Objetivo: Avaliar a função da coluna cervical, utilizando testes clínicos cervicais em indivíduos com e sem Disfunção Temporomandibular (DTM) associados ou não ao relato de dor de cabeça. Métodos: Estudo Transversal. Foram avaliadas 57 mulheres com idade de 18 a 60 anos, divididas em dois grupos: DTM (n=40), e controle (n=17). Dada a alta frequência de relato de dor de cabeça a amostra de DTM foi estratificada em DTM com cefaleia (n=25) e DTM sem cefaleia (n=15). A incapacidade cervical foi avaliada pelo Índice de Incapacidade Cervical (NDI) e a dor na ATM pela Escala Visual Analógica de dor (EVA). A avaliação funcional da coluna cervical foi conduzida uma única avaliação por um examinador fisioterapeuta experiente e foi constituída pelos testes clínicos: análise da Amplitude de Movimento Ativa da Coluna Cervical (ADM); realização do Flexion-Rotation Test (FRT) e Cranio-Cervical Flexion Test (CCFT). Os sujeitos com DTM que relataram a presença de dores de cabeça foram instruídos a responder um questionário sobre as principais características da cefaleia referida. Para comparações entre os grupos foram aplicados ANOVA one way seguida por teste Post Hoc de Tukey ou por Teste Kruskall Wallis quando necessário. Para a análise de associação entre as variáveis categóricas foram aplicados Teste chi-quadrado ou Teste Exato de Fisher quando apropriado e para a análise de associação entre variáveis ordinais/contínua foram aplicados Testes de Correlação de Spearman. Resultados: Os indivíduos com DTM independente do relato de dor de cabeça apresentaram menor mobilidade no plano sagital, menores valores no FRT e apresentaram pior performance dos flexores profundos cervicais comparados aos controles (p<0.05). Além disso, os dados de ADM, FRT e CCFT foram associados com a intensidade de dor na ATM e a incapacidade cervical (p<0.01). Conclusão: Pacientes com DTM independente do relato de cefaleia apresentaram limitação na amplitude de flexão/extensão e do segmento C1-C2 da coluna cervical, além do menor desempenho dos músculos flexores profundos. Adicionalmente, a incapacidade cervical e a dor na ATM apresentaram correlação moderada com os testes funcionais cervicais nos indivíduos com DTM. / Objective: To evaluate the function of the cervical spine, using cervical clinical tests in individuals with and without Temporomandibular Disorders (TMD)associated or not to the report of headache. Methods: Were analyzed 57 women with age between 18 and 60 years, divided in two groups: TMD (n=40) and control (n=17). Given the high frequency of headache report, the TMD sample was stratified into TMD with headache (n=25) and TMD without headache (n=15). Cervical disability was assessed by the Neck Disability Index (NDI) and TMJ pain by the Visual Analogue Scale of pain (VAS). The functional evaluation of the cervical spine was conducted by a physiotherapeutic examiner with 10 years of experience and was constituted by the clinical tests: Analysis of the Cervical Range of Motion (CROM); Flexion-Rotation Test (FRT) and Craniocervical Flexion Test (CCFT). Subjects with TMD who reported the presence of headaches were instructed to answer 11 questions that contained the main characteristics of referred headache. For comparisons between control groups, TMD with Headache and TMD without Headache, ANOVA was applied one way followed by Tukey\'s Post Hoc test or by Kruskall Wallis test when necessary. For the analysis of association between the categorical variables, chi-square test or Fisher\'s exact test were applied when appropriate and for analysis of association between ordinal / continuous variables, Spearman\'s Correlation Tests were applied. Results: Individuals with TMD independent of headache report showed less mobility in the sagittal plane, lower values in FRT and showed worse performance of the deep cervical flexors compared to Controls (p<0.05). In addition, CROM, FRT and CCFT were associated with an intensity of TMJ pain and cervical disability (p <0.01). Conclusion: Patients with TMD independently of the headache report showed limited flexion / extension range and C1-C2 segment of the cervical spine, as well as deficits in the performance of the deep flexor muscles. In addition, a cervical disability and TMJ pain report showed a moderate correlation with the functional tests of FRT and CCFT in individuals with TMD.

Title: Influence of pilates method on the stabilizing system of the spine Objectives: The main aim of this diploma thesis was to confirm or refute the claim that a six-week motion program using the pilates method positively affects the stabilizing system of the spine. The partial aims of the work were to determine whether the a six-week motion program using the pilates method had a positive effect on the posture, spinal mobility, shortened muscles and standing stabilization. Methods: As a method of research, a case study was selected involving two adult persons (males). The motion program was preceded by an initial examination. In particular, static examination of the standing position, dynamic examination of standing position (flexion, extension, lateroflexion), examination of stabilization (Véle test, stand on 1 LL, standing on 2 scales), examinations of spinal distances (Schober's, Otto's and Čepojev's distance, lateroflexion), goniometry of rotation of thoracic and lumbar spine, examination of shortened muscles according to Janda (hip flexors, knee flexors, pectoralis major and minor, m.trapezius and paravertebral muscles) examination of postural stabilization by Kolář (extension test, trunk flexion test, diaphragm test, hip flexion test). Participants then underwent a six-week motion program...

Juosmens skausmai – aktuali nūdienos sportininkų problema. Daugelyje sporto šakų yra aptartos šių skausmų priežastys ir išvengimo bei šalinimo problemos. Tačiau apie bokse patiriamus nugaros skausmus nėra plačiai išnagrinėta, bei atlikta pakankamai tyrimų. Skausmo priežasties bei prevencijos nagrinėjimas sportuojant boksą leistų sumažinti skausmų tikimybę ir pilnavertį sportininko ruošimąsi. Planuojant tyrimą buvo suformuluotas probleminis klausimas: ar taikant tempimo pratimus galima pagerinti boksininkų stuburo paslankumą ir išvengti ar sumažinti juosmeninės stuburo dalies skausmus. Darbo tikslas yra nustatyti tempimo pratimų poveikį boksininkų liemens raumenų ištvermei, skausmui ir stuburo paslankumui. Tyrimo tikslui pasiekti iškelti uždaviniai: 1. Įvertinti juosmeninės stuburo dalies skausmo pasireiškimą ir stiprumą tiriamojoje imtyje. 2. Įvertinti tiriamųjų, kurie jautė juosmeninės stuburo dalies skausmus, skausmo pokyčius, liemens raumenų statinę ištvermę, stuburo paslankumą ir pečių lanko simetriškumą, prieš ir po techninio pasiruošimo treniruočių ciklo, kuriame buvo taikyti tempimo pratimai. 3. Įvertinti tiriamųjų, kurie nejautė juosmeninės stuburo dalies skausmų, skausmo pokyčius, liemens raumenų statinę ištvermę, stuburo paslankumą ir pečių lanko simetriškumą, prieš ir po techninio pasiruošimo treniruočių ciklo, kuriame nebuvo taikyti tempimo pratimai. 4. Nustatyti koreliaciją tarp: nugaros raumenų ištvermės ir juosmens skausmo I ir II testavimo metu... [toliau žr. visą tekstą] / A lumbar pain is a relevant problem of modern athletes. The causes of these pains and the ways of avoidance and prevention of them have been analysed in many sports branches. In boxing, however, not much has been done regarding spine pains. The study on the cause of pain and its prevention when exercising boxing would enable to reduce the possibility of pain and ensure full range preparation of an athlete. Before initiating the study, a problem question was formulated: is it possible to improve the mobility of the spine and avoid or, at least, diminish low back pains by applying stretching exercises in the boxing sport branch. The aim of the paper is to test stretching exercises effect, of boxers trunk muscles endurance, low back pain prevention and spine mobility. The following objectives have been set to achieve the aim of the study: 1. To asses the lumbar pain and pain power of investigatives. 2. To assess investigatives, who felt low back pain, pain alteration, back muscle endurance, spine mobility and shoulders symmetry, before and after technical readiness of training, whereat was applied streching exercises. 3. To asses investigatives, who didn‘t felt low back pain, pain alteration, back muscle endurance, spine mobility and shoulders symmetry, before and after technical readiness of training, whereat the streching exercises was not applied. 4. To evaluate the correlation between: back muscle endurance with lumbar pains, on I and II testing, side mobility... [to full text]

Objetivo: Avaliar a função da coluna cervical, utilizando testes clínicos cervicais em indivíduos com e sem Disfunção Temporomandibular (DTM) associados ou não ao relato de dor de cabeça. Métodos: Estudo Transversal. Foram avaliadas 57 mulheres com idade de 18 a 60 anos, divididas em dois grupos: DTM (n=40), e controle (n=17). Dada a alta frequência de relato de dor de cabeça a amostra de DTM foi estratificada em DTM com cefaleia (n=25) e DTM sem cefaleia (n=15). A incapacidade cervical foi avaliada pelo Índice de Incapacidade Cervical (NDI) e a dor na ATM pela Escala Visual Analógica de dor (EVA). A avaliação funcional da coluna cervical foi conduzida uma única avaliação por um examinador fisioterapeuta experiente e foi constituída pelos testes clínicos: análise da Amplitude de Movimento Ativa da Coluna Cervical (ADM); realização do Flexion-Rotation Test (FRT) e Cranio-Cervical Flexion Test (CCFT). Os sujeitos com DTM que relataram a presença de dores de cabeça foram instruídos a responder um questionário sobre as principais características da cefaleia referida. Para comparações entre os grupos foram aplicados ANOVA one way seguida por teste Post Hoc de Tukey ou por Teste Kruskall Wallis quando necessário. Para a análise de associação entre as variáveis categóricas foram aplicados Teste chi-quadrado ou Teste Exato de Fisher quando apropriado e para a análise de associação entre variáveis ordinais/contínua foram aplicados Testes de Correlação de Spearman. Resultados: Os indivíduos com DTM independente do relato de dor de cabeça apresentaram menor mobilidade no plano sagital, menores valores no FRT e apresentaram pior performance dos flexores profundos cervicais comparados aos controles (p<0.05). Além disso, os dados de ADM, FRT e CCFT foram associados com a intensidade de dor na ATM e a incapacidade cervical (p<0.01). Conclusão: Pacientes com DTM independente do relato de cefaleia apresentaram limitação na amplitude de flexão/extensão e do segmento C1-C2 da coluna cervical, além do menor desempenho dos músculos flexores profundos. Adicionalmente, a incapacidade cervical e a dor na ATM apresentaram correlação moderada com os testes funcionais cervicais nos indivíduos com DTM. / Objective: To evaluate the function of the cervical spine, using cervical clinical tests in individuals with and without Temporomandibular Disorders (TMD)associated or not to the report of headache. Methods: Were analyzed 57 women with age between 18 and 60 years, divided in two groups: TMD (n=40) and control (n=17). Given the high frequency of headache report, the TMD sample was stratified into TMD with headache (n=25) and TMD without headache (n=15). Cervical disability was assessed by the Neck Disability Index (NDI) and TMJ pain by the Visual Analogue Scale of pain (VAS). The functional evaluation of the cervical spine was conducted by a physiotherapeutic examiner with 10 years of experience and was constituted by the clinical tests: Analysis of the Cervical Range of Motion (CROM); Flexion-Rotation Test (FRT) and Craniocervical Flexion Test (CCFT). Subjects with TMD who reported the presence of headaches were instructed to answer 11 questions that contained the main characteristics of referred headache. For comparisons between control groups, TMD with Headache and TMD without Headache, ANOVA was applied one way followed by Tukey\'s Post Hoc test or by Kruskall Wallis test when necessary. For the analysis of association between the categorical variables, chi-square test or Fisher\'s exact test were applied when appropriate and for analysis of association between ordinal / continuous variables, Spearman\'s Correlation Tests were applied. Results: Individuals with TMD independent of headache report showed less mobility in the sagittal plane, lower values in FRT and showed worse performance of the deep cervical flexors compared to Controls (p<0.05). In addition, CROM, FRT and CCFT were associated with an intensity of TMJ pain and cervical disability (p <0.01). Conclusion: Patients with TMD independently of the headache report showed limited flexion / extension range and C1-C2 segment of the cervical spine, as well as deficits in the performance of the deep flexor muscles. In addition, a cervical disability and TMJ pain report showed a moderate correlation with the functional tests of FRT and CCFT in individuals with TMD.

A lombalgia tem consequências como dor, incapacidade funcional e diminuição da qualidade de vida, que pode acometer cerca de 70 a 90% da população brasileira em algum período de sua vida. A fisioterapia dispõe de inúmeros recursos dentre eles a Mobilização Neural, que facilita a condutibilidade nervosa, melhorando consequentemente o quadro álgico. O tratamento consiste em restaurar a mobilidade e a elasticidade do sistema nervoso periférico por meio de tensões, oscilações e angulações articulares. Neste sentido, este estudo teve como objetivo avaliar os efeitos da técnica e avaliar o comportamento álgico, bem como o possível envolvimento de citocinas pró e anti-inflamatórias após o tratamento. A técnica foi aplicada três vezes por semana, num total de 10 intervenções, com duração de dez minutos cada sessão. Participaram deste estudo 46 indivíduos (28 mulheres e 18 homens), que foram alocados em três grupos: grupo MOB, grupo MOB+MED e Grupo CONTROLE. Foram utilizadas ferramentas para avaliar tais efeitos, dentre elas: Escala Visual Analógica (EVA); Teste da Distância do 3º dedo ao solo; Goniometria; Fotogrametria; Avaliação da qualidade de vida - WHOQOL-bref; Questionário de incapacidade de Roland Morris; Índice de Oswestry sobre Incapacidade e Ensaios de Multiplex para a dosagem de citocinas no tecido sanguíneo.Os resultados demonstraram uma melhora significativa na intensidade da dor (p<0,02) e mobilidade lombar (p<0,04), quando comparamos as medidas antes e após o tratamento, e consequentemente, uma melhora significativa na qualidade de vida e incapacidade dos pacientes. Ao analisarmos as citocinas (p<0,05), houve uma redução estatisticamente significativa nas citocinas pró-inflamatórias (IL-1&#946;, IL-6 e TNF&#945;) e aumento estatisticamente significativo de citocina anti-inflamatória (IL-4). Esperamos, por meio deste estudo, contribuir e compreender alguns mecanismos envolvidos durante o processo de reabilitação com a Mobilização Neural. / Low back pain has consequences such as pain, functional disability and decreased quality of life, which can affect approximately 70 to 90% of the Brazilian population in some period of their life. Physiotherapy has innumerable resources, among them Neural Mobilization, which facilitates the nervous conductivity, consequently improving the pain. The treatment consists in restoring the mobility and the elasticity of the peripheral nervous system through tensions, oscillations and articular angulations. In this sense, this study aimed to evaluate the effects of the technique and to evaluate the algic behavior, as well as the possible involvement of pro and anti-inflammatory cytokines after treatment. The technique was applied three times a week, in a total of 10 interventions, lasting ten minutes each session. A total of 46 individuals (28 women and 18 men) participated in this study, which was allocated in three groups: MOB group, MOB + MED group and CONTROL group. Tools were used to evaluate such effects, among them: Visual Analog Scale (EVA); 3rd finger distance test to the ground; Goniometry; Photogrammetry; Quality of life assessment - WHOQOL-bref; Roland Morris Inaptation Questionnaire; Oswestry Index on Disability and Multiplex Assays for dosing cytokines in blood tissue. The results showed a significant improvement in pain intensity (p <0.02) and lumbar mobility (p <0.04), when we compared the measures before and after treatment, and consequently, a significant improvement in the quality of life and disability of patients. When we analyzed the cytokines (p <0.05), there was a statistically significant reduction in the proinflammatory cytokines (IL-1&#946;, IL-6, and FTN&#945;) and a statistically significant increase in anti-inflammatory cytokine (IL-4). We hope, through this study, to contribute and understand some mechanisms involved during the rehabilitation process with Neural Mobilization.