A lesão medular (LM) repercute altamente no nível de incapacidade física. Pessoas com LM que utilizam dispositivo auxiliar de mobilidade tendem a desenvolver maior independência funcional. O objetivo foi avaliar a correlação entre  independência funcional em atividades de vida diária e a satisfação com o uso de tecnologia assistiva (cadeira de  rodas) em pessoas com lesão medular. Trata-se de um estudo transversal analítico com abordagem quantitativa. A amostra foi de 146 participantes com lesão medular traumática com paraplegia e tetraplegia. Para coleta de dados foram utilizados um questionário sociodemográfico, e as escalas Spinal Cord Independence Measure-Self Reported Version (brSCIM-SR) e o Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST.2.0) que permitiram a investigação. A média de idade foi 37,8 anos, com maioria do sexo masculino (82,9%), solteiros (52,7%), escolaridade média (53,4%), acidente de trânsito (50%), arma de fogo (22,6%). Houve predomínio de lesão completa (58,9%) e paraplegia(65,1%). Na brSCIM-SR a média geral foi de 55,3 (±15,8) no domínio do autocuidado de 14,6 (±5,3), respiração/esfíncter 26,4 (±7,4) e mobilidade de 14,3 (±5,5). Na satisfação com a tecnologia assistiva a pontuação total do QUEST 2.0 foi de 3,64 (±0,77),  satisfação com o recurso 3,86 (±0,74) e a prestação de serviços 3,64(±0,77). Identificou-se bom desempenho na média da independência funcional. Além disso, altos níveis de satisfação com a tecnologia assistiva, de forma específica mais com o recurso do que com a prestação de serviços. Não foi encontrada correlação entre a independência funcional e a satisfação do uso de cadeira de rodas.

Objective: To compare the interobserver reliability of measurements of psoas morphology and lumbar lordosis in different positions and to standardize the performance of magnetic resonance imaging in the prone and lateral positions. Methods: This is a cross-sectional study carried out with asymptomatic volunteers of both sexes, aged over 18 years, with no known pathological changes in the lumbar region. Magnetic resonance imaging of the lumbar spine was performed in the supine, right lateral decubitus and prone positions, obtaining images in T2-weighted sequences in the sagittal and axial planes. The distances were measured from the psoas to the vertebral plateau and from the psoas to the lumbar plexus. The exams were assessed by two independent, blinded orthopedists. Results: There was excellent agreement between the measurements of vertebral size (ICC=0.92), low agreement for plexus distance (ICC=0.63) and high agreement for the anterior margin (ICC=0.84). Conclusion: There was good reproducibility of 2 of the 3 measures proposed, suggesting that the technique in the lateral and prone positions is capable of generating quality images. Level of Evidence 3B; Prospective.

The aging process causes changes in the physical and functional conditions, as well as in the foot structure and function. This study aimed to analyze the plantar pressure variation with respect to visual information and physical activity in adult and older women. This was a cross-sectional study that included 142 women (mean age of 67.8 years). Participants responded the anamnesis questionnaire, Mini Mental State Examination, and International Physical Activity Questionnaire. Plantar pressure was assessed using computerized baropodometry. Weight distribution was observed in semitandem positions for the right foot forward and then the left foot forward . Data analysis showed that foot type had no correlation with age (p = 0.37 right foot; p = 0.93 left foot) or level of physical activity (p = 0.28 right foot; p = 0.96 left foot). Moreover, plantar pressure variation showed no significant relationship with age (R2 = 0.2; p = 0.6). In conclusion, plantar pressure variation is not associated with the morphological foot type in women analyzed, as the visual condition did not generate plantar pressure variations when compared to its effect on the classification of plantar arches. Furthermore, level of physical activity was not associated with plantar pressure variation .

Objective: To evaluate the importance of radiography in the orthostatic position in the initial assessment of patients with thoracolumbar transition fractures and whether this image changes the surgical indication. Methods: Medical records and imaging tests of patients treated for thoracolumbar transition fractures from June 2018 to June 2019 were evaluated. Trauma patients between 18 and 60 years of age with fractures of T10 to L3 who had been indicated for conservative treatment were included. Cases of fractures considered unstable were excluded. Radiographs were taken with the patient in the supine position (supine X-ray), computed tomography (CT), and orthostatic radiography (orthostatic X-ray). Segmental kyphosis and degree of wedging were evaluated. The measurements were compared using the Wilcoxon test. The McNemar test was used to assess changes in conduct according to the criteria for surgical indication (kyphosis ≥ 25 ° and wedging ≥ 50%). Results: Fifty patients were evaluated, nine of whom (18%) were indicated for a change of conduct according to the orthostatic examinations and were submitted to surgical treatment. Vertebral kyphosis increased by 40.6% (p <0.001). The wedging increased by 25.62% (p <0.0001). Conclusion: Eighteen percent of the total number of patients who did not present instability criteria in radiographs in the supine position satisfied at least one of these criteria when the orthostatic X-ray was performed. Level of evidence 3B; Retrospective case series study.

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