EFICÁCIA DA CORRENTE AUSSIE NA MELHORA DA FORÇA DO QUADRÍCEPS EM INDIVÍDUOS RESTRITOS AO LEITO

2019 ◽  
Vol 22 (2) ◽  
pp. 112
Author(s):  
Filipe Abdalla dos Reis ◽  
Carolina Palma ◽  
Patrícia Isabel Machry Barbosa ◽  
Filipe Abdalla dos Reis ◽  
Daniel Martins Pereira
Keyword(s):  
Muscle Strength ◽  
Rectus Femoris ◽  
Treated Group ◽  
Quadriceps Muscle ◽  
Control Group ◽  
Cross Sectional ◽  
Significant Strength ◽  
The Right ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

O imobilismo acomete diversos sistemas tais como o gastrointestinal, urinário, cardiovascular, respiratório, cutâneo e musculoesqueléticoe intervenções precoces são necessárias para reduzir os problemas físicos e psicológicos. Objetivo: analisar a eficácia da corrente Aussie namelhora da força muscular do quadríceps em indivíduos restritos ao leito. Métodos: Participaram do estudo 12 indivíduos, sendo 7 homens e5 mulheres, distribuídos aleatoriamente em grupo controle (GC) e grupo tratado (GT). Utilizou-se a dinamometria isométrica (handheld) paraavaliação da força e, também, o ultrassom diagnóstico para avaliar a área de secção transversa do músculo reto femoral. Todos os participantes foram avaliados em dois períodos denominados de pré e pós. Resultados: Verificou-se redução significativa de força no GC coxa direita 2,5 N (p=0,047) e esquerda 3,8 N (p=0,008) nos momentos pré e pós. O GT apresentou ganho de força não significativa na coxa direita 4,9 N (p=0,117) e esquerda 3,2 N (p=0,107). Na ultrassonografia verificou-se no GC, redução não significativa na área da coxa direita 0,04 cm (p=0,283) e significativa na esquerda 0,06 cm (p=0,037). No GT houve redução não significativa coxa direita 0,13 cm (p=0,099) e significativa esquerda 0,22 cm (p=0,002). Conclusão: Pode-se inferir que a associação entre exercícios isométricos e corrente Aussie contribuiu para aumentar a força muscular do quadríceps em indivíduos com imobilidade ao leito.Palavras-chave: Força Muscular. Resposta de Imobilidade Tônica. Músculo Quadriceps.AbstractImmobilism affects several systems such as the gastrointestinal, urinary, cardiovascular, respiratory, cutaneous and musculoskeletal and earlyinterventions are necessary to reduce physical and psychological problems. Objective: to analyze the effectiveness of the Aussie current in the improvement of quadriceps muscle strength in bed restricted individuals. Methods: Twelve individuals, 7 males and 5 females, were randomly assigned to the control group (CG) and treated group (TG). The use of isometric dynamometry (handheld) for strength evaluation and also the diagnostic ultrasound to evaluate the cross-sectional area of the rectus femoris muscle. All participants were evaluated in two periods called pre and post. Results: There was a significant reduction of strength in the right thigh in CG 2.5 N (p = 0.047) and left 3.8 N (p = 0.008) in the pre and post moments. TG presented a non-significant strength gain in the right thigh 4.9 N (p = 0.117) and left 3.2 N (p = 0.107). Ultrasonography showed no significant reduction in the right thigh area 0.04 cm (p = 0.283) and significant at the left (0.06 cm) (p = 0.037). In the TG there was no significant reduction in the right thigh 0.13 cm (p = 0.099) and significant in the left one 0.22 cm (p = 0.002). Conclusion: It can be inferred that the association between isometric exercises and current Aussie contributed to increase the muscular strength of the quadriceps in individuals with immobility to bed.Keywords: Muscle Strength. Tonic Immobility Response. Quadriceps Muscle.

scholarly journals Noninvasive assessment of peripheral skeletal muscle weakness in idiopathic pulmonary fibrosis: a pilot study with multiparametric MRI of the rectus femoris muscle

2020 ◽  
Vol 15 ◽  
Author(s):  
Wagner Diniz de Paula ◽  
Marcelo Palmeira Rodrigues ◽  
Nathali Mireise Costa Ferreira ◽  
Viviane Vieira Passini ◽  
César Augusto Melo-Silva
Keyword(s):  
Skeletal Muscle ◽  
Muscle Strength ◽  
Idiopathic Pulmonary Fibrosis ◽  
Rectus Femoris ◽  
Cross Sectional ◽  
Quadriceps Femoris Muscle ◽  
Fat Fraction ◽  
Rectus Femoris Muscle ◽  
Quadriceps Femoris Muscle Strength ◽  
Femoris Muscle

Background: To investigate differences in magnetic resonance imaging (MRI) features of rectus femoris muscle between idiopathic pulmonary fibrosis (IPF) patients and healthy volunteers.Methods: Thirteen IPF patients with GAP Index stage II disease were subjected to pulmonary function tests, 6-minute walk test (6MWT), quadriceps femoris muscle strength measurement and MRI of the thigh at rest. At MRI, muscle cross-sectional areas, T2 and T2* relaxometry, and 3-point Dixon fat fraction were measured. The results were compared to those of eight healthy sedentary volunteers.Results: IPF patients had significantly lower %predicted FVC, FEV1 and DLCO (p<0.001 for the three variables) and walked significantly less in the 6MWT (p=0.008). Mean quadriceps femoris muscle strength also was significantly lower in IPF patients (p=0.041). Rectus femoris muscle T2* measurements were significantly shorter in IPF patients (p=0.027). No significant intergroup difference was found regarding average muscle cross-sectional areas (p=0.790 for quadriceps and p=0.816 for rectus femoris) or rectus femoris fat fraction (p=0.901). Rectus femoris T2 values showed a non-significant trend to be shorter in IPF patients (p=0.055).Conclusions: Our preliminary findings suggest that, besides disuse atrophy, other factors such as hypoxia (but not inflammation) may play a role in the peripheral skeletal muscle dysfunction observed in IPF patients. This might impact the rehabilitation strategies for IPF patients and warrants further investigation.

Hormone replacement therapy increases isometric muscle strength of adductor pollicis in post-menopausal women

1999 ◽  
Vol 96 (4) ◽  
pp. 357-364 ◽  
Author(s):  
D. A. SKELTON ◽  
S. K. PHILLIPS ◽  
S. A. BRUCE ◽  
C. H. NAYLOR ◽  
R. C. WOLEDGE
Keyword(s):  
Bone Mineral Density ◽  
Muscle Strength ◽  
Bone Mineral ◽  
Hormone Replacement ◽  
Treated Group ◽  
Control Group ◽  
Sectional Area ◽  
Mineral Density ◽  
Cross Sectional ◽  
Post Menopausal

A randomized open trial of hormone replacement therapy was used to assess changes in adductor pollicis muscle strength during 6–12 months of treatment with Prempak C 0.625® in comparison with an untreated control group. Muscle strength (maximal voluntary force; MVF), muscle cross-sectional area and bone mineral density were measured. Women entering the trial had oestrogen levels below 150 pmolċl-1, confirming their post-menopausal hormonal status. In the treated group, MVF increased by 12.4±1.0% (mean±S.E.M.) of initial MVF over the duration of treatment, while it declined slightly (2.9±0.9%) in the control group. This increase in strength could not be explained by an increase in muscle bulk, there being no significant increase in cross-sectional area during the study. Those subjects who were weakest at enrolment showed the greatest increases in muscle strength after treatment. Bone mineral density in total hip, Ward's triangle and total spine increased in the treated group, in agreement with previous studies. There was no correlation between the individual increases in bone mineral density and those in MVF.

VALIDATION STUDY OF CADAVER RECTUS FEMORIS MUSCLE MEASUREMENT BY ULTRASONOGRAPHY AND ANATOMICAL PLANIMETRY

2008 ◽  
Vol 11 (04) ◽  
pp. 173-179 ◽  
Author(s):  
Wolfram Weinrebe ◽  
Dietmar Stippler ◽  
Sara Doll ◽  
Kurt Zahr ◽  
Ekkehart Jenetzky ◽  
...  
Keyword(s):  
Validation Study ◽  
Rectus Femoris ◽  
The Elderly ◽  
Accurate Method ◽  
Mean Difference ◽  
Muscle Size ◽  
Cross Sectional ◽  
Significant Difference ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Ultrasonography is frequently used to measure the rectus femoris muscle cross-section area, and has been suggested to associate with poor health condition. However, no validation studies have been performed to compare rectus femoris muscle ultrasonography (RFMS) with anatomical planimetry when measuring the muscle cross-sectional area (CSA). This validation study compared the two methods of CSA measurement of unfixed (frozen) and fixed (unfrozen) rectus femoris muscle specimens obtained from elderly human cadavers. Agreement between tests was studied by Bland–Altman analysis. We found a significant difference between planimetry and RFMS of unfixed (frozen) muscle specimens (mean difference, -0.389 cm2; 95% CI, -0.144 to -0.634), p = 0.022. No significant difference was observed between the two methods when measuring fixed (unfrozen) muscle specimens (mean difference, 0.032 cm2, 95% CI, -0.007 to -0.070), p = 0.107. In fixed specimens, the 95% limit of agreement between the two methods ranged between 0.12 cm2 and -0.06 cm2 (<10% deviation); while in unfixed muscle specimens, the range was between 0.28 cm2 and -1.06 cm2 (~50% deviation). In light of the similar results obtained in fixed specimens, ultrasound is a safe and accurate method of rectus femoris muscle size assessment. In clinical practice, RFMS may be used to detect a decrease in rectus femoris muscle mass, typically associated with malnutrition of the elderly, and may therefore be a simple and practical tool for the screening of malnutrition.

scholarly journals Bilateral Simultaneous Heterotopic Ossification of the Reflected Head of Rectus Femoris Muscle: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Murat Tonbul ◽  
Seyma Ozen ◽  
Ayse Tuba Tonbul
Keyword(s):  
Heterotopic Ossification ◽  
Full Range ◽  
Rectus Femoris ◽  
Unique Case ◽  
Benign Condition ◽  
Bony Mass ◽  
Intramuscular Hemorrhage ◽  
The Right ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Lamellar bone formation in an abnormal location is defined as heterotopic ossification. It commonly occurs around the hip joint and most often involves the abductor muscles. It is a benign condition; however, its etiology remains largely unknown. Most previously reported cases have been due to trauma or intramuscular hemorrhage. In this paper, we present a case of bilateral heterotopic ossification of the reflected head of rectus femoris muscle without antecedent trauma or any other known cause, as the first and unique case in the literature. She was treated by excision of the right symptomatic bony mass via a modified Smith-Petersen approach. Postoperatively, she received 75 mg indomethacin daily for six weeks. She was pain-free and obtained full range of motion 3 weeks after the first intervention.

scholarly journals Evaluation of Sarcopenia by Ultrasound of the Rectus Femoris Muscle as a Predictor of Outcomes of Surgical Intensive Care Unit Patients, A Prospective, Observational Study

2021 ◽  
pp. 43-52
Author(s):  
Aya Hassan Hegazy ◽  
Mohammad Samir Abd El-Ghafar ◽  
Nagat Sayed El-shmaa ◽  
Sohair Moustafa Soliman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Rectus Femoris ◽  
Cross Sectional Area ◽  
Surgical Intensive Care Unit ◽  
Sectional Area ◽  
Surgical Intensive Care ◽  
Cross Sectional ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Background: Muscle wasting is a frequent finding in critically ill patients and is associated with worse short- and long term outcomes. Loss of mass and function of skeletal muscles starts early - in the first 24 hours after admission to Intensive Care Unit (ICU) - and may persist for years ‘Post-ICU syndrome’. Ultrasound of rectus femoris muscle is a valid and simple technique that could be used for longitudinal assessment of treatment success and facilitates the use of postoperative interventions that help in problems related to critical illness. The aim of this study is to evaluate sarcopenia by ultrasound of rectus femoris muscle as a predictor of outcomes of surgical intensive care unit. Materials and Methods: This prospective observational study was performed on 40 patients admitted to the surgical ICU, Tanta University Hospitals, Egypt, after approval of the Institutional Ethical Committee, Tanta University. The study started from April 2019 till January 2020. An informed consent was taken from the nearest relatives of the patients. All data of the patients was confidential with secret codes and private files for each patient. All given data was used for the current medical research only. Any unexpected risks appeared during the course of the research were cleared to the participants and ethical committee at time. Results: Cross-sectional area of rectus femoris muscle decreased significantly at all-time measurements as compared to the baseline at day 0 (within 24 hours from SICU admission), 5, 10, 15, 20, 25 and 30. There were negative correlations between delta cross-sectional area of rectus femoris muscle and age, height, weight, Body Mass Index and baseline cross-sectional area of rectus femoris muscle. There was a positive correlation between delta cross-sectional area of rectus femoris muscle and duration of mechanical ventilation, ICU length of stay and mortality. Conclusion: Rectus femoris cross-sectional area measured by B-mode ultrasonography showed significant role in nutritional assessment as it decreases in critically ill patients with positive correlation with duration of mechanical ventilation and ICU stay.

scholarly journals Muscle strength measurements and functional outcome of an untreated complete distal rectus femoris muscle tear

2014 ◽  
Vol 2014 (nov05 1) ◽  
pp. bcr2013203191-bcr2013203191 ◽  
Author(s):  
W. Figved ◽  
H. Grindem ◽  
M. Aaberg ◽  
L. Engebretsen
Keyword(s):  
Muscle Strength ◽  
Functional Outcome ◽  
Rectus Femoris ◽  
Muscle Tear ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

The effects of menisectomy: A follow-up study of the effects of menisectomy on lower limb muscle strength, and on knee joint function

1983 ◽  
Vol 39 (4) ◽  
pp. 93-100
Author(s):  
Joanne Enslin
Keyword(s):  
Muscle Strength ◽  
Functional Limitations ◽  
Quadriceps Muscle ◽  
Left Knee ◽  
Knee Surgery ◽  
Long Term Results ◽  
Control Group ◽  
Hamstring Muscle ◽  
Muscle Testing ◽  
The Right

The object of this study was to determine the long term results of uncomplicated menisectomies in 16 patients who were at least 8 months post-operative. The average age of the patients was 25 years and all had right dominant legs. Seven of the subjects had undergone right knee surgery, and the remaining eight left knee surgery.Questionnaires were answered to determine the patients’ current symptoms and functional ability. Fifteen patients attended a physical examination to assess quadriceps and hamstring muscle strength. The findings were compared to a control group of subjects who had not undergone knee surgery. This study shows that:(i) Sixty percent of the patients had some symptoms such as stiffness, swelling, pain or discomfort, locking, weakness and instability. Seventy-five percent of the patients had some functional limitations during for example squatting, kneeling, climbing stairs, walking on rough ground etc, and half of these surgical patients had some pain and discomfort, as well as difficulty in squatting and kneeling.(ii) Eight months after surgery, the patients had still not regained full muscle strength despite having undergone normal rehabilitation procedures. Isokinetic muscle testing showed a decrease in quadriceps muscle strength in the right-operated leg, the left-operated leg and the right unoperated leg. There was also an increase in right hamstring muscle strength in the right-operated leg.These findings suggest that even uncomplicated menisectomy is not a trivial procedure and that current practices in muscle rehabilitation following menisectomy are not adequate. There should be routine procedures whereby all patients can receive appropriate and adequate muscle rehabilitation after knee surgery.

scholarly journals Reliability and differences in quadriceps femoris muscle morphology using ultrasonography: The effects of body position and rest time

Ultrasound ◽  
2018 ◽  
Vol 26 (4) ◽  
pp. 214-221 ◽  
Author(s):  
Patrick M Tomko ◽  
Tyler WD Muddle ◽  
Mitchel A Magrini ◽  
Ryan J Colquhoun ◽  
Micheal J Luera ◽  
...  
Keyword(s):  
Supine Position ◽  
Rest Period ◽  
Rectus Femoris ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Echo Intensity ◽  
Cross Sectional ◽  
Muscle Cross Sectional Area ◽  
Rectus Femoris Muscle ◽  
Femoris Muscle

Introduction The purpose of this investigation was to: (1) to determine the reliability of rectus femoris muscle cross-sectional area and echo intensity obtained using panoramic ultrasound imaging during seated and supine lying positions before and after a 5-minute rest period and (2) to determine the influence of body position and rest period on the magnitude of rectus femoris muscle cross-sectional area and echo intensity measurements. Methods A total of 23 males and females (age = 21.5 ± 1.9 years) visited the laboratory on two separate occasions. During each visit, panoramic ultrasound images of the rectus femoris were obtained in both a seated and a supine position before (T1) and after a 5-minute (T2) rest period to quantify any potential changes in either muscle cross-sectional area and/or echo intensity. Results None of the muscle cross-sectional area or echo intensity measurements exhibited systematic variability, and the ICCs were 0.98–0.99 and 0.88–0.91, and the coefficients of variation were ≤ 3.9% and ≤ 8.2% for muscle cross-sectional area and echo intensity, respectively. Our results indicated that muscle cross-sectional area was greater in the seated than supine position, whereas echo intensity was greater in the supine position. Further, echo intensity increased in the seated position from T1 to T2. Conclusion Both rectus femoris muscle cross-sectional area and echo intensity may be reliably measured in either a seated or supine lying position before or after a 5-minute rest period. Aside from echo intensity in the seated position, rest period had no influence on the magnitude of muscle cross-sectional area or echo intensity. Comparison of muscle cross-sectional area values that are obtained in different body positions is ill-advised.

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