Geisa Guimarães de Alencar

Efeito do pilates sobre a flexibilidade do tronco e as medidas ultrassonográficas dos músculos abdominais

Introduction: Pilates is a method of physical and mental training that works on flexibility and muscle strength. This method prioritizes strengthening the set of muscles responsible for trunk control, called Powerhouse, and thereby increase the trophysm of the abdominal muscles (rectus abdominis, internal and external oblique, transversus abdominis), gluteus, perineal and lumbar paraspinal muscles. Objective: to evaluate the effect of the Pilates method on the trophysm of abdominal and trunk flexibility compared to the application of a traditional technique to strengthen the abdominal muscles and static stretching in healthy women. Methods: thirteen healthy sedentary women, aged between 18 and 25 years underwent 10 sessions of Pilates (Pilates group, n=6) and 10 sessions of traditional stretching and strengthening (control group, n=7). Before and after the intervention, the trophysm of the abdominal muscles of the volunteers was assessed using ultrasound, and trunk flexibility was evaluated through the fleximeter. Results: after the intervention, there was a significant increase in ultrasound measures of the rectus abdominis muscle, the range of the rotation to right and left, and tilt of the spine to the left in the Pilates group. In the control group, improvement was observed only in the rotation to the left. Conclusion: the number of sessions may have been insufficient for the increase in the trophysm of all muscles tested and the flexibility of the trunk to occur. It is important to invest in research on Pilates, especially with the use of more accurate imaging methods.INTRODUCAO: a Pilates consiste em um metodo de treinamento fisico e mental que trabalha a flexibilidade e a forca muscular. Esse metodo prioriza fortalecer o conjunto de musculos responsavel pelo controle de tronco, chamado de Powerhouse e, consequentemente, aumentar o trofismo dos musculos abdominais reto do abdome, obliquo interno e externo, transverso do abdome, gluteos, musculos do perineo e paravertebrais lombares.OBJETIVO: avaliar o efeito do metodo Pilates sobre o trofismo do grupamento abdominal e na flexibilidade do tronco, comparado a aplicacao de uma tecnica tradicional de fortalecimento dos musculos abdominais e alongamentos estaticos em mulheres saudaveis.METODOS: treze mulheres sedentarias e saudaveis na faixa etaria entre 18 e 25 anos foram submetidas a 10 sessoes de Pilates grupo Pilates, n = 6 e 10 sessoes de alongamento e fortalecimento tradicionais grupo controle, n = 7. Antes e apos as intervencoes, o trofismo da musculatura abdominal das voluntarias foi avaliado atraves do ultrassom e a flexibilidade do tronco atraves do fleximetro.RESULTADOS: no grupo Pilates, apos a intervencao, houve um aumento significativo das medidas ultrassonograficas do reto do abdome, da amplitude da rotacao para direita e esquerda e da inclinacao da coluna vertebral para a esquerda. No grupo controle, observou-se melhora apenas na rotacao para a esquerda.CONCLUSAO: o numero de sessoes pode ter sido insuficiente para que ocorresse aumento do trofismo de todos os musculos avaliados e da flexibilidade do tronco. E importante investir em pesquisas sobre Pilates, especialmente com a utilizacao de metodos de imagem mais acurados.ABSTRACT Introduction: Pilates is a method of physical and mental training that works on flexibility and muscle streng-th. This method prioritizes strengthening the set of muscles responsible for trunk control, called Powerhouse, and thereby increase the trophysm of the abdominal muscles (rectus abdominis, internal and external oblique, trans-versus abdominis), gluteus, perineal and lumbar paraspinal muscles. Objective: to evaluate the effect of the Pilates method on the trophysm of abdominal and trunk flexibility compared to the application of a traditional technique to strengthen the abdominal muscles and static stretching in healthy women. Methods: thirteen healthy sedentary women, aged between 18 and 25 years underwent 10 sessions of Pilates (Pilates group, n=6) and 10 sessions of traditional stretching and strengthening (control group, n=7). Before and after the intervention, the trophysm of the abdominal muscles of the volunteers was assessed using ultrasound, and trunk flexibility was evaluated through the fleximeter. Results: after the intervention, there was a significant increase in ultrasound measures of the rectus abdominis muscle, the range of the rotation to right and left, and tilt of the spine to the left in the Pilates group. In the control group, improvement was observed only in the rotation to the left. Conclusion: the number of sessions may have been insufficient for the increase in the trophysm of all muscles tested and the flexibility of the trunk to occur. It is important to invest in research on Pilates, especially with the use of more accurate imaging methods.Keywords: physical therapy, ultrasonics, abdomen, exercise movement techniques.

Concordance and Reliability of Photogrammetric Protocols for Measuring the Cervical Lordosis Angle: A Systematic Review of the Literature

OBJECTIVE The aim of this study was to examine and interpret the concordance, accuracy, and reliability of photogrammetric protocols available in the literature for evaluating cervical lordosis in an adult population aged 18 to 59 years. METHODS A systematic search of 6 electronic databases (MEDLINE via PubMed, LILACS, CINAHL, Scopus, ScienceDirect, and Web of Science) located studies that assessed the reliability and/or concordance and/or accuracy of photogrammetric protocols for evaluating cervical lordosis, compared with radiography. Articles published through April 2016 were selected. Two independent reviewers used a critical appraisal tool (QUADAS and QAREL) to assess the quality of the selected studies. RESULTS Two studies were included in the review and had high levels of reliability (intraclass correlation coefficient: 0.974-0.98). Only 1 study assessed the concordance between the methods, which was calculated using Pearsons correlation coefficient. To date, the accuracy of photogrammetry has not been investigated thoroughly. CONCLUSION We encountered no study in the literature that investigated the accuracy of photogrammetry in diagnosing hyperlordosis of cervical spine. However, both current studies report high levels of intra- and interrater reliability. To increase the level of evidence of photogrammetry in the evaluation of cervical lordosis, it is necessary to conduct further studies using a larger sample to increase the external validity of the findings.

Effect of low frequency transcutaneous electrical nerve stimulation of TE5 (waiguan) and PC6 (neiguan) acupoints on cold-induced pain

[Purpose] This study assesse the effect of low frequency transcutaneous electrical nerve stimulation (TENS) of theTE5 (waiguan) and PC6 (neiguan) acupoints on cold-induced pain. [Subjects and Methods] Forty-eight subjects were divided by convenience into three groups: TENS with electrodes of 1 cm2 area, TENS with electrodes of area 15 cm2 and a placebo group. The study consisted of three phases: cold-induced pain without electroanalgesia, cold-induced pain with electroanalgesia or placebo, and cold-induced pain post-electroanalgesia or placebo. [Results] Acupuncture like TENS increased the pain threshold latency during treatment (45.7 ± 11.7s) compared to pre-treatment (30.9 ± 8.9s) in the TENS group with 1 cm2 electrodes. In the TENS group with 15 cm2 electrodes, the pain threshold latency increased at post-treatment (36.2 ± 12.9s) compared to pre-treatment (25.5 ± 7.4s). The placebo group showed no significant changes. The group with 1 cm2 electrodes showed a significantly higher pain threshold latency (45.7 ± 11.7s) than the other two groups. At post-treatment, the pain threshold latencies of both the 1 cm2 (39.4 ± 11.5s) and 15 cm2 (36.2 ± 12.9s) TENS group were higher than that of the placebo group (22.4 ± 7.4s). [Conclusion] Acupuncture like TENS applied to PC6 and TE5 acupoints increased the pain threshold latency. The pain intensity was reduced by TENS with an electrode area of 1 cm2.

Effect of pilates on trunk flexibility and ultrasound measures of abdominal muscles

Introduction: Pilates is a method of physical and mental training that works on flexibility and muscle strength. This method prioritizes strengthening the set of muscles responsible for trunk control, called Powerhouse, and thereby increase the trophysm of the abdominal muscles (rectus abdominis, internal and external oblique, transversus abdominis), gluteus, perineal and lumbar paraspinal muscles. Objective: to evaluate the effect of the Pilates method on the trophysm of abdominal and trunk flexibility compared to the application of a traditional technique to strengthen the abdominal muscles and static stretching in healthy women. Methods: thirteen healthy sedentary women, aged between 18 and 25 years underwent 10 sessions of Pilates (Pilates group, n=6) and 10 sessions of traditional stretching and strengthening (control group, n=7). Before and after the intervention, the trophysm of the abdominal muscles of the volunteers was assessed using ultrasound, and trunk flexibility was evaluated through the fleximeter. Results: after the intervention, there was a significant increase in ultrasound measures of the rectus abdominis muscle, the range of the rotation to right and left, and tilt of the spine to the left in the Pilates group. In the control group, improvement was observed only in the rotation to the left. Conclusion: the number of sessions may have been insufficient for the increase in the trophysm of all muscles tested and the flexibility of the trunk to occur. It is important to invest in research on Pilates, especially with the use of more accurate imaging methods.INTRODUCAO: a Pilates consiste em um metodo de treinamento fisico e mental que trabalha a flexibilidade e a forca muscular. Esse metodo prioriza fortalecer o conjunto de musculos responsavel pelo controle de tronco, chamado de Powerhouse e, consequentemente, aumentar o trofismo dos musculos abdominais reto do abdome, obliquo interno e externo, transverso do abdome, gluteos, musculos do perineo e paravertebrais lombares.OBJETIVO: avaliar o efeito do metodo Pilates sobre o trofismo do grupamento abdominal e na flexibilidade do tronco, comparado a aplicacao de uma tecnica tradicional de fortalecimento dos musculos abdominais e alongamentos estaticos em mulheres saudaveis.METODOS: treze mulheres sedentarias e saudaveis na faixa etaria entre 18 e 25 anos foram submetidas a 10 sessoes de Pilates grupo Pilates, n = 6 e 10 sessoes de alongamento e fortalecimento tradicionais grupo controle, n = 7. Antes e apos as intervencoes, o trofismo da musculatura abdominal das voluntarias foi avaliado atraves do ultrassom e a flexibilidade do tronco atraves do fleximetro.RESULTADOS: no grupo Pilates, apos a intervencao, houve um aumento significativo das medidas ultrassonograficas do reto do abdome, da amplitude da rotacao para direita e esquerda e da inclinacao da coluna vertebral para a esquerda. No grupo controle, observou-se melhora apenas na rotacao para a esquerda.CONCLUSAO: o numero de sessoes pode ter sido insuficiente para que ocorresse aumento do trofismo de todos os musculos avaliados e da flexibilidade do tronco. E importante investir em pesquisas sobre Pilates, especialmente com a utilizacao de metodos de imagem mais acurados.ABSTRACT Introduction: Pilates is a method of physical and mental training that works on flexibility and muscle streng-th. This method prioritizes strengthening the set of muscles responsible for trunk control, called Powerhouse, and thereby increase the trophysm of the abdominal muscles (rectus abdominis, internal and external oblique, trans-versus abdominis), gluteus, perineal and lumbar paraspinal muscles. Objective: to evaluate the effect of the Pilates method on the trophysm of abdominal and trunk flexibility compared to the application of a traditional technique to strengthen the abdominal muscles and static stretching in healthy women. Methods: thirteen healthy sedentary women, aged between 18 and 25 years underwent 10 sessions of Pilates (Pilates group, n=6) and 10 sessions of traditional stretching and strengthening (control group, n=7). Before and after the intervention, the trophysm of the abdominal muscles of the volunteers was assessed using ultrasound, and trunk flexibility was evaluated through the fleximeter. Results: after the intervention, there was a significant increase in ultrasound measures of the rectus abdominis muscle, the range of the rotation to right and left, and tilt of the spine to the left in the Pilates group. In the control group, improvement was observed only in the rotation to the left. Conclusion: the number of sessions may have been insufficient for the increase in the trophysm of all muscles tested and the flexibility of the trunk to occur. It is important to invest in research on Pilates, especially with the use of more accurate imaging methods.Keywords: physical therapy, ultrasonics, abdomen, exercise movement techniques.

Efecto del pilates en la flexibilidad del torso y las medidas de los músculos abdominales por ultrasonido

Introduction: Pilates is a method of physical and mental training that works on flexibility and muscle strength. This method prioritizes strengthening the set of muscles responsible for trunk control, called Powerhouse, and thereby increase the trophysm of the abdominal muscles (rectus abdominis, internal and external oblique, transversus abdominis), gluteus, perineal and lumbar paraspinal muscles. Objective: to evaluate the effect of the Pilates method on the trophysm of abdominal and trunk flexibility compared to the application of a traditional technique to strengthen the abdominal muscles and static stretching in healthy women. Methods: thirteen healthy sedentary women, aged between 18 and 25 years underwent 10 sessions of Pilates (Pilates group, n=6) and 10 sessions of traditional stretching and strengthening (control group, n=7). Before and after the intervention, the trophysm of the abdominal muscles of the volunteers was assessed using ultrasound, and trunk flexibility was evaluated through the fleximeter. Results: after the intervention, there was a significant increase in ultrasound measures of the rectus abdominis muscle, the range of the rotation to right and left, and tilt of the spine to the left in the Pilates group. In the control group, improvement was observed only in the rotation to the left. Conclusion: the number of sessions may have been insufficient for the increase in the trophysm of all muscles tested and the flexibility of the trunk to occur. It is important to invest in research on Pilates, especially with the use of more accurate imaging methods.INTRODUCAO: a Pilates consiste em um metodo de treinamento fisico e mental que trabalha a flexibilidade e a forca muscular. Esse metodo prioriza fortalecer o conjunto de musculos responsavel pelo controle de tronco, chamado de Powerhouse e, consequentemente, aumentar o trofismo dos musculos abdominais reto do abdome, obliquo interno e externo, transverso do abdome, gluteos, musculos do perineo e paravertebrais lombares.OBJETIVO: avaliar o efeito do metodo Pilates sobre o trofismo do grupamento abdominal e na flexibilidade do tronco, comparado a aplicacao de uma tecnica tradicional de fortalecimento dos musculos abdominais e alongamentos estaticos em mulheres saudaveis.METODOS: treze mulheres sedentarias e saudaveis na faixa etaria entre 18 e 25 anos foram submetidas a 10 sessoes de Pilates grupo Pilates, n = 6 e 10 sessoes de alongamento e fortalecimento tradicionais grupo controle, n = 7. Antes e apos as intervencoes, o trofismo da musculatura abdominal das voluntarias foi avaliado atraves do ultrassom e a flexibilidade do tronco atraves do fleximetro.RESULTADOS: no grupo Pilates, apos a intervencao, houve um aumento significativo das medidas ultrassonograficas do reto do abdome, da amplitude da rotacao para direita e esquerda e da inclinacao da coluna vertebral para a esquerda. No grupo controle, observou-se melhora apenas na rotacao para a esquerda.CONCLUSAO: o numero de sessoes pode ter sido insuficiente para que ocorresse aumento do trofismo de todos os musculos avaliados e da flexibilidade do tronco. E importante investir em pesquisas sobre Pilates, especialmente com a utilizacao de metodos de imagem mais acurados.ABSTRACT Introduction: Pilates is a method of physical and mental training that works on flexibility and muscle streng-th. This method prioritizes strengthening the set of muscles responsible for trunk control, called Powerhouse, and thereby increase the trophysm of the abdominal muscles (rectus abdominis, internal and external oblique, trans-versus abdominis), gluteus, perineal and lumbar paraspinal muscles. Objective: to evaluate the effect of the Pilates method on the trophysm of abdominal and trunk flexibility compared to the application of a traditional technique to strengthen the abdominal muscles and static stretching in healthy women. Methods: thirteen healthy sedentary women, aged between 18 and 25 years underwent 10 sessions of Pilates (Pilates group, n=6) and 10 sessions of traditional stretching and strengthening (control group, n=7). Before and after the intervention, the trophysm of the abdominal muscles of the volunteers was assessed using ultrasound, and trunk flexibility was evaluated through the fleximeter. Results: after the intervention, there was a significant increase in ultrasound measures of the rectus abdominis muscle, the range of the rotation to right and left, and tilt of the spine to the left in the Pilates group. In the control group, improvement was observed only in the rotation to the left. Conclusion: the number of sessions may have been insufficient for the increase in the trophysm of all muscles tested and the flexibility of the trunk to occur. It is important to invest in research on Pilates, especially with the use of more accurate imaging methods.Keywords: physical therapy, ultrasonics, abdomen, exercise movement techniques.

A EFICÁCIA DA ESTABILIZAÇÃO SEGMENTAR VERTEBRAL NO AUMENTO DO TROFISMO DOS MULTÍFIDOS EM PORTADORES DE HÉRNIA DISCAL LOMBAR - DOI: http://dx.doi.org/10.18511/0103-1716/rbcm.v22n1p81-89

OBJETIVOS: Avaliar a eficacia da tecnica de ESV no aumento do trofismo dos multifidos em pacientes portadores de HDL. METODOS: Estudo do tipo serie de casos, intervencionista nao controlado. Participaram seis pacientes, com idade media de 41,1 anos, apresentando HDL em L4/L5 ou L5/S1. Realizou-se 15 sessoes de ESV, 3 vezes por semana. Foram avaliados quanto a dor, tamanho do multifido direito, pelo exame de ultrassonografia, e fraqueza dos estabilizadores lombares. RESULTADOS: Verificou-se aumento no tamanho do multifido direito e fortalecimento dos estabilizadores lombares, em todos os participantes, e reducao da dor. CONCLUSAO: A tecnica de ESV e eficaz no aumento do trofismo dos multifidos e no estimulo a contracao efetiva dos estabilizadores lombares e reducao do quadro algico. Para o alivio completo da dor, os achados sugerem associacao da ESV com outras tecnicas fisioterapeuticas.