The shoulder is susceptible to disturbances caused by microtraumas due to direct contact of the surrounding skeletal structures or failure of the soft parts of the rotator cuff and other muscles inserted into the glenohumeral joint. The purpose of the study was to compare the electromyographic signal in the stabilizing muscles of the shoulder during the diagonal elevation exercise as recommended by the proprioceptive neuromuscular facilitation (PNF) method and dumbbell exercise. This study is classified as Quase-experiment. Subjects were instructed to perform diagonal standard exercises and the electromyographic signal was detected from pectoralis muscles, middle and upper trapezius of dominant limb in each subject. We observed greater muscular recruitment when the PNF method was adopted in comparison with the dumbbell workouts for the trapezius upper and middle fiber muscles and for the major pectoralis (267,30 μv/181,02 μv; 235,76 μv/;164,47 μv; 299,87 μv/148,69 μv; P<0.001). The PNF method promotes a greater recruitment of the shoulder dynamic stabilizing muscles during diagonal elevation exercises. Being so, such kinesiotherapeutic technique may be effectively used in the prevention, treatment and rehabilitation of shoulder disorders.

[Purpose] The purpose is to analyze the effects of Constraint-induced Movement Therapy in post stroke patients in chronic course. [Subjects and Methods] This is a Quasi-experiment study and the adopted protocol consisted of a three-hour therapy for ten consecutive working days applied to a constraint intact upper limb. Surface Electromyography, Motor Activity Log, Wolf Motor Function Test and Functional Independence Measure were used for evaluating the experiment. [Results] The individuals showed reduction in the degree of spasticity, confirmed by Surface Electromyography. In relation to Motor Activity Log this study showed an increase in amount and in quality of the paretic upper limb movement. The Wolf Motor Function Test showed reduction in the average time to perform the tasks and a functional improvement was identified through the Functional Independence Measure. [Conclusion] Constraint Induced Movement Therapy proved to be a relevant method to improve motor function in chronic hemiparesis post stroke reducing the spasticity, maximizing and improving the use of committed upper limb.

RESUMOIntrodução: São vários os fatores relacionados com a ocorrência da Incontinência Urinária (IU), entre eles doenças prevalentes na população, como o Acidente Vascular Encefálico (AVE). Objetivo: Verificar o perfil dos pacientes acometidos pela IU pós-AVE atendidos em um centro de reabilitação de alta complexidade no interior do Rio Grande do Sul. Métodos: Trata-se de um estudo transversal, no qual foram incluídos pacientes de ambos os sexos que apresentaram IU pós-AVE e excluídos aqueles que apresentavam IU devido a outras patologias associadas ao Sistema Nervoso Central (SNC) ou sistema nervoso periférico. As principais variáveis analisadas foram sexo, idade, tipo de AVE, antecedentes patológicos, presença de IU pré e pós-AVE, Índice de Massa Corporal (IMC), além da utilização do Índice de Barthel e do International Consultation on Incontinence Questionnaire -Short Form (ICIQ-SF). Resultados: Amostra composta por 21 indivíduos, com idade média de 56 ± 12,44 anos. Todos eram continentes antes do AVE e a maioria evoluiu para a incontinência. A predominância do tipo de AVE foi de etiologia isquêmica, houve um maior grau de dependentes leves na realização das atividades da vida diária, já conforme o ICIQ-SF a perda de urina causa um impacto tido como severo. Conclusão: Concluímos que houve uma ligeira predominância de mulheres que sofreram AVE e se que tornaram incontinentes, apresentando nível de dependência leve, embora o impacto que a perda urinária gera foi considerado severo, interferindo na qualidade de vida.Palavras-chave: Incontinência urinária. Acidente vascular encefálico. Perfil.