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Uzbecká komunita v Praze / Uzbek community in the PragueDrahoňovský, Libor January 2013 (has links)
This thesis thematically deals with Uzbek minority in Prague, which was formed during the last two decades. Main part contain and analyze the structure of the Uzbek minority, and I used the statistics concerning number, working and educational activities, gender representation, territorial decomposition, crime and infringements of residential regime of Uzbek immigrants. I focus also on determination of expanse and method of integration in the majority society environment, patterns of behavior and thinking and culture aspects of everyday life in the minority group. From the research methods I use survey, in-depth interviews and participant observation. I place emphasis on the definition of "push" and "pull" factors of immigration. In addition, I document how the Uzbek Immigrants assess social and cultural environment of the host country, their attitudes and opinions to the people of the Czech Republic and members of other nationalities, especially to those with whom they come in a host country usually in contact, and how they integrate in the Czech environment. I also pay big attention to the changes that took place in the Uzbek community during life in the Czech Republic, including the period after 2008 due to the recession of Czech economy and restrict working opportunities and perspectives....
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Využití kompenzačního cvičení v basketbale / Use of prevention exercises in basketballKejha, Pavel January 2016 (has links)
Title: Application of compensation exercises in basketball Objectives: The main objective of this thesis is to verify the effectiveness of the compensation practise on selected muscle group and selected basketball players. Methods: In order to obtain the results the functional tests of the spine and testing of shortened muscle groups Janda (2004) were used, which were applied to a selected group of seven basketball player from two different teams. Measured values of shortened muscle groups - initial measurements (pretest) were compared with the results of the measured muscle groups (posttest) after less than three months of compensation program. Based on the results of the entrance test were designed tray compensatory exercises that players should adhere to within the specified regularity. Results: We found out that after almost three months of compensation program the state of shortened and weakened muscle groups has improved significantly. All the results are recorded in the form of tables and graphs. Keywords: Compensation exercises, basketball, muscle imbalance
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Gait Analysis in Adolescents with Idiopathic Scoliosis: A Systematic ReviewBains, Mandeep Kaur January 2015 (has links)
Title Gait Analysis in Adolescents with Idiopathic Scoliosis: A Systematic Review. Aim The role of spine is vital as a gait stabilizer. Gait analysis may provide a more holistic view of how the body behaves to idiopathic scoliosis among adolescents. The aim of this thesis is to review the effectiveness and validity of gait analysis in examining AIS, and secondly to assess how the gait of AIS patients differ from adolescents without scoliosis. Method A systematic review of the topic was conducted. Information was gathered from six e-databases, and seventeen articles were selected, of which seven focusing solely on AIS subjects (i.e. non-comparative) and ten were focusing on AIS in relation to control subjects (i.e. comparative). Results Spatio-temporal (STP), kinematic, kinetic and EMG parameters show significant changes in AIS subjects during walking. But variations between results, lack of data for certain parameters and no significant relationship between gait parameters and scoliosis was also seen. Furthermore, AIS subjects differ in performance compared to non-scoliosis adolescents in at least one gait parameter across all studies. This includes abnormalities in muscle activity, less economical use of the body, poorer performance in kinematic parameters and differences in STP such as step...
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Predicting Realistic Standing Postures in a Real-Time EnvironmentRoach, Jeffrey Wayne 01 January 2013 (has links)
Procedural human motion generation is still an open area of research. Most research into procedural human motion focus on two problem areas: the realism of the generated motion and the computation time required to generate the motion. Realism is a problem because humans are very adept at spotting the subtle nuances of human motion and so the computer generated motion tends to look mechanical. Computation time is a problem because the complexity of the motion generation algorithms results in lengthy processing times for greater levels of realism.
The balancing human problem poses the question of how to procedurally generate, in real-time, realistic standing poses of an articulated human body. This report presents the balancing human algorithm that addresses both concerns: realism and computation time. Realism was addressed by integrating two existing algorithms. One algorithm addressed the physics of the human motion and the second addressed the prediction of the next pose in the animation sequence. Computation time was addressed by identifying techniques to simplify or constrain the algorithms so that the real-time goal can be met.
The research methodology involved three tasks: developing and implementing the balancing human algorithm, devising a real-time simulation graphics engine, and then evaluating the algorithm with the engine. An object-oriented approach was used to model the balancing human as an articulated body consisting of systems of rigid-bodies connected together with joints. The attributes and operations of the object-oriented model were derived from existing published algorithms.
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Komparace rehabilitačních postupů u operačního a konzervativního přístupu řešení deformity hrudníku v dětském věku / Comparison of Rehabilitation Procedures in the Operative and Conservative Approach to Manage Chest deformity in ChildrenVyhnánek, Štěpán January 2019 (has links)
Title: Comparison of Rehabilitation Procedures in the Operative and Conservative Approach to Manage Chest deformity in Children Aim: The aim of this thesis is to determine the efficacy of a conservative approach in the treatment of inverted chest and to compare the effect of therapy with the surgical approach. Methodology of thesis: At the beginning of this project, a total of 9 children and adolescents (n = 9) from 10 years to 21 years of age (mean 15 years), male and female (8: 1) participated. All participants were diagnosed with thoracic deformity of pectus excavatum, which was not indicated for surgery. At the beginning of the project, all probands passed an initial examination, which included an obtaining of anthropometric values using a pelvimeter and a tailor's meter, to assess the anthropometric index and chest circumferences during breathing. Subsequently, a rehabilitation instructions have been given to all participants and all participants have obtained a printed version of these exercises. Results: The results of this study show that in patients with pectus excavatum, the regular and long term exercises, can bring the expected positive results. Especially in subjective complaints, chest flexibility and postural improvement. The final effect of thoracic deformity changes after 3 months...
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Estudo da validade do Spinal Alignment and Range of Motion Measure e sua relação com a função motora grossa de crianças e adolescentes com paralisia cerebral / Study of the validity of the Spinal Alignment and Range of Motion Measure and its relation with the gross motor function of children and adolescents with cerebral palsyLopes, Robson Ricardo Bueno 21 September 2018 (has links)
Este estudo teve por objetivo realizar a validação da versão brasileira do Spinal Alignment and Range of Motion Measure - SAROMM para uso junto à população brasileira de crianças e adolescentes com Paralisia Cerebral. MÉTODO: Trata-se de um estudo metodológico, transversal, desenvolvido em três etapas: ETAPA I: Fidedignidade da SAROMM-Br (Confiabilidade Interexaminadores) - participaram 25 crianças/adolescentes com paralisia cerebral (PC), distribuídas em cada nível de classificação motora de acordo com a GMFCS-E&R. ETAPA II: Validade discriminante da SAROMM-Br entre crianças com PC e crianças com desenvolvimento típico (DT) - participaram 50 crianças/adolescentes, sendo 25 crianças/adolescentes com PC e 25 com DT; e entre os diferentes níveis motores (GMFCSE&R) de crianças/adolescentes com PC - participaram 100 crianças/adolescentes com PC, sendo 20 de cada nível motor do GMFCS-E&R. ETAPA III: Validade Concorrente entre a SAROMM-Br e Escala de Deficiências de Tronco (EDT) e entre a SAROMM-Br e a função motora (GMFM-66) - participaram 50 crianças/adolescentes com PC. As crianças/adolescentes com PC foram avaliadas no Centro Integrado de Reabilitação do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - CIR e na Clínica de Fisioterapia do Centro Universitário Barão de Mauá (CBM) no Ginásio de Neurologia, e as crianças/adolescentes com desenvolvimento típico (DT) foram avaliadas na CBM e no Vie Instituto de Habilitação Funcional. RESULTADOS: Na ETAPA I: a pontuação total e as médias de todas as variáveis da SAROMM apresentaram concordância alta ou quase perfeita (CCC - 0,981- 0,998). Na ETAPA II: as crianças/adolescentes com DT apresentaram as médias das variáveis da SAROMM-Br próximas de 0 (zero), significativamente menores que as médias das crianças/adolescentes com PC, sendo que estas apresentam maior variabilidade e dispersão de seus valores. As variáveis pontuação total SAROMM-Br e ADM total apresentam maior potencial discriminante entre os níveis de GMFCS-E&R, sendo capaz de distinguir crianças/adolescentes entre todos os níveis, exceto entre os níveis I e II, e nível II e III. Já a variável Média Tornozelo possui menor potencial discriminante entre os níveis de GMFCS-E&R, sendo capaz de discriminar apenas as crianças/adolescentes nível V dos demais níveis. Na ETAPA III: as correlações entre GMFM-66, pontuação total da SAROMMBr, médias coluna, joelho, membros superiores e total ADM foram consideradas boas a excelentes (-0.76-0.89). A correlação entre GMFM-66 e a variável média quadril da SAROMM-Br foi considerada moderada à boa. Entretanto, a correlação da GMFM-66 com a variável tornozelo da SAROMM-Br foi considerada pobre. As correlações entre a pontuação total da SAROMM-Br, ADM total da SAROMM-Br e total da EDT foram consideradas boas a excelentes (-0.78-0.80). Em relação às variáveis específicas da SAROMM-Br, as médias de coluna, membros superiores, e total ADM apresentaram melhores correlações, de moderada a excelente, com as variáveis estático (-0.78-0.84), dinâmico (-0,65-0,75), coordenação (-0,74- 0.79) e pontuação total da EDT (-0,78-0.84). A variável média de tornozelo da SAROMM-Br foi a que deteve correlações consideradas mais baixas com as variáveis EDT (-0.14-0.21). CONCLUSÃO: A SAROMM-Br é um instrumento confiável e válido para avaliar crianças/adolescentes brasileiros com PC de diferentes níveis motores e tipos clínicos. / This study aimed to validate the Brazilian version of the Spinal Alignment and Range of Motion Measure - SAROMM for use in the Brazilian population of children and adolescents with Cerebral Palsy. METHOD: This is a cross-sectional, methodological study developed in three stages: STAGE I: Reliability of SAROMM-Br (Inter-Relay Reliability) - 25 children / adolescents with cerebral palsy (PC) participated in each level of motor classification accordance with GMFCS-E & R. STAGE II: Discriminant validity of SAROMMBr among children with CP and children with typical development (DT) - 50 children / adolescents participated, 25 children / adolescents with CP and 25 with DT; and between the different motor levels (GMFCS-E & R) of children / adolescents with PC - participated 100 children / adolescents with PC, 20 of each GMFCS-E & R motor level. STAGE III: Competitive Validity between SAROMM-Br and Trunk Deficiency Scale (EDT) and between SAROMM-Br and motor function (GMFM-66) - 50 children / adolescents with PC participated. The children / adolescents with CP were evaluated at the Integrated Rehabilitation Center of the Hospital das Clínicas of the Ribeirão Preto Medical School (CIR) and at the Physiotherapy Clinic of the Barão de Mauá University Center (CBM) at the Gymnasium of Neurology, and the children / adolescents with typical development (TD) were evaluated in the CBM and in the Vie Instituto de Habilitação Funcional. RESULTS: In STAGE I: the total score and means of all SAROMM variables presented high or near perfect agreement (CCC - 0.981-0.998). In STAGE II: the children / adolescents with TD presented the means of the variables of the SAROMM-Br close to 0 (zero), significantly lower than the means of the children / adolescents with CP, being that they present greater variability and dispersion of their values. The variables total score SAROMM-Br and total ADM present a greater discriminant potential between the levels of GMFCS-E & R, being able to distinguish children / adolescents between all levels, except between levels I and II, and level II and III. The mean ankle variable has a lower discriminant potential between GMFCS-E & R levels, being able to discriminate only children / adolescents level V of the other levels. In STAGE III: correlations between GMFM-66, total SAROMM-Br score, median spine, knee, upper limb and total ADM were considered good to excellent (-0.76-0.89). The correlation between GMFM-66 and the median variable of SAROMM-Br was considered moderate to good. However, the correlation of GMFM-66 with the anomalous variable of SAROMM-Br was considered poor. Correlations between total SAROMM-Br score, total SAROMM-Br and ADM and total EDT score were considered good to excellent (-0.78-0.80). In relation to the SAROMM-Br specific variables, the mean values of the spine, upper limbs, and total ADM presented better correlations, moderate to excellent, with the variables static (-0.78-0.84), dynamic (-0.65-0, 75), coordination (-0.74-0.79) and total EDT score (-0.78-0.84). The average ankle variable of SAROMM-Br was the one that had correlations considered lower with the EDT variables (-0.14-0.21). CONCLUSION: SAROMM-Br is a reliable and valid instrument to evaluate Brazilian children / adolescents with PCs of different motor levels and clinical types.
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Efeitos imediatos de interferência oral nos músculos mastigatórios e de interferência podal nas funções orofaciais, oclusão e postura corporal em jovens saudáveis / Immediate effects of oral interference on masticatory muscles and of foot interference in orofacial functions, occlusion and body posture in healthy youngGaido, Alice Stahl 04 May 2018 (has links)
Introdução: Há muito as influências recíprocas entre o sistema estomatognático e a postural corporal são investigadas. Além da controvérsia nos achados, não foi encontrado qualquer estudo que tivesse investigado o efeito imediato de uma discrepância entre as pernas provocada por interferência podal nas funções orofaciais. Objetivos: Investigar se interferências na cavidade oral resultam em mudanças imediatas nos músculos mastigatórios e, se interferências podais provocam efeitos imediatos na oclusão, na mastigação e deglutição, bem como na própria postura corporal. Em caso positivo, analisar se as funções orofaciais apresentam efeitos compensatórios distintos. Metodologia: Participaram 21 voluntários saudáveis (13 do sexo feminino; 8 do sexo masculino), com média de idade de 24 ± 4 anos. Na seleção todos passaram por exame clínico da oclusão e investigação das condições miofuncionais orofaciais, por meio de protocolos previamente validados (ProDTMmulti e AMIOFE). Foram realizadas análise eletromiográfica (EMG) dos músculos mastigatórios na máxima contração voluntária (MCV), mastigação e deglutição; análise oclusal computadorizada e análise cinemática tridimensional. Os registros foram efetuados com interferências na cavidade oral ou podal, além da condição natural sem qualquer interferência. O teste não-paramétrico de Friedman foi empregado para comparar variáveis com distribuição não-normal e o teste de Wilcoxon com correção de Bonferroni foi aplicado como pós-teste para diferenças significantes. As variáveis com distribuição normal foram analisadas por estatística paramétrica, por meio do teste ANOVA, seguido do pós-teste de Tukey. O nível de significância foi estabelecido em 5% (p < 0,05) para todas as análises. Resultados: A atividade e coordenação dos músculos elevadores da mandíbula em MVC foram significantemente alteradas apenas por interferências na cavidade oral. A interferência podal (direita - ID ou esquerda - IE) não modificou a dinâmica oclusal, a amplitude EMG e coordenação muscular namastigação e deglutição. Apenas quando do lado esquerdo, gerou mudanças significantes em aspectos temporais da EMG, como aumento da frequência na mastigação unilateral esquerda, aumento da duração e redução do tempo para atingir metade do valor da integral durante a deglutição espontânea, bem como a cabeça foi inclinada para frente. Houve deslocamento lateral do braço esquerdo durante a deglutição espontânea com a interferência à direita. Tomando como referência condição sem interferência, ambas as condições com interferência (ID e IE) envolveram ajustes posturais agudos, ou seja, o corpo se deslocou levemente para trás e para o lado esquerdo, sem diferença significante entre elas. Também, houve deslocamento ao nível do quadril, para cima do lado ipsilateral à interferência e para baixo do lado contralateral. Conclusão: Os músculos temporal e masseter mostraram mudanças imediatas na distribuição da atividade e coordenação, que variaram de acordo com a localização da interferência oral. Imediatamente após a interferência podal não ocorreu efeito na dinâmica oclusal, na fisiologia dos músculos mastigatórios, tampouco no desempenho das funções de mastigação e de deglutição, exceto pela leve mudança em parâmetros temporais. Entretanto, aconteceram mudanças posturais compensatórias. / Introduction: The reciprocal influences between the stomatognathic system and the body postural have long been investigated. In addition to the controversy in the findings, any study was found that examined the immediate effect of a discrepancy between the legs caused by foot interference in the orofacial functions. Objectives: To investigate if interferences in the oral cavity result in immediate changes in the masticatory muscles and if foot interferences cause immediate effects on occlusion, chewing, swallowing and on body posture. If so, to analyze if the orofacial functions have different compensatory effects. Methods: Twenty-one healthy volunteers (13 females, 8 males) with a mean age of 24 ± 4 years were included. In the selection, all of them underwent a clinical examination of occlusion and investigation of myofunctional orofacial conditions, through previously validated protocols (ProDTMmulti and AMIOFE). Data were obtained by Electromyographic (EMG) analysis, computerized occlusal analysis, and three-dimensional kinematic analysis. The orofacial function analyzed were clenching at maximum voluntary contraction (MVC), chewing and swallowing. The records were made with interferences in the oral cavity or under the feet, besides the natural condition without any interference. The Friedman nonparametric test was used to compare variables with non-normal distribution and the Wilcoxon test with Bonferroni correction was applied as a post-test for significant differences. The variables with normal distribution were analyzed by parametric statistics, using the ANOVA test, followed by the Tukey post-test. The level of significance was 5% (p <0.05) for all analyzes. Results: The activity and coordination of the jaw elevator muscles in MVC were significantly altered only by interferences in the oral cavity. Foot interference (right - ID or left - IE) did not modify occlusal dynamics, EMG amplitude and muscular coordination in chewing and swallowing. Only on the left side did significant changes in temporal aspects of EMG, such as increased frequency in left unilateral chewing, increasedduration and reduced time to reach half of the integral value during spontaneous swallowing and the head tilted forward. There was lateral displacement of the left arm during spontaneous deglutition with right interference. Taking the reference condition without interference, both interfering conditions (ID and IE) involved acute postural adjustments, that is, the body shifted slightly backward and to the left side, without significant difference between them. Also, there was displacement at the hip level, up from the ipsilateral side to the interference and down from the contralateral side. Conclusion: The temporal and masseter muscles showed immediate changes in the distribution of activity and coordination, which varied according to the location of the oral interference. Immediately after the foot interference, there was no effect on occlusal dynamics, masticatory muscle physiology, or chewing and swallowing functions except for the slight change in temporal parameters. However, compensatory postural changes occurred
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Posture dependent dynamics in robotic machiningAssadi, Hamed 15 May 2019 (has links)
Compared to conventional machine tools, industrial robots offer great advantages such as multitasking, larger workspace, and lower price. However, these advantages of robots are undermined by their high structural flexibility leading to excessive deflections, severe vibrations, and ultimately violating dimensional tolerances and poor surface finish. Modeling the dynamics of robots under machining (e.g. milling and drilling) forces is essential for reducing deflections and vibrations during the process. Although modeling the dynamics of traditional machining systems is a well-studied subject, the existing modeling approaches are not applicable to robotic manipulators because of the posture-dependent dynamics of industrial robots. Within this context, the presented thesis aims to predict the stability of vibrations during robotic machining operations through prediction of posture dependent dynamic behavior of robots.
A rigid-body modeling approach is used to identify the dynamic parameters of the robotic manipulator based on least squares estimation method. Next, by adopting a rigid link flexible joint model and employing experimental modal analysis to identify the joint stiffness and damping parameters, posture dependent dynamic response prediction of the robot is achieved. Finally, the posture-dependent milling stability is presented as a function of the predicted tool center point transfer function, spindle speed, and axial depth of cut. A Staubli TX200 robot and a Kuka KR90 robot are used as experimental case studies. / Graduate
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Comparação das estratégias musculares entre dois grupos etários diferentes no movimento de passar de sentado para em pé / Comparison of muscles strategies between ntwo different age groups in the sit-to-stand movementTerena, Stella Maris Lins 09 September 2008 (has links)
O movimento de passar de sentado para em pé é uma habilidade que confere independência a todos os indivíduos e seus déficits podem causar dependência funcional. Conhecer melhor este movimento complexo permite aos profissionais da reabilitação reformular suas terapias e refletir sobre novas possibilidades de intervenção. O objetivo deste trabalho foi estudar a ordem de ativação dos músculos tibial anterior (TA), gastrocnêmio medial (GM), reto femoral (RF), bíceps femoral (BF) e paravertebral lombar (PL) durante o movimento de passar de sentado para em pé em dois grupos de voluntários e comparar as estratégias musculares utilizadas por eles. Os sujeitos foram divididos em Grupo A: composto de vinte sujeitos com idade entre 20 a 35 anos, saudáveis, sem patologias associadas, sem uso de medicação e que obtiveram mais de 50 pontos no Teste de Berg; e Grupo B: composto de vinte sujeitos com idade entre 60 a 65 anos, sem doenças neurológicas associadas e que obtiveram mais de 50 pontos no Teste de Berg. Os dois grupos foram estudados sob duas condições: com os olhos abertos e com os olhos fechados. O sinal elétrico dos músculos foi mensurado através da eletromiografia de superfície e para indicar o momento do início do movimento um eletrogoniômetro flexível bidimensional foi utilizado nas articulações do quadril e joelho unilateralmente. Os resultados mostraram que o grupo A realizou o movimento num tempo menor que o grupo B, contudo na condição de olhos fechados teve seu tempo de execução do movimento aumentado em relação à primeira condição, enquanto que o grupo B não apresentou aumento significativo da primeira para a segunda condição. Em relação às estratégias musculares os resultados demonstraram, que a ordem de ativação muscular do grupo A foi diferente da ordem de ativação do grupo B na condição de olhos abertos, mas quando comparamos o grupo A na condição de olhos fechados a ordem de ativação muscular utilizada foi semelhante à do grupo B. Já no grupo B não houve diferença estatística nas duas condições. Concluímos que as estratégias musculares se alteram com a falta da visão no grupo A, tornando-se uma importante aferência sensorial na execução deste movimento para este grupo; que a ordem de ativação muscular no grupo B nas duas condições (olhos abertos e fechados) não teve diferença estatística e que o tibial anterior (TA) foi o primeiro músculo recrutado nos dois grupos e nas duas condições. / The sit -to-stand movement is an ability that confers independence to all individuals and its alterations can cause functional dependence. To know about this complex movement allows the physiotherapists to reformulate its therapies and to reflect on new possibilities of intervention. The aim of this dissertation was study the activation order of the muscles tibialis anterior (TA), rectus femoralis (RF), biceps femoralis (BF), medial gastrocnemius (GM) and paravertebral lumbaris (PL) during the sit-to-stand movement in two groups of volunteers and to compare the muscular strategies used by them. The subjects had been divided in group A: twenty subjects with age between 20-35 years, healthful, without pathologies associates, without medication use and that they had more than gotten 50 points in the Bergs test; and Group B with twenty subjects with age between 60-65 years, without neurological diseases and that had more than 50 points in the Bergs test. Both the groups had been studied under two conditions: with the open eyes and the closed eyes. The electrical signal was measured with surface electromyography and to indicate the beginning of the movement , a bidimensional flexible electrogoniometer was used in the joints of the hip and Knee unilaterally. The results had shown that the group A realized the movement in a lesser time that the group B, however in the condition of closed eyes had its time of execution of the task increased in relation to the first condition. The group B did not present significant increase of the first one for the second condition. In relation to the muscular strategies the results had demonstrated that the order of muscular activation of the group A was different of the order of activation of group B in the condition of open eyes, but when we compare the group A in the condition of closed eyes the order of muscular activation was similar to the one of group B. Already in this group did not have difference statistics in the two conditions. We conclude that the muscular strategies if modify with absence of the vision in the group A, becoming an important sensorial reference in the execution of this movement for this group; that the order of muscular activation in group B in the two conditions did not have difference statistics and that the tibialis anterior (TA) was the fisrt muscle enlisted in the two groups in the two conditions
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Utilização da fotogrametria digital e da estabilometria para avaliação postural pós-acidente vascular encefálico / Utilization of digital photogrammetry and stabilometry for assessment of postural control post-strokeMucciaroni, Thaís Silva 05 February 2015 (has links)
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.
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