INTRODUCTION: Although baropodometric analysis has been published since the 1990s, only now it is found a considerable number of studies showing different uses in the rehabilitation. OBJECTIVE: To amplify the use of this technology, this research aimed to analyze baropodometric records during upright position of subjects with hemiparesis, describing a way to define weight-bearing profiles in this population. METHOD: 20 healthy subjects were matched by gender and age with 12 subjects with chronic spastic hemiparesis. This control group was formed to establish the limits of symmetry during weight-bearing distribution in the hemiparesis group. Next, hemiparesis group was submitted to procedures to measure baropodometric records used to provide variables related to the weight-bearing distribution, the arch index and the displacements in the center of pressure (CoP). Data were used to compare differences among kinds of weight-bearing distribution (symmetric, asymmetric toward non-paretic or paretic foot) and coordination system for CoP displacements. RESULTS: Hemiparesis group was compounded by eight symmetrics, eight asymmetrics toward non-paretic foot and four asymmetric toward paretic foot. Significant differences in the weight-bearing distributions between non-predominantly and predominantly used foot did not promote differences in the other baropodometric records (peak and mean of pressure, and support area). Mainly in the asymmetry toward non-paretic foot it was observed significant modifications of the baropodometric records. CONCLUSION: Baropodometric technology can be used to analyze weight-bearing distribution during upright position of subjects with hemiparesis, detecting different kinds of weight-bearing profiles useful to therapeutic programs and researches involving subjects with this disability.
Introduction Musculoskeletal symptoms affect several professional categories, including cashiers, who make repetitive movements. Irregular ergonomic aspects referring to poor postures cause physical and mental debilitation, leading to work-related musculoskeletal disorders. Objectives To correlate musculoskeletal disorders with an ergonomic analysis of the workstation used by cashiers. Methods A cross-sectional study was conducted for evaluation of female cashiers working at a supermarket chain in the city of Goiânia, state of Goiás, Brazil. The Nordic Musculoskeletal Questionnaire (NMQ), Portuguese version, was used. To assess the ergonomic position of cashiers, the Rapid Upper Limb Assessment (RULA) tool was administered. Results A high prevalence of musculoskeletal pain was demonstrated in the neck, shoulders, wrists/hands, and lower and upper back in cashiers. A final RULA score of 6 was obtained, equivalent to action level 3, which indicates that a more detailed investigation and short-term changes are needed. In the RULA assessment, there was a significant correlation between legs and lower back; in the NMQ assessment, there were correlations between trunk and shoulder and between neck and elbow, among other correlations that contribute to the emergence of work-related musculoskeletal disorders. Conclusions Musculoskeletal complaints correlated with an ergonomic risk of the workstation. Thus, interventions such as workplace kinesiotherapy and urgent changes in the workstation are needed to comply with the requirements of the Brazilian Regulatory Standard No. 17 and improve the workplace for cashiers.
Atividade simpática, parassimpática e metabólica influenciada pelo comportamento da distribuição do suporte de peso em pé adquirido na condição de hemiparesia crônica Brasília -DF, 2015 GABRIELLY CRAVEIRO RAMOS Atividade simpática, parassimpática e metabólica influenciada pelo comportamento da distribuição do suporte de peso em pé adquirido na condição de hemiparesia crônica AGRADECIMENTOSA Deus, maravilhoso, que na sua perfeição foi abrindo portas e desenrolando os problemas encontrados na confecção desta pesquisa.Aos voluntários, seres pacientes e fantásticos, por estarem sempre disponíveis para a pesquisa.As Instituições e seus responsáveis, onde este trabalho foi realizado. Ao Fernando Veras, Divaina e Husys. (n=7), assimétricos com sobrecarga no hemicorpo não predominantemente usado (HNPU, n=7) e assimétricos com sobrecarga no hemicorpo predominantemente usado (HPU, n=5). Os controles foram aleatoriamente separados para compor o subgrupo referência (n=7). Para caracterizar a resposta da atividade simpática e parassimpática sobre a VFC foram realizados cálculos das funções derivadas da VFC no domínio do tempo e de frequência nas posturas supino, sentado e em pé, com duração de 5 minutos em cada postura e com intervalo de 2 minutos de repouso entre elas. Por fim, extraiu-se de amostras de sangue colhidas por sujeito o nível de nitrato sérico. Resultados: Os testes estatísticos não detectaram correlação significativa do RMSSD (parassimpático) com idade e valores de RS; embora o RMSSD do subgrupo simétrico tenha apresentado uma tendência ao aumento na postura em pé (0,05
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