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Efeitos de exerc?cios pendulares no equil?brio e na mobilidade de indiv?duos portadores da Doen?a de ParkinsonOliveira, Charlene Brito de 03 March 2017 (has links)
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Previous issue date: 2017-03-03 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Importance: The efficacy of combined body suspension with tilting exercises (Chordata Method) in Parkinson?s disease (PD) is unclear.
Objective: Design a clinical study to assess the efficacy of body suspension with tilting exercises on functional and quality of life outcomes in PD.
Design, Setting, and Participants: This is an assessor-blinded, randomized and controlled clinical trial. A total of 48 subjects with moderate PD were recruited from the Neurological Service of S?o Lucas Hospital, PUCRS, Brazil. Recruitment took place between September 2015 and May 2016. The entire protocol study lasted 16 weeks, with 8 weeks of exercise protocol and 8 weeks of follow-up.
Interventions: Subjects were randomly assigned to either body suspension with tilting exercises (intervention group) or stretching exercises (control group).
Main Outcomes and Measures: The primary outcome was the Timed Up and Go test at the 8th week. Secondary outcomes were Berg Balance Scale (BBS); Functional Reach Test (FRT); Unified Parkinson?s Disease Rating Scale (UPDRS) and Parkinson?s Disease Questionnaire (PDQ-39). These measures were assessed at baseline (before trial entry) and then at the 8th (end of exercise protocols) and 16th weeks (8 weeks of follow-up) after randomization.
Results: Of the 48 subjects randomized in the study 20 received the intervention (71.3?6.3 years old) and 20 were controls (66.7?6.4 years old). Eight of them were lost during the trial (four per group). Analysis of co-variance, with adjustment for baseline measurement, revealed a between-group difference in the Timed Up and Go test at 8th week [CI95% difference of -4.90 (-5.80 a -4.00), p<0.0001] and in the follow-up [CI95% difference of -4.94 sec (-5.82 to -4.06), p<0.0001], which was our primary outcome. Significant between-groups differences were also found for all secondary outcomes (BBS, UPDRS-III, FRT, and PDQ-39) at 8th week and follow-up (16th week) assessments.
Conclusions and relevance: We suggest the body suspension with tilting exercises protocol (the Chordata Method) improves functionality and quality of life in subjects with moderate PD. This evidence supports the Chordata method appears to be a new
effective therapeutic option to treat Parkinson-related mobility and balance dysfunctions. / Import?ncia: A efic?cia da utiliza??o de exerc?cios de suspens?o e pendula??o corporal (m?todo Chordata) para o tratamento de sujeitos com a Doen?a de Parkinson ainda n?o foi testada.
Objetivo: Realizar um estudo cl?nico para avaliar a efic?cia de um programa de exerc?cios de suspens?o e pendula??o corporal sobre a funcionalidade e qualidade de vida de sujeitos portadores da doen?a de Parkinson.
Delineamento, M?todo e Participantes: Trata-se de um ensaio cl?nico, controlado e randomizado, com avaliador de desfecho alheio aos grupos experimentais. Um total de 48 sujeitos com diagn?stico m?dico de doen?a de Parkinson, de est?gio leve ? moderado, foram recrutados a partir do Servi?o de Neurologia do Hospital S?o Lucas da PUCRS, Brasil. O recrutamento ocorreu entre Setembro de 2015 e Maio de 2016. O protocol do estudo teve a dura??o de 16 semanas, sendo 8 semanas de pr?tica dos exerc?cios propostos, com iguais 8 semanas de seguimento (follow-up).
Interven??o: Os sujeitos foram randomizados nos grupos interven??o (suspens?o e pendula??o corporal) e controle (alongamentos de grandes grupos musculares).
Desfechos principais e medidas: O desfecho prim?rio do presente estudo foi o teste do Timed Up and Go ao final do protocolo de treinamento (8 semanas). Os desfechos secund?rios foram a Escala de Equil?brio de Berg (EEB); o teste do Alcance Funcional (TAF); a Escala Unificada da Doen?a de Parkinson, sess?o III (UPDRS-III) e o Question?rio de Qualidade de Vida na Doen?a de Parkinson (PDQ-39). Estes desfechos foram avalaidos nos momentos pr?-interven??o, ap?s, ao t?rmino do protocol de exerc?cios (8 semanas) e no per?odo de seguimento (16 semanas ap?s a randomiza??o).
Resultados: De um total de 48 sujeitos randomizados, 20 participaram do grupo interven??o (71,3?6,3 anos de idade) e 20 do grupo controle (66,7?6,4 anos de idade). Oito sujeitos foram perdidos durante a execu??o do estudo (quarto em cada um dos grupos). A An?lise de co-vari?ncia, com ajuste para os dados basais, revelou uma diferen?a entre-grupos no teste do Timed Up and Go ao t?rmino do protocolo de exerc?cios (8 semanas) [diferen?a IC95%: -4,90 (-5,80 a -4,00), p<0,0001] e na avalia??o de seguimento [diferen?a IC95%: -4.94 sec (-5,82 to -4,06), p<0.0001],
teste este estabelecido como o desfecho prim?rio. Diferen?as significativas tamb?m foram encontradas para todos os desfechos secund?rios (EEB, UPDRS-III, TAF e PDQ-39) em ambas as avalia??es p?s-interven??o (8 e 16 semanas ap?s a randimiza??o).
Conclus?es e relev?ncia: Nossos resultados sugerem que os exerc?cios de suspens?o e pendula??o corporal s?o capazes de melhorar a funcionalidade e a qualidade de vida de sujeitos com a doen?a de Parkinson, em est?gio moderado. Esta evid?ncia suporta que o m?todo Chordata parece ser uma nova e efetiva interven??o terap?utica para o tratamento das desordens de mobilidade e equil?brio associadas ? doen?a de Parkinson.
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Desempenho de longevos caidores e n?o caidores na avalia??o do Timed up and go (Tug) utilizando um aplicativo de smartphoneOliveira, Gabriela Guimar?es 24 January 2018 (has links)
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Previous issue date: 2018-01-24 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Performance of oldest-old fallers and do non fallers in the evaluation of Timed Up and Go (TUG) using a smartphone application
The falling is a serious event in the elderly population. Oldest-old (80 years or more) are more susceptible to their occurrence. Mobile technologies are shown as a facilitative and preventive alternative in actions in the field of public health. It is a cross-sectional observational and analytical study, with the objective to observe the performance of oldest-old fallers and non-fallers during the Timed Up and Go (TUG) test using a smartphone application. Participants were oldest-old (?90 years old), from Porto Alegre (RS), accompanied by the Care for the Oldest-Old Multiprofessional Project. We included in the study oldest-old that walked independently (without caregiver, family member or health professional) and safely, with or without the aid of gait devices (walking stick, crutch and walker) were included in the study; as well as those who understood verbal commands. Oldest-old patients who reported significant lower limb or spine pain on the day of the test were excluded from the study. In the analysis we use the sociodemographic variables (sex, age, schooling and monthly income), clinical variables (Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), presence of multimorbities( ) and polypharmacy 5? medications) and variables related to falls (history of falling in the last six months and fear of falling). As well as, parameters tracked by the application, which are temporal (Total TUG Duration, Transition Length from Seating to Standing (s) and Duration of Transition from Standing to Seating) and Angular (Maximum Trunk Angle Variation (g) and Maximum angular velocity during the forward lean phase (g / s) of the application). Significance levels of less than 5% were considered to be statistically significant and those between 5 and 10% were indicative of significance. The data were analyzed in the Epi InfoTM 7.2 program. From the 98 volunteers that participated at the study, 26.5% reported fall in the last six months. Women (25.76%) reported more frequent falls than men (p=0.492). Oldest-old fallers had mean age (92?3.14 years) higher than non-fallers (p=0.636), as well as more depressive symptoms (p<0.001). In the complete TUG, 97% of the non-fallers presented a medium or high risk of falling, compared to 92% of the fallers, showing an inadequacy of this classification for oldest-old. Fallers presented worse performance in each of the phases of the TUG, demonstrating to be more able to find differences between the groups than the complete test. Cut-off points for risk of falls were >1.68 seconds, in the sitting to standing phase, <1.91 seconds, in the standing to sitting phase, >42.2 degrees in the angle variation, and >84 degrees/second at the speed angle. The UAH Mobility Suite? smartphone application was able to evaluate the performance of oldest-old fallers and do non fallers through TUG time and its parameters, although any parameters were significant when compared to groups. Depression proved to be the only statistically significant variable, indicating that oldest-old depressive symptoms are more likely to fall. This was the first report of the use of UAHMobilitySuite? in oldest-old ones. The application has proved to be useful for being used in the home environment, and can be used in future researches. / Desempenho de longevos caidores e n?o caidores na avalia??o do Timed Up and Go (TUG) utilizando um aplicativo de smartphone
A queda ? um evento grave na popula??o idosa. Longevos (80 anos ou mais) est?o mais suscept?veis ? sua ocorr?ncia. Tecnologias m?veis mostram-se como uma alternativa facilitadora e preventiva em a??es no ?mbito da sa?de p?blica. Este estudo consiste em uma investiga??o transversal observacional e anal?tica, tendo por objetivo observar o desempenho de longevos caidores e n?o caidores atrav?s do teste Timed Up and Go (TUG) utilizando um aplicativo de smartphone. Participaram longevos (?90 anos), de Porto Alegre (RS), acompanhados domiciliarmente pelo projeto de Aten??o Multiprofissional ao Longevo. Foram inclu?dos no estudo longevos que deambulavam de forma independente (sem aux?lio de cuidador, familiar ou profissional da sa?de) e segura, com ou sem o aux?lio de dispositivos de marcha (bengala, muleta e andador); assim como aqueles que compreendiam comandos verbais. Utilizou-se para an?lise as vari?veis sociodemogr?ficas (sexo, idade, escolaridade e renda mensal), vari?veis cl?nicas (Mini Exame do Estado Mental (MEEM), Escala de Depress?o Geri?trica (Geriatric Depression Scale - GDS), presen?a de multimorbidades (2? doen?as) e polifarm?cia 5? medicamentos) e vari?veis relacionadas as quedas (hist?rico de queda nos ?ltimos seis meses e medo de cair). Assim como, par?metros rastreados pelo aplicativo, sendo eles temporais (Dura??o total do TUG (s); Dura??o da transi??o de sentado para em p? (s) e Dura??o da transi??o de em p? para sentado) e angulares (Varia??o m?xima do ?ngulo do tronco na fase de inclina??o para frente (g) e Velocidade angular m?xima durante a fase de inclina??o para frente (g/s) do aplicativo). Os graus de signific?ncia menores que 5% foram considerados estatisticamente significativos e os entre 5 e 10% como indicativos de signific?ncia. Os dados foram analisados no programa Epi InfoTM 7.2. Dos 98 avaliados, 26,5% referiram quedas nos ?ltimos seis meses. As mulheres (25,76%) referiam quedas mais frequentemente que os homens (p=0,492). Longevos caidores apresentaram m?dia de idade (92?3,14 anos) superior aos n?o caidores (p=0,636), assim como mais sintomas depressivos (p<0,001). No TUG completo, 97% dos longevos n?o caidores apresentaram a classifica??o de risco m?dio ou alto de queda, contra 92% dos caidores, demonstrando a inadequa??o dessa classifica??o para longevos. Caidores apresentaram pior desempenho em cada uma das fases do TUG, atrav?s do aplicativo, demonstrando ser mais capaz de observar diferen?as entre os grupos do que o teste completo. Pontos de corte para o risco de queda foram >1,68 segundos, na fase de sentado para em p?, <1,91 segundos, na fase de p? para sentado, >42,2 graus na varia??o do ?ngulo e >84 graus?segundos na velocidade do ?ngulo. O aplicativo de smartphone UAH Mobility Suite? foi capaz de avaliar o desempenho de longevos caidores e n?o caidores atrav?s do tempo do TUG e seus par?metros, embora nenhum par?metro tenha sido significativo quando comparado os grupos. A depress?o mostrou-se a ?nica vari?vel estatisticamente significativa, indicando que, longevos com sintomas depressivos apresentam mais chances de cair. Este foi o primeiro relato da utiliza??o do UAHMobilitySuite? em longevos. O aplicativo mostrou-se ?til para utiliza??o no ambiente domiciliar, podendo ser utilizado em investiga??es futuras.
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Avalia??o de impactos econ?micos de melhorias em transporte no Rio Grande do Sul : uma abordagem com equil?brio geral din?micoGon?alves, Rodrigo da Rocha 27 April 2018 (has links)
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Previous issue date: 2018-04-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / The state of Rio Grande do Sul has a matrix of transport highly concentrated in the modal road and lacking in infrastructure. Therefore, the aim of this thesis was to simulate improvements in the state transport matrix from the reduction in transportation costs, based on the knowledge of the infrastructure scenario of the transportation sector and its regional distribution. Two quantitative exercises were performed using general equilibrium models. In the first, an Input Output Matrix was estimated for the state and regionalized by mesoregion, seeking to verify the economic profile of each region and the use of transport modes. In the second exercise, a dynamic computable general equilibrium model for the state, called MEGARS, was used as a dynamic CGE model to evaluate fiscal and transport policies. The model was shown with great capacity in the generation of results and also in the preservation of local characteristics of the regional economy. The results of the CGE model regarding policy achievements are in line with the empirical literature on the evaluation of improvements in transportation and also demonstrated that the performance of the main macroeconomic variables of the economy of Rio Grande do Sul has improved significantly due to the net effect of the policy of improvements in transportation. transport. The reduction in transport margins has led to a rise in variables such as real GDP growth, exports, real household consumption, aggregate employment, imports, real wages and other costs of the economy in the period 2012-2025. / O estado do Rio Grande do Sul possui uma matriz de transportes altamente concentrada no modal rodovi?rio e carente de infraestrutura. Por isso, o objetivo desta tese foi simular melhorias na matriz de transporte estadual, a partir da redu??o nos custos de transportes, tendo como base o conhecimento do cen?rio da infraestrutura do setor transporte e sua distribui??o regional. Foram realizados dois exerc?cios quantitativos, utilizando modelos de equil?brio geral. No primeiro, foi estimada uma Matriz Insumo Produto para o estado e regionalizada por mesorregi?o, buscando verificar o perfil econ?mico de cada regi?o e a utiliza??o dos modais de transporte. No segundo exerc?cio, foi adaptado um modelo de equil?brio geral comput?vel din?mico para o estado, denominado MEGARS, um modelo de EGC din?mico voltado para avalia??o de pol?ticas fiscais e de transporte. O modelo mostrou-se com grande capacidade na gera??o de resultados e tamb?m na preserva??o de caracter?sticas locais da economia regional. Os resultados do modelo de EGC, no tocante a feitos da pol?tica, est?o de acordo com a literatura emp?rica de avalia??o de melhorias em transporte e demonstraram ainda que a performance das principais vari?veis macroecon?micas da economia ga?cha melhoraram significativamente em virtude do efeito l?quido da pol?tica de melhorias de transporte. A redu??o das margens de transporte proporcionou uma eleva??o de vari?veis como crescimento do PIB real, exporta??es, consumo real das fam?lias, emprego agregado, importa??es, sal?rio real e outros custos da economia no per?odo compreendido entre 2012-2025.
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Desempenho dos sistemas sensoriais envolvidos na manuten??o do equil?brio corporal em jovens, adultos e idososRodrigues, St?fani Ribeiro 24 July 2015 (has links)
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Previous issue date: 2015-07-24 / The body balance is the capacity of standing or generate acceleration movements and body rotations without oscillations or falls. For this to happen, it is necessary the integrity of different structures and systems, especially visual, proprioceptive and vestibular systems. The aim of this study was to evaluate the sensorial systems involved in body balance maintenance in young, adults and old people using the Foam-Laser Dynamic Posturography. We evaluated 69 subjects, in which 34% of the sample represented by women, 34% by young, 34% by adults and 32% by old people. The elderly group performed significantly better in visual system than other groups. The young group showed visual preference significantly higher than other groups. We concluded that there are differences in the performance of the sensorial systems involved in body balance maintenance among the evaluated age groups, although those differences had a straighter relation with diseases and lifestyle than with the aging process itself. / O equili?brio corporal e?a capacidade do ser humano de manter-se ereto ou executar movimentos de acelerac?a?o e rotac?a?o do corpo sem oscilac?o?es ou quedas. Para que isso ocorra, v?rias estruturas e sistemas necessitam estar ?ntegros, entre eles o sistema vestibular, o proprioceptivo e a vis?o. O objetivo dessa pesquisa que foi avaliar as diferen?as no desempenho dos sistemas sensoriais envolvidos na manuten??o do equil?brio corporal de jovens, adultos e idosos. Utilizando a Posturografia Din?mica foam-laser, 69 sujeitos foram avaliados, sendo que as mulheres representavam 66,1% da amostra, os indiv?duos jovens representavam 34%, os adultos 34% e os idosos 32% da amostra estudada. Os sujeitos idosos apresentavam desempenho significativamente melhor do sistema visual que as pessoas jovens e adultas. O grupo dos jovens apresentava prefer?ncia visual significativamente maior que os demais grupos. Concluiu-se que existem diferen?as no desempenho dos sistemas sensoriais envolvidos na manuten??o do equil?brio corporal entre as faixas et?rias avaliadas, por?m estas diferen?as apresentam-se associadas muito mais as doen?as e h?bitos de vida que ao envelhecimento.
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Equil?brio corporal, fun??o muscular, vari?veis antropom?tricas e funcionais de idosos comunit?riosM?ller, Daniela Virote Kassick 15 January 2016 (has links)
Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2016-04-18T11:31:39Z
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Previous issue date: 2016-01-15 / Aging is a natural process and result of the passage of time, common to all living beings. Can be considered biologically as involution morphofunctional that affect all major physiological systems; however, in varying degrees, as it does not prevent the person ages remain active, independent and happy. Population aging is a global phenomenon and brings with it a greater concern of gerontologists for this process to occur with minimal dysfunctions and pathologies, thus preserving the old, so that it has a better chance of going through this period of life with greater functionality and autonomy as possible. Therefore, in this thesis, we present three original articles that deal with the aging process and its consequences, both functional and morphological point of view, from an evaluation of a total of 105 residents community-dwelling elderly of the west side of Rio Grande do Sul. In the first article, entitled isokinetic muscle strength of knee flexors and extensors between sarcopenic elderly and non sarcopenic, data of muscle function obtained by exclusively isokinetic dynamometer among elderly men introduced himself, classifying them according the muscular mass index (MMI) between sarcopenic and not sarcopenic. This manuscript intended to verify the actual reduction of the decrease in muscle mass associated with muscular performance and the results demonstrated decreased that older adults with decreased MMI showed reduced muscle function when compared to older people without this disorder. In the second, Comparison of muscle mass, isokinetic muscle strength test and sits and raises 30' in the elderly, the findings related to muscle function of the lower limbs in the elderly are demonstrated by comparing female and male, with and without a diagnosis of sarcopenia. This article also sought to analyze whether there was relationship between muscle function assessed by isokinetic dynamometer to test and sit up for 30 seconds between older men and women. The results made it possible to verify that, although the elderly men have a worse body mass index they have managed to preserve a better muscle function that older women compared through the isokinetic dynamometer. The third article, entitled Analysis of body balance in elderly classified into different age groups using computerized dynamic posturography (CDP), presented the data obtained from the evaluation of the body balance in the balance of cash by sensory organization test and motor control. In order to classify the elderly, this study grouped them into three age groups hoping to see if advancing age had significant association with reduced body control. Through statistical analysis it was seen that those still younger preserve a better body stability. / O envelhecimento ? um processo natural e consequ?ncia da passagem dos anos, comum a todos os seres vivos. Pode ser considerado biologicamente como a involu??o morfofuncional que afeta todos os sistemas fisiol?gicos principais; por?m, de forma vari?vel, j? que n?o impede que a pessoa que envelhece se mantenha ativa, independente e feliz. O envelhecimento populacional ? um fen?meno mundial e traz consigo uma maior preocupa??o de geront?logos para que esse processo ocorra com o m?nimo de disfun??es e patologias, preservando, assim, o idoso, a fim de que o mesmo tenha maiores chances de atravessar este per?odo da vida com a maior funcionalidade e autonomia poss?vel. Diante disso, na presente tese, s?o apresentados tr?s artigos originais que versam sobre o processo de envelhecimento e suas consequ?ncias, tanto do ponto de vista morfol?gico, quanto funcional a partir de uma avalia??o de um total de 105 idosos comunit?rios residentes da fronteira oeste do Rio Grande do Sul. No primeiro artigo, intitulado For?a muscular isocin?tica de flexores e extensores de joelho entre idosos sarcop?nicos e n?o sarcop?nicos, apresentou-se os dados da fun??o muscular obtidos atrav?s da dinamometria isocin?tica exclusivamente entre os idosos do sexo masculino, classificando-os segundo o ?ndice de massa muscular (IMM) entre sarcop?nicos e n?o sarcop?nicos. Este manuscrito pretendia verificar a real redu??o da performance muscular associada a diminui??o da massa muscular e os resultados demontraram que idosos com diminui??o do IMM apresentaram fun??o muscular reduzida quando comparados aos idosos sem esta desordem. No segundo, Compara??o da massa muscular, for?a muscular isocin?tica e teste senta e levanta 30? em idosos, s?o demonstrados os achados referentes ? fun??o muscular dos membros inferiores entre idosos, comparando sexo feminino e masculino, com e sem diagn?stico de sarcopenia. Este artigo tamb?m pretendeu analisar se haveria rela??o entre a fun??o muscular avaliada pela dinamometria isocin?tica com o teste de senta e levanta por 30 segundos entre homens e mulheres idosos. Os resultados encontrados possibilitaram verificar que, apesar de os idosos do sexo masculino apresentarem pior ?ndice de massa muscular estes conseguiram preservar uma melhor fun??o do m?sculo que as mulheres idosas quando comparados atrav?s da dinamometria isocin?tica. O terceiro artigo, com o t?tulo de An?lise do equil?brio corporal em idosos classificados em diferentes faixas et?rias atrav?s da posturografia din?mica computadorizada (PDC), apresentou os dados obtidos atrav?s da avalia??o do equil?brio corporal na caixa de equil?brio pelos testes de organiza??o sensorial e controle motor. A fim de classificar os idosos, este estudo os agrupou em tr?s faixas et?rias na expectativa de visualizar se o avan?o da idade apresentava rela??o significativa com a redu??o do controle corporal. Atrav?s da an?lise estat?stica foi visto que os idosos considerados mais jovens preservam uma melhor estabilidade corporal.
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A import?ncia da lideran?a militar para os Oficiais R/2 no gerenciamento de suas atividades profissionais: a experi?ncia do Centro de Prepara??o de Oficiais da Reserva do Rio de Janeiro (CPOR/RJ). / The importance of the military leadership for the R/2 Officers in the management of its professional activities: the experience of the Center of Preparation of Officers of the Reserve of Rio de Janeiro (CPOR/RJ).Dias, Marcus Roberto Gomes 28 August 2006 (has links)
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Previous issue date: 2006-08-28 / The objective of the present work was to study the importance of the military leadership for
the R/2 Officers in the management of its professional activities, having as base the
experience of the Center of Preparation of Officers of the Reserve of Rio De Janeiro
(CPOR/RJ). To reach the above-mentioned objective concepts on the multiplicity of
intelligence had been presented, the importance of the affective area, the participativo
manager, military leadership, motivation and the professional military education. The work
sample that the former-pupils of the CPOR/RJ, when pupils of this educational establishment
of the Brazilian Army, had developed military leadership e, currently, makes use of this tool
of management of people in its professional activities. Moreover, it was evidenced, also, that
the current pupils to the long one of the period of formation develop the attributes cooperation
and emotional balance. How much the methodology is about a research of field with
application of questionnaires, being composed for three parts, including closed and opened
questions. It was since the attributes of the affective area, cooperation and emotional balance,
represent the foundation of the leadership and the profile of the participativo manager.
Therefore, one confirms that the military leadership, the emotional balance and the
cooperation are taught and learned attributes. / O objetivo do presente trabalho foi estudar a import?ncia da lideran?a militar para os Oficiais
R/2 no gerenciamento de suas atividades profissionais, tendo como base a experi?ncia do
Centro de Prepara??o de Oficiais da Reserva do Rio de Janeiro (CPOR/RJ).
Para atingir o objetivo supracitado foram apresentados conceitos sobre a multiplicidade da
intelig?ncia, a import?ncia da ?rea afetiva, o gerente participativo, lideran?a militar, motiva??o
e a educa??o militar profissional. O trabalho mostra que os ex-alunos do CPOR/RJ, quando
alunos desse estabelecimento de ensino do Ex?rcito Brasileiro, desenvolveram a lideran?a
militar e, atualmente, fazem uso dessa ferramenta de gest?o de pessoas em suas atividades
profissionais. Al?m disso, foi constatado, tamb?m, que os alunos atuais ao longo do per?odo
de forma??o desenvolvem os atributos coopera??o e equil?brio emocional. Quanto a metodologia
trata-se de uma pesquisa de campo com aplica??o de question?rios, sendo composto por
tr?s partes, incluindo quest?es fechadas e abertas. Foi visto que os atributos da ?rea afetiva,
coopera??o e equil?brio emocional, representam o alicerce da lideran?a e o perfil do gerente
participativo. Portanto, confirma-se que a lideran?a militar, o equil?brio emocional e a coopera??o
s?o atributos ensinados e aprendidos.
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Efeito da terapia por fotobiomodula??o (LED 630 nm) no equil?brio redox e nos aspectos histol?gicos na osteoartrite de joelho induzida por monoiodoacetato em ratosMartins, Lorena Pacheco de Oliveira 27 March 2018 (has links)
Na Ficha Catalogr?fica consta o t?tulo: "Efeito da terapia por fotobiomodula??o (LED630nm) no equil?brio redox e nos aspectos hist?logicos da osteoartrite de joelho induzida por monoiodoacetato de s?dio em ratos". / Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-08-30T15:08:00Z
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Previous issue date: 2018 / A osteoartrite (OA) tem potencial cr?nico-degenerativo e car?ter inflamat?rio. Al?m do papel
inflamat?rio, outros fatores, como o desequil?brio redox, parecem contribuir para altera??es
na cartilagem articular, a principal estrutura articular afetada. A fotobiomodula??o (FBM)
utilizando LED tem sido proposta para o tratamento da OA por atuar sobre os processos
degenerativos da cartilagem, favorecer defesas antioxidantes e modular marcadores do
estresse oxidativo. Diante disso, o objetivo foi avaliar o efeito da terapia por FBM utilizando
LED (630 nm) sobre os aspectos histomorfom?tricos da cartilagem articular e no equil?brio
redox na OA de joelho induzida por monoiodoacetato de s?dio em ratos. Foram utilizados 27
ratos Wistar, separados entre os grupos: Controle; osteoartrite (OA) e osteoartrite + LED
(OALED). No grupo OALED foi aplicado o LED (630 nm; 300mW; 9 J/cm2; 0,3 W/cm2; 30
s; iniciando 24h ap?s indu??o; 3 vezes/semana; 8 semanas). A eutan?sia dos animais ocorreu
56 dias ap?s a indu??o da OA, o sangue foi coletado para an?lise do dano oxidativo
(TBARS), da capacidade antioxidante enzim?tica (atividade da SOD e CAT) e o estado
antioxidante total do plasma atrav?s (FRAP). O joelho direito foi utilizado para a morfometria
da cartilagem atrav?s da medida da espessura e contagem de condr?citos. O grupo OALED
apresentou maior espessura m?dia da cartilagem e m?dia dos condr?citos semelhante ao
grupo Controle. Foi observado ainda maior atividade enzim?tica antioxidante (SOD e CAT) e
menor concentra??o de TBARS (P<0,05) no grupo OALED comparado ao grupo OA. A
terapia por FBM demonstrou ser efetiva sobre o equilibro redox e sobre a preserva??o da
cartilagem articular em um modelo de OA induzida. / Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Reabilita??o e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2018. / Osteoarthritis (OA) has chronic-degenerative potential and inflammatory character. In
addition to the inflammatory role, other factors, such as redox imbalance, appear to contribute
to changes in the articular cartilage, the main articular structure affected. Photobiomodulation
(PBM) using LED has been proposed for the treatment of OA by acting on degenerative
cartilage processes, favoring antioxidant defenses and modulating oxidative stress markers.
The aim of this study was to evaluate the effect of PBM therapy using LED (630 nm) on the
histomorphometric aspects of articular cartilage and redox balance in knee OA induced by
sodium monoiodoacetate in rats. Wistar rats were used, separated between the groups:
Control; osteoarthritis (OA) and osteoarthritis + LED (OALED). In the OALED group, the
LED (630 nm, 300 mW, 9 J / cm2, 0.3 W / cm2, 30 s, starting 24 h after induction, 3 times /
week, 8 weeks) was applied. The euthanasia of the animals occurred 56 days after induction
of OA, blood was collected for analysis of oxidative damage (TBARS), enzymatic antioxidant
capacity (SOD and CAT activity) and the total antioxidant status of plasma through (FRAP).
The right knee was used for the morphometry of cartilage by measuring the thickness and
counting of chondrocytes. The OALED group had a higher average cartilage thickness and
mean chondrocytes similar to the control group. It was also observed higher antioxidant
enzymatic activity (SOD and CAT) and lower level of TBARS (P <0.05) in the OALED
group compared to the OA group. PBM therapy has been shown to be effective on redox
balance and preservation of articular cartilage in an induced OA model.
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Altera??es de equil?brio postural e qualidade de vida em mulheres no ciclo grav?dico puerperalEufr?sio, Laiane Santos 19 January 2015 (has links)
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Previous issue date: 2015-01-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / INTRODU??O: O ciclo grav?dico-puerperal causa in?meras transforma??es na
vida da mulher, sejam elas f?sicas, hormonais, emocionais ou sociais. Tais
altera??es podem afetar o equil?brio postural e a qualidade de vida dessas
mulheres na gravidez, podendo persistir no p?s-parto. OBJETIVO: Analisar
altera??es no equil?brio postural e qualidade de vida em mulheres na gravidez
e no p?s-parto. METODOLOGIA: Este estudo foi composto por 47 mulheres
participantes do Curso para Gestantes do Departamento de Fisioterapia da
UFRN, avaliadas durante o per?odo gestacional (2? ou 3? trimestre) e no
per?odo de 1 a 8 meses do p?s-parto. Realizou-se avalia??o de todas as
participantes quanto ao equil?brio postural, pelo Balance Master?, em cinco
testes espec?ficos: (1)Modified Clinical Test of Sensory Interaction on Balance ?
MCTSIB; (2)Rhythmic Weight Shift Test ? RWS, (3) Unilateral Stance ? US, (4)
Sit to Stand ? STS, e (5) Walk Across ? WA. A qualidade de vida (QV) foi
avaliada aplicando-se o ?ndice de qualidade de vida de Ferrans & Powers
(IQVFP), tanto na gesta??o quanto no p?s-parto. Para an?lise estat?stica dos
dados foi utilizado o software Statistical Package for Social Sciencies for
Personal Computer- SPSS (vers?o 20.0), aplicando-se os testes de: ShapiroWilk
para avaliar a normalidade dos dados; Qui-quadrado para analisar a
frequ?ncia de altera??es de equil?brio postural nos dois grupos da gesta??o e
nos dois grupos do p?s-parto; o teste de McNemar para analisar frequ?ncias de
altera??o de equil?brio das amostras relacionadas nos dois momentos de
avalia??o; para comparar o comportamento do equil?brio postural ao longo da
gesta??o e p?s-parto, e para a compara??o da QV entre os per?odos, utilizouse
o teste de Wilcoxon; e ainda, o teste de Mann-Whitney para comparar os
escores da QV nos dois grupos da gesta??o e nos dois grupos do p?s-parto.
Foi adotado um p-valor < 0,05. RESULTADOS: Comparando o equil?brio
postural na gesta??o e p?s-parto, no teste MSTSIB houve diferen?a estat?stica
em superf?cie inst?vel de olhos fechados (p=0,001), e no teste US, na
velocidade de oscila??o com perna direita de olhos fechados (p=0,03). Na
qualidade de vida, observou-se diferen?a estat?stica entre os escores apenas
entre os grupos do p?s-parto, no dom?nio Fam?lia (p=0,03); e ao comparar
gesta??o e p?s-parto nos dom?nios Sa?de e Funcionamento (p=0,02) e o
Socioecon?mico (p=0,01). CONCLUS?ES: Observou-se que as altera??es de
equil?brio presentes na gesta??o persistem no p?s-parto, e a qualidade de vida
? considerada boa pelas mulheres, tanto na gesta??o como no p?s-parto. / INTRODUCTION: The pregnancy and childbirth cause many changes in a
woman's life, whether physical, hormonal, emotional or social. Such changes
may affect the postural balance and the quality of life of women in pregnancy
and may persist after delivery. To analyze changes in postural balance and
quality of life in women in pregnancy and postpartum. METHODS: This study
consisted of 47 women participants of the Course for Pregnant Women of the
Department of Physical Therapy at UFRN, evaluated during pregnancy (2? or 3?
trimester) and in the period 1-8 months postpartum. In all participants was
evaluated the postural balance, the Balance Master? in five specific tests: (1)
Modified Clinical Test of Sensory Interaction on Balance-MCTSIB; (2) Rhythmic
Weight Shift Test - RWS (3) unilateral stance - US, (4) Sit to Stand - STS, and
(5) Walk Across - WA. The quality of life (QoL) was assessed by applying the
Quality Score of life Ferrans & Powers (IQVFP), both during pregnancy and in
the postpartum period. For statistical analysis we used the Statistical Package
for Social Sciences software for Personal Computer- SPSS (version 20.0),
applying the tests: Shapiro-Wilk to assess the normality of the data; Chi-square
to analyze the frequency of postural balance changes in the two groups of
pregnancy and postpartum in both groups; McNemar test to analyze balance
disorders frequency of related samples in the two time points; to compare the
behavior of postural balance during pregnancy and postpartum, and to compare
the QoL between the periods, we used the Wilcoxon test; and yet, the MannWhitney
test to compare the QoL scores in the two groups of pregnancy and
postpartum in both groups. We adopted p-value <0.05. RESULTS: Comparing
the postural balance during pregnancy and postpartum in MSTSIB test has
statistical difference in unstable surface with closed eyes (p=0.001) and in the
US test, the speed of oscillation with right leg with eyes closed (p=0,03). Quality
of life, there was statistical difference between the scores only among
postpartum groups, the family domain (p=0.03); and to comparing pregnancy
and postpartum in domain health and operation (p=0.02) and the
Socioeconomic domain (p=0.01). CONCLUSIONS: It was observed that the
balance changes present during pregnancy persist postpartum, and the quality
of life is considered good by women, both during pregnancy and postpartum.
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Efeito tardio do kinesio taping na fun??o do membro inferior e no desempenho neuromuscular do quadr?ceps femoral de mulheres saud?veis: ensaio cl?nico e randomizadoLins, Caio Alano de Almeida 15 December 2015 (has links)
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Previous issue date: 2015-12-15 / Introdu??o: o Kinesio Taping (KT) vem sendo utilizado em pessoas saud?veis para aumentar o desempenho neuromuscular, entretanto s?o raros os estudos que avaliaram os seus efeitos tardios, apesar destes serem sugeridos. Objetivo: analisar o efeito tardio do KT no desempenho neuromuscular do quadr?ceps femoral, na oscila??o do centro de press?o e na fun??o do membro inferior de mulheres saud?veis. Materiais e m?todos: ensaio cl?nico, randomizado e cego, composto por 60 mulheres (idade m?dia de 21,9 ? 3,3 anos e IMC 22,3 ? 2,2 Kg/m2) submetidas ? avalia??o da oscila??o do centro de press?o atrav?s da baropodometria, da fun??o do membro inferior por meio do salto, do desempenho isocin?tico do joelho, da atividade eletromiogr?fica do vasto lateral (VL) e do senso de posi??o articular do joelho (SPA). Em seguida foram aleatoriamente distribu?das em tr?s grupos de vinte: controle ? n?o aplicou o KT; placebo - aplica??o do KT sem tens?o no quadr?ceps femoral; Kinesio Taping - aplica??o do KT com tens?o, no mesmo grupo muscular. As avalia??es foram realizadas em cinco momentos: antes da aplica??o do KT, imediatamente, 24h, 48h ap?s aplica??o e 24 horas ap?s a sua retirada (72h). Utilizou-se o SPSS 20.0, para a an?lise. O teste K-S foi utilizado para verificar a normalidade dos dados, o de Levene para homogeneidade das vari?ncias e ANOVA de modelo misto 3x5 para verificar diferen?as intra e intergrupo. Resultados: n?o houve diferen?a no pico de torque, na pot?ncia e nem na atividade eletromiogr?fica ou no SPA (p>0,05) entre os grupos. J? na velocidade de deslocamento do centro de press?o houve uma redu??o imediatamente ap?s a aplica??o no grupo Kinesio Taping (p<0,001), mas sem diferen?as entre os grupos (p=0,28). Houve uma redu??o no tempo do pico de torque nos tr?s grupos, nas avalia??es ap?s a aplica??o do KT (p<0,001) e um aumento no salto ?nico em todos os grupos (p<0,001), mas sem diferen?as entre eles. Conclus?o: O KT n?o ? capaz de alterar de maneira imediata, nem tardia a fun??o do membro inferior, a oscila??o do centro de press?o, o desempenho isocin?tico, o SPA do joelho e a atividade eletromiogr?fica do m?sculo VL, em mulheres saud?veis. / Introduction: Kinesio Taping (KT) has been used in healthy people to improve neuromuscular performance, however, few studies have evaluated its chronic effects, despite being suggested. Objective: To analyze the chronic effects of KT on neuromuscular performance of the quadriceps, the oscillation of the center of pressure and lower limb function in healthy women. Methods: blinded, randomized, controlled trial, composed of 60 women (mean age 21.9 ? 3.3 years and BMI 22.3 ? 2.2 kg / m2) submitted to the evaluation of oscillation of the center of pressure through the baropodometry, the lower limb function by the hop test, isokinetic knee performance, the electromyographic activity of the vastus lateralis (VL) and joint position sense of the knee (JPS). Then, participants were randomly divided into three groups of twenty: control - did not apply the KT; placebo - application of KT without tension on the quadriceps; Kinesio Taping - application of KT with tension in the same muscle group. The evaluations were conducted in five moments: prior to application of KT, immediately after the application, 24h, 48h after application and 24 hours after its removal (72h). SPSS 20.0 was used for statistical analysis. The KS test was used to verify the data normality, the Levene test for homogeneity of variances and a mixed-model ANOVA 3x5 to check intra and inter-group differences. Results: there was no difference in peak torque, the power, nor the electromyographic activity or SPA (p> 0.05) between groups. The displacement speed of center of pressure reduced immediately after the application on kinesio taping group (p <0.001), but with no differences between the groups (p = 0.28). There was a reduction in the time of peak torque among the three groups in the evaluations after KT application (p <0.001) and an increase in single hop in all groups (p <0.001), but with no differences between them. Conclusion: KT can not change, in a chronic way, the lower limb function, the oscillation of the center of pressure, the isokinetic performance, the JPS of the knee and the electromyographic activity of VL muscle in healthy women.
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Efeitos imediatos da plataforma vibrat?ria no desempenho neuromuscular do quadr?ceps femoral, ap?s reconstru??o do LCA: ensaio controlado, randomizado e cegoCosta, Karinna Son?lya Aires da 17 March 2016 (has links)
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Previous issue date: 2016-03-17 / Objetivo: investigar os efeitos imediatos da plataforma vibrat?ria no desempenho neuromuscular do quadr?ceps femoral e na oscila??o postural de sujeitos submetidos ? reconstru??o do ligamento cruzado anterior (LCA).Materiais e m?todos: trata-se de um ensaio cl?nico, randomizado e cego. Quarenta e quatro volunt?rios do g?nero masculino (idade m?dia de 27,4?6,2 anos, IMC de 26,8? 3,8 Kg/m? e tempo de p?s operat?rio 17? 1,4 semanas) foram randomizados em 2 grupos: plataforma OFF (n=22, protocolo sobre a plataforma vibrat?ria desligada) e plataforma ON (n=22, protocolo sobre a plataforma vibrat?ria ligada, numa frequ?ncia de 50 Hz e amplitude de 4 mm). Todos os volunt?rios foram submetidos ? avalia??o do senso de posi??o articular do joelho (SPA), da avalia??o dinamom?trica do quadr?ceps femoral (isom?trica e conc?ntrica a 60?/s) e da atividade eletromiogr?fica dos m?sculos VL e VM, al?m da oscila??o do centro de press?o (baropodometria) em dois momentos distintos: antes e imediatamente ap?s o protocolo de interven??o. Os dados foram analisados por meio dosoftware SPSS 20.0, atribuindo-se n?vel de signific?ncia de 5%. A estat?stica descritiva ? apresentada pela m?dia (medida de tend?ncia central) e desvio padr?o (medida de dispers?o). Para verificar a homogeneidade dos grupos foi usada uma ANOVA one way, e para a compara??o intra e intergrupos, uma ANOVA mixed model. Resultados: foram observadas diferen?as entre as avalia??es pr? e p?s para as vari?veis velocidade latero lateral, pico de torque isom?trico e trabalho total, na compara??o intragrupos. Entretanto, n?o foi verificada diferen?a significativa na compara??o intergrupos ap?s a aplica??o do protocolo, sobre a plataforma vibrat?ria. Conclus?o: o uso da plataforma vibrat?ria n?o modifica de maneira imediata o desempenho do quadr?ceps femoral, a atividade eletromiogr?fica do VL e VM, bem como n?o interfere na oscila??o do centro de press?o de indiv?duos submetidos ? reconstru??o do LCA. / Objective: to investigate the immediate effect of the vibrating platform on the neuromuscular performance of the quadriceps femoris and on the postural oscillation of subjects submitted to Anterior Cruciate Ligament (ACL) reconstruction. Materials and methods: this study is a randomized and blind clinical trial. Forty-four male volunteers (average age of 27,4 ?6,2 IMC of 26,85? 3,8 Kg/m? and post surgery timeframe of 17? 1,4 weeks) were randomized into two groups: OFF platform (n=22, protocol of exercise over the vibrating platform off) and ON platform (n=22 protocol of exercise over the vibrating platform on, 50Hz frequency and 4mm of amplitude). All volunteers were submitted to assessment the isokinetic evaluation of the quadriceps
femoris (isometric and isokinetic at 60?/s) and of the electromyography activity of the muscles Vasto Lateralis (VL) and Vasto Medialis (VM), besides the postural oscillation (baropodometry) in two distinct moments: before and immediately after the intervention protocol. The data was analyzed through the SPSS 20.0 software, with a 5% significance level. To verify the homogeneity of the groups it was used an ANOVA one way, and a ANOVA mixed model to compare the intra and inter groups. Results: it was observed differences between the pre and the post, to latero lateral velocity, isometric torque peak and total work in comparison with intragroup. However, it wasn?t verified any difference in comparing the intergroup in the preevaluation
and in the post-evaluation protocol over the vibrating platform. Conclusion: the use of the vibrating platform doesn?t change as an immediate manner the isokinetic performance of the quadriceps femoris, the electromyography activity of the VL and the VM, also doesn?t interfere with the postural oscillation of
individuals that were submitted to the ACL reconstruction.
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