RESUMO Objetivo: Mesmo após a estimulação cerebral profunda (ECP), os pacientes com doença de Parkinson (DP) muitas vezes ainda apresentam problemas significativos de marcha e estabilidade postural, e, portanto, intervenções adicionais são necessárias. Avaliar a eficácia comparativa do treinamento em esteira, com e sem suporte de peso corporal, nos resultados de equilíbrio de pacientes com DP após ECP. Métodos: Onze pacientes com DP em uso de ECP bilateral do núcleo subtalâmico foram avaliados pelos testes Time Up and Go (TUG), escala de equilíbrio de Berg (EEB) e posturografia estática. Na fase 1, todos participaram de oito semanas de treinamento em esteira em conjunto com fisioterapia convencional. Após seis semanas (wash-out), cada paciente participou de oito semanas subsequentes de treinamento em esteira com suporte parcial de peso corporal. Resultados: Depois da fase 1, houve melhora no desempenho cognitivo do TUG (antes: 15,7 ± 1,8 s; depois: 13,7 ± 3,1 s; p < 0,01) e aumento da oscilação anteroposterior e médio-lateral do corpo com os olhos fechados. Após a fase 2, os resultados do TUG convencional (antes: 12,3 ± 2,0 seg; depois: 10,7 ± 1,7 seg; p < 0,01) e cognitivo (antes: 14,6 ± 3,5 s; depois: 12,5 ± 1,6 s; p < 0,05) demonstraram melhora. Os protocolos de treinamento não causaram mudanças significativas na EEB.. Conclusão: Ambos os treinos melhoraram o equilíbrio estático e dinâmico e tiveram resultados semelhantes; no entanto, o treinamento em esteira com suporte é uma opção potencialmente superior, uma vez que os pacientes tendiam a se sentir mais seguros. Nível de Evidência II, estudos terapêuticos - investigação de resultados de tratamento. Objetivo ECP, , (ECP) (DP postural portanto necessárias corporal Métodos TUG, (TUG) EEB (EEB estática 1 washout, washout wash out (wash-out) Resultados antes (antes 157 15 7 15, 18 8 s depois 137 13 13, 31 3 3, 0,01 001 0 01 médiolateral médio lateral fechados 2 123 12 12, 20 seg 107 10 10, 17 146 14 6 14, 35 5 125 16 0,05 005 05 EEB. Conclusão semelhantes entanto superior seguros II tratamento (ECP (TUG (wash-out 0,0 00 0,

ABSTRACT Objective: After deep brain stimulation (DBS), patients with Parkinson’s disease (PD) typically still present significant gait and postural stability problems, and thus additional interventions are needed. In this way, our purpose was evaluate the comparative effectiveness of treadmill training, with and without body weight support, on balance outcomes among patients with PD after DBS. Methods: Eleven patients with PD that were using bilateral subthalamic nucleus DBS were evaluated using Time Up and Go test (TUG); Berg Balance Scale (BBS) and Static Posturography. In phase 1, all subjects participated in 8-weeks of treadmill training in conjunction with conventional physiotherapy. After six weeks (wash-out), each patient then participated in a subsequent 8-weeks of treadmill training with partial body weight support. Results: After the phase 1, there were improvements on the cognitive TUG performance (Before: 15.7 ± 1,8 sec; After: 13.7 ± 3.1 sec; p < 0.01) and an increase of anteroposterior and medio-lateral body oscillation with eyes closed. After the phase 2, there were improvements in conventional (Before: 12.3 ± 2.0 sec; After: 10.7 ± 1.7 sec; p < 0.01) and cognitive (Before: 14.6 ± 3.5 sec; After: 12.5 ± 1.6 sec; p < 0.05) TUG performances. There were no significant changes in the Berg Balance Scale following either training protocol. Conclusion: Both trainings improved static and dynamic balance and had similar results; however, supported treadmill training seemed to be a potentially superior option, as patients tended to feel safer. Level of Evidence II, therapeutic studies - investigation of treatment outcomes. Objective DBS, , (DBS) Parkinsons Parkinson s (PD problems needed way support Methods (TUG) BBS (BBS Posturography 1 8weeks 8 physiotherapy washout, washout wash out (wash-out) Results Before (Before 157 15 7 15. 18 sec 137 13 13. 31 3 3. 0.01 001 0 01 mediolateral medio lateral closed 2 123 12 12. 20 2. 107 10 10. 17 1. 146 14 6 14. 35 5 125 16 0.05 005 05 performances protocol Conclusion results however option safer II (DBS (TUG (wash-out 0.0 00 0.

Abstract Context: Anterior Cruciate Ligament (ACL) injury is disabling in several sports because it causes knee instability and functional deficit. Usually, surgical treatments produce the best functional outcomes, however, sometimes they are not always able to fully restore stability and function. Objective: The objective of this study was to evaluate postural balance, muscle strength, and functional performance of young athletes with an ACL injury before and after ACL reconstruction. Design: This was a longitudinal observational prospective study. Method: 74 athletes, 60 men, and 14 women, aged between 16 and 45, divided into two groups: the Group-Lesion of ACL with 34 athletes (24.1 years) and the Group-Control with 40 athletes without ACL lesion (27.7 years old). All volunteers performed posturography, isokinetic dynamometry, and the Hop-Test. The ACL-Group was evaluated before and 12 months after the reconstruction and the control group was evaluated once. Results: The Postoperative ACL Group presented greater limb symmetry, 0.96 (± 0.12), than the preoperative ACL Group, 0.87 (± 0.17), p < 0.01 in the Hop-Test. In the posturography, the displacement area was smaller in the postoperative ACL Group, 19.85 (± 5.74), compared to the preoperative ACL Group, 24.20 (± 8.97), p < 0.01. In isokinetic dynamometry the torque peak was greater in the postoperative ACL Group, 0.91 (± 0.14), than in the preoperative ACL Group, 0.74 (± 0.15), p < 0.01. Conclusion: The functional outcomes increased in ACL reconstruction athletes after 12 months, but not at the same level as in the Control Group. The result indicates an incomplete functional recovery, adaptive changes in postural control after injury, reconstruction, and return to sport.

INTRODUÇÃO Apesar dos inúmeros benefícios para a saúde humana e considerando o aumento da corrida como exercício, atividade mundialmente popular, este tipo de esporte pode ser a causa de uma série de diferentes lesões. O pé, tornozelo e parte inferior da perna compreendem quase 40% das lesões. No entanto, a etiologia destas lesões permanece mal compreendida. OBJETIVO: investigar as causas do aparecimento da lesão de esforço em corredores. MÉTODOS: Uma busca sistemática foi realizada nas seguintes bases de dados: Bireme, PubMed e PEDro, selecionando-se ensaios clínicos, casos controle, estudos prospectivos e de corte transversal. RESULTADOS: A pesquisa através dos descritores rendeu 324 referências. Usando critérios de inclusão pré-definidos (estudos de casos, ensaios clínicos, estudos prospectivos e estudos transversais que abordavam adultos corredores indivíduos, amador ou profissional) permaneceram 68 artigos; 24 citações foram excluídos depois de ler o título, e 35 foram excluídos após a leitura do resumo e do texto integral. Portanto nove estudos que preencheram os critérios de análise foram incluídos. CONCLUSÃO: A etiologia das lesões de esforço em corredores é multifatorial. Esta revisão mostrou que a distância, tipo de solo e calçados, bem como uma história de lesões prévias, alterações biomecânicas como o aumento da dorsiflexão e eversão do tornozelo, e uma maior flexão do joelho são fatores de risco que influenciam a ocorrência dessas lesões.

INTRODUCTION: In spite of the numerous benefits to human health and given the increase of running as an exercise that has become popular worldwide, this type of sport may be the cause of a number of different injuries. The foot, ankle and lower leg comprise almost 40% of the injuries. However, the etiology of these types of injury is still not completely understood. OBJECTIVE: To investigate the causes of the onset of overuse injury in runners. METHODS: A systematic search of the electronic database was made: Bireme, Pubmed and PEDro, which were selected that addressed clinical trials, control cases, prospective and cross-sectional studies. RESULTS: The search through the descriptors yielded 324 references. Using our predefined inclusion criteria (case studies, clinical trials, prospective studies and cross studies that addressed adult runners, amateur or professional) 68 articles remained; 24 citations were excluded after reading the title, and 35 were excluded after reading the abstract and the full text. Therefore nine studies that met the criteria for analysis were included. CONCLUSION: The etiology of overuse injuries in runners is multifactorial. This review showed that distance, soil type and footwear, as well as a history of previous injuries, biomechanical changes such as increased dorsiflexion and eversion ankle, and greater knee flexion are risk factors that influence the occurrence of these injuries.