritizing postural control and guidance of the family to continue care in the home environment. After the intervention, there was an improvement of body reactions, postural control and movement acquisition of hands and limbs. The intervention also showed improvement in functional performance.Comments:Postural control and transfers of positions were benefited by the neurofunction intervention in this case of agenesis of the corpus callosum. The approach based on function with activities that involve muscle strengthening and balance reactions training, influenced the acquisition of a more selective motor behavior.

RESUMO A prematuridade é fator de risco para atraso do desenvolvimento motor, e recomenda-se o acompanhamento desses lactentes nos primeiros dois anos de vida. Verificar a confiabilidade intra e interexaminadores da Escala Motora Infantil de Alberta (EMIA) em ambulatório de seguimento de recém-nascidos de risco de uma maternidade pública. Estudo prospectivo realizado em ambulatório de seguimento de recém-nascidos de risco. As avaliações do desenvolvimento motor foram realizadas por meio da EMIA, por dois avaliadores previamente treinados. O Coeficiente de Correlação Intraclasse (CCI) foi utilizado para análise das confiabilidades. Para a comparação entre as avaliações intraexaminadores foi realizado o Teste T pareado ou Teste de Wilcoxon. O Teste T independente foi utilizado para comparar as avaliações interexaminadores. A correlação entre as variáveis foi analisada a partir do Teste de Pearson ou Spearman. Para avaliar a concordância entre os escores foi realizada análise de Bland Altman. Foram avaliados 31 recém-nascidos pré-termo (RNPT) com idade corrigida média de 8,47 ± 4,49. Não houve diferença significativa entre as avaliações intraexaminadores e interexaminadores. Os valores de CCI se mantiveram acima de 0,88 para a confiabilidade intraexaminadores e interexaminadores. Os escores apresentaram alta concordância, analisada por meio do teste de Bland Altman. EMIA apresentou adequada confiabilidade intra e interexaminadores para avaliação e acompanhamento de RNPT até 18 meses em ambulatório de seguimento de lactentes de risco.

Objective: To verify whether the time spent in prone, supine, or seated positions differed between term and preterm infants; and to determine whether a single verbal guidance session for parents changed the time spent in different positions, and, consequently, the motor development scores, after one month in preterm infants. Methods: Sixty-one infants from a full-term and preterm group from Brazil were included. Motor development was assessed by the Alberta Infant Motor Scale (AIMS) and the parents registered the time spent in each position on a 24-hour schedule. A month after verbal guidance, a second assessment was performed only on the preterm infants. Results: The positioning times awake determined for the full-term and preterm parents were similar. Preterm infants spent more time in the prone sleeping position (2.1 vs. 0.8 h; p=0.037) than full-term infants. The AIMS percentile scores did not differ significantly between the groups. For preterm infants, the time spent in all positions did not change during the second assessment (n=18). Conclusions: The fact that some parents position their infants in the prone posture during sleeping periods reinforce the importance of parental education approaches for sudden infant death syndrome (SIDS) prevention during the first months of life. The verbal guidance provided to parents of preterm infants did not influence the AIMS percentile and time spent in various positions but increased preterm parents’ confidence in placing their infants in a prone position to play.

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