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

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.

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

Ensaios e Ciência C Biológicas Agrárias e da Saúde ◽

10.17921/1415-6938.2019v23n1p61-66 ◽

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.

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To Study the Effect of Aprocitentan on the Electrical Activity of the Heart in Healthy Men and Women

Case Medical Research ◽

10.31525/ct1-nct04281342 ◽

2020 ◽

Author(s):

Keyword(s):

Electrical Activity ◽

Men And Women ◽

Healthy Men

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POSTURAL STABILITY IN PATIENTS WITH LATENT TRIGGER ZONES OF NECK MUSCULATURE

Ulyanovsk Medico-biological Journal ◽

10.34014/2227-1848-2019-4-114-123 ◽

2019 ◽

pp. 114-123

Author(s):

E.R. Mukhametova ◽

A.D. Militskova ◽

T.V. Baltina

Keyword(s):

Postural Control ◽

Postural Stability ◽

Test Group ◽

Trigger Points ◽

Control Group ◽

Neck Muscle ◽

Pressure Center ◽

Cervical Muscles ◽

Equilibrium Function ◽

Romberg Test

There are many reasons for postural disorder development, but dysfunction of the cervical spine muscles is the most disputable reason. The purpose of the study is to reveal the influence of latent myogenic trigger zones of the cervical muscles on postural resistance. Materials and Methods. The authors used the method of computer posturography. Latent myogenic trigger zones (LMTZs) were determined by an indurated nodule or bundle in the neck muscle and by hyperesthesia in this zona. Assessment of postural resistance in subjects with LMTZs was carried out using standard posturography tests and Romberg test. Both classical and vector indicators were evaluated in a standard sample. Results. In fact, only vector indicators changed significantly in subjects with multiple LMTZs (4 or more). Thus, a decrease in the equilibrium function quality was established, as well as an increase in the average linear velocity of the pressure center and an increase in the normalized vectorogram area if compared with the indices in the control group and the group with sporadic LMTZs (from 1 to 3). The obtained results indicate a postural control decrease in individuals with multiple LMTZs. Subjects with sporadic LMTZs demonstrated a significant decrease in classical and a number of vector indicators, which shows the improvement in postural resistance in this test group. In Romberg test, all subjects with LMTZs, regardless of the zone number, showed an increasd Romberg coefficient. Conclusion. Multiple LMTZs of cervical muscles can reduce postural stability through increased afferentation from the cervical proprioreceptors. It is more obvious during in case of eye control elimination. Keywords: latent myogenic trigger points, postural control, posturography, Romberg test. Выделяют множество причин развития постуральных нарушений, среди которых дисфункция мышц шейного отдела позвоночника является наиболее спорной. Цель исследования. Выявить влияние латентных миогенных триггерных зон шейной мускулатуры на постуральную устойчивость. Материалы и методы. Использовался метод компьютерной стабилографии. Латентные миогенные триггерные зоны (лМТЗ) определялись по наличию в мышце шеи уплотненного узелка или пучка и по повышенной болевой чувствительности в этой области. Оценка постуральной устойчивости у испытуемых с лМТЗ осуществлялась с помощью стандартного стабилографического тестирования и теста Ромберга. В стандартной пробе оценивались как классические, так и векторные показатели. Результаты. Показано, что у испытуемых с множественными лМТЗ (4 и более) достоверно изменяются только векторные показатели. Так, установлено снижение качества функции равновесия, а также повышение средней линейной скорости центра давления и увеличение нормированной площади векторограммы по сравнению показателями в группе контроля и группе с единичными лМТЗ (от 1 до 3), что указывает на снижение постурального контроля у лиц с множественными лМТЗ. У испытуемых с единичными лМТЗ отмечено достоверное снижение классических показателей и ряда векторных, что свидетельствует об улучшении постуральной устойчивости в данной группе испытуемых. В пробе Ромберга все субъекты с лМТЗ независимо от количества последних показали повышение коэффициента Ромберга. Выводы. Множественные лМТЗ шейной мускулатуры могут снизить постуральную устойчивость через усиление афферентации от шейных проприорецепторов, что наиболее выражено при элиминации зрительного контроля. Ключевые слова: латентные миогенные триггерные точки, постуральный контроль, стабилография, тест Ромберга.

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