Josiane Schadeck de Almeida

Comparação da pressão plantar e dos sintomas osteomusculares por meio do uso de palmilhas customizadas e pré-fabricadas no ambiente de trabalho

OBJECTIVES: To compare the effect of the use of custom and prefabricated insoles on the behavior of plantar weight load and musculoskeletal symptoms in assembly line workers. METHODS: A randomized trial was carried out with 27 women who worked in a static standing position and had musculoskeletal symptoms. The mean age was 30.3±7.09 years and the weight 64.85±13.65 Kg. The Nordic Musculoskeletal Questionnaire was administered, and plantar pressure was determined using a computerized baropodometric system (FootWork). The sample was then divided into control group, which wore pre-fabricated insoles, and intervention group, which wore ethylvinylacetate insoles for eight weeks. Baropodometric data were collected and the questionnaire was administered once again. RESULTS: There was no statistically significant difference in the comparison between groups and baropodometric data. However, a change was noted in the behavior of the load variables between evaluations, with an increase in mean load pressure and maximal plantar pressure (p<0.05). No statistically significant difference was found between groups for any anatomical site in the different evaluations. Within each group, there was a reduction in foot pain and back pain between evaluations (p<0.05). CONCLUSIONS: Both types of insole reduced pain symptoms in the lumbar region and feet. After eight weeks of use, there was an increase in maximal and mean plantar pressure and a reduction in plantar surface area with both types of insole.

Queixas osteomusculares relacionadas ao trabalho relatadas por mulheres de centro de ressocialização

Considering work-related complaints as a public health problem, the current study aimed to analyze the frequency of musculoskeletal complaints and the association between their occurrence and severity and anthropometric and work variables. The sample included 146 women from a social rehabilitation center who answered a validated questionnaire with anthropometric data and history of work-related musculoskeletal complaints. The Goodman test was used to analyze the association between and within variables. We observed a high rate of complaints after beginning work activity (94.19%). Subjects that required sick leave showed higher mean age and weight. The most severe complaints related to back pain. Sick leave was more common among women who had worked longer. The study concluded that there was a high frequency of work-related complaints and an association between: higher weight and height values and severity; higher age and sick leave; more serious complaints and back pain; and longer time on the job and need for sick leave.

Afecção do tendão supra-espinal e afastamento laboral

As afeccoes do manguito rotador, dentre elas as relacionadas ao tendao supra-espinal, sao problemas comuns na populacao, sobretudo devido a sobrecarga ocupacional, o que leva a altos indices de afastamento do trabalho. Buscou-se, entao, comparar a necessidade de afastamento de trabalho entre os diferentes estados da afeccao do tendao supra-espinal e entre cinco diferentes grupos profissionais, tendo a participacao de pacientes que apresentavam diagnostico da afeccao. Os individuos foram agrupados quanto ao estado da doenca (tendinite, ruptura parcial, ruptura total) e quanto aos aspectos biomecânicos da ocupacao (ramo de servicos, construcao civil, trabalhadores domesticos, lavradores e segurancas). Teste qui-quadrado de Pearson, analise de dependencia e teste exato para uma proporcao foram realizados. Os resultados apontaram que 62 (55%) estavam afastados da atividade laboral e que os grupos com maior numero de afastados foram o do ramo de servicos (38,71%) e lavradores (22,58%), segundo Pearson. A maior frequencia de casos de afastamento foi registrada no estagio de tendinite (p<0,05) pela analise de dependencia e a ocupacao de lavrador parece deixar o individuo por mais tempo afastado (p=0,02), segundo teste de Pearson.

Rotator cuff Disease: Aspects and Implications

El objetivo del estudio fue analizar las caracteristicas de los portadores de la afeccion del manguito rotador y sus implicancias por el cuadro de la lesion. Fueron entrevistadas 112 personas, con diagnostico inicial de afeccion del manguito rotador, la mayoria compuesta por mujeres de alrededor de 51 anos, siendo el lado derecho mas afectado, con evidencia de ser el mas perjudicado (p=0,00) y con gran incapacidad de mover los miembros superiores (p<0,05). La patologia mas frecuente fue la ruptura parcial del tendon del musculo supraespinal, con tratamiento de 26,16 meses y sin asociacion con los estados de la patologia. La mayoria de los casos fueron tratados con fisioterapia, y solo el 19% fue sometido a procedimiento quirurgico. Se verifico que esta patologia provoca grandes perjuicios funcionales, afectando tanto el ambito social como laboral, produciendo altas incapacidades en los miembros superiores, aun despues del tratamiento

Comparison of Two Types of Insoles on Musculoskeletal Symptoms and Plantar Pressure Distribution in a Work Environment: A Randomized Clinical Trial

Background The aim of the present study was to assess plantar pressure distribution and musculoskeletal symptoms following the use of customized insoles among female assembly line workers. Methods The study included 29 female assembly line workers (age, 29.76 ± 5.79 years; weight, 63.79 ± 12.11 kg) with musculoskeletal symptoms who work predominantly while standing. The Nordic Musculoskeletal Questionnaire was administered to the study population. Plantar pressure was determined using a computerized plantar pressure feedback system. A control group (n=13) used ethylvinylacetate insoles (Podaly®) that were individually heat molded and heat glued. The intervention group (n=14) also used the insoles and a strip of the same material was added to the site of greatest plantar pressure as determined by the electronic feedback device. After five weeks, the plantar pressure data were collected again and the questionnaire was administered a second time. Results There was no significant difference between groups with regard to pain in any anatomic site. However, within each group the lumbar region exhibited a reduction in symptoms in the intervention group (P<0.05), and the feet exhibited a reduction in symptoms in both groups (P<0.05). Mean plantar pressure increased and plantar surface decreased in the intervention group (P<0.05). Conclusion Insoles increased foot comfort in both groups. However, the added strip did not significantly modify either plantar pressure or other symptoms in female workers.