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[PMID]: 29328566 [Au] Autor: Vukasinovic V; Mijatovic S; Siljak V; Velickovic S; Strelic D; Stevanovic M [Ti] Título: Contribution of Dr. Laza Popovic to the development of Serbian and Yugoslav Sokol movement. [So] Source: Vojnosanit Pregl;73(10):976-9, 2016 Oct. [Is] ISSN: 0042-8450 [Cp] País de publicação: Serbia [La] Idioma: eng [Mh] Termos MeSH primário: Exercício Ginástica/história Promoção da Saúde/história Médicos/história [Mh] Termos MeSH secundário: História do Século XIX História do Século XX Seres Humanos Sérvia Iugoslávia [Pt] Tipo de publicação: BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180213 [Lr] Data última revisão: 180213 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180113 [St] Status: MEDLINE [do] DOI: 10.2298/VSP150401095V

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[PMID]: 28742616 [Au] Autor: Bolia I; Utsunomiya H; Locks R; Briggs K; Philippon MJ [Ad] Endereço: Steadman Philippon Research Institute, Vail, Colorado. [Ti] Título: Twenty-Year Systematic Review of the Hip Pathology, Risk Factors, Treatment, and Clinical Outcomes in Artistic Athletes-Dancers, Figure Skaters, and Gymnasts. [So] Source: Clin J Sport Med;28(1):82-90, 2018 Jan. [Is] ISSN: 1536-3724 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To identify (1) the predominant level of evidence of the clinical studies regarding the hip pathology, risk factors, treatment, and clinical outcomes in artistic athletes (dancers, figure skaters, and gymnasts) (2) the most commonly reported hip pathology, risk factors, treatments, and clinical outcomes in dancers, figure skaters, and gymnasts. METHODS: To conduct this systematic review PubMed, EMBASE, and Scopus databases were searched for relevant studies and pertinent data were collected from the eligible articles. Included were studies which reported hip injuries in artistic athletes, the risk factors, treatment, and/or the clinical outcomes. We excluded case reports or irrelevant studies. No meta-analysis was performed because of study heterogeneity. The methodical index for nonrandomized studies (MINORS) criteria were used for quality control. MAIN RESULTS: Thirty-eight studies were included in the analysis. The mean MINORS score was 13.6 ± 4.6 points indicating fair quality of evidence of the included articles. The predominant level of evidence was level IV. Chondrolabral pathology and muscle injuries were the most commonly reported pathologies. We found only 2 risk factor analysis studies; however, many studies reported risk correlation between artistic sports or imaging findings and hip pathology. Treatment strategies were reported in only 7 studies, clinical outcomes are significantly underreported. CONCLUSION: Chondrolabral pathology was the most commonly reported hip pathology in artistic athletes, however, prospective cohort studies are necessary to really understand these injuries and their associated risk factors. The lack of clinical outcomes is significant and future data collection is required to assess the effectiveness of the various treatments. [Mh] Termos MeSH primário: Dança/lesões Ginástica/lesões Lesões do Quadril/epidemiologia Patinação/lesões [Mh] Termos MeSH secundário: Atletas Seres Humanos Fatores de Risco [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180109 [Lr] Data última revisão: 180109 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170726 [St] Status: MEDLINE [do] DOI: 10.1097/JSM.0000000000000440

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[PMID]: 28753624 [Au] Autor: Maté-Muñoz JL; Lougedo JH; Barba M; García-Fernández P; Garnacho-Castaño MV; Domínguez R [Ad] Endereço: Department of Physical Activity and Sport Sciences, Alfonso X el Sabio University, Madrid, Spain. [Ti] Título: Muscular fatigue in response to different modalities of CrossFit sessions. [So] Source: PLoS One;12(7):e0181855, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: CrossFit is a new strength and conditioning regimen involving short intense daily workouts called workouts of the day (WOD). This study assesses muscular fatigue levels induced by the three modalities of CrossFit WOD; gymnastics (G), metabolic conditioning (M) and weightlifting (W). MATERIAL AND METHODS: 34 healthy subjects undertook three WOD (one per week): a G WOD consisting of completing the highest number of sets of 5 pull-ups, 10 push-ups and 15 air squats in 20 min; an M WOD, in which the maximum number of double skipping rope jumps was executed in 8 sets (20 s), resting (10 s) between sets; and finally, a W WOD in which the maximum number of power cleans was executed in 5 min, lifting a load equivalent to 40% of the individual's 1RM. Before and after each WOD, blood lactate concentrations were measured. Also, before, during, and after each WOD, muscular fatigue was assessed in a countermovement jump test (CMJ). RESULTS: Significant reductions were produced in the mechanical variables jump height, average power and maximum velocity in response to G; and in jump height, mean and peak power, maximum velocity and maximum force in response to W (P<0.01). However, in M, significant reductions in mechanical variables were observed between pre- and mid session (after sets 2, 4, 6 and 8), but not between pre- and post session. CONCLUSIONS: Muscular fatigue, reflected by reduced CMJ variables, was produced following the G and W sessions, while recovery of this fatigue was observed at the end of M, likely attributable to rest intervals allowing for the recovery of phosphocreatine stores. Our findings also suggest that the high intensity and volume of exercise in G and W WODs could lead to reduced muscular-tendon stiffness causing a loss of jump ability, related here to a longer isometric phase during the CMJ. [Mh] Termos MeSH primário: Fadiga Muscular/fisiologia Treinamento de Resistência [Mh] Termos MeSH secundário: Antropometria Capilares/metabolismo Ginástica Seres Humanos Lactatos/sangue Locomoção Masculino Levantamento de Peso Adulto Jovem [Pt] Tipo de publicação: CLINICAL TRIAL; JOURNAL ARTICLE [Nm] Nome de substância: 0 (Lactates) [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170929 [Lr] Data última revisão: 170929 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170729 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0181855

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[PMID]: 28552921 [Au] Autor: Xiao X; Hao W; Li X; Wan B; Shan G [Ad] Endereço: School of Rehabilitation Medicine, Binzhou Medical University, Yantai, Shandong, China. [Ti] Título: The influence of landing mat composition on ankle injury risk during a gymnastic landing: a biomechanical quantification. [So] Source: Acta Bioeng Biomech;19(1):105-113, 2017. [Is] ISSN: 1509-409X [Cp] País de publicação: Poland [La] Idioma: eng [Ab] Resumo: PURPOSE: About 70% injury of gymnasts happened during landing - an interaction between gymnast and landing mat. The most injured joint is the ankle. The current study examined the effect of mechanical properties of landing mat on ankle loading with aims to identify means of decreasing the risk of ankle injury. METHOD: Gymnastic skill - salto backward stretched with 3/2 twist was captured by two high-speed camcorders and digitized by using SIMI-Motion software. A subject-specific, 14-segment rigid-body model and a mechanical landing-mat model were built using BRG.LifeMODTM. The landings were simulated with varied landing-mat mechanical properties (i.e., stiffness, dampness and friction coefficients). RESULT: Real landing performance could be accurately reproduced by the model. The simulations revealed that the ankle angle was relatively sensitive to stiffness and dampness of the landing mat, the ankle loading rate increased 26% when the stiffness was increased by 30%, and the changing of dampness had notable effect on horizontal ground reaction force and foot velocity. Further, the peak joint-reaction force and joint torque were more sensitive to friction than to stiffness and dampness of landing mat. Finally, ankle muscles would dissipate about twice energy (189%) when the friction was increased by 30%. CONCLUSION: Loads to ankles during landing would increase as the stiffness and dampness of the landing mat increase. Yet, increasing friction would cause a substantial rise of the ankle internal loads. As such, the friction should be a key factor influencing the risk of injury. Unfortunately, this key factor has rarely attracted attention in practice. [Mh] Termos MeSH primário: Traumatismos do Tornozelo/fisiopatologia Articulação do Tornozelo/fisiopatologia Segurança de Equipamentos/instrumentação Ginástica/lesões Modelos Biológicos Equipamentos Esportivos [Mh] Termos MeSH secundário: Aceleração Adolescente Força Compressiva Simulação por Computador Módulo de Elasticidade Desenho de Equipamento Análise de Falha de Equipamento Segurança de Equipamentos/métodos Fricção Dureza Seres Humanos Masculino Teste de Materiais Fatores de Risco Estresse Mecânico Viscosidade [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171030 [Lr] Data última revisão: 171030 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170530 [St] Status: MEDLINE

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[PMID]: 28422954 [Au] Autor: Haering D; Huchez A; Barbier F; Holvoët P; Begon M [Ad] Endereço: Institut National de Recherche en Informatique et Automatique Rennes - Bretagne Atlantique, Campus de Beaulieu, Rennes, France. [Ti] Título: Identification of the contribution of contact and aerial biomechanical parameters in acrobatic performance. [So] Source: PLoS One;12(4):e0172083, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: INTRODUCTION: Teaching acrobatic skills with a minimal amount of repetition is a major challenge for coaches. Biomechanical, statistical or computer simulation tools can help them identify the most determinant factors of performance. Release parameters, change in moment of inertia and segmental momentum transfers were identified in the prediction of acrobatics success. The purpose of the present study was to evaluate the relative contribution of these parameters in performance throughout expertise or optimisation based improvements. The counter movement forward in flight (CMFIF) was chosen for its intrinsic dichotomy between the accessibility of its attempt and complexity of its mastery. METHODS: Three repetitions of the CMFIF performed by eight novice and eight advanced female gymnasts were recorded using a motion capture system. Optimal aerial techniques that maximise rotation potential at regrasp were also computed. A 14-segment-multibody-model defined through the Rigid Body Dynamics Library was used to compute recorded and optimal kinematics, and biomechanical parameters. A stepwise multiple linear regression was used to determine the relative contribution of these parameters in novice recorded, novice optimised, advanced recorded and advanced optimised trials. Finally, fixed effects of expertise and optimisation were tested through a mixed-effects analysis. RESULTS AND DISCUSSION: Variation in release state only contributed to performances in novice recorded trials. Moment of inertia contribution to performance increased from novice recorded, to novice optimised, advanced recorded, and advanced optimised trials. Contribution to performance of momentum transfer to the trunk during the flight prevailed in all recorded trials. Although optimisation decreased transfer contribution, momentum transfer to the arms appeared. CONCLUSION: Findings suggest that novices should be coached on both contact and aerial technique. Inversely, mainly improved aerial technique helped advanced gymnasts increase their performance. For both, reduction of the moment of inertia should be focused on. The method proposed in this article could be generalized to any aerial skill learning investigation. [Mh] Termos MeSH primário: Ginástica/fisiologia Desempenho Psicomotor/fisiologia [Mh] Termos MeSH secundário: Adolescente Fenômenos Biomecânicos Feminino Seres Humanos Modelos Lineares Fatores de Tempo Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1704 [Cu] Atualização por classe: 170505 [Lr] Data última revisão: 170505 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170420 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0172083

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[PMID]: 28404801 [Au] Autor: Shahim P; Zetterberg H; Tegner Y; Blennow K [Ad] Endereço: From the Institute of Neuroscience and Physiology (P.S., H.Z., K.B.), Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy at University of Gothenburg; Clinical Neurochemistry Laboratory (P.S., H.Z., K.B.), Sahlgrenska University Hospital, Mölndal, Sweden; Department of Molecular Neu [Ti] Título: Serum neurofilament light as a biomarker for mild traumatic brain injury in contact sports. [So] Source: Neurology;88(19):1788-1794, 2017 May 09. [Is] ISSN: 1526-632X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To evaluate whether the axonal protein neurofilament light (NFL) in serum is a sensitive biomarker to detect subtle brain injury or concussion in contact sports athletes. METHODS: Two prospective cohort studies involving (1) 14 Swedish amateur boxers who underwent fluid biomarker assessments at 7-10 days after bout and after 3 months of rest from boxing and (2) 35 Swedish professional hockey players who underwent blood biomarker assessment at 1, 12, 36, and 144 hours after concussion and when the players returned to play were performed. Fourteen healthy nonathletic controls and 12 athletic controls were also enrolled. Serum NFL was measured using ultrasensitive single molecule array technology. RESULTS: Serum NFL concentrations were increased in boxers 7-10 days after bout as compared to the levels after 3 months rest as well as compared with controls ( = 0.0007 and < 0.0001, respectively). NFL decreased following 3 months of rest, but was still higher than in controls ( < 0.0001). Boxers who received many (>15) hits to the head or were groggy after bout had higher concentrations of serum NFL as compared to those who received fewer hits to the head ( = 0.0023). Serum NFL increased over time in hockey players, and the levels returned to normal at return to play. Importantly, serum NFL could separate players with rapidly resolving postconcussion symptoms (PCS) from those with prolonged PCS. CONCLUSIONS: The results from these 2 independent cohort studies suggest that serum NFL is a highly sensitive biomarker for concussion. [Mh] Termos MeSH primário: Traumatismos em Atletas/sangue Boxe/lesões Concussão Encefálica/sangue Concussão Encefálica/etiologia Hóquei/lesões Proteínas de Neurofilamentos/sangue [Mh] Termos MeSH secundário: Adolescente Área Sob a Curva Atletas Biomarcadores/sangue Análise Química do Sangue Boxe/fisiologia Feminino Seguimentos Ginástica Hóquei/fisiologia Seres Humanos Estudos Longitudinais Masculino Estudos Prospectivos Curva ROC Suécia Fatores de Tempo Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Biomarkers); 0 (Neurofilament Proteins); 0 (neurofilament protein L) [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170602 [Lr] Data última revisão: 170602 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170414 [St] Status: MEDLINE [do] DOI: 10.1212/WNL.0000000000003912

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[PMID]: 28213535 [Au] Autor: Aldridge S [Ti] Título: Michael John Aldridge. [So] Source: BMJ;356:j808, 2017 Feb 17. [Is] ISSN: 1756-1833 [Cp] País de publicação: England [La] Idioma: eng [Mh] Termos MeSH primário: Ortopedia/história Medicina Esportiva/história [Mh] Termos MeSH secundário: Ginástica/história História do Século XX História do Século XXI Seres Humanos Reino Unido Zimbábue [Pt] Tipo de publicação: BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE; PORTRAITS [Ps] Nome de pessoa como assunto: Aldridge MJ [Em] Mês de entrada: 1704 [Cu] Atualização por classe: 170404 [Lr] Data última revisão: 170404 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170219 [St] Status: MEDLINE [do] DOI: 10.1136/bmj.j808

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[PMID]: 28141870 [Au] Autor: Kochanowicz A; Sawczyn S; Niespodzinski B; Mieszkowski J; Kochanowicz K; Zychowska M [Ad] Endereço: Department of Gymnastics and Dance, Gdansk University of Physical Education and Sport, Gdansk, Poland. [Ti] Título: Cellular Stress Response Gene Expression During Upper and Lower Body High Intensity Exercises. [So] Source: PLoS One;12(1):e0171247, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVES: The aim was to compare the effect of upper and lower body high-intensity exercise on chosen genes expression in athletes and non-athletes. METHOD: Fourteen elite male artistic gymnasts (EAG) aged 20.6 ± 3.3 years and 14 physically active men (PAM) aged 19.9 ± 1.0 years performed lower and upper body 30 s Wingate Tests. Blood samples were collected before, 5 and 30 minutes after each effort to assess gene expression via PCR. RESULTS: Significantly higher mechanical parameters after lower body exercise was observed in both groups, for relative power (8.7 ± 1.2 W/kg in gymnasts, 7.2 ± 1.2 W/kg in controls, p = 0.01) and mean power (6.7 ± 0.7 W/kg in gymnasts, 5.4 ± 0.8 W/kg in controls, p = 0.01). No differences in lower versus upper body gene expression were detected for all tested genes as well as between gymnasts and physical active man. For IL-6 m-RNA time-dependent effect was observed. CONCLUSIONS: Because of no significant differences in expression of genes associated with cellular stress response the similar adaptive effect to exercise may be obtained so by lower and upper body exercise. [Mh] Termos MeSH primário: Exercício/fisiologia Regulação da Expressão Gênica Estresse Fisiológico/genética [Mh] Termos MeSH secundário: Anaerobiose Ginástica/fisiologia Seres Humanos Masculino Adulto Jovem [Pt] Tipo de publicação: CLINICAL TRIAL; JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170809 [Lr] Data última revisão: 170809 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170201 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0171247

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[PMID]: 28118030 [Au] Autor: Kay MC; Register-Mihalik JK; Gray AD; Djoko A; Dompier TP; Kerr ZY [Ad] Endereço: Department of Exercise and Sport Science, University of North Carolina at Chapel Hill. [Ti] Título: The Epidemiology of Severe Injuries Sustained by National Collegiate Athletic Association Student-Athletes, 2009-2010 Through 2014-2015. [So] Source: J Athl Train;52(2):117-128, 2017 Feb. [Is] ISSN: 1938-162X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: CONTEXT: Few researchers have described the incidence of the most severe injuries sustained by student-athletes at the collegiate level. OBJECTIVE: To describe the epidemiology of severe injuries within 25 National Collegiate Athletic Association (NCAA) sports in the 2009-2010 through 2014-2015 academic years. DESIGN: Descriptive epidemiology study. SETTING: Aggregate injury and exposure data from 25 NCAA sports. PATIENTS OR OTHER PARTICIPANTS: Collegiate student-athletes in the 2009-2010 through 2014-2015 academic years. MAIN OUTCOME MEASURE(S): Injury data from the NCAA Injury Surveillance Program were analyzed. A severe injury (1) occurred during a sanctioned competition or practice, (2) required medical attention by an athletic trainer or physician, and (3) resulted in at least 21 days lost from sport activity or a premature end to the sport season. Injury counts, proportions, rates per 1000 athlete-exposures (AEs), rate ratios (RRs), and injury proportion ratios were reported with 95% confidence intervals (CIs). RESULTS: A total of 3183 severe injuries were reported, for an injury rate of 0.66/1000 AEs. Wrestling had the highest severe injury rate (1.73/1000 AEs), followed by women's gymnastics (1.40/1000 AEs) and football (0.97/1000 AEs). Overall, the severe injury rate was higher in competition than in practice (RR = 4.25, 95% CI = 3.97, 4.56). Most severe injuries were reported during the regular season (69.3%, n = 2206); however, severe injury rates did not differ between the preseason and regular season (RR = 0.98, 95% CI = 0.91, 1.06). Common severely injured body parts were the knee (32.9%, n = 1047), lower leg/ankle/foot (22.5%, n = 715), and head/face/neck (11.2%, n = 358). Common severe injury diagnoses were sprains (32.9%, n = 1048), strains (16.9%, n = 538), and fractures (14.4%, n = 458). Common severe injury mechanisms were player contact (39.3%, n = 1251), noncontact (25.1%, n = 800), and surface contact (12.0%, n = 383). CONCLUSIONS: Severe injuries occurred across many sports and by numerous mechanisms. By identifying these sport-specific patterns, clinicians' efforts can be tailored toward improving injury-prevention strategies and health outcomes. [Mh] Termos MeSH primário: Traumatismos em Atletas/epidemiologia [Mh] Termos MeSH secundário: Feminino Futebol Americano/lesões Ginástica/lesões Seres Humanos Incidência Masculino Estados Unidos/epidemiologia Universidades Luta Olímpica/lesões [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1705 [Cu] Atualização por classe: 170529 [Lr] Data última revisão: 170529 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170125 [St] Status: MEDLINE [do] DOI: 10.4085/1062-6050-52.1.01

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[PMID]: 27923937 [Au] Autor: Spielmanns M; Boeselt T; Gloeckl R; Klutsch A; Fischer H; Polanski H; Nell C; Storre JH; Windisch W; Koczulla AR [Ad] Endereço: Medical Clinic and Pulmonary Rehabilitation in Leverkusen (April), Remigius Hospital, Leverkusen Opladen, Germany. spielmanns@k-plus.de. [Ti] Título: Low-Volume Whole-Body Vibration Training Improves Exercise Capacity in Subjects With Mild to Severe COPD. [So] Source: Respir Care;62(3):315-323, 2017 Mar. [Is] ISSN: 1943-3654 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: The objective of this study was to investigate the benefits of a low-volume out-patient whole-body vibration training (WBVT) program on exercise capacity in comparison with a calisthenics training program in subjects with COPD. METHODS: In this single-center randomized controlled trial, 29 subjects with mild to severe COPD were randomized to WBVT or to calisthenics training, including relaxation and breathing retraining in combination with calisthenics exercises. Both groups equally exercised for a duration of 3 months with 2 sessions of 30 min/week. Outcome parameters were 6-min walk distance (6MWD, primary outcome), 5-repetition sit-to-stand test, leg press peak force, Berg balance scale, St George Respiratory Questionnaire, and COPD assessment test. RESULTS: Twenty-seven subjects completed the study (WBVT, = 14; calisthenics training program, = 13). Baseline characteristics between groups were comparable. Subjects in the WBVT group significantly improved median (interquartile range) 6MWD (+105 [45.5-133.5] m, = .001), sit-to-stand test (-2.3 [-3.1 to -1.3] s, = .001), peak force (28.7 [16.7-33.3] kg, = .001), and Berg balance scale (1.5 [0.0-4.0] points, = .055). Changes in 6MWD, sit-to-stand test, and leg press peak force were also found to be significantly different between groups in favor of the WBVT group. Only the between-group difference of the COPD assessment test score was in favor of the calisthenics training group ( = .02). CONCLUSIONS: A low-volume WBVT program resulted in significantly and clinically relevant larger improvements in exercise capacity compared with calisthenics exercises in subjects with mild to severe COPD. (ClinicalTrials.gov registration DRKS9706.). [Mh] Termos MeSH primário: Terapia por Exercício/métodos Tolerância ao Exercício Ginástica/fisiologia Doença Pulmonar Obstrutiva Crônica/terapia Vibração/uso terapêutico [Mh] Termos MeSH secundário: Idoso Teste de Esforço Feminino Seres Humanos Masculino Doença Pulmonar Obstrutiva Crônica/fisiopatologia Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171011 [Lr] Data última revisão: 171011 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161208 [St] Status: MEDLINE [do] DOI: 10.4187/respcare.05154

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