Gilmar Moraes Santos

A influência da altura do step no exercício de subida posterior: estudo eletromiográfico em indivíduos sadios e portadores da síndrome da dor femoropatelar

The aim of this study was to evaluate the influence of the step height in the electric activity of the vastus medialis oblique (VMO), vastus lateralis longus (VLL) e vastus lateralis oblique (VLO) on backward step-up exercise. Twenty-seven females, being 15 healthy (21.13 ± 2.17 years old) and 12 with Patellofemoral Pain Syndrome PPS (21.08 ± 2.31 years old) have participated in the study. The electric activity was recorded by surface electrodes. The volunteers performed the backward step-up exercise in two different heights: with the knee joint flexion at 45o and at 75o. The whole electric signal normalized by the average of repetitions was used to study the VMO:VLO and VMO:VLL activation ratio. The two-way ANOVA and Duncan post hoc (p < 0.05) showed that in the PPS group, the VMO: VLO and VMO: VLL ratio was greater at 45o than at 75o angle. In the Control group, the VMO: VLO ratio was greater at 45o than at 75o, while the VMO: VLL ratio was greater at 75o. The results of this study suggest that backward step-up exercise at 45o can be used for PPS treatment programs because it activated the VMO muscle in a more selective way.

Relação eletromiográfica integrada dos músculos vasto medial oblíquo e vasto lateral longo na marcha em sujeitos com e sem síndrome de dor femoropatelar

The aim of this study was to determine if there is difference between the vastus medialis oblique and vastus lateralis longus (VMO/VLL) muscles activation during treadmill gait level and ascending to 5% degree between healthy subjects and others with patellofemoral pain syndrome. Electromyographic data from the VMO and VLL muscles were obtained in 15 subjects without and 12 with patellofemoral pain syndrome (PFPS) during treadmill gait with and without 5 degrees inclination. The value of the VMO/VLL ratio was determined from the mean of 8 strides, in each condition, during 12 s. The t-Student test did not show significant difference in the VMO/VLL ratio between the two groups, regardless the condition. Although there was not significant difference, the subjects of the control group showed higher values in the VMO/VLL ratio in the two tested conditions than the subject of the PFPS group. The findings suggest that the ratio of the electric activity of the VMO and VLL muscles in individuals with and without SDFP is equal in the gait on flat surface as well as slanted to 5 degrees.

Integrated electromyographic ratio of the vastus medialis oblique and vastus lateralis longus muscles in gait in subjects with and without patellofemoral pain syndrome

The aim of this study was to determine if there is difference between the vastus medialis oblique and vastus lateralis longus (VMO/VLL) muscles activation during treadmill gait level and ascending to 5% degree between healthy subjects and others with patellofemoral pain syndrome. Electromyographic data from the VMO and VLL muscles were obtained in 15 subjects without and 12 with patellofemoral pain syndrome (PFPS) during treadmill gait with and without 5 degrees inclination. The value of the VMO/VLL ratio was determined from the mean of 8 strides, in each condition, during 12 s. The t-Student test did not show significant difference in the VMO/VLL ratio between the two groups, regardless the condition. Although there was not significant difference, the subjects of the control group showed higher values in the VMO/VLL ratio in the two tested conditions than the subject of the PFPS group. The findings suggest that the ratio of the electric activity of the VMO and VLL muscles in individuals with and without SDFP is equal in the gait on flat surface as well as slanted to 5 degrees.

Acquisition of cervical control through high postures in patients with West Syndrome: a case report.

Introduction: early identification of neurological disorders is considered important in the assessment of risk factors and early treatment and subsequently in monitoring the child. Objective: report the lived experiences in a physiotherapy program based on high neuro‑evolutive postures in the development of the cervical and trunk control in a child diagnosed with West Syndrome, cerebral palsy and hydrocephalus. Methods: female child, chronological age of four years and five months, motor age less than three months. Kinetic and functional assessment was performed and the Gross Motor Function Measure (GMFM) and the Gross Motor Function Classification System (GMFCS) was used to characterize the subject. Results: there was an increase to 68.6% in the GMFM, maintaining the level of the GMFCS, improvement of cervical and trunk control in sitting and standing position and when were performed postural changes. Conclusion: the physiotherapeutic care proved to be beneficial in the gradual development of cervical and trunk motor control.

Physical Therapy at the postoperative of hip endoprosthesis for osteosarcoma: a case report

Introduction: Osteosarcoma is the most common malignancy among musculoskeletal tumors. It can be treated for preservation member or amputation. The cases treated for preservation member have improved functionality and quality of life, however, patients with oncologic diseases exhibit symptoms of anxiety and depression. The aim of this study is to describe the role of physiotherapy in the hip endoprosthesis after surgery for osteosarcoma of a patient treated at the Clinic Physiotherapy School of the University of the State of Santa Catarina (CEFID / UDESC) and verify their quality of life, functionality and symptoms of anxiety and depression. Materials and Methods : A descriptive study through case report. The subject was assessed before and after 10 sessions of physiotherapy on the quality of life, functionality and symptoms of anxiety and depression using a standardized assessment form, the Quality of Life Assessment Questionnaire (WHOQOL-BREF), the system Functional assessment (Musculoskeletal Tumor Society Rating Scale - MSTS); of Lower Limb Function Scale (EFMI) and the Hospital Anxiety and Depression Scale (Hospital Anxiety and Depression Scale - HADS); Results and Conclusions: Physical therapy treatment proposed to the patient allowed the increase of muscle strength; increased muscle tropism; improved member functionality (65% of EFMI); possible reduction of anxiety or depressive symptoms in HADS; presenting score (67.31%) of the WHOQOL-BREF and (56%) in MSTS. Thus, based on the functional, emotional and psychological outcomes, the proposed physical therapy had a positive influence on a patients quality of life osteosarcoma at the proximal end of the left femur, underwent resection and reconstruction member with endoprosthesis.

Physical therapy evaluation and treatment in distal radius fracture: a case report.

Background: subjects who have suffered DRF submitted imobilization may have a loss in active range of motion and functional deficit. Objectives: evaluate changes in the wrist and verify the effectiveness of physical therapy intervention used in the treatment of DRF. Methods: a physiotherapy evaluation form, goniometry and Visual Analogue Scale were used to assess the patient. A treatment protocol was applied for seven sessions. Results: the results showed reduced pain and increased range of motion of the wrist. Conclusion: there were changes as pain and reduced range of motion of the wrist. The treatment protocol was effective for these changes.

Biomechanical characteristics of feet during pregnancy and puerperium: a case study

Objetivos: Avaliar as variacoes antropometricas e a distribuicao de pressao plantar dos pes durante o ciclo gravidico-puerperal de uma paciente. Descricao do caso: Este estudo descritivo-exploratorio analisou uma gestante por meio de oito avaliacoes, seis durante a gestacao (na 26a, 28a, 30a, 32a, 34a e 36a semana da gestacao) e duas no puerperio (10o e 50o dia apos o parto). Foram avaliadas seis variaveis antropometricas dos pes e tornozelos. Por meio do escaneamento dos pes, obteve-se indiretamente o ângulo da impressao plantar. O Sistema Pedar-Mobile (Novel GmbH), avaliou o indice do arco plantar e o pico de pressao maxima plantar tanto estatico como dinâmico. Durante o periodo gestacional o comprimento e o perimetro do mediope direito apresentaram-se maiores do que o esquerdo. Ocorreu diminuicao do ângulo plantar com a evolucao da gestacao. A variacao do indice do arco plantar na tarefa estatica mostrou variacao minima em todo o periodo avaliado, enquanto na dinâmica demonstrou diminuicao progressiva dos valores durante a gestacao e aumento no periodo puerperal. As medias dos picos de pressao plantar na tarefa dinâmica foram mais elevadas durante o periodo gestacional em comparacao ao puerperio. Conclusoes: Estes dados mostram alteracoes nas caracteristicas biomecânicas dos pes no ciclo gravidico-puerperal, ressaltando aumento na perimetria e diminuicao do arco plantar.

Relación electromiográfica integrada de los músculos vasto medial oblicuo y vasto lateral largo en marcha en individuos con y sin síndrome de dolor femoropatelar

The aim of this study was to determine if there is difference between the vastus medialis oblique and vastus lateralis longus (VMO/VLL) muscles activation during treadmill gait level and ascending to 5% degree between healthy subjects and others with patellofemoral pain syndrome. Electromyographic data from the VMO and VLL muscles were obtained in 15 subjects without and 12 with patellofemoral pain syndrome (PFPS) during treadmill gait with and without 5 degrees inclination. The value of the VMO/VLL ratio was determined from the mean of 8 strides, in each condition, during 12 s. The t-Student test did not show significant difference in the VMO/VLL ratio between the two groups, regardless the condition. Although there was not significant difference, the subjects of the control group showed higher values in the VMO/VLL ratio in the two tested conditions than the subject of the PFPS group. The findings suggest that the ratio of the electric activity of the VMO and VLL muscles in individuals with and without SDFP is equal in the gait on flat surface as well as slanted to 5 degrees.