Thesis (Ph. D.)--Victoria University (Melbourne, Vic.), 2007. / Includes bibliographical references.

Thesis (M.Ost.)--Unitec New Zealand, 2009. / Includes bibliographical references (leaves 59-62).

Orientador: Delaine Rodrigues Bigaton / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-24T17:15:09Z (GMT). No. of bitstreams: 1 Bortolazzo_GustavoLuiz_D.pdf: 1200256 bytes, checksum: d8f50a900626544be31afd4b832b338b (MD5) Previous issue date: 2014 / Resumo: A manipulação articular é uma técnica utilizada na área de reabilitação física com o objetivo de aumentar a mobilidade articular e gerar respostas reflexas para diminuir a dor, melhorar o controle motor e a flexibilidade. Indivíduos com instabilidade do tornozelo apresentam alteração do controle motor no membro inferior homolateral ao tornozelo instável e alteração do controle postural, o que pode alterar a simetria entre os músculos posturais. A tese está apresentada em formato alternativo, com apresentação de 3 artigos, que têm como objetivos avaliar o efeito da técnica de manipulação articular na sacroilíaca e transição lombossacral sobre a atividade elétrica dos músculos que movem o tornozelo e a coluna lombar, sobre o limiar de dor à pressão, sobre a flexibilidade e sobre a assimetria dos músculos paravertebrais lombares ao nível de L5. Vinte voluntários foram divididos aleatoriamente em grupo experimental (n=10), em que os voluntários receberam manipulação na articulação sacroilíaca e transição lombossacral e grupo placebo (n=10), em que os voluntários receberam manobra sem efeitos terapêuticos. Foi realizada avaliação eletromiográfica dos músculos paravertebrais lombares ao nível de L5, do tibial anterior e fibular longo homolaterais ao tornozelo instável. Foi realizado teste de dor à pressão com algômetro no processo espinhoso de L5, tubérculo de S1, cabeça da fíbula e maléolo lateral, bilateralmente e foram realizados testes de flexibilidade com banco de Wells, teste de Schober, teste de Stibor e teste de elevação do membro inferior estendido. Foram encontrados, na análise intragrupo, para o GE, na condição de isometria dos paravertebrais, aumento significativo da simetria entre os paravertebrais direitos e esquerdos na comparação entre os períodos pré intervenção e pós tardio (p= 0,03) e na comparação entre os períodos pós imediato e pós tadio (p= 0,04) e efeitos moderados da técnica sobre o sinal elétrico de músculos estudados, porém não houve alteração na flexibilidade e na algometria. O aumento da simetria entre os paravertebrais ocorreu, provavelmente, por dois efeitos da manipulação. Houve estímulo dos mecanorreceptores articulares, que, via neurológica, podem melhorar o controle motor dos músculos inervados pelo nível manipulado e provavelmente houve melhora postural dos voluntários, o que pode gerar diminuição das assimetrias dos músculos posturais. Conclui-se que a manipulação aumentou a simetria dos paravertebrais lombares, alterou o sinal elétrico de músculos estudados, não melhorou a flexibilidade e não alterou a algometria em indivíduos que apresentam instabilidade do tornozelo / Abstract: Joint manipulation has been used in physical therapy to increase joint mobility and generate reflexive responses for a consequent reduction in pain and improvement in motor control and flexibility. Individuals with ankle instability exhibit altered motor control in the lower limb ipsilateral to the unstable ankle as well as altered postural control, which can affect the symmetry of postural muscles. The aim of these three studies was to evaluate the effect of the manipulation of the sacroiliac joint and lumbosacral transition on electrical activity in the muscles that move the ankle and lumbar spine, the pain pressure threshold, flexibility and asymmetry of the lumbar paravertebral muscles at L5. Twenty volunteers were allocated to either an experimental group (n = 10), which was submitted to manipulation of the sacroiliac joint and lumbosacral transition, or a control group (n = 10), which was submitted to a maneuver with no therapeutic effect. Electromyographic evaluations were performed of the L5 paravertebral, tibialis anterior and fibularis longus muscles ipsilateral to the unstable ankle. The pressure pain threshold was determined using an algometer over the L5 spinous process, S1 tubercle, head of the fibula and lateral malleolus bilaterally. Flexibility was determined with the Wells battery of tests, Schober test, Stibor test and elevation of the extended lower limb. Moderate effect size were found in the electromyographic signal of two muscles studied, no significant changes were found on flexibility or algometry. In the intra-group analysis, however, a significant increase in the symmetry of the right and left paravertebral muscles was found in the experimental group during isometric contraction between the pre-intervention and late post-intervention evaluations (p = 0.03) as well as between the immediate post-intervention and late post-intervention evaluations (p = 0.04). This increase in symmetry in the paravertebral muscles likely occurred due to two effects of manipulation: 1) the stimulus of joint mechanoreceptors, which improved the motor control of the innervated muscles at the level manipulated through the neurological pathway; and 2) an improvement in posture, which led to a reduction in the asymmetry of the postural muscles. In conclusion, manipulation of the sacroiliac joint and lombosacral transition led to an improvement in the symmetry of lumbar paravertebral muscles in individuals with ankle instability, alters the electromyographic signal of two muscles studied, but exerted no effects on flexibility or the pressure pain threshold / Doutorado / Anatomia / Doutor em Biologia Buco-Dental

The purpose of this QI project is to educate current allopathic and osteopathic residents on the fundamentals of OMT as well as appropriate indications and contraindications for osteopathic manipulation therapy. In order to accomplish this goal, we propose to administer a pretest before giving a presentation on fundamentals of OMT and appropriate OMT referrals. Afterwards, we will perform a posttest to see if there was a significant increase in overall scores from the residents. We will then compile the scores into a spreadsheet and using data analysis, evaluate to see if current residents have had a significant improvement in overall knowledge of OMT fundamentals, indications and contraindications.

This study is a historical analysis of the significant events from 1960 leading to the establishment of Texas College of Osteopathic Medicine (TCOM) in 1975 and a depiction of the actions of key individuals contributing to the development of the College. Included is a description of the environment and the controversy between the allopaths and osteopaths that resulted in a request in 1961 by the American Osteopathic Association to establish more osteopathic medical schools.

Thesis (M.Ost.)--Unitec New Zealand, 2008. / Includes bibliographical references (leaves 77-86).

Thesis (M.Ost.)--Unitec New Zealand, 2009. / Includes bibliographical references (leaves 24-28).

Thesis (M.Ost.)--Unitec New Zealand, 2008. / Coda (electronic version) title-page has 2009 date. Includes bibliographical references (leaves 76-79).

Thesis (M.Ost.)--Unitec New Zealand, 2009. / Declaration created by cataloguer. Includes bibliographical references (leaves 87-92).

Thesis (Ph.D.)--Ohio University, June, 2006. / Includes bibliographical references (leaves 162-179)