Autor: Bc. Veronika Sýkorová Title: Comparative analysis of the effect on disease-modifying drugs and biological therapy in functional ability in patients with rheumatoid arthritis. Objective: The aim of the thesis is to compare the effect of disease-modifying drugs and biological therapy on quality of life using the disability index, which is achieved by evaluating the HAQ, grip strength the small muscles of the hand, which is tested a hand dynamometer and standing stability, which is detected by measuring on stabilometric platform. Methods: This is a pilot study using subjective and objective examination. Stabilometric and dynamometric examination and the Czech version of the Stanford Health Assessment Questionnaire validated by Rheumatology Institute in Prague 2010 were used to the analysis. Evaluation of the collected data was done using two-way analysis of variance with repetition. Results: Biological therapy and disease-modifying antirheumatic drugs have significant impact on quality of life, the strength of the small muscles of the hand and standing stability in patients with rheumatoid arthritis. Disease-modifying antirheumatic drugs have reached significant results than the biological therapy in quality of life, forces the small muscles of the right hand and standing stability. Biological...

Title: The assesment of selected strength and stability parameters of an ankle plantar and dorsal flexion in slackliners. Objectives: To assess the relation between level of stability the dorsiflexion and the plantar flexion strength in slackliners. Methods: The research sample was composed of two groups - slackliners (9 person) and balanced control group (9 person) selected from physically active population. Probands were tested on the Flamingo test on the pressure plate, the test of the dorsiflexion and plantar flexion strenght on an isokinetic dynamometer. Slackliners underwent extra range of motions elements on the slackline. The level of stability was assessed by using the centre of pressure and the physical design of individual elements on the slackline. Power was assessed by using the peak torque at 30 ř and 120 ř. Results: Slackliners achieve bigger relative strength in the plantar angular velocity of rotation of 30 ř in both limbs than the control group (left: 1.51 ± 0.31 vs. 1.20 ± 0.30 Nm.kg-1 , p <0.05 , η2 = 0.21, right: 1.55 ± 0.34 vs. 1.21 ± 0.34 Nm.kg-1 , p <0.05, η2 = 0.22). The results of other parameters (postural stability, isokinetic power at the ankle angular velocity of 120 ř.s-1 and the time course of force) between the two groups did not differ significantly. Conclusion:...

Name: Influence of a rupture and reconstruction of an anterior cruciate ligament on the postural activity of an individual Aim: The aim of my thesis is to find out whether a rupture and the following rupture recinstruction of an anterior cruciate ligament has an influence on the postural activity of an individual namely after a longer period ( at least one year) from the undergone operation. Methods: The thesis has been worked out by a form of an analytical comparative study where it deals with measuring of two groups of probands - healthy and those after anterior cruciate ligament operation. The postural behaviour of individuals was tested after deflection by impact of a pendulum at a free standing position with and without visual control and also when standing on one leg. Results: The results of the measuring denote that when a person after anterior cruciate ligament rupture and following rupture recinstruction is deflected by an external impact while standing on both legs he/she will rather rely on the leg without surgery but the side difference will not be very distinctive. This fact will not change much even without visual control. While standing on one leg though the individual after surgery will have a more serious problem to stabilize his/her position (the period of time to stabilize will...

The diploma thesis summarizes physiology of vestibular system and disorders of vestibular system. In experimental part we observe the influence of vestibular stimulation on static postural stability. We achieve vestibular stimulation by active and repeated head and body movements. We measure the lenght of COP trajectory using stabilometry. We tested two groups of persons, 20 healthy persons aged 21 - 49 years and 6 patients with postural stability disorder from vestibular origin aged 40 - 76 years. The changes in lenght of trajectory COP after vestibular stimulation were not statistically significant in any group, but for each patient, there was a change in lenght of trajectory of COP. In patients, who have peripheral vestibular disorder, there was a reduction in lenght of trajectory of COP. Powered by TCPDF (www.tcpdf.org)

Title: Changes of trunk mobility in relation to postural stability Objectives: The main aim of this work was to quantitatively observe segmental trunk mobility in 3D space during flexion of arm and create coupled pattern phenomena of particular spine segments. Additional aim was to verify the effect of modification of the measurements on movement performance and to relate the given movement of the arm and the segmental trunk mobility to changes in the load of the lower extremities. Methods: The measurement itself was performed on 23 asymptomatic males aged 20 - 30. In 3 modifications of the motion measurement - no load, with load and with load and hold with arm forward, probands performed 5 repetitions of right arm flexion in the sagittal plane. The motion was scanned by system Qualisys markers while standing on 2 Kistler stabilometric platforms. Results: In most probands, the segmental movement of the spine was repeatable. It was possible to compare it between probands and create coupled pattern phenomena of the spine. The increased arm load and hold with arm forward caused an increase in the deflections of the particular spine segments in sagittal plane. Furthermore, the increase in load has led to demonstrably greater load changes in the lower extremities. The link between the segmental trunk...

Conceptualiser, réaliser, étalonner et valider une plateforme d'étude de la posture du cavalier. mise en place de capteurs de selle et de capteurs d'étriers. Nous utiliserons un cheval mécanique référent pour valider notre matériel. Nous voulons mettre en évidence la notion d'assiette passive et d'assiette active. Après modifications et étalonnage du cheval mécanique grâce à l'accéléromètrie, nous créons une plateforme filaire pour étalonnage. Nous réalisons des expérimentations in situ dans les écuries avec des cavaliers de dressage et de CSO. Nous étudions les deux types d'assiette par une expérimentation finale à la recherche de normes. Nous exporterons notre analyse dans le monde du Handisport et dans le monde de la rééducation. / Conceptualize, implement, calibrate and validate a platform for studying the rider's posture. We will use a referring horse simulator for our device's validation.We want to highlight the concept of passive and active riders seat. After changes and horse simulator's calibration by accelerometry, we create a calibrated wired platform such as embedded system. we perform experiments in the stables with expert's riders, jumping and dressage. we are studying the two types of rider's seat with an ending experiment. We try to determine seated standart positions for rider. we will export our analysis experiment in the world of Para and in the rehabilitation's world.

Les troubles de la stabilité demeurent fréquents chez la personne âgée, dont la chute, avec des conséquences néfastes sur l’autonomie. Trois essais randomisés ont été menés afin d’identifier les variables distinguant le sujet âgé autonome chuteur et d’analyser l’incidence d’un traitement ostéopathique. La 1ère étude concerne 33 sujets : 15 chuteurs (68,3 ± 2,7 ans) et 18 non-chuteurs (67,7 ± 2,5 ans). Trois paramètres stabilométriques et trois tests cliniques permettent de distinguer les deux populations (p < 0,05). Le traitement ostéopathique améliore les caractéristiques évaluées des sujets chuteurs (plus de différence significative). La 2ème étude concerne 40 sujets chuteurs lombalgiques : 20 recevant un traitement ostéopathique(69,5 ± 3,9 ans) et 20 ne le recevant pas (69,9 ± 3,4 ans). Cette étude permet d’identifier que la mobilité lombaire est restreinte chez le sujet âgé chuteur et que le traitement ostéopathique améliore l’amplitude de mouvement lombaire juste après le traitement ainsi qu’à sept jours (p ≤0,01). La 3ème étude concerne 34 sujets : 17 chuteurs (71,3 ± 3,5 ans) et 17 non-chuteurs (71,5 ± 4,2 ans). Quatre variables cinématiques permettent de distinguer les deux populations (p ≤ 0,04). Le coefficient de détermination R2 ainsi que le Gait Variability Index confirment cette distinction. Le traitement ostéopathique améliore les caractéristiques évaluées des sujets chuteurs (plus de différence significative). / Balance disorders, as the fall, remain frequently in the elderly, with adverse consequences on the autonomy. Three randomized trials have been conducted to identify the parameters distinguishing the “fallers autonomous elderly” and to analyze the impact of an osteopathic treatment. The 1st study concerns 33 elderly patients: 15 fallers (68,3 ± 2,7 years) and 18 no-fallers (67,7 ± 2,5years). Three stabilometric parameters and three clinical tests distinguish the two populations (p <0,05). Moreover, the osteopathic treatment improves the evaluated characteristics of fallers elderly (no significant difference). The 2nd study concerns 40 fallers and lombalgic elderly: 20 receiving an osteopathic treatment (69,5 ±3,9 years) and 20 without the osteopathic treatment (69,9 ± 3,4 years). This study identifies that the lumbar mobility is restricted for every fallers elderly and the osteopathic treatment improves the lumbar motion just after the treatment, as well as seven days after it (p ≤ 0,01). The 3rd study concerns 34 elderly patients: 17 fallers (71,3 ± 3,5 years) and 17 no-fallers (71,5 ± 4,2years). Four cinematic parameters distinguish the two populations (p ≤ 0,04). The coefficient ofdetermination R2 and the Gait Variability Index confirm that distinction. The osteopathic treatment improves the evaluated characteristics of fallers elderly (no significant difference).

O acidente vascular encefálico (AVE) é uma desordem neurológica aguda, de origem vascular, que pode gerar alterações de postura e equilíbrio nos pacientes acometidos. Este trabalho teve como objetivo avançar com o conhecimento relacionado à presença de alterações posturais e de equilíbrio em pacientes pós-AVE, com a utilização da fotogrametria digital e da estabilometria estática. Participaram desse estudo 31 pacientes hemiparéticos pós-AVE que foram divididos em três grupos de alterações motoras: Hemiparesia à direita (n=16), Hemiparesia à esquerda (n=15) e um grupo com a junção dos grupos Hemi D e Hemi E (n=31). Para a análise estatística da fotogrametria e da estabilometria, nas comparações intergrupo, foi utilizada a análise de variância de uma via (ANOVA) (significância p<0,05). Sempre que se detectaram diferenças entre os dados, essas foram evidenciadas pelo teste post hoc de Holm Sidak. Nas comparações intragrupo foi utilizado o teste em t (significância p<0,05). Os padrões posturais encontrados por meio da fotogrametria foram comparados com os dados da estabilometria, utilizando o coeficiente de correlação de Pearson (significância r0,80). Os dados da fotogrametria que evidenciaram desvios posturais foram: Acrômio D mais alto no grupo hemi. à E, e acrômio E mais alto no grupo hemi. à D (F6,154=8,26; p<0,05); EIAS E mais alta no grupo hemi. à D e elevação da EIAS D no grupo hemi. à E (F6,154=5,49; p<0,05); uma menor distância entre os acrômios e as EIAS D no grupo hemi. à E e menor distância entre acrômios e EIAS E no grupo hemi. à D (F6,154=6,16; p<0,05) e abdução da escápula E no grupo hemi. à D e abdução da escápula D no grupo hemi. à E (F6,154=7,54; p<0,05). A análise estabilométrica evidenciou: maior quantidade de pacientes com desvio posterior e à esquerda, independente do lado da hemiparesia; maior quantidade significativa de deslocamento posterior nos três grupos: grupo hemiparesia D/E (t = 4,20; p <0,05), grupo hemiparesia D (t = 3,04; p <0,05) e grupo hemiparesia E (t = 2,81; p <0,05) e desvio para a esquerda significativamente maior nos três grupos: grupo hemiparesia D/E (t = 5,73; p <0, 05), grupo hemiparesia D (t = 3,78; p <0, 05) e grupo hemiparesia E (t = 4,89; p <0, 05). A análise de correlação mostrou uma forte relação entre grande parte dos padrões da fotogrametria quando comparados aos da estabilometria. Dessa maneira, podemos concluir que pacientes hemiparéticos pós-AVE apresentam elevação de ombro e pelve, menor distância entre ombro e pelve e escápula abduzida do lado oposto ao da hemiparesia, que, independente do lado da hemiparesia, esses pacientes apresentaram um padrão de deslocamento posterior e à esquerda do centro de pressão e que problemas de equilíbrio se correlacionam com problemas posturais. / Stroke is an acute neurological disorder of vascular origin, which can alter equilibrium and posture in affected patients. This study aimed to advance the knowledge about the presence of postural and balance alterations in post-stroke patients using digital photogrammetry and static stabilometry. Participated in this study 31 post-stroke hemiparetic patients who were divided into three groups of motor disorders: right hemiparesis (n=16), left hemiparesis (n=15) and a group with the summation of groups right Hemi. and left Hemi. (n=31). For statistical analysis of photogrammetry and stabilometry in intergroup comparisons, analysis of one-way variance (ANOVA) (significance p<0.05) was used. When differences were detected between the data, they were evidenced by the post hoc Holm Sidak test. In the intra-group comparisons t test was used (significance p<0.05). Postural patterns found by photogrammetry were compared with stabilometry data using the Pearson correlation coefficient (significance r0,80). The Photogrammetry data that showed postural deviations were: right acromion highest in left hemi. group and left acromion higher in right hemi. group (F6,154=8.26; p<0.05). Left ASIS highest in right hemi. group and the elevation of the right ASIS in the left hemi. group (F6,154=5.49, p<0.05). A smaller distance between the right acromion and ASIS in the left hemi. group and shorter distance between the left acromion and ASIS in the right hemi group (F6,154=6.16; p<0.05) and abduction of the left scapula in the right hemi. group and right scapula abduction in the left hemi. group (F6,154=7.54, p<0.05). The stabilometric analysis showed: greater number of patients with posterior and left- deviation independent of the hemiparesis side; most significant amount of posterior displacement in the three groups: right/left hemiparesis group (t=4.20; p<0.05), right hemiparesis group (t=3.04; p<0.05) and left hemiparesis group (t=2.81; p<0.05) and left shift was significantly higher in three groups: right/left hemiparesis group (t=5.73; p<0, 05), right hemiparesis group (t=3 78; p <0, 05) and left hemiparesis group (t=4.89; p<0, 05). Correlation analysis showed a strong relationship between great part of patterns of photogrammetry compared to the estabilometry. Thus, we conclude that post-stroke hemiparetic patients have elevated shoulder and pelvis, shortest distance between the shoulder and pelvis and abducted scapula on the opposite side of hemiparesis, that, regardless of the side hemiparesis, these patients showed a pattern of posterior and left displacement of the center of the pressure and that balance problems correlate with postural problems.

Submitted by FABIAN RODRIGO CASTRO FORERO null (fabiancastroforero@yahoo.com) on 2016-05-25T17:32:02Z No. of bitstreams: 1 castro_fr_me_ilha.pdf: 5058433 bytes, checksum: bf5b2af2ddbd3137fd6e825d60119c97 (MD5) / Approved for entry into archive by Juliano Benedito Ferreira (julianoferreira@reitoria.unesp.br) on 2016-05-31T13:28:40Z (GMT) No. of bitstreams: 1 castro_fr_me_ilha.pdf: 5058433 bytes, checksum: bf5b2af2ddbd3137fd6e825d60119c97 (MD5) / Made available in DSpace on 2016-05-31T13:28:40Z (GMT). No. of bitstreams: 1 castro_fr_me_ilha.pdf: 5058433 bytes, checksum: bf5b2af2ddbd3137fd6e825d60119c97 (MD5) Previous issue date: 2016-03-30 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O pé é o órgão base da sustentação do corpo humano que está constantemente submetido a esforços para garantir a estabilidade deste. Analisando-se a distribuição de força na região plantar de indivíduos, pode-se inferir a respeito de patologias nos pés, problemas posturais e de equilíbrio. O estudo da distribuição de força na região plantar é feito com o baropodômetro, um equipamento composto por sistemas de hardware e software. Neste trabalho é apresentado o desenvolvimento de um baropodômetro implementado no Laboratório de Instrumentação e Engenharia Biomédica do Departamento de Engenharia Elétrica, UNESP – Campus Ilha Solteira, constituído por 120 sensores resistivos, tipo Force Sensing Resistor (FSR), dispostos matricialmente em duas plataformas, e por circuitos de aquisição de dados, comunicação e interfaceamento. Com as informações obtidas, por meio do software é possível identificar deformidades na região plantar e locais desta região submetidos a forças elevadas. Foram feitos testes em um grupo de 30 voluntários com diferentes faixas etárias e diferentes graus de escoliose. Inicialmente os voluntários foram divididos em dois grupos, sendo que o grupo G2 (45-78 anos) apresentou valores de estabiliometria maiores quando comparados com o G1 (13-30 anos). De forma similar, foi segmentada a mesma população (N=30) em dois grupos, segundo o grau de escoliose, GrA (0-9°) e GrB (10-32°). O grupo GrB mostrou maiores valores de estabiliometria do que o GrA e foi possível determinar que quanto maior o grau de escoliose menor a dependência das variáveis de estabiliometria com a idade. / The foot is the main support organ of the human body that is constantly subjected to efforts to ensure the stability of the body. Analyzing the distribution of force in the plantar region of individuals, it is possible to infer about feet pathologies, postural and balance problems, among others. The study of foot force distribution is made with the baropodometer, an equipment composed by hardware and software systems. This work describes the baropodometer developed at the Instrumentation and Biomedical Engineering Laboratory at the Department of Electrical Engineering, UNESP – Ilha Solteira, composed of 120 resistive sensors (Force Sensing Resistor - FSR) arranged in matrix on two platforms. Furthermore, acquisition and communication boards and software made in LabVIEW were developed. With the information obtained, with the software it is possible to identify deformities in the plantar region and sites of this region subjected to high forces. Tests in 30 volunteers with different ages and different scoliosis angles were made. Firstly, the volunteers were divided into two groups according to ages. The second group G2 (45-78 years old) had higher stabilometry values than first group G1 (13-30 years old). Secondly, the 30 volunteers were divided in two groups according scoliosis angles, GrA (0-9°) e GrB (10-32°). The GrB group showed higher stabilometry values than the GrA group, and it was possible to determine that the higher the degree of scoliosis the lower the dependency of stabiliometry variables with the age.

Orientador: Aparecido Augusto de Carvalho / Resumo: O pé é o órgão base da sustentação do corpo humano que está constantemente submetido a esforços para garantir a estabilidade deste. Analisando-se a distribuição de força na região plantar de indivíduos, pode-se inferir a respeito de patologias nos pés, problemas posturais e de equilíbrio. O estudo da distribuição de força na região plantar é feito com o baropodômetro, um equipamento composto por sistemas de hardware e software. Neste trabalho é apresentado o desenvolvimento de um baropodômetro implementado no Laboratório de Instrumentação e Engenharia Biomédica do Departamento de Engenharia Elétrica, UNESP – Campus Ilha Solteira, constituído por 120 sensores resistivos, tipo Force Sensing Resistor (FSR), dispostos matricialmente em duas plataformas, e por circuitos de aquisição de dados, comunicação e interfaceamento. Com as informações obtidas, por meio do software é possível identificar deformidades na região plantar e locais desta região submetidos a forças elevadas. Foram feitos testes em um grupo de 30 voluntários com diferentes faixas etárias e diferentes graus de escoliose. Inicialmente os voluntários foram divididos em dois grupos, sendo que o grupo G2 (45-78 anos) apresentou valores de estabiliometria maiores quando comparados com o G1 (13-30 anos). De forma similar, foi segmentada a mesma população (N=30) em dois grupos, segundo o grau de escoliose, GrA (0-9°) e GrB (10-32°). O grupo GrB mostrou maiores valores de estabiliometria do que o GrA e foi possível determi... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The foot is the main support organ of the human body that is constantly subjected to efforts to ensure the stability of the body. Analyzing the distribution of force in the plantar region of individuals, it is possible to infer about feet pathologies, postural and balance problems, among others. The study of foot force distribution is made with the baropodometer, an equipment composed by hardware and software systems. This work describes the baropodometer developed at the Instrumentation and Biomedical Engineering Laboratory at the Department of Electrical Engineering, UNESP – Ilha Solteira, composed of 120 resistive sensors (Force Sensing Resistor - FSR) arranged in matrix on two platforms. Furthermore, acquisition and communication boards and software made in LabVIEW were developed. With the information obtained, with the software it is possible to identify deformities in the plantar region and sites of this region subjected to high forces. Tests in 30 volunteers with different ages and different scoliosis angles were made. Firstly, the volunteers were divided into two groups according to ages. The second group G2 (45-78 years old) had higher stabilometry values than first group G1 (13-30 years old). Secondly, the 30 volunteers were divided in two groups according scoliosis angles, GrA (0-9°) e GrB (10-32°). The GrB group showed higher stabilometry values than the GrA group, and it was possible to determine that the higher the degree of scoliosis the lower the dependency of... (Complete abstract click electronic access below) / Mestre