Micheli Martinello

Effect of the inclination of support in cervical and upper limb development

Introducao De forma gradual, sequencial e organizada, espera-se que a crianca adquira o controle postural (CP) de cabeca e membros superiores. Contudo, ainda nao existe um consenso sobre qual o melhor posicionamento para aquisicao desse; evidencias apontam que a postura em decubito ventral seja mais benefica. Objetivo Investigar se a idade e a inclinacao da superficie de apoio em decubito ventral influenciam o alinhamento da cabeca e do membro superior de criancas com desenvolvimento motor tipico (DMT) e atipico (DMA). Metodos Participaram do estudo 29 criancas de um a tres meses de idade divididos de acordo com escala Alberta Infant Motor Scale (AIMS) em grupo com DMT (n = 18) e DMA (n = 11). As criancas foram posicionadas em decubito ventral com tres ângulos de superficie de apoio (0°, 25° e 45°). A analise cinematica foi utilizada para avaliar os ângulos de alinhamento da cabeca e do membro superior. Resultados Criancas com DMT apresentaram maior alinhamento da cabeca. Nao houve diferenca do alinhamento do membro superior entre os grupos com DMT e DMA. No terceiro mes de idade comparado ao primeiro houve maior alinhamento da cabeca e menor alinhamento do membro superior em ambos os grupos. As inclinacoes da superficie de apoio nao influenciaram no alinhamento da cabeca e do membro superior. Conclusoes Entre as posicoes avaliadas, o decubito ventral sem inclinacao da superficie de apoio foi mais apropriado para descarregar o peso para os membros superiores, favorecendo o desenvolvimento do controle postural da crianca.

Influence of nutritional status and physical activity on the posture of children and ­adolescents

El objetivo del estudio fue verificar el efecto del perfil nutricional y de la actividad fisica en la postura de ninos y adolescentes. Fueron evaluados 60 individuos de ambos sexos, con edades entre 5 y 14 anos. La postura fue evaluada por medio de fotogrametria. Para determinar el nivel de actividad fisica fue utilizado el Cuestionario de Actividad Fisica para ninos (PAQ-C). La clasificacion del perfil nutricional fue realizada por medio del Indice de Masa Corporal por edad y con relacion al sexo. Los resultados mostraron que la actividad fisica ejerce un efecto sobre los angulos de asimetria del hombro (AH) y asimetria corporal (ACO) (p<0,05). El grupo activo presento mayor asimetria en los angulos AH y ACO comparado al grupo sedentario (p<0,05). El perfil nutricional no influencio ningun angulo postural (p<0,05). Tambien no hubo efecto interactivo entre los parametros evaluados sobre los angulos posturales (p<0,05). Es importante el desenvolvimiento de acciones preventivas e intervenciones, como la actividad fisica controlada y acompanamiento nutricional, en el alineamiento postural de ninos y adolescentes en edad escolar.The purpose of this study was to verify the effect of nutritional status and physical activity on the posture of children and adolescents. Sixty individuals from both genders aged between 5 years and 14 years were evaluated. The posture was assessed by photogrammetry. The physical activity level was determined through the Physical Activity Questionnaire for Children (PAQ-C). The nutritional status classification was made using the body mass index for age and gender. The results showed that the physical activity variable had an effect on the shoulder and body asymmetry angles (p 0.05). There was no interactive effect between the evaluated variables on the postural angles (p>0.05). The development of preventive and interventionist actions, such as controlled physical activity and nutritional monitoring, is important for the postural alignment of school children and school adolescents.

Efeito do Sedentarismo, Perfil Nutricional e Sexo na Flexibilidade de Escolares

Introduction: assart-day life habits have led to a more sedentary lifestyle, contributing to increased obesity. In view of these changes, it is necessary to understand whether the flexibility of the individual has also been influenced. Objective: to investigate the influence of sex, sedentary lifestyle and nutritional status on the flexibility of elementary school children. Methods: 60 cheldren of both sexes aged five to 14 years were divided into a normal flexibility group (n = 21) and a reduced flexibility group (n = 39). Flexibility was evaluated by photogrammetry using the straight leg raise test, considering the leg angle. The physical activity level was evaluated using the Physical Activity Questionnaire for Older Children, and nutritional status was assessed by Body Mass Index for age and sex. Results: the normal flexibility group and the reduced flexibility group presented no significant differences regarding age, weight or height (p > 0.05). No differences were found (p > 0.05) in leg angle between the active and sedentary groups, the obese and nonobese or between males and females. Conclusions: sex, sedentary lifestyle and nutritional status exercized to influence on the flexibility of students.

Influência do perfil nutricional e da atividade física na postura de crianças e adolescentes

El objetivo del estudio fue verificar el efecto del perfil nutricional y de la actividad fisica en la postura de ninos y adolescentes. Fueron evaluados 60 individuos de ambos sexos, con edades entre 5 y 14 anos. La postura fue evaluada por medio de fotogrametria. Para determinar el nivel de actividad fisica fue utilizado el Cuestionario de Actividad Fisica para ninos (PAQ-C). La clasificacion del perfil nutricional fue realizada por medio del Indice de Masa Corporal por edad y con relacion al sexo. Los resultados mostraron que la actividad fisica ejerce un efecto sobre los angulos de asimetria del hombro (AH) y asimetria corporal (ACO) (p<0,05). El grupo activo presento mayor asimetria en los angulos AH y ACO comparado al grupo sedentario (p<0,05). El perfil nutricional no influencio ningun angulo postural (p<0,05). Tambien no hubo efecto interactivo entre los parametros evaluados sobre los angulos posturales (p<0,05). Es importante el desenvolvimiento de acciones preventivas e intervenciones, como la actividad fisica controlada y acompanamiento nutricional, en el alineamiento postural de ninos y adolescentes en edad escolar.The purpose of this study was to verify the effect of nutritional status and physical activity on the posture of children and adolescents. Sixty individuals from both genders aged between 5 years and 14 years were evaluated. The posture was assessed by photogrammetry. The physical activity level was determined through the Physical Activity Questionnaire for Children (PAQ-C). The nutritional status classification was made using the body mass index for age and gender. The results showed that the physical activity variable had an effect on the shoulder and body asymmetry angles (p 0.05). There was no interactive effect between the evaluated variables on the postural angles (p>0.05). The development of preventive and interventionist actions, such as controlled physical activity and nutritional monitoring, is important for the postural alignment of school children and school adolescents.

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.

Influencia del perfil nutricional y actividad física en la postura de niños y adolescentes

El objetivo del estudio fue verificar el efecto del perfil nutricional y de la actividad fisica en la postura de ninos y adolescentes. Fueron evaluados 60 individuos de ambos sexos, con edades entre 5 y 14 anos. La postura fue evaluada por medio de fotogrametria. Para determinar el nivel de actividad fisica fue utilizado el Cuestionario de Actividad Fisica para ninos (PAQ-C). La clasificacion del perfil nutricional fue realizada por medio del Indice de Masa Corporal por edad y con relacion al sexo. Los resultados mostraron que la actividad fisica ejerce un efecto sobre los angulos de asimetria del hombro (AH) y asimetria corporal (ACO) (p<0,05). El grupo activo presento mayor asimetria en los angulos AH y ACO comparado al grupo sedentario (p<0,05). El perfil nutricional no influencio ningun angulo postural (p<0,05). Tambien no hubo efecto interactivo entre los parametros evaluados sobre los angulos posturales (p<0,05). Es importante el desenvolvimiento de acciones preventivas e intervenciones, como la actividad fisica controlada y acompanamiento nutricional, en el alineamiento postural de ninos y adolescentes en edad escolar.The purpose of this study was to verify the effect of nutritional status and physical activity on the posture of children and adolescents. Sixty individuals from both genders aged between 5 years and 14 years were evaluated. The posture was assessed by photogrammetry. The physical activity level was determined through the Physical Activity Questionnaire for Children (PAQ-C). The nutritional status classification was made using the body mass index for age and gender. The results showed that the physical activity variable had an effect on the shoulder and body asymmetry angles (p 0.05). There was no interactive effect between the evaluated variables on the postural angles (p>0.05). The development of preventive and interventionist actions, such as controlled physical activity and nutritional monitoring, is important for the postural alignment of school children and school adolescents.

Apoio manual na cintura escapular aumenta a coativação durante o treino de marcha de crianças com paralisia cerebral

Introduction: No studies were found that examined different therapeutic strategies used as a resource in gait training for children with cerebral palsy. Objectives: To compare the level of activity and muscle coactivation of the tibialis anterior and medial gastrocnemius during two strategies used during gait training: walking with walker use and walking with manual support on the scapular waist. Methods: We evaluated five children with cerebral palsy. The spasticity degree of children was evaluated by the Modified Ashworth Scale. The myoelectrical signals were analyzed by calculating the magnitude of electromyographic activity and the co-contraction index. Results: During the gait training with manual support on the scapular waist was a significant increase (p <0.05) in electromyographic amplitude of the medial gastrocnemius muscle and the index of coactivation, compared to walking with walker. Conclusions: The walker seems to be a good gait training strategy for children with cerebral palsy.