Base de dados : LILACS
Pesquisa : G11.427.690 [Categoria DeCS]
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Id: biblio-1046644
Autor: Rosa, Matheus Augusto Braga Marques Vieira; Coimbra, Arlete Maria Valente; Nascimento, Adriana Ferreira do; Ricci, Natalia Aquaroni.
Título: Avaliação do limite de estabilidade pelo Teste Alcance Funcional anterior em idosos / Assessment of the limits of stability through the forward Functional Reach Test in older adults
Fonte: Acta fisiátrica;26(1), mar. 2019.
Idioma: en; pt.
Resumo: O Teste Alcance Funcional avalia o limite de estabilidade, isto é, o quanto o indivíduo pode se movimentar sem alterar sua base de sustentação. Objetivo: Avaliar idosos pelo Teste Alcance Funcional (AF) e verificar os fatores associados ao seu desempenho. Métodos: Pesquisa observacional de corte transversal com análise secundária de dados coletados em estudo prévio. Amostra de idosos da comunidade (≥ 65 anos), de Unidade de Saúde da Família, de ambos os sexos e com deambulação independente. Foram coletadas do banco as informações sociodemográficas, antropométricas, clínicas e de equilíbrio corporal (AF, Time Up and Go-TUG e Escala de Equilíbrio de Berg). O AF foi mensurado em uma única tentativa pelo deslocamento anterior do idoso, sendo classificado de forma numérica (cm) e categórica pela Berg. Foi realizada estatística descritiva e inferencial (testes de correlação e associação) Resultados: Foram avaliados 96 idosos com média de 74,8 anos, AF de 22,5±7,2 cm e 49% conseguiram alcançar à frente mais que 25 cm. Houve correlação entre o AF e variáveis sociodemográficas (idade), antropométricas (altura, peso e comprimento do pé), clínicas (força de preensão palmar e dor) e de equilíbrio (TUG e Berg). Idosos com faixa etária mais avançada, com doença endócrina, baixa acuidade visual, sedentários, com histórico de quedas, com queixas de dor e tontura apresentaram estatisticamente pior desempenho no AF. Conclusão: Idosos de Unidade de Saúde da Família apresentam AF levemente reduzido em relação à normalidade. Alguns fatores estão associados ao desempenho no AF e devem ser considerados na interpretação de seus resultados.

The Functional Reach assesses the limits of stability, that is, how far the individual can move without changing the base of support. Objective: To evaluate the Forward Functional Reach Test (FR) in older adults and to verify the factors associated with the test performance. Method: Observational cross-sectional study with secondary analysis of data from a previous study. Sample of community-dwelling older adults (≥ 65 years) from the Family Health Program, both sexes and independent for ambulation. Socio-demographic, anthropometric, clinical and balance control (FR, Time Up and Go-TUG and Berg Balance Scale) information were collected. The FR was measured in a single attempt by the anterior displacement of the subject classified numerically (cm) and categorically according to the Berg Balance Scale. Descriptive and inferential statistical analysis (correlation and association tests) were performed. Results: 96 older adults were evaluated with mean age of 74.8 years, FR of 22.5±7.2 cm and 49% achieved more than 25 cm. There was a correlation between FR and sociodemographic (age), anthropometric (height, weight and foot length), clinical (grip strength and pain) and balance (TUG and Berg Scale) data. Old people with more advanced age, with endocrine disease, low visual acuity, sedentary, with history of falls, with complaints of pain and dizziness presented statistically worse performance in FR. Conclusion: Older adults from the Family Health Program have a slightly reduced in FR compare to normative data from community-dwelling elderly. Some factors are associated with FR performance and should be considered when interpreting their results.
Descritores: Idoso
Equilíbrio Postural
Limites: Seres Humanos
Idoso
Tipo de Publ: Ensaio Clínico
Responsável: BR1531.9 - Universidade de São Paulo


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Id: biblio-901731
Autor: González Rodríguez, Suami; Llanes Rodríguez, Maiyelin; Pedroso Ramos, Lucía.
Título: Modificaciones de la oclusión dentaria y su relación con la postura corporal en Ortodoncia. Revisión bibliográfica / Modifications of the dental occlusion and its relation with the body posture in orthodontics. Bibliographic review
Fonte: Rev. habanera cienc. méd;16(3):371-386, may.-jun. 2017.
Idioma: es.
Resumo: Introducción: La biomecánica entre la oclusión dentaria y la postura corporal ha generado un interés creciente sobre el tema; por las diferentes interrelaciones que se dan entre ellas y porque se han observado problemas posturales en más de 90 por ciento de los pacientes con maloclusión. Objetivo: Identificar en la literatura científica actualizada la relación entre las modificaciones de la oclusión dentaria y la postura corporal, y su aplicación en ortodoncia. Material y Métodos: Se realizó revisión bibliográfica durante los meses de abril de 2015 a enero de 2016. Se consultaron varias fuentes de información en formato impreso y digital, bases de datos bibliográficos en la BVS de Infomed y por internet en PubMed, Lilacs, Medline y el buscador Google. Se empleó la estrategia de búsqueda avanzada y para la selección de los artículos, se tuvieron en cuenta criterios de actualidad, últimos 5 años, y la calidad metodológica o validez de los estudios. Resultados: Se encontró literatura científica que aborda la posible relación entre las alteraciones de la postura corporal y las maloclusiones clase I, II y III de Angle; la mordida cruzada y las alteraciones vinculadas a la respiración bucal, así como sus implicaciones en el diagnóstico y tratamiento ortodóncico. Conclusiones: La mayoría de las investigaciones sugieren algún tipo de relación entre las modificaciones de la oclusión y la postural corporal, aunque son necesarias más investigaciones en este campo. Su elucidación puede tener implicaciones en el diagnóstico y el tratamiento ortodóncico(AU)

Introduction: The biomechanics between dental occlusion and body posture has generated a growing interest in the subject; Because of the different interrelationships between them and because postural problems have been observed in more than 90 percent of patients with malocclusion. Objective: To identify in the updated scientific literature the relationship between dental occlusion modifications and body posture, and its application in orthodontics. Material and Methods: A bibliographic review was carried out during the months of April 2015 to January 2016. Several sources of information were consulted in printed and digital format, bibliographic databases in the BVS of Infomed and online in PubMed, Lilacs, Medline and the Google search engine. Was used the advanced search strategy and for the selection of articles, there were taken into account the current criteria, last 5 years, and the methodological quality or validity of the studies. Results: We found scientific literature that addresses the possible relationship between alterations in body posture and Angle malocclusions class I, II and III; cross bite and alterations related to mouth breathing, as well as their implications for orthodontic diagnosis and treatment. Conclusions: Most investigations suggest some kind of relationship between occlusion and body postural modifications, although more research is needed in this field. Its elucidation may have implications for orthodontic diagnosis and treatment(AU)
Descritores: Postura/fisiologia
Oclusão Dentária
Equilíbrio Postural/fisiologia
-Bibliografia como Assunto
Limites: Seres Humanos
Masculino
Feminino
Responsável: CU1.1 - Biblioteca Médica Nacional


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Id: biblio-966142
Autor: Gajardo A, Cynthia; Escalona D' A, Pamela; Barriga A, Karina.
Título: Efectividad del uso de seating de posicionamiento en niños con parálisis cerebral discinética: revisión sistemática / Effectiveness of the use of seating devices in children with dyskinetic cerebral palsy: a systematic reviewx
Fonte: Rehabil. integral (Impr.);13(1):14-21, jul. 2018. tab, ilus.
Idioma: es.
Resumo: Introduction: To assess the effectiveness of seating devices during the sitting position on postural stability and upper limb functionality in users with dyskinetic type cerebral palsy. Method: A systematic review that included randomized, quasi-randomized, cohort, and pre-post intervention clinical trials with evaluation before and after the intervention. This review included studies of chil-dren with a diagnosis of cerebral palsy, mainly of the dyskinetic type, with ages between 2 and 10 years old. The databases of CINAHL Plus, Cochrane (Central), EMBASE (Via Ovid), Virtual Health Library, OT Seeker, Medline (Via PubMed) and OpenGrey were used. Results: Two studies met the inclusion criteria; however, the analysis was carried out qualitatively due to the methodological quality for these, with presence of a high risk of bias. The study by Cimolin described greater trunk stability and smooth upper extremity movements with the use of a dynamically configured seat. Nwaobi described better upper extre-mity functionality in a seat inclined at 0º and 30º, not referring to trunk stability. Conclusion: From the review of the results it is concluded that there is not enough scientific evidence to determine that the use of seating devices favors the postural control and the functionality of upper extremities in children with cerebral dyskinesia type cerebral palsy.

Introducción: Evaluar la eficacia del posicionamiento sedente en la estabilidad postural y funcionalidad de extremidades superiores, en ni-ños con parálisis cerebral discinética, comparando el uso y el no uso de seating de posicionamiento. Método: Revisión siste-mática incluyendo ensayos clínicos de tipo aleatorio, cuasialeatorizado, de cohorte y casos con evaluación antes y después de la intervención. Se incluyó niños con parálisis cerebral discinético, entre 2 y 10 años de edad. Se utilizó bases de datos de CI-NAHL Plus, Cochrane (Central), EMBASE (Vía Ovid), Biblioteca Virtual de la Salud, OT Seeker, Medline (Via PubMed) y Open Grey. Resultados: Dos estudios cumplieron criterios de inclusión, aunque el análisis se realizó de forma cualitativa por la calidad metodológica de estos. Cimolin detectó mayor estabilidad de tronco y suavidad en los movimientos de extremidades superiores con el uso de un asiento de configuración dinámica. Nwaobi describió mejor funcionalidad de extremidad superior en un asiento inclinado a 0º y 30º, no haciendo referencia a la estabilidad de tronco. Conclusión: De la revisión de los resulta-dos, se concluye que no existe evidencia científica suficiente que determine que el uso de seating favorezca o no el control postural y la funcionalidad de extremidades superiores en niños y jóvenes con parálisis cerebral de tipo discinética.
Descritores: Paralisia Cerebral/reabilitação
Extremidade Superior/fisiologia
FRUCTOSEPHOSPHATESABBREVIATIONS AS TOPIC
-Paralisia Cerebral/fisiopatologia
Discinesias/fisiopatologia
Discinesias/reabilitação
Equilíbrio Postural
Limites: Seres Humanos
Pré-Escolar
Criança
Tipo de Publ: 57788
Responsável: CL61.1 - Biblioteca Central Campus Sur


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Id: lil-601295
Autor: Martinello, Micheli; Levone, Brunno Rocha; Piucco, Elaine; Ries, Lilian Gerdi Kittel.
Título: Desenvolvimento do controle cervical em criança com encefalopatia crônica não-progressiva da infância / Development of neck control in children with chronic non-progressive encephalopathy of childhood
Fonte: HU rev;36(3), jul.-set. 2010.
Idioma: pt.
Resumo: O controle cervical é uma das primeiras aquisições motoras voluntárias da criança. A disfunção motora na Encefalopatia Crônica Não-Progressiva da Infância (ECNPI) pode ocasionar atraso no desenvolvimento desse controle, além da fixação de padrões posturais patológicos. Identifica os recursos disponíveis na literatura para promover a aquisição do controle cervical e relacioná-los com o caso de uma criança que apresenta severo atraso do desenvolvimento motor. Os reflexos primitivos, as reações de retificação e equilíbrio, o grau de espasticidade, a função motora ampla e as habilidades funcionais, foram avaliados. Observou-se presença de reflexos primitivos e espasticidade em todos os membros, deficiência ou ausência das reações de retificação e equilíbrio e limitação funcional muito severa. O severo atraso no desenvolvimento motor, observado neste estudo, determina a estimulação da função motora ampla e habilidades funcionais. O controle cervical deve ser priorizado, já que é um precursor necessário para outras aquisições motoras e posturais.

The cervical control is an early voluntary motor acquisition of child. The motor dysfunction in cerebral palsy may cause delay in this control development and determination of pathological postural patterns. Identifies the available resources in the literature for the acquisition of cervical control and relate them to the case of a child who has severe development delay. The primitive reflexes, postural correction and balance reactions, spasticity rate, motor function and broad functional skills were evaluated. The presence of primitive reflexes and spasticity in all limbs were observed as well as disability or absence of postural correction and equilibrium reactions and a very severe functional limitation. The severe delay in motor development observed in this study determines the broad stimulation of motor function and function abilities. The neck control should be prioritized since it is a necessary precursor for new motor and postural acquisition.
Descritores: Dano Encefálico Crônico
-Desempenho Psicomotor
Encefalopatias
Paralisia Cerebral
Equilíbrio Postural
Limites: Criança
Responsável: BR378.1 - Biblioteca Central


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Id: lil-727051
Autor: Grecco, Luanda A. C; Duarte, Natália A. C; Zanon, Nelci; Galli, Manuela; Fregni, Felipe; Oliveira, Claudia S.
Título: Effect of a single session of transcranial direct-current stimulation on balance and spatiotemporal gait variables in children with cerebral palsy: A randomized sham-controlled study
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;18(5):419-427, 12/09/2014. tab, graf.
Idioma: en.
Projeto: Fundação de Amparo à Pesquisa.
Resumo: Background: Transcranial direct-current stimulation (tDCS) has been widely studied with the aim of enhancing local synaptic efficacy and modulating the electrical activity of the cortex in patients with neurological disorders. Objective: The purpose of the present study was to determine the effect of a single session of tDCS regarding immediate changes in spatiotemporal gait and oscillations of the center of pressure (30 seconds) in children with cerebral palsy (CP). Method: A randomized controlled trial with a blinded evaluator was conducted involving 20 children with CP between six and ten years of age. Gait and balance were evaluated three times: Evaluation 1 (before the stimulation), Evaluation 2 (immediately after stimulation), and Evaluation 3 (20 minutes after the stimulation). The protocol consisted of a 20-minute session of tDCS applied to the primary motor cortex at an intensity of 1 mA. The participants were randomly allocated to two groups: experimental group - anodal stimulation of the primary motor cortex; and control group - placebo transcranial stimulation. Results: Significant reductions were found in the experimental group regarding oscillations during standing in the anteroposterior and mediolateral directions with eyes open and eyes closed in comparison with the control group (p<0.05). In the intra-group analysis, the experimental group exhibited significant improvements in gait velocity, cadence, and oscillation in the center of pressure during standing (p<0.05). No significant differences were found in the control group among the different evaluations. Conclusion: A single session of tDCS applied to the primary motor cortex promotes positive changes in static balance and gait velocity in children with cerebral palsy. .
Descritores: Paralisia Cerebral/fisiopatologia
Paralisia Cerebral/terapia
Equilíbrio Postural
Estimulação Transcraniana por Corrente Contínua
-Método Duplo-Cego
Estudos Transversais
Modalidades de Fisioterapia
Limites: Seres Humanos
Criança
Responsável: BR1.1 - BIREME


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Id: lil-761607
Autor: Franco, Priscila G; Santos, Karini B; Rodacki, André L. F.
Título: Joint positioning sense, perceived force level and two-point discrimination tests of young and active elderly adults
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(4):304-310, July-Aug. 2015. tab, ilus.
Idioma: en.
Resumo: Background: Changes in the proprioceptive system are associated with aging. Proprioception is important to maintaining and/or recovering balance and to reducing the risk of falls.Objective:To compare the performance of young and active elderly adults in three proprioceptive tests.Method:Twenty-one active elderly participants (66.9±5.5 years) and 21 healthy young participants (24.6±3.9 years) were evaluated in the following tests: perception of position of the ankle and hip joints, perceived force level of the ankle joint, and two-point discrimination of the sole of the foot.Results:No differences (p>0.05) were found between groups for the joint position and perceived force level. On the other hand, the elderly participants showed lower sensitivity in the two-point discrimination (higher threshold) when compared to the young participants (p < 0.01).Conclusion:Except for the cutaneous plantar sensitivity, the active elderly participants had maintained proprioception. Their physical activity status may explain similarities between groups for the joint position sense and perceived force level, however it may not be sufficient to prevent sensory degeneration with aging.
Descritores: Propriocepção
Equilíbrio Postural/fisiologia
Articulação do Tornozelo/fisiologia
-Acidentes por Quedas/prevenção & controle
Limites: Seres Humanos
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-741375
Autor: Gomes, Matheus M; Reis, Júlia G; Carvalho, Regiane L; Tanaka, Erika H; Hyppolito, Miguel A; Abreu, Daniela C. C.
Título: Analysis of postural control and muscular performance in young and elderly women in different age groups
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(1):1-9, Jan-Feb/2015. tab, graf.
Idioma: en.
Resumo: BACKGROUND: muscle strength and power are two factors affecting balance. The impact of muscle strength and power on postural control has not been fully explored among different age strata over sixty. OBJECTIVES: the aim of the present study was to assess the muscle strength and power of elderly women in different age groups and determine their correlation with postural control. METHOD: eighty women were divided into four groups: the young 18-30 age group (n=20); the 60-64 age group (n=20); the 65-69 age group (n=20); and the 70-74 age group (n=20). The participants underwent maximum strength (one repetition maximum or 1-RM) and muscle power tests to assess the knee extensor and flexor muscles at 40%, 70%, and 90% 1-RM intensity. The time required by participants to recover their balance after disturbing their base of support was also assessed. RESULTS: the elderly women in the 60-64, 65-69, and 70-74 age groups exhibited similar muscle strength, power, and postural control (p>0.05); however, these values were lower than those of the young group (p<0.05) as expected. There was a correlation between muscle strength and power and the postural control performance (p<0.05). CONCLUSION: despite the age difference, elderly women aged 60 to 74 years exhibited similar abilities to generate strength and power with their lower limbs, and this ability could be one factor that explains the similar postural control shown by these women. .
Descritores: Equilíbrio Postural/fisiologia
Força Muscular
-Fatores Etários
Limites: Seres Humanos
Adolescente
Adulto
Meia-Idade
Idoso
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-741370
Autor: Pavão, Silvia L; Santos, Adriana N; Oliveira, Ana B; Rocha, Nelci A. C. F.
Título: Postural control during sit-to-stand movement and its relationship with upright position in children with hemiplegic spastic cerebral palsy and in typically developing children
Fonte: Braz. j. phys. ther. (Impr.) = Rev. bras. fisioter;19(1):18-25, Jan-Feb/2015. tab, graf.
Idioma: en.
Projeto: Fundação de Amparo à Pesquisa do Estado de São Paulo; . Fundação de Amparo à Pesquisa do Estado de São Paulo.
Resumo: OBJECTIVE: The purpose of this study was to compare postural control in typically developing (TD) children and children with cerebral palsy (CP) during the sit-to-stand (STS) movement and to assess the relationship between static (during static standing position) and dynamic postural control (during STS movement) in both groups. METHOD: The center of pressure (CoP) behavior of 23 TD children and 6 children with spastic hemiplegic CP (Gross Motor Function Classification System [GMFCS] I and II) was assessed during STS movement performance and during static standing conditions with the use of a force plate. The data obtained from the force plate were used to calculate CoP variables: anteroposterior (AP) and mediolateral (ML) amplitudes of CoP displacement and the area and velocity of CoP oscillation. RESULTS: According to the Mann-Whitney test, children with CP exhibited higher CoP values in all of the analyzed variables during the beginning of STS movement. Pearson's correlation verified a positive correlation between the CoP variables during both static conditions and the performance of STS movement. CONCLUSIONS: Children with spastic hemiplegic CP present major postural oscillations during the beginning of STS movement compared with typical children. Moreover, the observed relationship between postural control in static and dynamic conditions reveals the importance of body control in the static position for the performance of functional activities that put the body in motion, such as STS movement. .
Descritores: Postura
Paralisia Cerebral/fisiopatologia
Equilíbrio Postural
-Movimento
Limites: Seres Humanos
Pré-Escolar
Criança
Responsável: BR1.1 - BIREME



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