Resposta do Controle Postural em Superfície Inclinada: uma Revisão de Literatura

2019 ◽  
Vol 23 (1) ◽  
pp. 61
Author(s):  
Silvana Rocha Silveira
Keyword(s):  
Horizontal Plane ◽  
Human Mobility ◽  
Clinical Intervention ◽  
The Elderly ◽  
Force Platform ◽  
Pressure Center ◽  
Inclined Surfaces ◽  
Contrôle Postural ◽  
Urban Accessibility ◽  
Environmental Predictor

ResumoO controle postural é um requisito imprescindível para a execução das habilidades motoras durante as atividades de vida diária, logo, há a necessidade constante de ajuste dos segmentos corporais para garantir a autonomia e a independência da mobilidade humana. Os ajustes posturais são resultantes da interação do sistema sensório-motor e da sua correlação com o meio ambiente, produzindo orientação e estabilidade postural esperada durante a execução das atividades, sendo essa estática ou dinâmica. Deste modo, o objetivo do estudo foi apresentar os impactos funcionais ocorridos durante a posição de pé parada ou em movimento em superfície de inclinada, principalmente, entre os idosos. O estudo se fundamentou na revisão bibliográfica, no período temporal de 2006 a 2016, por meio da análise das bases de dados em Pubmed, Ebsco, SciELO, Medline e Lilacs, com a utilização dos termos: Plataforma de força, plano inclinado, plano horizontal e comportamento do centro de pressão. Os resultados apontaram que as situações rotineiras do dia a dia, realizadas em superfícies inclinadas, como um mero ato de subir ou até ficar parado em uma ladeira, pode ser um preditor ambiental para instabilidade postural, tornando-se necessário a reavaliação do olhar da intervenção terapêutica meramente clínica, passando a ampliar para as circunstâncias vinculadas com as questões da acessibilidade urbana. Palavras chaves: Plataforma de Força. Plano Horizontal. Comportamento do Centro de Pressão. Abstract Postural control is an essential requirement for the performance of motor skills during  daily living activities, so there is a constant need to adjust body segments to guarantee the autonomy and independence of human mobility. Postural adjustments result from the interaction of the sensorimotor system and their  correlation with the environment, producing orientation and postural stability expected during the execution of the activities, being static or dynamic. Thus, the objective of the study was to present the functional impacts occurred during standing or moving position on inclined surface, mainly among the elderly. The study was based on the bibliographic review, in the period from 2006 to 2016, through the analysis of databases in Pubmed, Ebsco, SciELO, Medline and Lilacs, using the terms Force platform, inclined plane, horizontal plane and pressure center behavior. The results showed that routine everyday situations on inclined surfaces, such as a mere act of climbing or even standing on a slope, may be an environmental predictor for postural instability, making it necessary to re-evaluate the clinical intervention, starting to extend the issues of urban accessibility to the related circumstances. Keywords: Force Platform. Horizontal Plane. Pressure Center Behavior.

scholarly journals Efeitos da Kinesiotaping na Aplicação em Tornozelos Sobre o Controle Postural de Indivíduos Saudáveis

2020 ◽  
Vol 24 (4) ◽  
pp. 431-436
Author(s):  
Helen Katharine Christofel ◽  
Lougan Escobar Da Silva ◽  
Ovídia Ignês Pirez ◽  
Rodrigo Antonio Carvalho Andraus
Keyword(s):  
Statistical Analysis ◽  
Postural Control ◽  
Force Platform ◽  
Friedman Test ◽  
Pressure Center ◽  
Kinesio Tape ◽  
Men And Women ◽  
Healthy Men ◽  
Contrôle Postural

Este estudo avaliou o efeito da aplicação da Kinesiotape no controle postural de indivíduos jovens saudáveis. Quarenta participantes foram divididos em dois grupos: G1 (n = 20) composto por homens com idade de 23 ± 2,12 anos e o G2 (n = 20) por mulheres com idade 24 ± 4,96 anos. Ambos os grupos receberam a aplicação da Kinesiotape na região dos tornozelos e foram submetidos à avaliação do controle postural em apoio unipodal direito (UNPD) e esquerdo (UNPE) na plataforma de força em quatro momentos: pré-intervenção (PRE), imediatamente após (IME), 24 horas (24H) e 48 horas (48H) após a aplicação da kinesio. A análise estatística foi realizada através do teste de Friedman, utilizando o software IBM SPSS Statistics versão 24. A análise das variáveis do centro de pressão mostrou uma redução significativa no G1 na VEL ML na posição UNPD entre os períodos PRE e IME (p = 0,013) e na FAP na posição UNPD em todos os períodos (PRE-IME p = 0,042; PRE-24H p = 0,02; PRE-48h p = 0,007). No G2 houve diferença na VEL AP na posição UNPD (PRE-48H p = 0,002) e na UNPE em todos os períodos (PRE-IME p = 0,009; PRE-24H p = 0,029; PRE-48h p = 0,001), e na VEL ML na posição UNPE (PRE-48H p = 0,016), evidenciando que a aplicação da Kinesiotape na região de tornozelos, melhora a estabilidade no controle postural em homens e mulheres saudáveis.   Palavras-chave: Kinesio Tape. Controle Postural. Propriocepção. Plataforma de Força.   Abstract This study evaluated the effect of Kinesiotape application on postural control in healthy young individuals. Forty participants were divided into two groups: G1 (n = 20) composed of men aged 23 ± 2.12 years and G2 (n = 20) women aged 24 ± 4.96 years. Both groups received the Kinesiotape  application at the ankles and underwent postural control assessment in right (UNPD) and left (UNPE) unipedal stance on the force platform in four moments: pre-intervention (PRE), immediately after ( IME), 24 hours (24H) and 48 hours (48H) after kinesiotape application. Statistical analysis was performed using the Friedman test, using the IBM SPSS Statistics version 24 software. The analysis of the pressure center variables showed a significant reduction in G1 in the ML VEL in the UNPD position between the PRE and IME periods (p = 0.013 ) and FAP in the UNPD position in all periods (PRE-IME p = 0.042; PRE-24H p = 0.02; PRE-48h p = 0.007). There was a difference in the G2 AP VEL in the UNPD position (PRE-48H p = 0.002) and in UNPE in all periods (PRE-IME p = 0.009; PRE-24H p = 0.029; PRE-48h p = 0.001), and in ML SPE in the UNPE position (PRE-48H p = 0.016), showing that the Kinesiotape application at the ankles, improves stability in postural control in healthy men and women.   Keywords: Kinesiotape. Postural Control. Proprioception. Force Platform.

scholarly journals A longitudinal study over 40 years to study the metabolic syndrome as a risk factor for cardiovascular diseases

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lars Lind ◽  
Johan Sundström ◽  
Johan Ärnlöv ◽  
Ulf Risérus ◽  
Erik Lampa
Keyword(s):  
Metabolic Syndrome ◽  
Risk Factor ◽  
Longitudinal Study ◽  
Clinical Intervention ◽  
The Elderly ◽  
Adult Men ◽  
The Metabolic Syndrome ◽  
The Impact ◽  
Over 40 Years

AbstractThe impact of most, but not all, cardiovascular risk factors decline by age. We investigated how the metabolic syndrome (MetS) was related to cardiovascular disease (CVD) during 40 years follow-up in the Uppsala Longitudinal Study of Adult Men (ULSAM, 2,123 men all aged 50 at baseline with reinvestigations at age 60, 70, 77 and 82). The strength of MetS as a risk factor of incident combined end-point of three outcomes (CVD) declined with ageing, as well as for myocardial infarction, ischemic stroke and heart failure when analysed separately. For CVD, the risk ratio declined from 2.77 (95% CI 1.90–4.05) at age 50 to 1.30 (95% CI 1.05–1.60) at age 82. In conclusion, the strength of MetS as a risk factor of incident CVD declined with age. Since MetS was significantly related to incident CVD also at old age, our findings suggest that the occurrence of MetS in the elderly should not be regarded as innocent. However, since our data were derived in an observational study, any impact of MetS in the elderly needs to be verified in a randomized clinical intervention trial.

Self Psychology in Clinical Intervention with the Elderly

1992 ◽  
Vol 73 (4) ◽  
pp. 214-221
Author(s):  
John Goldmeier ◽  
Donald V. Fandetti
Keyword(s):  
Social Work ◽  
Clinical Intervention ◽  
Self Psychology ◽  
The Elderly ◽  
The Self ◽  
Heinz Kohut ◽  
Clinical Interventions

The self psychology of Heinz Kohut can be usefully integrated with current clinical interventions in social work. The authors discuss the major principles of self psychology, applying them to work with the elderly. Emphasis is on the striving for growth and affirmation in the elderly and on how more subtle treatment dimensions, such as empathy and transference, can be understood.

scholarly journals Fundamental motion outcomes - Steps / Strides

2015 ◽  
Author(s):  
Reto W. Kressig
Keyword(s):  
Early Stage ◽  
Cognitive Disorders ◽  
Clinical Intervention ◽  
The Elderly ◽  
Exercise Programme ◽  
Adherence Rate ◽  
Dual Tasking ◽  
High Adherence ◽  
Close Relationship ◽  
Intervention Trials

We describe the close relationship between stride, cadence and velocity, as fundamental motion outcomes, in particular for the elderly. Stride (Length, Time, CoV) is a meaningful mobility outcome for clinical intervention trials. Stride variability while motor-cognitive dual-tasking is a sensitive mobility outcome for fall risk and cognitive disorders (e.g. Alzheimer’s disease) at an early stage. Salsa proved to be a safe and feasible exercise programme for older adults accompanied with a high adherence rate

scholarly journals Human mobility and poverty as key drivers of COVID-19 transmission and control

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Matan Yechezkel ◽  
Amit Weiss ◽  
Idan Rejwan ◽  
Edan Shahmoon ◽  
Shachaf Ben-Gal ◽  
...  
Keyword(s):  
Human Mobility ◽  
The Elderly ◽  
School Closure ◽  
Transmission Model ◽  
Mobility Patterns ◽  
Mortality And Morbidity ◽  
Effective Strategies ◽  
Mobility Data ◽  
Key Drivers ◽  
And Control

Abstract Background Applying heavy nationwide restrictions is a powerful method to curtail COVID-19 transmission but poses a significant humanitarian and economic crisis. Thus, it is essential to improve our understanding of COVID-19 transmission, and develop more focused and effective strategies. As human mobility drives transmission, data from cellphone devices can be utilized to achieve these goals. Methods We analyzed aggregated and anonymized mobility data from the cell phone devices of> 3 million users between February 1, 2020, to May 16, 2020 — in which several movement restrictions were applied and lifted in Israel. We integrated these mobility patterns into age-, risk- and region-structured transmission model. Calibrated to coronavirus incidence in 250 regions covering Israel, we evaluated the efficacy and effectiveness in decreasing morbidity and mortality of applying localized and temporal lockdowns (stay-at-home order). Results Poorer regions exhibited lower and slower compliance with the restrictions. Our transmission model further indicated that individuals from impoverished areas were associated with high transmission rates. Considering a horizon of 1–3 years, we found that to reduce COVID-19 mortality, school closure has an adverse effect, while interventions focusing on the elderly are the most efficient. We also found that applying localized and temporal lockdowns during regional outbreaks reduces the overall mortality and morbidity compared to nationwide lockdowns. These trends were consistent across vast ranges of epidemiological parameters, and potential seasonal forcing. Conclusions More resources should be devoted to helping impoverished regions. Utilizing cellphone data despite being anonymized and aggregated can help policymakers worldwide identify hotspots and apply designated strategies against future COVID-19 outbreaks.

scholarly journals Reliability and Repeatability of Pressure Center Analysis with Low-Dye Taping Using Force Platform Podiatry Sensors in Feet with Excessive Pronation

2021 ◽  
Vol 18 (6) ◽  
pp. 3265
Author(s):  
Óscar Madruga-Armada ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
Marta Elena Losa-Iglesias ◽  
Cesar Calvo-Lobo ◽  
David Rodriguez-Sanz ◽  
...  
Keyword(s):  
Observational Study ◽  
Center Of Pressure ◽  
Force Platform ◽  
P Value ◽  
Pressure Center ◽  
Anova Test ◽  
Foot Pronation ◽  
Foot Function ◽  
First Session

Background: The analysis of the center of pressure (COP) is a method used to assess the foot function, but its reliability and repeatability have not been evaluated. COP can be altered by diverse conditions, like an excessive foot pronation. Low-Dye taping is commonly used for the treatment of symptoms related to an excessive pronation. To date, no study has evaluated the effects of the Low-Dye taping on COP and the duration of its effects. Thus, the main purpose of this manuscript was to assess the reliability and repeatability of the percentage of center of pressure locus area (%CLA) in feet with an excessive pronation, and secondarily, to assess that the Low-Dye taping modifies the %CLA during the immediate 48 h. Methods: An observational study of the reliability and repeatability of the %CLA variable with the Low-Dye taping in feet with excessive pronation was carried out. We used the EPS-Platform to evaluate the results of the variable in 6 conditions in a first session to evaluate the reliability of the results. We compared the results of the first session with the results in a second session to evaluate the repeatability of the results. We also carried out an ANOVA test to evaluate the changes that the taping produced in the variable between without taping with the rest of the 6 conditions. Results: For the %CLA, we observed a reliability greater than 0.80, measured by the interclass ratio index, both in the first session before taping, and in the second session before taping, thus being a repeatability variable. In the following times, with taping, at 10 min with tape, at 20 min with tape, at 24 h with tape and at 48 h with tape; an interclass ratio coefficient (ICC) higher than 0.80 was again obtained, thus being a reliable variable in all measurements made. The Low-Dye taping did not change %CLA from the time the tape was put in until 48 h (p-value = 1.000). Conclusions: The %CLA variable, in feet with excessive pronation, proved to be a reliable variable in all the measurements obtained before putting on the tape and during the following 48 h with the tape, and a repeatable variable. The Low-Dye taping did not change the %CLA from the time the tape was put in until 48 h.

scholarly journals Treatment of Data and GIS Implementation of Solar Radiation and Temperature Maps: Example in South-East of Spain

2012 ◽  
Vol 2012 ◽  
pp. 1-15
Author(s):  
F. Vera-García ◽  
J. R. García-Cascales ◽  
Z. Hernández-Guillén ◽  
J. P. Delgado-Marín
Keyword(s):  
Solar Radiation ◽  
Ambient Temperature ◽  
Horizontal Plane ◽  
Theoretical Data ◽  
Diffuse Radiation ◽  
Incident Radiation ◽  
Technical Program ◽  
Available Energy ◽  
Inclined Surfaces ◽  
Weather Stations

This paper presents the maps of solar radiation on the surface of south-east region of Spain named Región de Murcia. These maps are the result of treatment, study, and correlations obtained by data of 35 weather stations distributed throughout the region. These stations have collected data for 6 to more than 25 years. The paper presents the work performed for the treatment of collected data, the correlations used for the adjustment of the data, and the parameters obtained as a result of this adjustment. The weather stations are equipped with various sensors to collect several parameters, the measures covered and used for the study were global and diffuse radiation (in case that the station has pyranometer diffuse) and ambient temperature. The results were used to produce maps of horizontal radiation (global and diffuse) and ambient temperature at the surface of the region studied. To achieve the irradiation maps for this extended region has been used “r.sun” program, technical program that with the help of GRASS program uses geographic information systems (GISs) to evaluate the influence of geographical variables captured on horizontal plane at the surface. Using the results of the program for theoretical data and/or generic, and with the feedback obtained by the correlations of measures covered from weather stations, we have studied the incident radiation on the region. The main result of this study was to produce maps of irradiation on horizontal plane, correction for inclined surfaces, and also maps of temperature of the studied region. On this basis, results have been produced maps and tables of monthly solar radiation (mean maximum and minimum) for each of the 45 municipalities of the Region of Murcia. Thus, was obtained a useful tool for the calculation of available energy and thermal needs at the design process of plants using solar thermal and photovoltaic.

Osteoporosis: pathogenesis and clinical intervention

2003 ◽  
Vol 31 (2) ◽  
pp. 462-464 ◽  
Author(s):  
G. Mueller ◽  
R.G.G. Russell
Keyword(s):  
Bone Loss ◽  
Musculoskeletal System ◽  
Clinical Intervention ◽  
The Elderly ◽  
Prevent Bone Loss ◽  
Bone Lead ◽  
Drug Treatments ◽  
Skeletal Disorders ◽  
Muscle Changes ◽  
The Many

Osteoporosis is a very common disorder and much has been learnt in recent years about the many pathogenic processes that contribute to bone loss and fragility. Drug treatments are now available to prevent bone loss and reduce fracture, and there are prospects for modifying some of the pathogenic processes themselves. In common with other structures, the tissues of the musculoskeletal system undergo many changes with aging, and some of the commonest skeletal disorders are seen in the elderly. The changes in bone lead to osteoporosis and fractures, whereas muscle changes (sarcopenia) contribute to frailty, and changes in cartilage lead to osteoarthritis.

scholarly journals Pharmacoepidemiological profile and polypharmacy indicators in elderly outpatients

2013 ◽  
Vol 49 (3) ◽  
pp. 443-452 ◽  
Author(s):  
André de Oliveira Baldoni ◽  
Lorena Rocha Ayres ◽  
Edson Zangiacomi Martinez ◽  
Nathalie de Lourdes Sousa Dewulf ◽  
Vânia dos Santos ◽  
...  
Keyword(s):  
Adverse Drug Events ◽  
Negative Binomial ◽  
Clinical Intervention ◽  
Female Gender ◽  
The Elderly ◽  
P Value ◽  
Self Medication ◽  
Cross Sectional ◽  
Significance Level ◽  
Elderly Outpatients

This cross-sectional study was carried out with 1000 elderly outpatients assisted by a Basic Health District Unit (UBDS) from the Brazilian Public Health System (SUS) in the municipality of Ribeirão Preto. We analyzed the clinical, socioeconomic and pharmacoepidemiological profile of the elderly patients in order to identify factors associated with polypharmacy amongst this population. We used a truncated negative binomial model to examine the association of polypharmacy with the independent variables of the study. The software SAS was used for the statistical analysis and the significance level adopted was 0.05. The most prevalent drugs were those for the cardiovascular system (83.4%). There was a mean use of seven drugs per patient and 47.9% of the interviewees used >7 drugs. The variables that showed association with polypharmacy (P value < 0.01) were female gender, age >75 years, self-medication, number of health problems, number of medical appointments, presence of adverse drug events, use of over-the-counter drugs, use of psychotropic drugs, lack of physical exercise and use of sweeteners. The exposition to all these factors justified the high prevalence of polypharmacy amongst the interviewees. These results showed the need to adopt clinical intervention and educational and managerial measures to analyze and promote rationality in the use of drugs amongst the elderly users of SUS.

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