Letícia Miranda Resende da Costa

Influence of flexibility and gender on the posture of school children

Objetivo:Verificar se a flexibilidade e o sexo exercem influencia sobre a postura de escolares.Metodo:Foram avaliados 60 escolares de ambos os sexos, com idade entre 5 e 14 anos, divididos em dois grupos: flexibilidade normal (n=21) e flexibilidade reduzida (n=39). A flexibilidade e a postura foram avaliadas, respectivamente, por meio da fotogrametria e do teste de elevacao dos membros inferiores em extensao, considerando o ângulo da perna e a avaliacao postural. Para o tratamento de dados, foi feita a estatistica descritiva (media e desvio padrao). A analise de variância univariada (ANOVA) foi utilizada para verificar a influencia conjunta dos fatores flexibilidade e sexo nas variaveis dependentes posturais. Apos verificar efeito interativo entre esses dois fatores, procederam-se as comparacoes multiplas, utilizando o teste t.Resultados:A variavel flexibilidade exerceu efeito sobre o ângulo de simetria do joelho (p 0,05). Houve interacao entre as variaveis flexibilidade e sexo no ângulo de simetria do joelho (p<0,02). Escolares do sexo masculino e flexibilidade reduzida apresentaram maior assimetria de joelho, comparados aos outros subgrupos.Conclusao:A postura sofreu efeito isolado da variavel flexibilidade e efeito interativo entre o sexo e a flexibilidade.

Influência da flexibilidade e sexo na postura de escolares

Objetivo:Verificar se a flexibilidade e o sexo exercem influencia sobre a postura de escolares.Metodo:Foram avaliados 60 escolares de ambos os sexos, com idade entre 5 e 14 anos, divididos em dois grupos: flexibilidade normal (n=21) e flexibilidade reduzida (n=39). A flexibilidade e a postura foram avaliadas, respectivamente, por meio da fotogrametria e do teste de elevacao dos membros inferiores em extensao, considerando o ângulo da perna e a avaliacao postural. Para o tratamento de dados, foi feita a estatistica descritiva (media e desvio padrao). A analise de variância univariada (ANOVA) foi utilizada para verificar a influencia conjunta dos fatores flexibilidade e sexo nas variaveis dependentes posturais. Apos verificar efeito interativo entre esses dois fatores, procederam-se as comparacoes multiplas, utilizando o teste t.Resultados:A variavel flexibilidade exerceu efeito sobre o ângulo de simetria do joelho (p 0,05). Houve interacao entre as variaveis flexibilidade e sexo no ângulo de simetria do joelho (p<0,02). Escolares do sexo masculino e flexibilidade reduzida apresentaram maior assimetria de joelho, comparados aos outros subgrupos.Conclusao:A postura sofreu efeito isolado da variavel flexibilidade e efeito interativo entre o sexo e a flexibilidade.

Motor behavior of masticatory muscles in individuals with unilateral trans-incisive foramen cleft lip and palate*

Abstract Objective: To investigate whether children with complete unilateral cleft lip and palate (CLP) have altered control of masticatory muscles. Methods: The muscular activity of 66 children with CLP (n = 33) and without CLP (n = 33), aged 6–12 years was assessed during different tasks (rest, isometry, mastication) using electromyography. Results: The activation for the analyzed muscles was higher in children with CLP at rest (R) and inactive period (IP) (p < 0.05). The muscles of children with CLP remained active for longer than those without CLP (p < 0.05), and the length of the masticatory cycle was higher in children with CLP (p < 0.05). Conclusion: Children with CLP have longer muscle activation and increased cycle time during the chewing cycle, which might be a consequence of malocclusion, resulting in difficulty chewing.

The Effects of Pilates on the Elderly: An Integrative Review

Introduction: Pilates is considered a form of exercise that aims to improve flexibility, resistance, strength, balance and coordination. As a result, many elderly people have tried the method seeking to improve or maintain their health. Objective: The present study aimed to review the effects of Pilates on the elderly. Methods: An integrative review was carried out that studied elderly persons undergoing an intervention based on the Pilates method, combined or not with other techniques. The guiding question considered existing studies in literature that evaluated the effects of Pilates on the elderly. Searches of the MEDLINE (PubMed), Scopus and Physiotherapy Evidence Database (PEDro) electronic databases were conducted in May 2014. Results: Of a total of 445 studies found, 17 articles were included. Several variables were analyzed, with balance and the risk of falling described most frequently. Conclusions: The most studied variables were balance and the risk of falling and there was consensus among the studies regarding the improvement that Pilates caused in these variables. There was also agreement about increased flexibility, but controversy continues to surround the other effects reported in literature, or the data is isolated and therefore inconclusive. Among the studies found, most were experimental, and there were only two randomized controlled trials. The performance of more clinical trials featuring high quality methodological approaches addressing the theme is recommended, so that systematic reviews with meta-analysis may be performed, ensuring greater reliability of the results suggested in this study.

Effect of the Pilates method on women with temporomandibular disorders: A study protocol for a randomized controlled trial

BACKGROUND There is no consensus regarding the influence of temporomandibular disorders (TMD) on postural changes, but it is believed that an imbalance in one may influence the other. The aim of this study is to evaluate changes in the level of pain, the severity of TMD, the EMG activity of masticatory muscles and posture of young women undergoing training in Pilates, as well as correlating postural changes, pain level, severity of TMD and EMG activity of masticatory muscles. METHODS/DESIGN A randomized clinical trial with blinded assessors will be held. 40 patients divided randomly into two groups will be assessed. The control group will receive conventional treatment with occlusal splint while the intervention group, in addition to conventional treatment will participate in Pilates sessions. Both groups will consist of women aged 18-35 years with TMD and pain. The research follow-up period will be 15 weeks.

Assessment of cross-cultural adaptations and measurement properties of self-report outcome measures in Portuguese relevant to temporomandibular disorders: a systematic review

The aim of this study was to identify, through a systematic review, which questionnaires used to assess temporomandibular (TMD) disorders are available in the Portuguese language, describing and analyzing the procedures used to translate and adapt the questionnaire into Portuguese, as well their measurement properties. Systematic searches were performed in five electronic databases (MEDLINE by PubMed, Embase, CINAHL by EBSCO, SciELO and LILACS). All studies were analyzed according to the criteria of quality guidelines for the procedures for cross-cultural adaptation and measurement properties. There were 1.418, of which only six were eligible. Manual search retrieved two additional articles and a book chapter, totaling nine eligible studies. Four instruments were translated/adapted into Portuguese: The Research Diagnostic Criteria for Temporomandibular Disorders: Axis II (RDC/TMD); the Fonseca Questionnaire and Anamnestic Index; the Questionnaire from the American Academy of Orofacial Pain (QAADO); and Mandibular Function Impairment Questionnaire (MFIQ), but none of these questionnaires where fully submitted to the steps for translation and adaptation recommended by the followed guidelines and none of the questionnaires had all measurement properties tested. The RDC/TMD and tehe MFIQ are the best available questionnaires in Portuguese to assess TMD, as were those with the most measurement properties acceptable results tested.O objetivo deste estudo foi identificar, por meio de uma revisao sistematica, os questionarios que avaliam as desordens temporomandibulares (DTM) disponiveis em portugues, bem como descrever e analisar os procedimentos de traducao e adaptacao para a lingua portuguesa dos mesmos e suas respectivas propriedades de medida. Foram realizadas buscas sistematizadas em cinco bases de dados (MEDLINE via PubMed, Embase, CINAHL via EBSCO, SciELO e LILACS). Todos os estudos foram analisados de acordo com os criterios de qualidade de diretrizes para os procedimentos de adaptacao transcultural e propriedades de medida. Foram encontrados 1.418 estudos, sendo que apenas 6 foram considerados elegiveis. Foram incluidos em busca manual dois artigos e um capitulo de livro, totalizando nove estudos. Quatro instrumentos foram traduzidos/adaptados para a lingua portuguesa: Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), Questionario e Indice Anamnesico de Fonseca, Questionario da Academia Americana de Dor Orofacia (QAADO) e Mandibular Function Impairment Questionnaire (MFIQ), porem nenhum desses realizou completamente as etapas de traducao ou analise das propriedades de medida. O RDC/TMD e o MFIQ foram considerados os instrumentos mais adequados, pois foram os que apresentaram mais propriedades de medida apropriadamente testadas.

Evaluación de las adaptaciones transculturales y propiedades de medida de cuestionarios en lengua portuguesa relacionados con trastornos temporomandibulares: una revisión sistemática

The aim of this study was to identify, through a systematic review, which questionnaires used to assess temporomandibular (TMD) disorders are available in the Portuguese language, describing and analyzing the procedures used to translate and adapt the questionnaire into Portuguese, as well their measurement properties. Systematic searches were performed in five electronic databases (MEDLINE by PubMed, Embase, CINAHL by EBSCO, SciELO and LILACS). All studies were analyzed according to the criteria of quality guidelines for the procedures for cross-cultural adaptation and measurement properties. There were 1.418, of which only six were eligible. Manual search retrieved two additional articles and a book chapter, totaling nine eligible studies. Four instruments were translated/adapted into Portuguese: The Research Diagnostic Criteria for Temporomandibular Disorders: Axis II (RDC/TMD); the Fonseca Questionnaire and Anamnestic Index; the Questionnaire from the American Academy of Orofacial Pain (QAADO); and Mandibular Function Impairment Questionnaire (MFIQ), but none of these questionnaires where fully submitted to the steps for translation and adaptation recommended by the followed guidelines and none of the questionnaires had all measurement properties tested. The RDC/TMD and tehe MFIQ are the best available questionnaires in Portuguese to assess TMD, as were those with the most measurement properties acceptable results tested.O objetivo deste estudo foi identificar, por meio de uma revisao sistematica, os questionarios que avaliam as desordens temporomandibulares (DTM) disponiveis em portugues, bem como descrever e analisar os procedimentos de traducao e adaptacao para a lingua portuguesa dos mesmos e suas respectivas propriedades de medida. Foram realizadas buscas sistematizadas em cinco bases de dados (MEDLINE via PubMed, Embase, CINAHL via EBSCO, SciELO e LILACS). Todos os estudos foram analisados de acordo com os criterios de qualidade de diretrizes para os procedimentos de adaptacao transcultural e propriedades de medida. Foram encontrados 1.418 estudos, sendo que apenas 6 foram considerados elegiveis. Foram incluidos em busca manual dois artigos e um capitulo de livro, totalizando nove estudos. Quatro instrumentos foram traduzidos/adaptados para a lingua portuguesa: Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), Questionario e Indice Anamnesico de Fonseca, Questionario da Academia Americana de Dor Orofacia (QAADO) e Mandibular Function Impairment Questionnaire (MFIQ), porem nenhum desses realizou completamente as etapas de traducao ou analise das propriedades de medida. O RDC/TMD e o MFIQ foram considerados os instrumentos mais adequados, pois foram os que apresentaram mais propriedades de medida apropriadamente testadas.

Avaliação das adaptações transculturais e propriedades de medida de questionários em língua portuguesa relacionados às desordens temporomandibulares: uma revisão sistemática

The aim of this study was to identify, through a systematic review, which questionnaires used to assess temporomandibular (TMD) disorders are available in the Portuguese language, describing and analyzing the procedures used to translate and adapt the questionnaire into Portuguese, as well their measurement properties. Systematic searches were performed in five electronic databases (MEDLINE by PubMed, Embase, CINAHL by EBSCO, SciELO and LILACS). All studies were analyzed according to the criteria of quality guidelines for the procedures for cross-cultural adaptation and measurement properties. There were 1.418, of which only six were eligible. Manual search retrieved two additional articles and a book chapter, totaling nine eligible studies. Four instruments were translated/adapted into Portuguese: The Research Diagnostic Criteria for Temporomandibular Disorders: Axis II (RDC/TMD); the Fonseca Questionnaire and Anamnestic Index; the Questionnaire from the American Academy of Orofacial Pain (QAADO); and Mandibular Function Impairment Questionnaire (MFIQ), but none of these questionnaires where fully submitted to the steps for translation and adaptation recommended by the followed guidelines and none of the questionnaires had all measurement properties tested. The RDC/TMD and tehe MFIQ are the best available questionnaires in Portuguese to assess TMD, as were those with the most measurement properties acceptable results tested.O objetivo deste estudo foi identificar, por meio de uma revisao sistematica, os questionarios que avaliam as desordens temporomandibulares (DTM) disponiveis em portugues, bem como descrever e analisar os procedimentos de traducao e adaptacao para a lingua portuguesa dos mesmos e suas respectivas propriedades de medida. Foram realizadas buscas sistematizadas em cinco bases de dados (MEDLINE via PubMed, Embase, CINAHL via EBSCO, SciELO e LILACS). Todos os estudos foram analisados de acordo com os criterios de qualidade de diretrizes para os procedimentos de adaptacao transcultural e propriedades de medida. Foram encontrados 1.418 estudos, sendo que apenas 6 foram considerados elegiveis. Foram incluidos em busca manual dois artigos e um capitulo de livro, totalizando nove estudos. Quatro instrumentos foram traduzidos/adaptados para a lingua portuguesa: Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), Questionario e Indice Anamnesico de Fonseca, Questionario da Academia Americana de Dor Orofacia (QAADO) e Mandibular Function Impairment Questionnaire (MFIQ), porem nenhum desses realizou completamente as etapas de traducao ou analise das propriedades de medida. O RDC/TMD e o MFIQ foram considerados os instrumentos mais adequados, pois foram os que apresentaram mais propriedades de medida apropriadamente testadas.