Licenciado en kinesiología / El presente trabajo de tipo no experimental, descriptivo y longitudinal, tiene como propósito describir el comportamiento de la musculatura estabilizadora de muñeca, flexora y extensora, en pacientes que presentaron fractura de extremo distal de radio, en su período posterior a la cirugía con una técnica de abordaje anterior. Se evaluaron 7 pacientes de sexo masculino entre 20 y 65 años, activos laboralmente y sin lesiones asociadas. Dichos pacientes recibieron el mismo protocolo quirúrgico y la misma rehabilitación kinésica por parte del Equipo de Mano del Instituto Traumatológico. Las evaluaciones clínicas consistieron en mediciones de Electromiografía de superficie en la musculatura flexora y extensora de muñeca, realizando una fuerza de prensión de 8 Kg., para registrar la evolución a la segunda y a la octava semana postquirúrgica. De las señales analizadas se tomó el Root Means Square Mean para ser analizado en cuanto a la relación de actividad muscular extensora/flexora en estos pacientes. La relación de actividad muscular extensora/flexora mostró una relación mayor a uno en la musculatura sana en ambos tiempos de evolución postquirúrgica, lo que implicaría una mayor actividad de la musculatura extensora. Sin embargo, el 71% de los pacientes presentó en su extremidad operada una relación menor a uno al final del proceso de rehabilitación, es decir a la octava semana la relación de actividad muscular extensora/flexora en la extremidad operada no presenta un comportamiento similar a lo que ocurre en la extremidad contralateral sana, cuya actividad muscular predominante fue la extensora. La importancia del presente estudio radica en que es la primera aproximación clínica del comportamiento de la actividad muscular estabilizadora de muñeca en la extremidad afectada, lo que permitiría crear pautas de rehabilitación progresivas y seguras, además de la progresión objetiva de la rehabilitación en sus tiempos correctos. / This study is the kind non experimental, descriptive and longitudinal. The purpose is describe the behavior of the flexion and extension wrist stabilize musculature, in patient with radial distal fracture (RDF) in post surgical period with volar boarding technique. Seven male patient were evaluated, with range of age between 20 and 65 years, active labor, and without others injuries. All patients received the same surgical protocol and physical rehabilitation by the Traumatological Institute Hand Team. The clinical evaluation consists in a superficial Electromyography (EMG) measuring in flexion and extension wrist musculature, making a 8 Kg. power grip. This measurement was realized in the second and eighth post surgical week. Between all EMG’s signals, were used the mean Root Mean Square (mRMS) to analyze the extension/flexion musculature activity ratio. The extension/flexion healthy musculature activity ratio showed a >1 ratio in both measurement post surgical measured times. However, the 71% of the patient showed in his operated limb a <1 ratio at the final period time, that it’s mean that at eighth week, extension/flexion musculature activity ratio in the operated limb did not present a similar behavior in comparison with the contra lateral healthy limb in wish the predominant musculature activity was the extension one. The real importance of this study is that is the first clinical approximation of the behavior of the writs musculature activity in an affected limb, for done in the future progressive and safety rehabilitation protocols, besides the importance who have the objective progression in the corrects times of rehabilitation.

Made available in DSpace on 2016-04-27T16:57:37Z (GMT). No. of bitstreams: 1 Nara Di Beo.pdf: 3824484 bytes, checksum: 65649bd32dc55d49ad1ae340cc5b44b6 (MD5) Previous issue date: 2015-05-08 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This work was developed from the study of Trattato del Radio Latino, work that was published in Roma in XVI century and bring information about the construction and use of a measure instrument. Written by Latino Orsini (1517-1586), artisan and inventor of the instrument, the work was commented by Egnatio Danti (1526-1586), erudite and contemporary of Orsini, fact that indicates the approach between the practical knowledge and the scholarly knowledge, one of the particulars of the Renaissance. In the origin of this approach, it is possible to find a new way of looking for the work, conducted by the needs of the bourgeoise, class on the rise this period. It is, therefore, which the object investigated was a measure instrument called Radio Latino. This work has had as goal contributing with the studies about Mathematics History, discussing possible articulations with the teaching of the subject. The research guided up on the works developed by Saito e Dias that discuss the interfaces between the Mathematics History and the teaching of mathematics from the study of the treatise which describes the construction and use of measure instruments. The translation of the Trattato, the reconstruction of the instrument, the simulation of the construction and use, and also the reading of the works that lecture on the historical context of the Renaissance, constituted the methodological procedures of the research and enabled the elaboration of two didactical activities related to teaching of mathematics. Through these activities, we noted that the study of the instrument could promote the articulations between the Mathematics History and the teaching of mathematics / Este trabalho foi desenvolvido a partir do estudo do Trattato del Radio Latino, obra publicada em Roma no século XVI, que traz informações sobre a construção e uso de um instrumento de medida. Escrito por Latino Orsini (1517-1586), artesão e inventor do instrumento, a obra traz comentários de Egnatio Danti (1526-1586), erudito e contemporâneo de Orsini, fato que indica a aproximação entre o saber prático e o saber erudito, uma das características do período renascentista. Na origem dessa aproximação, encontra-se uma nova forma de olhar para o trabalho, conduzida pelas necessidades da burguesia, classe em ascensão nesse período. Trata-se de uma pesquisa, cujo objeto investigado foi o instrumento de medida denominado Radio Latino. Teve como objetivo contribuir com os estudos a respeito da História da Matemática discutindo possíveis articulações com o ensino dessa disciplina. A pesquisa pautou-se nos trabalhos desenvolvidos por Saito e Dias que discutem as interfaces entre História da Matemática e ensino de Matemática a partir do estudo de tratados que descrevem a construção e uso de instrumentos de medida. A tradução do Trattato, a reconstrução do instrumento, a simulação de sua construção e uso e, ainda, a leitura de obras que tratam do contexto histórico do Renascimento, constituíram os procedimentos metodológicos da pesquisa e possibilitaram a elaboração de duas atividades didáticas relacionadas ao ensino de matemática. Por meio dessas atividades observamos que o estudo desse instrumento suscitou considerações a respeito das possibilidades de articulação entre História da Matemática e ensino