OBJECTIVE To compare skin folds in the dominant and nondominant halves of the body in a group (A) of 20 individuals with cerebral palsy and spastic hemiplegia and a group (B) of 30 normal volunteers. METHOD Body mass, height and skin folds were measured, and the percentage of body fat was estimated by adipose tissue measurement and densitometry. The mean age in group (A) was 24.6 ± 5.6 years (ranging from 16.1 to 38.1 years). The mean age in group (B) was 25.3 ± 3.8 years (ranging from 19.0 to 34.11 years). RESULTS Statistically significant differences were observed between the dominant and nondominant halves of the body for biceps, triceps, thoracic, suprailiac, thigh and midcalf skin folds in group A; the biceps, subscapular, midaxillary, suprailiac, abdominal, thigh and midcalf skin folds in group B; and the percentage fat obtained by adipose tissue measurement in both groups. Statistically significant differences were observed for the triceps skin fold when the dominant halves of the body in groups A and B were compared. Statistically significant differences were also observed for the biceps, triceps, thigh and midcalf skin folds as well as the adipose tissue measurements between the dominant and nondominant halves of the body in the two groups. The percentage fat as estimated by densitometry was significantly correlated with the adipose tissue measurement. CONCLUSION There were statistically significant differences between the skin folds in the dominant and nondominant halves of the body, both in group A and in group B (greater in group A). There was a statistically significant correlation in the percentage fat as estimated by densitometry and as measured by adipose tissue in groups A and B.
Introduction:A fracture is a traumatic bone injury that can occur from a variety of causes. Although the repercussions of fractures on the musculoskeletal system are documented, studies with more comprehensive outcomes and later stages of injury are still scarce. Objective: To evaluate the structural and physicalfunctional adaptations in individuals who suffered unilateral lower limb fractures treated surgically. Methods: Thirty-two patients of both genders, aged between 18 and 59 years, with a diagnosis of unilateral *MAFOfracture of the lower limb and hospital discharge of at least one year, participated in the study. The affected lower limb was compared to the healthy lower limb of all participants using the outcome measures: vastus lateral muscle thickness (ultrasonography), knee extension and flexion strength (isokinetic dynamometer), ankle dorsiflexion range of motion of the distance from the foot to the wall) and functional fitness of the lower limb (single and triple horizontal jump test). Results: Statistically significant differences were found between the limbs affected and not affected in the measurements of muscle thickness (p = 0.0001), knee extension force (p = 0.0094), dorsiflexion amplitude (p = 0.0004) and functional performance (p = 0.0094, single jump and = 0.0114, triple jump). In all significant outcomes, the values of the affected limb were smaller than that of the non-affected limb. The peak torque of the knee flexor muscles did not show a statistically significant difference between limbs (p = 0.0624). Conclusion: Individuals who have undergone a surgically treated unilateral fracture of the lower limb present important structural and physical-functional late changes in relation to the non-affected limb.Introdução: Fratura é uma lesão traumática sofrida pelo osso que pode ocorrer por causas diversas. Embora as repercussões das fraturas sobre o sistema musculoesquelético sejam documentadas, estudos com medidas desfecho mais abrangentes e em fases mais tardias da lesão ainda são escassos. Objetivo: Avaliar as adaptações estruturais e físico-funcionais em indivíduos que sofreram fratura unilateral de membro inferior tratadas cirurgicamente. Métodos: Participaram do estudo 32 pacientes de ambos os sexos, com idade entre 18 e 59 anos, com diagnóstico de fratura unilateral de membro inferior e alta hospitalar de no mínimo 1 ano. O membro inferior acometido foi comparado ao membro inferior saudável de todos os participantes utilizando as medidas de desfecho: espessura muscular do vasto lateral (ultrassonografia), força de extensão e flexão do joelho (dinamômetro isocinético), amplitude de movimento de dorsiflexão do tornozelo (teste da distância do pé à parede) e aptidão funcional do membro inferior (teste de salto horizontal simples e triplo). Resultados: Foram encontradas diferenças estatisticamente significativas entre os membros acometidos e não acometidos nas medidas de espessura muscular (p = 0,0001), força de extensão do joelho (p = 0,0094), amplitude de dorsiflexão (p = 0,0004) e desempe...
Background: The excessive motion of subtalar pronation of the foot, can cause stress and burden in tissues of the region, giving origin to aches and microtrauma. In clinical practice, excessive movement has been limited to the use of techniques of bandages applied to the plantar arch. Objective: Was to analyze the influence of rigid bandage in plantar pressure distribution corridors pronators. Method: This is a randomized clinical trial, blinded, with twenty runners pronators (33±7 y, 71±7 kg, 174±6 cm). Technique was applied bandage (rigid - BR) to support the plantar arch, described as antipronation. Plantar pressure data were collected using the F -scan system in three tests run at 9 km/h being: no bandages, rigid taping. We considered seven areas of pressure for data analysis, performed by means of ANOVA for repeated measures followed by paired t test. Results: BR resulted in significant reductions (p<0.05) in contact pressures and peak pressure rearfoot. Conclusion: Thus, we conclude that BR provided decrease in contact pressures and peak pressure foot, being significant on the hindfoot than in the midfoot.
Introduction: A decrease in postural control and proprioception is a common result of lower limb amputation. However, postural control adaptation in Paralympic sitting volleyball players with lower limb amputation is not yet understood. Objective: The purpose of this cross-sectional controlled study was to investigate static and dynamic postural control in sitting volleyball players with unilateral transfemoral amputation. Methods: Sixteen subjects participated in the study, eight of whom were amputees with unilateral transfemoral amputation (amputee group: age: 33.5 ± 5.6 years, weight: 77.7 ± 5.3 kg, height: 179.4 ± 5.3 cm) and eight physically active non-amputees (control group age: 27.2 ± 8.4 years, weight: 82.7 ± 6.6 kg, height: 178.7 ± 6.1 cm). Static and dynamic postural control was evaluated using the Neurocom® Balance Master System platform (Modified Clinical Test of Sensory Interaction on Balance, Limits of Stability, Rhythmic Weight Shift, Sit-to-Stand, Walk Across, and Step and Quick Turn). Statistical analyses were performed with the Shapiro-Wilk test, Levene's test, and Student's t-test for paired samples (p <0.05). Results: The amputee group demonstrated impaired postural control in all tests when compared to the control group (p <.05) for all postural tests except for the rhythmic change and sit-to-stand tests (p >.05). Conclusion: Despite training in sitting volleyball, our results demonstrated that amputees have poorer postural control in both static and dynamic tasks when compared to physically active non-amputees. Level of Evidence II; Prognostic Studies—Investigating the Effect of a Patient Characteristic on Disease Outcome / Retrospectivef Study.
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