Angélica Lodovico

Wheelchair Rugby Improves Pulmonary Function in People With Tetraplegia After 1 Year of Training

Abstract Moreno, MA, Paris, JV, Sarro, KJ, Lodovico, A, Silvatti, AP, and Barros, RML. Wheelchair rugby improves pulmonary function in people with tetraplegia after 1 year of training. J Strength Cond Res 27(1): 50–56, 2013—This study investigated the effects of 1 year of regular wheelchair rugby training on the pulmonary function of subjects with tetraplegia. A total of 15 male subjects with tetraplegia participated in this study and were divided into an experimental group of rugby players (n = 8) and a control group (n = 7) of sedentary tetraplegic subjects. Both groups underwent spirometry, and the experimental group was tested before and after participating of a regular 1-year program of wheelchair rugby training. At the beginning of the training program, all the subjects presented reduced pulmonary function compared with predicted values (p < 0.05) for healthy subjects. There were a significant increase in forced vital capacity (FVC), forced expired volume after 1 second (FEV1), and maximal voluntary ventilation (MVV, p < 0.05) values after 1 year of regular wheelchair rugby training. The regression analysis between total training time and spirometric variables FVC (r2 = 0.97, p < 0.0001) and MVV (r2 = 0.58, p = 0.02) revealed that the players with longer training time had higher pulmonary function values. This study showed that regular wheelchair rugby training can improve the pulmonary function of subjects with spinal cord injuries.

A novel video-based method using projected light to measure trunk volumes during respiration

This paper proposes and evaluates an innovative video-based method for measuring the trunk volume during respiration, using projected light and surface reconstruction. The method consists of the following main steps: (a) to project a grid of circular light markers on the anterior and posterior human body trunk surface during breathing, (b) to register the subjects trunk surface using two pairs of pre-calibrated digital video cameras, (c) to segment the video stream and track the projected markers using pre-processing techniques, morphological operators and detection algorithms, (d) to label the corresponding markers in the video sequences registered by each pair of stereo cameras, (e) to reconstruct the 3-D coordinates of all markers, (f) to reconstruct the surfaces from the unordered cloud of points using the Power Crust method and (g) to calculate the trunk volume in function of time using the divergence theorem. The evaluation of the method was based on two experiments. (1) Comparison of the volume of a trunk model (mannequin) by immersion and using the proposed optical method. (2) Analysis of the applicability of the method for measuring a subject’s trunk volume during a vital capacity respiratory manoeuvre. The results showed that the method was able to automatically measure more than 2000 projected points per image and to provide a very detailed representation of the subjects trunk. The relative accuracy of the volume measurement was estimated to be better than 3%. The analysis of the experiments revealed that signals coherent with the respiratory cycles could be identified through this method. In conclusion, the method based on light projection and surface reconstruction provides an accurate, non-invasive and useful means to calculate human trunk volumes during breathing.

VARIABILIDADE E CONFIABILIDADE DOS PARÂMETROS CINEMÁTICOS DA MARCHA DE IDOSOS APÓS UM TROPEÇO CONTROLADO: ESTUDO PRELIMINAR

Approximately 21% of the falls in older adults occur due to tripping, while walking. There is a paucity of information regarding the gait variability and reliability when a tripping is induced in different days mainly with elderly. It was aimed to analyze the variability and the reliability (intra- and inter-day) of spatiotemporal gait parameters and joint angles after controlled tripping in older adults. Eight healthy older women participated. The trip was induced during the early-mid swing phase on the transposing segment and the kinematic data was obtained from trials. The variability and reliability of spatiotemporal gait parameters and joint angles during the gait cycle were checked through the coefficient of variation (CV), the intraclass coefficient correlation (ICC) and the standard error of measurement (SEM). The variability of spatiotemporal and intra- and inter-day angular parameters was low for most variables, except for plantar flexion. The SEM was low for all parameters. Intra-day reliability was moderate to high for the spatiotemporal and angular parameters. Inter-day reliability was considered low to moderate for all parameters. The variables did not differ between instants and days. Experimental procedures demonstrate that the walking pattern did not change, but should be considered with caution in studies that include intervention, particularly for angular parameters during gait.Approximately 21% of the falls in older adults occur due to tripping, while walking. There is a paucity of information regarding the gait variability and reliability when a tripping is induced in different days mainly with elderly. It was aimed to analyze the variability and the reliability (intraand inter-day) of spatiotemporal gait parameters and joint angles after controlled tripping in older adults. Eight healthy older women participated. The trip was induced during the early-mid swing phase on the transposing segment and the kinematic data was obtained from trials. The variability and reliability of spatiotemporal gait parameters and joint angles during the gait cycle were checked through the coefficient of variation (CV), the intraclass coefficient correlation (ICC) and the standard error of measurement (SEM). The variability of spatiotemporal and intraand inter-day angular parameters was low for most variables, except for plantar flexion. The SEM was low for all parameters. Intra-day reliability was moderate to high for the spatiotemporal and angular parameters. Inter-day reliability was considered low to moderate for all parameters. The variables did not differ between instants and days. Experimental procedures demonstrate that the walking pattern did not change, but should be considered with caution in studies that include intervention, particularly for angular parameters during gait.

The Effects of a Dance-Based Program on the Postural Control in Older Women

This study investigated the effect of an 8-week dance-based program on the postural control and functional capacity in older women. Thirty women were assigned onto 2 groups: ballroom dancing (DG: n = 15; 69.1 ± 6.6 years) and control group (CG: n = 15; 71.5 ± 7.5 years). The DG improved functional performance (6-minute walk, the Tinetti test, and the Time Up and Go tests), static balance (center of pressure path length, mean sway velocity, median frequency sway area), and dynamic balance (step test) (P < .05), whereas the CG remained unaltered. Dance-based programs are attractive to produce balance and functional performance gains in older adults.

Torque and Muscle Activation Impairment Along With Insulin Resistance Are Associated With Falls in Women With Fibromyalgia.

Abstract Góes, SM, Stefanello, JMF, Homann, D, Lodovico, A, Hubley-Kozey, CL, and Rodacki, ALF. Torque and muscle activation impairment along with insulin resistance are associated with falls in women with fibromyalgia. J Strength Cond Res 30(11): 3155–3164, 2016—Fibromyalgia (FM) is a chronic pain condition associated with reduced muscle strength, which can lead to functional incapacity and higher risk of falls. The purpose of the study was to compare maximal ankle joint torque, muscle activation, and metabolic changes between women with and without FM. In addition, the relationship between those aspects and retrospectively reported falls in women with FM was determined. Twenty-nine middle-aged women with FM and 30 controls were recruited. Fall history, pain intensity, and pain threshold were assessed. Plasma glucose levels and insulin resistance (IR) were determined. Peak torque and rate of torque development (RTD) were calculated, and muscle activation was assessed from maximum isometric voluntary ankle dorsiflexion and plantar flexion contractions. In addition, voluntary muscle activation failure of the anterior tibialis muscle during maximal dorsiflexion was calculated. When compared to controls, women with FM reported higher number of retrospectively reported falls, exhibited higher IR, showed reduced plantar flexion and dorsiflexion RTD, had lower plantar flexion peak torque, and demonstrated more antagonist coactivation and higher muscle activation failure (p ⩽ 0.05). Higher muscle activation failure was explained by glucose level and pain intensity (adj R 2 = 0.28; p ⩽ 0.05). Reduced plantar flexion and dorsiflexion peak torque explained 80% of retrospectively reported falls variance; also, high antagonist coactivation (odds ratio [OR] = 1.6; p ⩽ 0.05) and high IR (OR = 1.8; p ⩽ 0.05) increased the chance of falls in the FM group. A combination of metabolic factors and muscle function increased the odds of retrospectively reporting a fall in FM. Both aspects may be considered in interventions designed for reducing falls in this population.