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Previous issue date: 2015-02-27 / A doen?a arterial obstrutiva perif?rica (DAOP) ? uma patologia oclusiva cr?nica
da circula??o arterial perif?rica causada principalmente por aterosclerose. Um
dos m?todos cl?nicos propostos para avalia??o do endurance e fun??o
muscular de membros inferiores ? o Heel Rise Test (HRT) ou teste de eleva??o
do calcanhar, por?m sua capacidade de predizer a disfun??o causada pela
DAOP e sua rela??o com a composi??o corporal n?o foram elucidados. O
objetivo geral do trabalho foi avaliar o endurance da musculatura de membros
inferiores, atrav?s do HRT, e a composi??o corporal em mulheres idosas com
?ndice tornozelo-braquial (ITB) compat?vel com a DAOP e mulheres com ITB
Normal. Foram avaliadas 60 mulheres idosas, sendo 39 com ITB normal e 21
com ITB DAOP. A composi??o corporal foi quantificada atrav?s da
bioimped?ncia el?trica multifrequencial segmentar direta. N?o foram
observadas diferen?as marcantes de composi??o corporal entre grupos al?m
de tend?ncia de menor valor de massa muscular em membros inferiores no
grupo ITB DAOP. O n?mero de repeti??es no HRT apresentou correla??o com
a composi??o corporal tanto de massa de gordura e suas porcentagens (Massa
de gordura corporal r= -0,461, p<0,001; porcentagem de gordura corporal r= -
0,45, p<0,001; Porcentagem de gordura de tronco r= -0,584, p<0,0001; Massa
de gordura de tronco r= -0,450, p<0,001), quanto de massa muscular em
membros inferiores normalizada pelo peso (r= 0,434, p<0,001); contudo, n?o
houve correla??o com o ITB que apenas correlacionou-se com a velocidade de
realiza??o do teste (r= -0,300; p=0,019). Embora apresente correla??o com a
composi??o corporal, sobretudo massa muscular de membros inferiores e seja
?til para avalia??o da endurance muscular de membros inferiores,
padroniza??es dos par?metros do HRT s?o necess?rias para que o teste tenha
sensibilidade no diagn?stico e determina??o da progress?o da DAOP em
mulheres. / Peripheral Artery Disease (PAD) is a chronic atherosclerotic pathology caused
by occlusion of peripheral arterial circulation. The standing Heel Rise Test
(HRT) has been recommended as a relevant clinical instrument to evaluate
endurance and muscular performance in the lower limbs; however, its capacity
to predict disability resulted from PAD and its relation to body composition has
not yet been elucidated. The aim of this study was to evaluate muscular
endurance of the lower limbs using the Heel Rise Test, and to compare body
composition through ankle-brachial index in elderly women with and without
PAD. Sixty women were evaluated, where 39 presented normal ankle-brachial
index and 21 with PAD. The body composition was mensured by segmental
multi-frequency bioelectrical impedance. There were no significant differences
in body composition between groups apart tendency to lower muscular mass in
lower limbs on the group of ankle-brachial index with PAD. The number of
repetitions on HRT showed correlation with body composition regarding body
fat percentages (Fat mass r= -0,461, p<0,001; Percentage body fat r= -0,45,
p<0,001; Percentage trunk mass r= -0,584, p<0,0001; Fat trunk mass r= -0,45,
p<0,001) and muscular mass in lower limbs normalized by the weight;
nevertheless, there was no correlation with ankle-brachial index, that was only
associated with the velocity performed on the test (r= -0,3001, p=0,019). While
HRT has correlation with body composition, particularly with lower limb
muscular mass, and presents effectiveness in evaluating muscular endurance
in lower limbs, standardization of the test parameters is necessary in order to
have sensitivity in the diagnosis and determinations of PAD progression in
women.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/20338 |
| Date | 27 February 2015 |
| Creators | Silva, Ana Gabriela C?mara Batista da |
| Contributors | 02817849906, http://lattes.cnpq.br/6391134710454943, Silva J?nior, Rubens Alexandre da, 02117648924, http://lattes.cnpq.br/5152647954949893, Fregonezi, Vanessa Regiane Resqueti, 02548515923, Dias, Fernando Augusto Lavezzo |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM FISIOTERAPIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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