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Id: lil-727047
Autor: Guedes, Rita C; Dias, Rosângela C; Pereira, Leani S. M; Silva, Sílvia L. A; Lustosa, Lygia P; Dias, João M. D.
Título: Influence of dual task and frailty on gait parameters of older community-dwelling individuals
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;18(5):445-452, 12/09/2014. tab, graf.
Idioma: en.
Resumo: Background: Gait parameters such as gait speed (GS) are important indicators of functional capacity. Frailty Syndrome is closely related to GS and is also capable of predicting adverse outcomes. The cognitive demand of gait control is usually explored with dual-task (DT) methodology. Objective: To investigate the effect of DT and frailty on the spatio-temporal parameters of gait in older people and identify which variables relate to GS. Method: The presence of frailty was verified by Fried's Frailty Criteria. Cognitive function was evaluated with the Mini-Mental State Exam (MMSE) and gait parameters were analyzed through the GAITRite(r) system in the single-task and DT conditions. The Kolmogorov-Smirnov, ANOVA, and Pearson's Correlation tests were administered. Results: The participants were assigned to the groups frail (FG), pre-frail (PFG), and non-frail (NFG). During the DT, the three groups showed a decrease in GS, cadence, and stride length and an increase in stride time (p<0.001). The reduction in the GS of the FG during the DT showed a positive correlation with the MMSE scores (r=730; p=0.001) and with grip strength (r=681; p=0.001). Conclusions: Gait parameters are more affected by the DT, especially in the frail older subjects. The reduction in GS in the FG is associated with lower grip strength and lower scores in the MMSE. The GS was able to discriminate the older adults in the three levels of frailty, being an important measure of the functional capacity in this population. .
Descritores: Idoso Fragilizado
Marcha
-Análise e Desempenho de Tarefas
Avaliação Geriátrica
Vida Independente
Limites: Seres Humanos
Masculino
Feminino
Idoso
Responsável: BR1.1 - BIREME


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Id: lil-745816
Autor: Cebolla, Elaine C; Rodacki, André L. F; Bento, Paulo C. B.
Título: Balance, gait, functionality and strength: comparison between elderly fallers and non-fallers
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(2):146-151, 27/04/2015. tab, graf.
Idioma: en.
Resumo: BACKGROUND: Accidental falls are a major health problem related to aging and affect one in every three elderly individuals over the age of sixty. OBJECTIVE: To evaluate and compare the muscle strength, gait kinematics parameters, and performance in functional tests between elderly subjects with and without a prior history of falls. In addition, the association between the history of falls and the variables that demonstrated differences between groups were tested. METHOD: 62 elderly subjects participated in the study and were allocated to the group with falls history (FG; n=20; 68.0±6.9 years old) or the group without falls history (CG; n=42; 65.5±4.1 years old). Maximal strength, gait kinematics parameters, and functional tests were tested. RESULTS: The FG showed lower muscle strength in the knee flexors (51.45±8.6 vs. 62.09±19 Kg), lower average toe clearance during the swing phase (0.04±0.006 vs. 0.043 ± 0.005 m), and lower performance in the "8-foot up-and-go" test (5.3±0.7 vs. 5.8±0.7 s) (p<0.05). There were no associations between any variables and falls, but the increased time in the "8-foot up-and-go" test may double the likelihood of a fall occurring. CONCLUSION: Fallers have reduced lower limb strength, gait alterations, the worst performance in the dynamic balance test, and an increased risk of falls. .
Descritores: Acidentes por Quedas
Equilíbrio Postural/fisiologia
Força Muscular/fisiologia
Marcha/fisiologia
-Fenômenos Biomecânicos
Estudos Retrospectivos
Limites: Seres Humanos
Masculino
Feminino
Idoso
Responsável: BR1.1 - BIREME


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Id: lil-745815
Autor: Muniz, Thiago B; Moraes, Renato; Guirro, Rinaldo R. J.
Título: Lower limb ice application alters ground reaction force during gait initiation
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(2):114-121, 27/04/2015. tab, graf.
Idioma: en.
Projeto: Conselho Nacional de Desenvolvimento Científico e Tecnológico; . Conselho Nacional de Desenvolvimento Científico e Tecnológico; . FAPESP.
Resumo: BACKGROUND: Cryotherapy is a widely used technique in physical therapy clinics and sports. However, the effects of cryotherapy on dynamic neuromuscular control are incompletely explained. OBJECTIVES: To evaluate the effects of cryotherapy applied to the calf, ankle and sole of the foot in healthy young adults on ground reaction forces during gait initiation. METHOD: This study evaluated the gait initiation forces, maximum propulsion, braking forces and impulses of 21 women volunteers through a force platform, which provided maximum and minimum ground reaction force values. To assess the effects of cooling, the task - gait initiation - was performed before ice application, immediately after and 30 minutes after removal of the ice pack. Ice was randomly applied on separate days to the calf, ankle and sole of the foot of the participants. RESULTS: It was demonstrated that ice application for 30 minutes to the sole of the foot and calf resulted in significant changes in the vertical force variables, which returned to their pre-application values 30 minutes after the removal of the ice pack. Ice application to the ankle only reduced propulsion impulse. CONCLUSIONS: These results suggest that although caution is necessary when performing activities that require good gait control, the application of ice to the ankle, sole of the foot or calf in 30-minute intervals may be safe even preceding such activities. .
Descritores: Crioterapia
Marcha/fisiologia
Perna (Membro)/fisiologia
Limites: Seres Humanos
Feminino
Adulto Jovem
Responsável: BR1.1 - BIREME


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Id: lil-741371
Autor: Christovão, Thaluanna C. L; Pasini, Hugo; Grecco, Luanda A. C; Ferreira, Luiz A. B; Duarte, Natália A. C; Oliveira, Cláudia S.
Título: Effect of postural insoles on static and functional balance in children with cerebral palsy: A randomized controlled study
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(1):44-51, Jan-Feb/2015. tab, graf.
Idioma: en.
Projeto: Fundação de Amparo à Pesquisa do Estado de São Paulo.
Resumo: BACKGROUND: Improved gait efficiency is one of the goals of therapy for children with cerebral palsy (CP). Postural insoles can allow more efficient gait by improving biomechanical alignment. OBJECTIVE: The aim of the present study was to determine the effect of the combination of postural insoles and ankle-foot orthoses on static and functional balance in children with CP. METHOD: A randomized, controlled, double-blind, clinical trial. After meeting legal requirements and the eligibility criteria, 20 children between four and 12 years of age were randomly allocated either to the control group (CG) (n=10) or the experimental group (EG) (n=10). The CG used placebo insoles and the EG used postural insoles. The Berg Balance Scale, Timed Up-and-Go Test, Six-Minute Walk Test, and Gross Motor Function Measure-88 were used to assess balance as well as the determination of oscillations from the center of pressure in the anteroposterior and mediolateral directions with eyes open and closed. Three evaluations were carried out: 1) immediately following placement of the insoles; 2) after three months of insole use; and 3) one month after suspending insole use. RESULTS: The EG achieved significantly better results in comparison to the CG on the Timed Up-and-Go Test as well as body sway in the anteroposterior and mediolateral directions. CONCLUSION: Postural insoles led to an improvement in static balance among children with cerebral palsy, as demonstrated by the reduction in body sway in the anteroposterior and mediolateral directions. Postural insole use also led to a better performance on the Timed Up-and-Go Test. .
Descritores: Paralisia Cerebral/fisiopatologia
Paralisia Cerebral/reabilitação
Equilíbrio Postural
Órtoses do Pé
Marcha
-Método Duplo-Cego
Estudos Prospectivos
Limites: Seres Humanos
Masculino
Feminino
Pré-Escolar
Criança
Responsável: BR1.1 - BIREME


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Id: lil-741368
Autor: Moreira, Bruno S; Sampaio, Rosana F; Kirkwood, Renata N.
Título: Spatiotemporal gait parameters and recurrent falls in community-dwelling elderly women: a prospective study
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(1):61-69, Jan-Feb/2015. tab, graf.
Idioma: en.
Resumo: BACKGROUND: Falling is a common but devastating and costly problem of aging. There is no consensus in the literature on whether the spatial and temporal gait parameters could identify elderly people at risk of recurrent falls. OBJECTIVE: To determine whether spatiotemporal gait parameters could predict recurrent falls in elderly women. METHOD: One hundred and forty-eight elderly women (65-85 years) participated in this study. Seven spatiotemporal gait parameters were collected with the GAITRite(r) system. Falls were recorded prospectively during 12 months through biweekly phone contacts. Elderly women who reported two or more falls throughout the follow-up period were considered as recurrent fallers. Principal component analysis (PCA) and discriminant analysis followed by biplot graph interpretation were applied to the gait parameters. RESULTS: After 12 months, 23 elderly women fell twice or more and comprised the recurrent fallers group and 110 with one or no falls comprised the non-recurrent fallers group. PCA resulted in three components that explained 88.3% of data variance. Discriminant analysis showed that none of the components could significantly discriminate the groups. However, visual inspection of the biplot showed a trend towards group separation in relation to gait velocity and stance time. PC1 represented gait rhythm and showed that recurrent fallers tend to walk with lower velocity and cadence and increased stance time in relation to non-recurrent fallers. CONCLUSIONS: The analyzed spatiotemporal gait parameters failed to predict recurrent falls in this sample. The PCA-biplot technique highlighted important trends or red flags that should be considered when evaluating recurrent falls in elderly females. .
Descritores: Acidentes por Quedas
Marcha
-Estudos Prospectivos
Medição de Risco
Vida Independente
Análise Espaço-Temporal
Limites: Seres Humanos
Feminino
Idoso
Idoso de 80 Anos ou mais
Responsável: BR1.1 - BIREME


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Id: biblio-1046501
Autor: Brodt, Guilherme Auler; Madi, José Mauro; Castilhos, Leticia Maria de; Ficagna, Natalia; Garcia, Rosa Maria Rahmi.
Título: Biomecânica estática e da marcha em gestantes eutróficas e obesas / Static biomechanics and gait in eutrophic and obese pregnant women
Fonte: Femina;47(2):122-124, 20190228.
Idioma: pt.
Resumo: Mais de 50% da população mundial encontra-se na faixa de sobrepeso e de obesidade, caracterizando uma epidemia global e, com isso, atingindo mulheres em idade reprodutiva.Quando da associação de obesidade e gravidez, esse risco pode estar amplificado, acentuando alterações do equilíbrio e postura, ampliando a taxa de acidentes por queda.(AU)

More than 50% of the world population is in the overweight and obesity zone, characterizing a global epidemic and with these reaching women of reproductive age. When associated with obesity and pregnancy, this risk may be amplified, accentuating alterations on balance and posture, increasing the rate of accidents by fall.(AU)
Descritores: Gravidez
Equilíbrio Postural/fisiologia
FUCOSETEMEFOS
Marcha/fisiologia
Obesidade
-Índice de Massa Corporal
FREEZE FRACTURING9
Limites: Seres Humanos
Feminino
Gravidez
Tipo de Publ: Revisão
Responsável: BR1365.1 - Biblioteca Biomédica A - CB/A


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Id: lil-787649
Autor: Kirkwood, Renata N; Gomes, Henrique A; Sampaio, Rosana F; Furtado, Sheyla R. C; Moreira, Bruno S.
Título: Spatiotemporal and variability gait data in community-dwelling elderly women from Brazil
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;20(3):258-266tab, graf.
Idioma: en.
Resumo: ABSTRACT Background Gait is an extremely complex motor task; therefore, gait data should encompass as many gait parameters as possible. Objective To provide reference values for gait measurements obtained from a Brazilian group of community-dwelling elderly females between the ages of 65 and 89 years and to apply the PCA-biplot to yield insight into different walking strategies that might occur during the aging process. Method 305 elderly community-dwelling females living in Brazil were stratified into four age groups: 65-69 years (N=103); 70-74 years (N=95); 75-79 years (N=77); and ≥80 years (N=30). Age, height, and BMI were assessed to describe the characteristics of the groups. Gait spatiotemporal and variability data were obtained using the GAITRite® system. Principal component analysis, followed by MANOVA and the PCA-biplot approach were used to analyze the data. Results 95% CI showed that only three components – rhythm, variability, and support - together explained 74.2% of the total variance in gait that were different among the groups. The older groups (75-79 and ≥80 years) walked with lower than average velocity, cadence, and step length and were above average for the variables stance, step, swing, and double support time and the ≥80 year old group presented the highest gait variability compared to the other groups. Conclusion Aging is associated with decreased gait velocity and cadence and increased stance, step time, and variability, but not associated with changes in base of support. In addition, the PCA-biplot indicates a decline towards decreased rhythm and increased variability with aging.
Descritores: Caminhada
Marcha
-Brasil
Limites: Seres Humanos
Feminino
Idoso
Responsável: BR1.1 - BIREME


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Id: biblio-1003633
Autor: Oliveros, María José; Sepúlveda, Pablo; Serón, Pamela; Fuentes, Rocío.
Título: Rehabilitación cardíaca fase I: progresión según pasos protocolizados en pacientes cardioquirúrgicos en un hospital público de Chile / Phase I cardiac rehabilitation: progression through protocolized steps in cardiosurgical in-patients in a public hospital in Chile
Fonte: Rev. chil. cardiol;38(1):9-19, abr. 2019. tab, graf.
Idioma: es.
Resumo: Resumen: Antecedentes: La Rehabilitación Cardíaca disminuye las complicaciones de la cirugía cardíaca y es mundialmente reconocida. A pesar de esto, en Chile su desarrollo ha sido lento y el reporte de experiencias bajo. Objetivo: Describir la progresión de acuerdo los pasos de rehabilitación y días postoperatorios en pacientes de rehabilitación cardíaca fase I en un hospital público de Temuco, Chile. Metodología: Se analizó una serie de casos de pacientes en rehabilitación cardíaca fase I, participantes de un protocolo basado en hitos motores de seis pasos: movilización en cama (P1); sedente borde cama (P2); marcha de 35 mts (P3); marcha hasta 100 mts (P4); marcha hasta 200 metros más subir/bajar un piso de escaleras (P5); marcha de 300 metros más subir/bajar dos pisos de escaleras (P6). Resultados: Se incluyeron 243 pacientes (1.033 sesiones) con una media de 65.9 años (DS 9.5), mediana de hospitalización 6 días. Del total de atenciones realizadas el día 1, en 53% de ellas se alcanzó el P1; en el día 2, en un 51% se alcanzó el P2 y en un 42% un paso ≥P3; en el día 3, en 44.78% se alcanzó paso ≥P4; en el día 4, en 37.75% se alcanzó ≥P4. En los días 5-7, aproximadamente 50% logró ≥P5. Conclusión: La progresión de los pasos es proporcional al día postcirugía y es más rápida en hombres. Al momento del alta, 75% de los pacientes alcanza una independencia funcional que les permite caminar dos cuadras y subir/bajar un piso de escaleras.

Abstract Background: Despite advances in cardiovascular disease management and the development of minimally invasive approaches, open cardiac surgery is still a preferred intervention in complicated cases. Phase I Cardiac Rehabilitation decreases complications associated with this intervention. Globally, cardiac rehabilitation is widely recommended. However, in Chile the implementation of this intervention has been slow and there are scarce reports of its result. Objective: To describe the progression according to steps and post-surgery days in cardiac rehabilitation phase I patients in the public hospital in Temuco, Chile. Methodology: We analyzed a series of cases of patients in cardiac rehabilitation phase I, participants of a protocol based on six-step motor levels: (S1) on-bed mobilization, (S2) sitting on the edge of the bed, (S3) Bipedal exercise and 35 meter walking, (S4) 100 meter walking, (P5) 200 meter walking plus going up one floor and down stairs, and (S6) 300 meter walking plus going two floors up and down stairs. Results: 243 patients were included, and 1,033 sessions were performed) Mean age was 65.9years-old (SD 9.5) and hospital stay run for a median of 6 days. From all sessions, on day one, 53% of patients reached S1. On day 2, 51% reached S2 and 36% walked (S3). On day 3, 44.78% reached ≥S4. On day 4, 37.75% reached ≥S4. On days 5-7, approximately 50% achieved ≥S5. Conclusion: the step progression is proportional to number of days after surgery, faster in men than compared to women. At discharge, 75 % of patients show functional independency that allows them to walk two blocks and go one floor up and down stairs.
Descritores: Reabilitação Cardíaca/métodos
-Cuidados Pós-Operatórios
Chile
Protocolos Clínicos
Deambulação Precoce
Terapia por Exercício
Marcha
Procedimentos Cirúrgicos Cardíacos/reabilitação
Hospitais Públicos
Limites: Seres Humanos
Masculino
Feminino
Meia-Idade
Idoso
Responsável: CL126.2 - Biblioteca Médica Dr. Profesor Hernán Alessandri R.


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Id: lil-498113
Autor: Gama, Marta Cristina da Silva; Fernandes, Luciane Fernanda Rodrigues Martinho; Benites, Eduardo Gomes; Rodrigues, Sabrina; Teodori, Rosana Macher.
Título: Avaliação de um treinamento estático de carga parcial de peso / Evaluation of partial static weight load training
Fonte: Acta ortop. bras;16(5):301-304, 2008. ilus, tab.
Idioma: en; pt.
Projeto: UNIMEP. FAPIC.
Resumo: O treinamento da marcha com carga parcial é comum na prática do fisioterapeuta, entretanto, na área hospitalar, o tempo para esse treinamento é limitado, durando somente o tempo da internação. Dessa forma, este estudo tem como objetivo verificar o efeito do treinamento prévio de carga parcial de peso, em voluntárias sem lesões ortopédicas buscando direcionar esse treinamento para pacientes submetidos a cirurgias ortopédicas nos membros inferiores. Participaram deste estudo 32 voluntárias sem alterações posturais ou história de traumas nos membros inferiores. O treinamento de carga parcial foi realizado distribuindo-se 20 por cento da massa corporal total no membro inferior direito em uma balança digital antropométrica. As voluntárias foram divididas em dois grupos, sendo que o grupo I repetiu o treinamento 6 vezes e o grupo II, 12 vezes. Os dados da distribuição estática da carga foram coletados em uma plataforma de pressão Matscan-Tekscan® e comparados no pré e pós-treinamento. Foi verificado que houve diferença significativa no treinamento repetido 12 vezes (p< 0,015). O treinamento prévio de carga parcial mostrou-se eficaz para ser realizado no paciente durante a fase hospitalar, pois com apenas a realização do treinamento uma única vez, repetido 12 vezes, foi observado o aprendizado da carga parcial.

Gait training with partial load is common in a physical therapist practice; however, in the hospital environment, the time for this training is limited, lasting only for the time of hospitalization. Therefore, this study was aimed to check on the effects of previous partial weight load training in volunteers without orthopaedic injuries seeking to indicate it to patients submitted to orthopaedic surgeries on lower limbs. 32 volunteers showing no postural changes or history of trauma on lower limbs were included in this study. The partial load training was carried out by distributing 20 percent of the total body mass on the right lower limb in an anthropometric digital scale. The volunteers were divided into two groups, with group I repeating the drill 6 times, and group II 12 times. Data about the static load distribution were collected by a pressure platform Matscan-Tekscan® and compared on the pre- and post-training periods. A significant difference was found for 12-repetitions drills (p<0.015). Pre-training with partial weight load was shown to be effective to be applied on patients during hospitalization period, because with only a single drill repeated 12 times, partial load learning was noticed.
Descritores:
Extremidade Inferior
Marcha/fisiologia
-Fenômenos Biomecânicos
Estudos de Avaliação como Assunto
Suporte de Carga
Limites: Seres Humanos
Masculino
Feminino
Adulto
Responsável: BR734.1 - Biblioteca Central Cesar Lattes - BCCL


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Id: biblio-1038635
Autor: Dantas, F. T. D. R; Duarte, M. A; Marins, J. C. B; Fonseca, B. P. A.
Título: Thermographic assessment of saddles used in Mangalarga Marchador horses / Avaliação termográfica de selas utilizadas em cavalos da raça Mangalarga Marchador
Fonte: Arq. bras. med. vet. zootec. (Online);71(4):1165-1170, jul.-ago. 2019. tab, ilus.
Idioma: en.
Resumo: Poor saddle-fitting is one of the main causes of back pain in horses. Mangalarga Marchador is a popular breed in Brazil, being used mainly for pleasure riding and sports. This study aimed to thermographically assess saddles used in horses of this breed. Thermographic images were obtained from 18 saddles of animals from different categories during a Mangalarga Marchador National Exposition. The evaluation was based on three parameters: contact area symmetry, dorsal midline interaction and total skin contact area (25%, 50%, 75% or 100%). Contact area asymmetry was observed in 83.3% of saddles. Dorsal midline interaction was observed with the same frequency. Only 22.2% of saddles assessed in the present study had panels with contact areas greater than 50%. Based on the results of this essay it can be concluded that thermography is a useful tool for the evaluation of saddle contact area with the back of horses and that there is a high frequency of fitting unconformities in saddles used in Mangalarga Marchador horses.(AU)

O ajuste inadequado da sela é um dos principais causadores de lombalgias em equinos. A raça Mangalarga Marchador está entre as mais populares do Brasil, sendo muito utilizada para cavalgadas e prática de esportes. O presente estudo teve como objetivo avaliar termograficamente as selas utilizadas em cavalos dessa raça. Para tal, foram realizadas imagens termográficas de 18 selas de animais de diversas categorias durante uma Exposição Nacional do Cavalo Mangalarga Marchador. A avaliação foi realizada baseando-se em três parâmetros: simetria da área de contato, interação com a linha média dorsal e área total de contato com a pele (25%, 50%, 75% ou 100%). Em 83,3% das selas avaliadas foi observada assimetria da área de contato. A interação com a linha média dorsal foi observada com a mesma frequência. Apenas 22,2% das selas avaliadas no presente estudo tinham suadouros com área de contato maior que 50%. Com base nos resultados obtidos neste trabalho, conclui-se que a termografia é uma ferramenta útil na avaliação do contato das selas com o dorso dos cavalos e que existe alta frequência de inconformidades no ajuste de selas utilizadas na raça Mangalarga Marchador.(AU)
Descritores: Termografia/veterinária
Dor Lombar/veterinária
Cavalos
-Equipamentos e Provisões/veterinária
Marcha
Limites: Animais
Responsável: BR68.1 - Biblioteca Virginie Buff D'Ápice



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