Abstract Introduction Advanced Glycation End-Products (AGEs) are a diverse group of highly reactive molecules that play a vital role in the development of neurodegenerative disorders, such as Parkinson's Disease (PD), leading to a decline in functional and cognitive capacity. The objective of this study was to assess the intake and quantification of AGEs in individuals with PD and to correlate them with their functional and cognitive abilities. Methods This was a cross-sectional study involving 20 PD patients and 20 non-PD individuals as the Control group (C). The autofluorescence reader was used to evaluate skin AGEs, while food recall was used to quantify AGEs consumed for three different days. The Montreal Cognitive Assessment, Short Physical Performance Battery, and handgrip tests were used. PD patients demonstrated greater impairment in functional capacity compared to the control group. Results Dominant Handgrip (p = 0.02) and motor performance, in the sit and stand test (p = 0.01) and Short Physical Performance Battery (SPPB) (p = 0.01) were inferior in PD patients than the control group. Although PD patients tended to consume less AGEs than the control group, AGE intake was negatively correlated with handgrip strength in individuals with PD (r = -0.59; p < 0.05). Conclusion PD patients had lower strength and functional capacity, suggesting that the effects of AGEs might be exacerbated during chronic diseases like Parkinson's. EndProducts End Products (AGEs disorders Parkinsons Parkinson s PD, , (PD) abilities crosssectional cross sectional 2 nonPD non C. C . (C) days Assessment 0.02 002 0 02 performance 0.01 001 01 SPPB (SPPB r 0.59 059 59 -0.59 0.05. 005 0.05 05 0.05) Parkinsons. s. (PD (C 0.0 00 0.5 5 -0.5 0. -0. -0 -

RESUMO Objetivo: Avaliar e correlacionar o equilíbrio sagital com parâmetros posturais da pelve e coluna lombar Métodos: Foram avaliados 80 indivíduos de ambos os sexos, com idade entre 20 e 35 anos. A biofotogrametria foi realizada com o software SAPO. As medidas dos parâmetros do equilíbrio sagital foram obtidas pela análise de uma radiografia panorâmica em perfil da coluna vertebral, na qual os pontos anatômicos de referência foram marcados digitalmente. O cálculo dos ângulos foi feito automaticamente pelo programa Keops. Resultados: Na avaliação Keops, 17,5% da amostra apresentavam ângulos de incidência pélvicos altos (> 60°), 31,5% tinham ângulos de incidência pélvicos baixos (< 45°) e 51,2% apresentavam ângulos de incidência pélvicos médios (entre 46° e 59°). O SAPO apresentou 12,5% de lordose, 40% de retroversão e 47,5% de curvatura normal. Na vista lateral direita, o ângulo de incidência da pelve apresentou correlação moderada e positiva com o alinhamento vertical do tronco e com o alinhamento vertical do corpo e negativa e moderada com o alinhamento horizontal da pelve. Conclusão: Foram encontradas diferenças entre as medidas de alinhamento vertical do sistema de avaliação postural (SAPO). Uma correlação positiva foi encontrada entre IP de Keops e anteversão pélvica de SAPO. Nível de Evidência II; Estudo Prospectivo. Objetivo Métodos 8 sexos 2 3 anos vertebral digitalmente Resultados 175 17 5 17,5 > ( 60°, 60 60° , 60°) 315 31 31,5 < 45° 45 512 51 51,2 46 59°. 59 59° . 59°) 125 12 12,5 lordose 40 475 47 47,5 normal direita Conclusão (SAPO) II Prospectivo 1 17, 6 31, 4 51, 12, 47, (SAPO

ABSTRACT Objective: Evaluate and correlate the sagittal balance parameters with the postural of the pelvis and lumbar spine. Methods: 80 individuals of both sexes, aged between 20 and 35 years, were evaluated. Biophotogrammetry was done with the SAPO software program. Measurements of the sagittal balance parameters were obtained by analyzing a lateral view panoramic radiography of the vertebral column, in which the anatomical points of reference were digitally marked. The calculation of the angles was done automatically by the Keops program. Results: In Keops assessment, 17.5% of the sample had high pelvic incidence angles (> 60°), 31.5% had low pelvic incidence angles (< 45°), and 51.2% had medium pelvic incidence angles (between 46° and 59°). SAPO showed 12,5% lordosis, 40% retroversion, and 47,5% normal curvature. In the right lateral view, pelvic incidence angle had a moderate and positive correlation with vertical alignment of the trunk and with vertical alignment of the body, and a negative and moderate correlation with horizontal alignment of the pelvis. Conclusion: Differences were found between vertical alignment measurements from the postural evaluation system (SAPO). A positive correlation was found between PI from Keops and pelvic anteversion from SAPO. Level of Evidence II; Prospective Study. Objective spine Methods 8 sexes 2 3 years evaluated program column marked Results assessment 175 17 5 17.5 > ( 60°, 60 60° , 60°) 315 31 31.5 < 45°, 45 45° 45°) 512 51 51.2 46 59°. 59 59° . 59°) 125 12 12,5 lordosis 40 retroversion 475 47 47,5 curvature body Conclusion (SAPO) II Study 1 17. 6 31. 4 51. 12, 47, (SAPO

Abstract Background Acknowledging the relationship between postural control and muscle strength in lower limbs is important to find persons with high fall risk and to design fall prevention exercise programs. Objective To investigate the connection between knee muscle strength, semi-static postural balance, and functional mobility in irregularly active older women. Methods One hundred and ten older women aged 60 to 85 years underwent a semi-static postural balance test in a force and functional mobility measured by Timed Up & Go (TUG) with and without Cognitive Tasks (CT). Muscle strength of the knee was assessed by isokinetic dynamometry at 60°/s. Results A negative correlation between the functional mobility (TUG with and without CT) and the muscular strength of the knee was observed. Regarding semi-static balance, there was a low negative correlation with peak torque corrected for body weight of the extensors with the following variables with eyes open: Mean Velocity Dominant limb (D) (r = -0.19; p = 0.03); and anteroposterior range Non-Dominant limb (ND) (r = -0.19; p = 0.04); with eyes closed: mediolateral range ND limb (r = -0.21; p = 0.02) and Mean Velocity ND limb (r = -0.18; p = 0.05). Conclusions This study found that better functional mobility was associated with greater muscle strength in the knee in elderly women. There were weak negative correlations between knee extensor strength and some measures of semi-static postural balance, suggesting that different motor control actions are required to maintain semi-static balance and mobility. In the case of semi-static balance, a lower level of muscle response is required than in functional mobility. programs semistatic semi static 6 8 TUG CT. CT . (CT) 60s s 60°/s observed open D (D r 0.19 019 0 19 -0.19 0.03 003 03 0.03) NonDominant Non (ND 0.04 004 04 0.04) closed 0.21 021 21 -0.21 0.02 002 02 0.18 018 18 -0.18 0.05. 005 0.05 05 0.05) (CT 0.1 01 1 -0.1 0.0 00 0.2 2 -0.2 0. -0. -0 -

Abstract Introduction An accurate assessment of balance problems is critical for decreasing the risk of falling in patients with Parkinson's Disease (PD). Reliable diagnostic tools such as Computerized Dynamic Posturography (CDP) are not feasible for the clinical setting. Therefore, the present study's aim was to assess the correlation between the clinical Balance Evaluation Systems Test (BESTest) and CDP. Methods 20 male older adults with Parkinson's Disease (PD) were included in this study. Participants first executed the Sit-To-Stand (STS), Step/Quick turn (SQT), and Step Up and Over (SUO) tests on a Balance Master® force platform, followed by a clinical balance evaluation using the BESTest. Results Four outcomes of the CDP were negatively correlated with one or more BESTest domains or total BESTest score: STS sway velocity was negatively correlated with the anticipatory postural adjustment (p = 0.02) and sensory orientation (p = 0.01) domains. SQT turn time was negatively correlated with biomechanical restriction (for turns to the left, p = 0.01, and right, p = 0.03, respectively), postural response (p = 0.01, p = 0.01), dynamic balance during gait (p = 0.007, p = 0.001), and total score (p = 0.02, p = 0.01). Step over time to the right in SUP was negatively correlated with the limits of the stability domain (p = 0.002) and total BESTest score (p = 0.020). SUO impact index was negatively correlated with the anticipatory postural adjustment domain (p = 0.01). Conclusion This study shows that several BESTest domains are significantly correlated with CDP outcomes, demonstrating that the BESTest can be used as a more clinically feasible alternative for computerized posturography, without loss of information. Parkinsons Parkinson s PD. PD . (CDP setting Therefore studys (BESTest 2 (PD SitToStand Sit To Stand STS, , (STS) StepQuick Quick SQT, (SQT) (SUO Master platform 0.02 002 0 02 0.01 001 01 left 003 03 0.03 respectively, respectively respectively) 0007 007 0.007 0.001, 0001 0.001 0.001) 0.01. 0.002 0002 0.020. 0020 0.020 020 0.020) posturography information (STS (SQT 0.0 00 000 0.00 0.

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: Vehicle driving depends on the integration of motor, visual, and cognitive skills to respond appropriately to different situations that occur in traffic. Objectives: To analyze a model of performance predictor for braking time in the driving simulator, using a battery of tests divided by gender. Methods: Selected were 100 male drivers with a mean age of 72.6 ± 5.7 years. Sociode-mographic variables, braking time in the driving simulator, and motor, visual, and cognitive skills were evaluated. Results: Comparing genders, men were older than women (p = 0.002) and had longer driving times (p = 0.001). Men had more strength in hand grip (p ≤ 0.001). In the linear regression analysis, the model explained 68 % of the braking time in men and 50.8 % in women. In the stepwise multiple linear regression analysis, the variable that remained in the model was the strength of the right plantar flexors, which explained 13 % of the braking time in women and men, and the cognitive variables explained 38.9 %. Conclusion: Sociodemographic, motor, visual, and cognitive variables, explained a substantial portion of the variability in braking time for both older women and men, the specific variables driving this performance differed between the sexes. For older women, factors such as muscle strength emerged as critical determinants of braking ability, highlighting the importance of physical health in maintaining driving skills. On the other hand, cognitive conditions emerged as the primary predictor of braking performance in older men, underscoring the role of mental acuity and decision-making processes in safe driving. Context motor visual traffic Objectives simulator gender Methods 10 726 72 6 72. 57 5 7 5. years Sociodemographic Sociode mographic evaluated Results genders p 0.002 0002 0 002 0.001. 0001 0.001 . 001 0.001) analysis 508 50 8 50. flexors 1 389 38 9 38. Conclusion sexes ability decisionmaking decision making 0.00 000 00 3 0.0 0.

O objetivo deste artigo é identificar a prevalência de sintomas depressivos e fatores associados em pessoas maiores que vivem em instituições de cuidados de longo prazo (ILPI). Trata-se de um estudo epidemiológico com desenho transversal composto por indivíduos de 60 anos ou mais, de ambos os sexos, residentes nas três ILPI públicas da cidade de São Paulo - SP. A coleta de dados foi realizada de julho de 2016 a fevereiro de 2019, por meio de um questionário, onde se verificaram aspectos sociodemográficos; vermelho de apoio e condições de saúde.Para detectar sintomas depressivos foi utilizado o Inventário de Depressão de Beck (BDI) e o estado cognitivo foi avaliado por meio do Mini-Exame do Estado Mental (MEEM).O presente estudo associa uma prevalência de sintomas de depressão em 75,7% dos entrevistados. . , com prevalência do sexo masculino (39,4%). Hubo associação significativa entre os sintomas depressivos e as variáveis: dor (p=0,006) e limitações de movimento (p=0,003). Com base na apresentação, é necessário criar e implementar políticas públicas e acompanhamento desses pacientes, que permitam o tratamento e prevenção dessas condições variáveis.

O objetivo deste artigo é identificar a prevalência de sintomas depressivos e fatores associados em pessoas maiores que vivem em instituições de cuidados de longo prazo (ILPI). Trata-se de um estudo epidemiológico com desenho transversal composto por indivíduos de 60 anos ou mais, de ambos os sexos, residentes nas três ILPI públicas da cidade de São Paulo - SP. A coleta de dados foi realizada de julho de 2016 a fevereiro de 2019, por meio de um questionário, onde se verificaram aspectos sociodemográficos; vermelho de apoio e condições de saúde.Para detectar sintomas depressivos foi utilizado o Inventário de Depressão de Beck (BDI) e o estado cognitivo foi avaliado por meio do Mini-Exame do Estado Mental (MEEM).O presente estudo associa uma prevalência de sintomas de depressão em 75,7% dos entrevistados. . . , com prevalência do sexo masculino (39,4%). Hubo associação significativa entre os sintomas depressivos e as variáveis: dor (p=0,006) e limitações de movimento (p=0,003). Com base na apresentação, é necessário criar e implementar políticas públicas e acompanhamento desses pacientes, que permitam o tratamento e prevenção dessas condições variáveis.

O objetivo desse artigo é identificar a prevalência de sintomas depressivos e fatores associados em idosos residentes em instituições de longa permanência (ILPIs). Trata-se de um estudo epidemiológico com delineamento transversal composto por indivíduos com idade igual ou superior a 60 anos, de ambos os sexos, residentes nas dez ILPIs públicas do município de São Paulo - SP. A coleta de dados foi realizada no período de julho de 2016 a fevereiro de 2019, por meio de um questionário, onde foram verificados os aspectos sociodemográficos; rede de apoio e as condições de saúde. Para detecção de sintomas depressivos foi utilizada o Inventário de Depressão de Beck (IDB) e o estado cognitivo foi avaliado pelo Mini-Exame do Estado Mental (MEEM). O presente estudo identificou uma prevalência de sintomas de depressão em 75,7% dos entrevistados, com predomínio do sexo masculino (39,4%). Houve associação significante entre sintomas depressivos e as variáveis: de dor (p=0,006) e limitação do movimento (p=0,003). Através do que foi observado, se faz necessário a criação e implementação de políticas públicas e o acompanhamento desses pacientes, que possibilitem o tratamento e a prevenção dessas condições variáveis.

RESUMEN El objetivo de este estudio fue evaluar la percepción de salud, calidad de vida y capacidad funcional durante seis meses posteriores a la hospitalización por COVID-19. Se trata de un estudio prospectivo longitudinal, realizado en la Universidade São Judas Tadeu (USJT) y el Instituto Ânima Brasil. Se evaluaron a trece participantes, entre adultos jóvenes y adultos mayores, que tenían diagnóstico confirmado del COVID-19 y se encontraban hospitalizados por complicaciones de esa enfermedad. Se utilizó un cuestionario de caracterización e interdisciplinario elaborado por los investigadores para evaluar la percepción de salud, la calidad de vida y la capacidad funcional de los participantes. En este estudio se realizó seguimiento de los participantes durante un período de seis meses, y los principales resultados fueron: un significativo aumento en el tiempo de caminata después de tres meses (p=0,002), así como una mejora en la percepción de la calidad de vida (p=0,002). Además, se evaluaron los niveles de cansancio y de actividad física, y las respuestas medias fueron “poco cansado” e “irregularmente activo”, las cuales se mantuvieron sin cambios durante seis meses. Considerando que los pacientes que fueron hospitalizados por COVID-19 presentaron una reducción en la percepción de calidad de vida y en el tiempo de marcha tras el período en el hospital, se identificó que con el tiempo tienden a mejorar estas percepciones. salud COVID19. COVID19 COVID 19. 19 longitudinal USJT (USJT Brasil mayores COVID-1 enfermedad p=0,002, p0002 p p=0,002 , 0 002 (p=0,002) p=0,002. . Además física poco cansado irregularmente activo, activo activo” hospital percepciones COVID1 1 COVID- p000 p=0,00 00 (p=0,002 p00 p=0,0 (p=0,00 p0 p=0, (p=0,0 p=0 (p=0, p= (p=0 (p= (p

ABSTRACT The study aims to evaluate the perception of health, quality of life and functional capacity during six months after COVID-19-related hospitalization. This is a prospective longitudinal study carried out at Universidade São Judas Tadeu (USJT) in partnership with the Instituto Ânima Brasil. Thirteen adult participants, including young and older adults, were evaluated, had a confirmed diagnosis of COVID-19 and were hospitalized. A characterization and interdisciplinary questionnaire built by the researchers was used to assess health perception, quality of life, and functional capacity of participants. In this study, participants were followed for a 6-month period and the main results obtained were: the identification of a significant increase in walking time after three months (p=0.002) as well as an improvement in the perception of quality of life (p=0.002). In addition, the levels of tiredness and physical activity were evaluated; the mean responses were “little tired” and “irregularly active,” respectively, and remained unchanged over six months. Considering that patients who were hospitalized due to COVID-19 showed a reduction in the perception of quality of life and walking time soon after the hospital period, it was identified that over time they tend to improve these perceptions. COVID19related COVIDrelated COVID 19 related hospitalization USJT (USJT Brasil adults evaluated COVID19 COVID-1 6month month 6 p=0.002 p0002 p 0 002 (p=0.002 p=0.002. . addition little tired irregularly active, active respectively perceptions 1 COVID1 COVID- p=0.00 p000 00 (p=0.00 p=0.0 p00 (p=0.0 p=0. p0 (p=0. p=0 (p=0 p= (p= (p

RESUMO O objetivo do estudo foi avaliar a percepção de saúde, a qualidade de vida e a capacidade funcional dos pacientes durante seis meses após a internação por COVID-19. Trata-se de um estudo de delineamento prospectivo longitudinal realizado na Universidade São Judas Tadeu (USJT) em parceria com o Instituto Ânima Brasil. Foram avaliados 13 participantes adultos, entre jovens e idosos, que apresentaram diagnóstico confirmado de COVID-19 e foram internados. Foi utilizado um questionário de caracterização e interdisciplinar construído especificamente para inquirir a percepção de saúde, a qualidade de vida e a capacidade funcional dos participantes. Neste estudo, eles foram acompanhados no período de seis meses, e os principais resultados obtidos foram: a identificação do aumento significativo no tempo de caminhada após três meses (p=0,002), bem como a melhora na percepção de qualidade de vida (p=0,002). Além disso, foram avaliados os níveis de cansaço e de prática de atividade física, e as respostas médias foram, respectivamente, “pouco cansaço” e “irregularmente ativo”, as quais se mantiveram inalteradas ao longo de seis meses. Tendo em vista que os pacientes que foram submetidos à internação hospitalar devido à COVID-19 apresentaram redução da percepção de qualidade de vida e do tempo de caminhada logo após o período hospitalar, foi identificado que, com o decorrer do tempo, eles demonstraram tendência de melhora dessas percepções. saúde COVID19. COVID19 COVID 19. 19 Tratase Trata USJT (USJT Brasil 1 adultos idosos COVID-1 internados p=0,002, p0002 p p=0,002 , 0 002 (p=0,002) p=0,002. . disso física respectivamente pouco irregularmente ativo, ativo ativo” percepções COVID1 COVID- p000 p=0,00 00 (p=0,002 p00 p=0,0 (p=0,00 p0 p=0, (p=0,0 p=0 (p=0, p= (p=0 (p= (p

RESUMEN Introducción: El esguince de tobillo es frecuente en las actividades deportivas y puede provocar inestabilidad articular con consecuencias clínicas y de desempeño. Se han utilizado plataformas de inversión súbita del tobillo para estudiar el mecanismo del esguince de tobillo. Objetivos: Probar una plataforma estática que simule el movimiento de esguince de tobillo (inversión súbita) en jugadores de fútbol. Métodos: La plataforma fue desarrollada para realizar el movimiento brusco del esguince de tobillo disociado en tres ejes: inversión, flexión plantar y rotación medial. También se creó un programa informático para leer la velocidad angular y el tiempo para alcanzar la máxima amplitud de los tres ejes de movimiento, sincronizados con los movimientos de la plataforma. Treinta futbolistas sin esguince de tobillo fueron evaluados en la plataforma súbita. Cada atleta realizó 10 pruebas, iniciadas al azar, cinco en cada pierna. Resultados: Entre las pruebas, no hubo diferencias estadísticas en las velocidades angulares y el tiempo para alcanzar la amplitud máxima de los movimientos de flexión plantar y rotación medial. Durante las pruebas, la velocidad angular de la inversión aumentó. Conclusión: La plataforma estática súbita, evaluada en 10 intentos, fue confiable para evaluar los movimientos realizados por el tobillo durante el esguince, y no hubo diferencias en el comportamiento mecánico. Nivel de Evidencia I; Estudios terapéuticos - Investigación de los resultados del tratamiento. Introducción desempeño Objetivos fútbol Métodos medial 1 pruebas azar pierna Resultados aumentó Conclusión intentos mecánico I tratamiento

ABSTRACT Introduction: Ankle sprains are frequent in sports activities and can lead to joint instability with clinical and performance consequences. Sudden ankle inversion platforms have been used to study the mechanism of ankle sprain. Objectives: To test a static platform that simulates the movement of ankle sprain (sudden inversion) in soccer players. Methods: A platform was developed to perform the sudden movement of an ankle sprain dissociated in three axes: inversion, plantar flexion, and medial rotation. A computer program was also created to read the angular velocity and the time to reach the maximum amplitude of the three axes of movement, synchronized with the platform movements. Thirty soccer players without ankle sprains were evaluated on the sudden inversion platform. Each athlete performed 10 randomly initiated tests, with five per leg. Results: There was no statistical difference in angular velocity or time to reach maximum range of motion of plantar flexion and medial rotation between the tests. During the tests, the angular velocity of the inversion increased. Conclusion: The sudden static platform evaluated the movements performed by the ankle during the sprain reliably in the 10 tests with no difference in the mechanical behavior. Level of evidence I; Therapeutic studies - Investigation of treatment outcomes. Introduction consequences Objectives Methods 1 leg Results increased Conclusion behavior I outcomes

RESUMO Introdução: A entorse do tornozelo é frequente nas atividades esportivas, podendo levar à instabilidade articular com consequências clínicas e de desempenho. As plataformas de inversão súbita do tornozelo têm sido usadas para estudar o mecanismo de entorse do tornozelo. Objetivos: Testar uma plataforma estática que simule o movimento de entorse do tornozelo (inversão súbita) em jogadores de futebol. Métodos: A plataforma foi desenvolvida para realizar o movimento súbito da entorse de tornozelo dissociado em três eixos: inversão, flexão plantar e rotação medial. Também foi criado um programa de computador para leitura da velocidade angular e do tempo para atingir a amplitude máxima dos três eixos de movimento, sincronizados com os movimentos da plataforma. Trinta jogadores de futebol sem entorse de tornozelo foram avaliados na plataforma súbita. Cada atleta fez 10 testes, iniciados de forma aleatória, sendo cinco em cada perna. Resultados: Entre os testes, não houve diferença estatística das velocidades angulares e tempo para atingir a amplitude máxima do movimento de flexão plantar e rotação medial. Durante os testes, a velocidade angular da inversão aumentou. Conclusão: A plataforma estática súbita, avaliada em 10 tentativas, foi confiável para avaliar os movimentos executados pelo tornozelo durante a entorse, e não houve diferença de comportamento mecânico. Nível de evidência I; Estudos terapêuticos - Investigação dos resultados do tratamento. Introdução esportivas desempenho Objetivos Métodos medial 1 testes aleatória perna Resultados aumentou Conclusão tentativas mecânico I tratamento

Abstract Context: Many studies show the importance of evaluating the adaptation time of subjects in a virtual driving environment, looking forwards to a response as closest as a possible real vehicle. Objectives: This study aimed to identify and analyze the adaptation to the driving simulator in older adults and middle-aged adults with and without a distraction, and a secondary aim was to identify predictors of safe performance for older adults’ drives. Design: Male and female middle-aged adults (n = 62, age = 30.3 ± 7.1 years) and older adults (n = 102, age = 70.4 ± 5.8 years) were evaluated for braking time performance in a driving simulator; cognition performance assessment included the Mini-Mental State Examination; motor evaluation included ankle flexor muscle strength with the isokinetic dynamometer and handgrip strength; the postural balance was evaluated with Timed Up and Go test, with and without a cognitive distraction task. Results: Older adults (men and women) and middle-aged adult women require more time to adapt to the driving simulator. The distractor increases the adaptation time for all groups. The main predictors of braking time for older women are age, muscle strength, and postural balance associated with distraction, and for older men, muscle strength. Conclusions: Age, sex, and distractor interfere in the adaptation of the virtual task of driving in a simulator. The evaluation model developed with multi-domains demonstrated the ability to predict which skills are related to braking time with and without the presence of the distractor. Context environment vehicle Objectives middleaged middle aged drives Design n 62 303 30 3 30. 71 7 1 7. years 102 704 70 4 70. 58 5 8 5. MiniMental Mini Mental Examination test Results men groups Conclusions Age sex multidomains multi domains 6 10

Abstract Identifying indicators that contribute to a favourable living condition becomes of great value for the diagnosis, as well as implementing preventive and health-promoting actions. The present work objective was to evaluate and compare the lifestyle, depressive symptoms and functional aptitude of elderly men and women attending a community centre. The sample consisted of 277 elderly people, 197 (71%) women and 80 (29%) men aged above 60 years. The elderly were evaluated using a questionnaire to assess lifestyle and depressive symptoms, and their functional fitness was assessed by functional autonomy tests. The differences between the parameters were analysed by the student’s t-test and χ2 whenever appropriate. Depressive symptoms were present in 35% of the elderly; however, the lifestyle analysis showed that 57.40% of the elderly had a very good classification, followed by 24.55% as good, 17.33% as excellent and 0.72% as regular. Regarding functional fitness, 19.39% of the elderly had a score related to a very good level, 15.97% good, 16.35% fair and 45.29% weak. The results found in this study suggest that the elderly attending the community centre presented low depressive symptoms with a lifestyle classification considered very good, however, with poor functional fitness with differences in some parameters between men and women.

Abstract Context In the elderly, weak lower limb muscles impair functional tasks' performance. Objective To evaluate the healthy elderly's ankle dorsiflexion and plantarflexion maximum torque and its variability in two sets of 5 RM isokinetics evaluation. Method 50 women (68.0 ± 4.6 years old) and 50 men (72.7 ± 8.5 years old) did two sets of ankle plantar flexor and dorsiflexor isokinetic tests at 30°/s. Peak torque, total work, and coefficient of variation were analyzed. Results Men did the strongest plantarflexion torque (p < 0.05) and dorsiflexion torque (p < 0.05); their highest peak torque occurred at set 2 (p < 0.05), while the largest plantarflexion torque variability (p < 0.05), dorsiflexion torque variability (p < 0.05), and the largest plantarflexion torque variability occurred at set 1 (p < 0.05). Men did the highest plantarflexion and dorsiflexion total work (p < 0.05) at set 2 (p < 0.05). Conclusion Older men are stronger than older women. The torque variability, in men, was higher during the first set, suggesting an adaptation to the isokinetics evaluation. Clinicians and researchers should consider that different muscles might need different numbers of sets and trials to measure their maximal muscle strength.

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.

ABSTRACT Objective: Fatigue of the ankle’s stabilizing muscles may influence the performance of functional activities and postural control. The purpose of this study was to evaluate the performance of healthy young adults using functional jump tests and static posturography control under pre- and post-fatigue conditions of the ankle invertor and evertor muscles. Methods: Thirty physically active healthy male and female (15 male and 15 female) volunteers (24.3 years) were enrolled in this prospective cross-sectional study. Participants performed tests on one day under a non-fatigued state of invertor and evertor muscles and on the second day in a fatigued state. Tests included static posturography on a force platform in a bipedal stance with eyes open and closed and in one-legged support with eyes open and functional jump tests (figure-of-8, side hop, 6-m crossover hop, and square hop). Fatigue of the ankle invertor and evertor muscles was induced using isokinetic dynamometry with 30 repetitions at 120°/s. Results: Participants had an average age of 24.3 years (SD ± 2.08), the height of 1.73 m (SD ± 0.08), and a weight of 68.63 kg (SD ± 10.29). The average Body Mass Index (BMI) was 22.88 (SD ± 2.46). A decrease in performance was observed in functional activities and postural control under all conditions after the induction of muscle fatigue, except for the speed at a bipedal stance with eyes open. Conclusions: Functional jump tests are low cost and useful for clinical practice and evaluation of the effects of muscle fatigue and could be used in clinical practice.

Abstract Context Aging causes a progressive worsening in postural balance, affecting functional independence and increasing the risk of falls. Objective The aim of the study was to evaluate the effect of aging on the static balance in women from 50-years to 89-years of age. Design This was a cross-sectional study, with 400 irregularly active women were evaluated and grouped by age: Group 6thdecade (age 50 to 59) ‒ 58 participants; Group 7thdecade (age 60 to 69) ‒ 214 participants; Group 8thdecade (age 70 to 79) ‒ 92 participants; Group 9thdecade (age 80 to 89) ‒ 36 participants. Postural balance was evaluated using a portable force platform in a standard standing position, with Eyes Open (EO) and Eyes Closed (EC). Results In the two measurement conditions, the elderly women in Group 9thdecade presented mediolateral displacement and range, and mean velocity greater than the women's values in Groups 6thand 7thdecade. In the EO e EC situation, the displacement was higher in the elderly Group 9thdecade compared to younger groups. Group 8thhas a mean velocity greater than Group 6thdecade in the EO situation. Conclusions Posturography showed a decline in postural balance with advancing age, suggesting that the 9thdecade of life is a borderline age to this detriment due to an increase in postural instability.