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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Preval?ncia e fatores associados da s?ndrome de Osgood-Schlatter em uma amostra populacional de adolescentes brasileiros

Lucena, Gildasio Lucas de 17 November 2010 (has links)
Made available in DSpace on 2014-12-17T14:13:36Z (GMT). No. of bitstreams: 1 GildasioLL_TESE.pdf: 952665 bytes, checksum: 96197adbbfc671543c2756fd03d62d1e (MD5) Previous issue date: 2010-11-17 / Osgood-Schlatter (O-S) syndrome, a pathology of the musculoskeletal system, exhibits high incidence in adolescence, a phase of accelerated bone growth. Detection of physiopathological mechanisms that may cause disorders and dysfunctions in bone growth must be taken into account when planning physical activities, in order to promote normal physiological growth patterns. The aim of this epidemiological investigation was to identify and analyze the relationships between sociodemographic, anthropometric and clinical aspects and O-S. A cross-sectional design was used, with a representative sample of 956 subjects: 474 (49.6%) males and 482 (50.4%) females. Age range varied between 12 and 15 years (mean = 13.7?1.04). We used a battery of tests, previously applied in a pilot study, which met the aims of the investigation. Descriptive statistics (frequency, mean and standard deviation) were used and the odds ratio was calculated from bivariate and multivariate logistic regression (p<0.05). A prevalence of 9.8% was found (n = 94 cases): 11% males and 8.3% females. Hierarchized multivariate analysis showed a significant association between regular physical activities (OR= 1.94; CI 95%, 1.22-3.10) and shortening of the rectus femoris muscle (OR= 7.15; CI 95%, 2.86-17.86). The results may serve as a basis for therapeutic and prophylactic measures, in addition to increasing our knowledge of this syndrome in Brazilian adolescents. This investigation used a multidisciplinary approach, involving elements of anatomy, nutrition, physical education and physical therapy to elucidate the object under study related to Osgood-Schlatter syndrome / A S?ndrome de Osgood-Schlatter (O-S) representa uma enfermidade do sistema m?sculo-esquel?tico com uma incid?ncia elevada na adolesc?ncia, fase onde se evidencia uma acelera??o do crescimento ?sseo. A detec??o de mecanismos fisiopatol?gicos que possam gerar dist?rbios e disfun??es do crescimento ?sseo, representam fatores de prote??o e devem ser considerados nas a??es de planejamento de atividades f?sicas, visando propiciar um crescimento dentro de padr?es fisiol?gicos. O objetivo dessa investiga??o epidemiol?gica foi identificar e analisar as rela??es dos aspectos s?cio-demogr?ficos, antropom?tricos e cl?nicos com a O-S. Este estudo teve um delineamento transversal, com uma amostra representativa 956 sujeitos, sendo 474 (49,6%) do sexo masculino e 482 (50,4%)do sexo feminino. A faixa et?ria variou de 12 a 15 anos (m?dia = 13,7?1,04). Para o exame cl?nico, foi utilizada uma bateria de testes que atendesse aos objetivos da investiga??o; testes estes previamente aplicados em um estudo piloto. Para an?lise foram utilizados procedimentos da estat?stica descritiva (frequ?ncia, m?dia e desvio padr?o) e o c?lculo da raz?o de chance (Odds Ratio) mediante regress?o log?stica bivariada e multivariada; p<0,05. Encontrou-se uma preval?ncia de 9,8% (n=94 casos), sendo 11% para o sexo masculino e 8,3% para o feminino, nos quais, a partir de an?lise multivariada hierarquizada, verificou-se associa??o significativa na pr?tica regular de atividades (OR= 1,94; IC 95%, 1,22-3,10) com o encurtamento do m?sculo reto femoral (OR= 7,15; IC 95%, 2,86-17,86). Os resultados do estudo poder?o servir como base terap?utica e na tomada de medidas profil?ticas, al?m de possibilitar um aprofundamento no que se sabe sobre acerca desta s?ndrome entre os adolescentes brasileiros. Esta investiga??o teve a xv abordagem multidisciplinar, momento em que envolveu elementos da anatomia, nutri??o, educa??o f?sica e fisioterapia na elucida??o do objeto de estudo relacionado ? s?ndrome de Osgood-Schlatter

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