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There is no difference between two and five minutes of static stretching training and detraining on gastrocnemius medialis muscle thickness, pennation angle and fascicle length 两分钟和五分钟的静态拉伸训练与脱离训练对腓肠肌内侧肌肉厚度、半月角和筋膜长度的影响没有差别
Pub Date : 2024-07-21 DOI: 10.20338/bjmb.v18i1.427
William Friderichs, Franceca C. Sonda, Anelize Cini, Gabriela Fraporti, Marco A. Vaz, Claudia S. Lima
BACKGROUND: Skeletal muscle’s architecture can undergo temporary or permanent adaptations when subjected to chronic passive loading, such as during passive static stretching (PSS).AIM: We evaluated the effects of a 6-week PSS program, with two and five minutes of duration, on the architecture of the Gastrocnemius Medialis (GM) muscle. In addition, we determined the inter-analyzer reliability of the GM’s muscle architecture images analysis process.METHOD: 30 healthy adults participated in this study. Participants were divided into three groups: Control Group (CG), 2-minutes of PSS (G2) and 5-minutes of PSS (G5). Plantar flexors’ PSS was applied three times a week for 6 weeks. Participants were assessed before intervention, after intervention, and two weeks post detraining. GM’s muscle thickness (MT), pennation angle (PA) and fascicle length (FL) were measured with an ultrasound system by an experienced evaluator. All images were analyzed by two independent analyzers, using the Image-J software.RESULTS: No significant effects were identified (p>0.05) of the PSS program on muscle architecture parameters. No architectural changes were observed following the detraining period. GM’s MT results presented excellent reliability, while good reliability was found for the FL measures. For PA, good reliability was only observed for the post-intervention moment. On the pre-intervention and follow-up moments, the intraclass correlation coefficients values were moderate.CONCLUSION: A 6-week PSS program did not generate adaptations on GM’s muscle architecture parameters in healthy subjects, independent of the stretching duration. Muscle architecture parameters are reliable when analyzed by different analyzers following clinical interventions.
背景:骨骼肌的结构在承受长期被动负荷(如被动静态拉伸(PSS)期间)时可能会发生暂时或永久的适应性变化。目的:我们评估了为期 6 周的 PSS 计划(持续时间分别为 2 分钟和 5 分钟)对腓肠肌(GM)结构的影响。此外,我们还确定了腓肠肌肌肉结构图像分析过程中分析仪之间的可靠性。参与者分为三组:对照组(CG)、2 分钟 PSS 组(G2)和 5 分钟 PSS 组(G5)。跖屈肌 PSS 每周进行三次,为期 6 周。分别在干预前、干预后和脱离训练两周后对参与者进行评估。由一名经验丰富的评估员使用超声波系统测量 GM 的肌肉厚度(MT)、垂线角度(PA)和筋膜长度(FL)。结果:未发现 PSS 程序对肌肉结构参数有显著影响(P>0.05)。非训练期后,未观察到肌肉结构发生变化。GM的MT结果具有极佳的可靠性,而FL的测量结果也具有良好的可靠性。至于 PA,只有在干预后时刻才观察到良好的可靠性。结论:为期 6 周的 PSS 计划并未对健康受试者的 GM 肌肉结构参数产生适应性影响,与拉伸持续时间无关。临床干预后,用不同的分析仪分析肌肉结构参数是可靠的。
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引用次数: 0
INFOGRAPHIC: Changes in locomotor performance and postural control in people with hemophilia 信息图表:血友病患者运动表现和姿势控制的变化
Pub Date : 2024-07-21 DOI: 10.20338/bjmb.v18i1.426
F. A. Tchonga, Ryan M. Bernardes, N. M. Rinaldi
Access infographic in https://socibracom.com/bjmb/index.php/bjmb/article/view/426/version/460
在 https://socibracom.com/bjmb/index.php/bjmb/article/view/426/version/460 中访问信息图表
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引用次数: 0
Muscle activity increased after co-contraction resistance training, but it was unrelated to the rating of perceived exertion in older adults 共收缩阻力训练后肌肉活动增加,但与老年人的体力感觉评分无关
Pub Date : 2024-07-21 DOI: 10.20338/bjmb.v18i1.405
M. M. Villalba, R. A. Fujita, B. Bedo, Júlia O. Faria, Renato Moraes, Matheus M. Gomes
BACKGROUND: Evaluating exercise intensity is crucial for designing effective training programs and monitoring progress. The Rating of Perceived Exertion (RPE) scale, a subjective measure of effort, is commonly used for estimating exercise intensity. However, its applicability in specific conditions and populations, particularly in co-contraction training and older individuals, warrants further investigation.AIM: Our main aim was to analyze the correlation between RPE and electromyographic (EMG) activity in co-contraction and conventional resistance training. We also compared muscle activity and RPE across training methods.METHOD: Twenty-three older adults were allocated and divided into conventional resistance training (CRT) and co-contraction training (CCT). EMG activity and RPE were recorded for knee extension and flexion movement and knee co-contraction during training sets and correlated before and after eight weeks of training.RESULTS: The results indicated no significant correlation between EMG activity and RPE for either training method. Additionally, EMG analysis showed higher EMG activity in the CRT than in the CCT. On the other hand, CCT demonstrated an increase in EMG activity after eight weeks of training.CONCLUSION: In conclusion, RPE did not correlate with EMG activity, highlighting the need for finding accessible tools to assess exercise intensity, particularly in older people, and alternative training methods, such as co-contraction training.
背景:评估运动强度对于设计有效的训练计划和监测进展至关重要。感知运动强度评分(RPE)量表是对运动强度的主观测量,通常用于估计运动强度。目的:我们的主要目的是分析在共同牵引和传统阻力训练中 RPE 与肌电图(EMG)活动之间的相关性。方法:23 名老年人被分配并分为常规阻力训练(CRT)和共同牵引训练(CCT)。结果:结果表明,两种训练方法的 EMG 活动和 RPE 之间均无显著相关性。此外,肌电图分析表明,CRT 的肌电图活动高于 CCT。结论:总之,RPE 与 EMG 活动没有相关性,这突出表明需要找到评估运动强度(尤其是老年人的运动强度)的简便工具,以及其他训练方法,如联合收缩训练。
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引用次数: 0
The complexity of the handgrip task modulates postural performance in older adults 手握任务的复杂程度会调节老年人的姿势表现
Pub Date : 2024-07-20 DOI: 10.20338/bjmb.v18i1.406
G. V. Magalhães, Nayara C. A. Arrivabene, N. M. Rinaldi
BACKGROUND: The acts of reaching and grasping objects are involved in the performance of daily activities. There is a gap in the understanding of how the complexity of the grasping task associated with changes in the base of support influences postural control performance in the older population.AIM: To investigate the postural control performance of older people as they performed the grasping movement, with different levels of task difficulty and complexities of the base of support.METHOD: 15 young and 15 older adults participated. The participants stood on a force platform and performed: 1) Reaching a heavy object; 2) Reaching a light object in rigid and unstable base conditions. The variables analyzed were: area, mean velocity, and mean displacement amplitude of the center of pressure (COP).RESULTS: Older had higher COP velocity in the anteroposterior and mediolateral directions, as well as in the rigid and unstable bases. They also had a larger COP area in the rigid and unstable base of support, and for all gripping tasks. In both groups, the mean amplitude of COP displacement in the rigid base was higher while gripping a heavy object than while gripping a light object or performing a non-gripping task.CONCLUSION: Postural control in the older adults is mainly influenced by the difficulty of grasping tasks. It is possible to identify the postural control performance of the older while they grasp objects during daily activities and to assess how these activities disturb balance, which makes it possible to draw up guidelines to improve postural performance.
背景:伸手抓握物体的行为涉及日常活动。目的:研究老年人在完成抓取动作时的姿势控制表现,任务难度和支撑基础的复杂程度各不相同。参与者站在受力平台上进行以下动作方法:15 名年轻人和 15 名老年人参加了实验,他们站在力平台上进行了以下动作:1)抓取重物;2)在刚性和不稳定基座条件下抓取轻物。分析的变量包括:压力中心(COP)的面积、平均速度和平均位移幅度。在所有抓取任务中,他们在刚性和不稳定支撑基座上的 COP 面积也更大。结论:老年人的姿势控制主要受抓握任务难度的影响。可以确定老年人在日常活动中抓握物体时的姿势控制表现,并评估这些活动如何干扰平衡,从而制定改善姿势表现的指导原则。
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引用次数: 0
How the multiplanar trunk resistance affects the dynamic postural control during single-leg vertical jumps in college athletes with poor movement quality 多平面躯干阻力如何影响运动质量不佳的大学生运动员单腿立定跳远时的动态姿势控制
Pub Date : 2024-05-12 DOI: 10.20338/bjmb.v18i1.385
Laura M. Cantusio, Renê Ribeiro, Milton Misuta, K. J. Sarro
BACKGROUND: Poor movement quality of the trunk and the lower limbs as well as dynamic postural control have a strong relation with non-contact injuries in sport. Aiming to reduce the risk of injuries, training approaches using loaded jumps with trunk resistance have been proposed.AIM: To describe how a multiplanar trunk load affects the dynamic postural control and the peak vertical ground reaction force of college athletes with poor movement quality of the trunk and the lower limbs.METHOD: Center of Pressure (COP) variables and peak vertical ground reaction force of 24 female college athletes during single-leg jumps with and without a trunk resistance were compared.RESULTS: There was a significant decrease of the COP displacement (p=0.006), RMS (p=0.009) and velocity (p=0.007) in the anteroposterior direction, and an increase of the COP displacement (p=0.016), RMS (p=0.043) and velocity (p=0.043) in the mediolateral direction, with a moderate effect size. No significant difference was found in the peak vertical ground reaction force.CONCLUSION: Exercises involving multiplanar trunk resistance may negatively impact dynamic postural control in women with poor movement quality.
背景:躯干和下肢的运动质量不佳以及动态姿势控制与运动中的非接触性损伤有密切关系。目的:描述多平面躯干负荷如何影响躯干和下肢运动质量差的大学生运动员的动态姿势控制和垂直地面反作用力峰值。方法:比较 24 名女大学生运动员在有躯干阻力和无躯干阻力情况下单脚跳时的压力中心(COP)变量和垂直地面反作用力峰值。结果:COP位移(p=0.006)、RMS(p=0.009)和速度(p=0.007)在前胸方向有显著下降,COP位移(p=0.016)、RMS(p=0.043)和速度(p=0.043)在内侧方向有显著上升,效应大小适中。结论:涉及多平面躯干阻力的锻炼可能会对运动质量差的女性的动态姿势控制产生负面影响。
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引用次数: 0
Additional visual information on postural control mechanisms in Parkinson's disease: a pilot study 帕金森病患者姿势控制机制的额外视觉信息:一项试点研究
Pub Date : 2024-05-12 DOI: 10.20338/bjmb.v17i6.372
Lucas H. C. C. Santos, Rafaela B. S. C. Garbus, Camila M. Aquino, Sandra M. S. F. Freitas
BACKGROUND: Individuals with Parkinson’s disease (PD) have sensorimotor deficits that affect the mechanisms of postural control. Additional visual information effects on postural control mechanisms in PD were unknown.AIM: To examine the effects of visual information on postural control mechanisms in individuals with PD.METHOD: Seven individuals with PD and five healthy adults (controls) stood, as quiet as possible, on a force plate for 35 seconds with eyes open, eyes closed, or with additional visual feedback [VF] of the center of pressure (COP). The COP trajectories were calculated in anterior-posterior and mediolateral directions and then decomposed to assess two postural control mechanisms: Rambling (i.e., supraspinal) and Trembling (i.e., peripheral). The amplitude and velocity of COP and Rambling and Trembling components were compared between groups for each visual condition.RESULTS: The amplitude and velocity of COP and its components were greater in individuals with PD than controls. They increased under closed eyes condition for PD group, but only the Rambling velocity increased in anterior-posterior direction for controls. When additional VF of the COP was provided, individuals with PD presented increased COP and Trembling velocity in mediolateral direction, while healthy individuals presented reduced sway in both directions.CONCLUSION: Individuals with PD showed greater postural sway and were more affected without visual information than controls. They were not able to use the additional VF to reduce their postural sway as healthy individuals due to changes in sensory integration, causing possible overload in supraspinal processes and compensatory effects in the peripheral postural control mechanisms.
背景:帕金森病(PD)患者的感官运动障碍会影响姿势控制机制。目的:研究视觉信息对帕金森病患者姿势控制机制的影响。方法:7 名帕金森病患者和 5 名健康成人(对照组)尽可能安静地站在受力板上 35 秒钟,睁眼、闭眼或附加压力中心(COP)视觉反馈 [VF]。计算前后和内外侧方向的 COP 轨迹,然后进行分解,以评估两种姿势控制机制:Rambling(即脊柱上部)和 Trembling(即外周)。结果:与对照组相比,脊髓灰质炎患者的 COP 及其分量的振幅和速度更大。在闭眼条件下,PD 组的 COP 及其分量都有所增加,但对照组只有 Rambling 速度在前后方向有所增加。结论:与对照组相比,脊髓灰质炎患者在没有视觉信息的情况下表现出更大的姿势摇摆,且受影响更大。结论:与对照组相比,帕金森氏症患者在没有视觉信息的情况下表现出更大的姿势摇摆,并且受到的影响更大。由于感觉统合发生了变化,他们无法像健康人那样利用额外的视觉信息来减少姿势摇摆,这可能会导致脊髓上过程超负荷以及外周姿势控制机制的补偿效应。
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引用次数: 0
Do motor subtypes of Parkinson’s disease impact the learning of motor tasks? 帕金森病的运动亚型是否影响运动任务的学习?
Pub Date : 2023-06-30 DOI: 10.20338/bjmb.v17i4.361
T. B. Freitas, G. Bonuzzi, R. A. Nuvolini, K. G. Silva, G. Palma, Andrea M. Freudenheim, J. Pompéu, Camila Torriani-Pasin
BACKGROUND:Previous studies have demonstrated that people with Parkinson's disease (PD) can acquire postural control skills even with the degeneration of motor areas responsible for consolidation of the representation regarding the learned motor skill in long-term memory. However, these findings have not considered the PD motor subtypes – tremor-dominant (TD), and postural instability and gait difficulty (PIGD). Although there is considerable heterogeneity in motor and non-motor symptoms between TD and PIGD, no study has addressed the effect of the PD subtype on learning postural control skills.AIM:We investigated the influence of PD motor subtypes on the learning of tasks with different postural control demands.METHOD:Fourteen individuals with PD (7 TD, 7 PIGD) practiced four motor tasks with high postural and cognitive demands. Participants completed 13 one-hour sessions (2x/week for 7 weeks). We considered the first and last practice sessions, pre-test and post-test, respectively. Also, we conducted one-week and one-month retention tests to assess performance persistence (motor learning). We assessed motor performance through the scores achieved on each motor task.RESULTS:Both groups demonstrated improvement in performance during the acquisition phase. However, the TD group outperformed the PIGD group in all motor tasks, despite both groups showing improvement in motor performance when comparing the results of pre-test with the post-test, and the improved performance was maintained in retention tests. The performance differences between groups are dissipated during consolidation, and they did not directly affect motor learning.INTERPRETATION: The TD and PIGD motor subtypes learned postural control tasks with different motor and cognitive demands.
背景:先前的研究表明,帕金森病(PD)患者即使在负责巩固长期记忆中所学运动技能表征的运动区域退化的情况下,也可以获得姿势控制技能。然而,这些发现没有考虑PD运动亚型-震颤主导型(TD)和姿势不稳定和步态困难型(PIGD)。尽管运动和非运动症状在TD和PIGD之间存在相当大的异质性,但没有研究表明PD亚型对学习姿势控制技能的影响。目的:探讨PD运动亚型对不同姿势控制需求任务学习的影响。方法:14例PD患者(7例TD, 7例PIGD)练习4项高姿势和认知要求的运动任务。参与者完成了13次一小时的训练(每周2次,持续7周)。我们分别考虑了第一次和最后一次练习,测试前和测试后。此外,我们进行了为期一周和一个月的记忆测试,以评估性能持久性(运动学习)。我们通过每个运动任务的得分来评估运动表现。结果:两组在习得阶段的表现都有所改善。然而,在所有运动任务中,TD组的表现都优于PIGD组,尽管两组在测试前和测试后的运动表现都有所改善,并且在保留测试中也保持了改善的表现。两组之间的表现差异在巩固过程中逐渐消失,并且不直接影响运动学习。解释:TD和PIGD运动亚型学习姿势控制任务具有不同的运动和认知需求。
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引用次数: 0
Do timed up and go and five times sit to stand test outcomes correlate with trunk stability? A pilot-study 计时起身和起身以及五次坐立测试的结果与躯干稳定性有关吗?一个试点研究
Pub Date : 2023-06-20 DOI: 10.20338/bjmb.v17i3.358
L. S. Rezende, Pedro H. Monteiro, Júlia A Oliveira, Caroline Souza, D. B. Coelho, A. Marcori, L. Teixeira
BACKGROUND: Five Times Sit to Stand (FTSS) and Timed Up and Go (TUG) are clinical tests in which performance is evaluated through completion time, which can be thought to reflect dynamic balance. Completion time in these tests, however, can be affected not only by balance stability but also by other important components, such as legs’ muscular strength and velocity.AIM: This investigation aimed to evaluate the correlation of completion times in these clinical tests and mediolateral (ML) balance stability measured through lower trunk accelerometry in older individuals.METHOD: Fifteen volunteers were evaluated, aged 60-86 years (M = 69.56±5.89 years). For TUG, we evaluated the conventional version of the test (TUGC), in addition to a dual task (TUGDT) and a new overline (TUGOL) version featured by increased balance demand. Balance stability during test performance was measured through ML accelerations of the lower trunk.RESULTS: The results indicated negative time-acceleration correlations for TUGC (rp = -.71, rp2 =.50, p <.01) and TUGDT (rp = -.77, rp2 =.59, p <.01) and a positive correlation for FTSS (rp =.73, rp2 =.53, p <.01). The TUGOL test failed to show significant time-acceleration correlations.CONCLUSION: Our results suggest that completion time in the FTSS test importantly reflects dynamic balance stability in older individuals. On the other hand, ML trunk acceleration when performing TUG seems to be more related to movement speed than body balance. Our results suggest that completion time can be considered a predictor of dynamic balance in the FTSS test.
背景:FTSS (Five Times Sit to Stand)和TUG (Timed Up and Go)是通过完成时间来评估表现的临床测试,可以认为这反映了动态平衡。然而,在这些测试中,完成时间不仅会受到平衡稳定性的影响,还会受到其他重要因素的影响,比如腿部的肌肉力量和速度。目的:本研究旨在评估这些临床试验完成时间与老年人下躯干加速度计测量的中外侧(ML)平衡稳定性的相关性。方法:15名志愿者,年龄60 ~ 86岁(M = 69.56±5.89岁)。对于TUG,我们评估了传统版本的测试(TUGC),以及双任务(TUGDT)和新的在线(TUGOL)版本,其特点是增加了平衡需求。通过下躯干的ML加速度来测量测试性能期间的平衡稳定性。结果:TUGC与时间-加速度呈负相关(rp = -)。71、rp2 =。50, p < 0.01)和TUGDT (p = - 0.01)。77、rp2 =。59, p < 0.01),与FTSS呈正相关(rp =。73、rp2 =。53, p < 0.01)。TUGOL测试没有显示出显著的时间-加速度相关性。结论:我们的研究结果表明,FTSS测试的完成时间重要地反映了老年人的动态平衡稳定性。另一方面,在进行TUG时,ML躯干加速似乎更多地与运动速度有关,而不是身体平衡。我们的研究结果表明,完成时间可以被认为是FTSS测试中动态平衡的预测因子。
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引用次数: 0
Effect of long-term locomotion and balance exercise on functional mobility considering the Parkinson’s disease subtypes: a pilot study 考虑帕金森病亚型的长期运动和平衡运动对功能活动能力的影响:一项初步研究
Pub Date : 2023-06-20 DOI: 10.20338/bjmb.v17i4.360
V. S. Beretta, D. Orcioli-Silva, D. Jaimes, B. R. Legutke, Thiago M. Sirico, P. L. Gonçalves, Lilian T. B. Gobbi *in memorium
BACKGROUND: Different clinical subtypes (i.e., Postural Instability and Gait Difficulty -PIGD and Tremor Dominant -TD) have been highlighted in Parkinson's disease (PD). Although physical exercise improves motor symptoms in PD, the knowledge about the effect of physical exercise considering the PD subtype is limited.AIM: To compare the effects of long-term locomotion and balance exercise on lower limb functional strength and functional mobility in PD subtypes.METHOD: Eight individuals PIGD and 10 TD participated in this study. All individuals participated in the interventions with exercises focused on improving locomotion and balance. 48 sessions of exercise were performed three times per week for 60 minutes each session. Functional Mobility was analyzed by the Timed Up and Go test (TUG) in a single (ST) and double-task (DT – i.e., subtraction by three). Lower limb functional strength was analyzed by the 30s sit-to-stand test. Both tests were performed at baseline (pre-test) and post-intervention (post-test). Statistical analysis was performed by two-way ANOVA, with Group (PIGD vs. TD) and Moment (pre vs. post-test) factors, with repeated measures for the second factor.RESULTS: PIGD decreased the time to perform TUG_ST in the post-test compared to the pre-test (p=0.001). Both groups decreased the time in TUG_DT and increased the number of repetitions in sit-to-stand test in the post-test in relation to the pre-test (p<0.05).CONCLUSION: Long-term locomotion and balance exercise programs can improve functional mobility mainly in PIGD. A possible explanation is due to the greater room for improvement of PIGD subtypes and exercise specificity.
背景:不同的临床亚型(即姿势不稳定和步态困难-PIGD和震颤显性-TD)在帕金森病(PD)中得到了强调。虽然体育锻炼可以改善PD患者的运动症状,但考虑到PD亚型,关于体育锻炼效果的知识有限。目的:比较长期运动和平衡运动对PD亚型患者下肢功能力量和功能活动能力的影响。方法:8例PIGD患者和10例TD患者参与了本研究。所有人都参与了以改善运动和平衡为重点的干预运动。每周三次,每次60分钟,共进行48次锻炼。在单任务(ST)和双任务(DT -即减3)中,通过Timed Up and Go测试(TUG)分析功能迁移能力。采用30s坐立试验分析下肢功能强度。两项测试均在基线(测试前)和干预后(测试后)进行。统计分析采用双因素方差分析,组(PIGD vs. TD)和时刻(测试前vs.测试后)因素,第二个因素重复测量。结果:与前测相比,PIGD减少了后测中进行TUG_ST的时间(p=0.001)。与前测相比,两组在测试后均缩短了TUG_DT时间,增加了坐立测试的重复次数(p<0.05)。结论:长期运动和平衡训练方案主要能改善PIGD患者的功能活动能力。一种可能的解释是由于PIGD亚型和运动特异性有更大的改进空间。
{"title":"Effect of long-term locomotion and balance exercise on functional mobility considering the Parkinson’s disease subtypes: a pilot study","authors":"V. S. Beretta, D. Orcioli-Silva, D. Jaimes, B. R. Legutke, Thiago M. Sirico, P. L. Gonçalves, Lilian T. B. Gobbi *in memorium","doi":"10.20338/bjmb.v17i4.360","DOIUrl":"https://doi.org/10.20338/bjmb.v17i4.360","url":null,"abstract":"BACKGROUND: Different clinical subtypes (i.e., Postural Instability and Gait Difficulty -PIGD and Tremor Dominant -TD) have been highlighted in Parkinson's disease (PD). Although physical exercise improves motor symptoms in PD, the knowledge about the effect of physical exercise considering the PD subtype is limited.\u0000AIM: To compare the effects of long-term locomotion and balance exercise on lower limb functional strength and functional mobility in PD subtypes.\u0000METHOD: Eight individuals PIGD and 10 TD participated in this study. All individuals participated in the interventions with exercises focused on improving locomotion and balance. 48 sessions of exercise were performed three times per week for 60 minutes each session. Functional Mobility was analyzed by the Timed Up and Go test (TUG) in a single (ST) and double-task (DT – i.e., subtraction by three). Lower limb functional strength was analyzed by the 30s sit-to-stand test. Both tests were performed at baseline (pre-test) and post-intervention (post-test). Statistical analysis was performed by two-way ANOVA, with Group (PIGD vs. TD) and Moment (pre vs. post-test) factors, with repeated measures for the second factor.\u0000RESULTS: PIGD decreased the time to perform TUG_ST in the post-test compared to the pre-test (p=0.001). Both groups decreased the time in TUG_DT and increased the number of repetitions in sit-to-stand test in the post-test in relation to the pre-test (p<0.05).\u0000CONCLUSION: Long-term locomotion and balance exercise programs can improve functional mobility mainly in PIGD. A possible explanation is due to the greater room for improvement of PIGD subtypes and exercise specificity.","PeriodicalId":91007,"journal":{"name":"Brazilian journal of motor behavior","volume":"148 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77090823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Mini-Review: Gait and balance assessment in multiple sclerosis 小型综述:多发性硬化症的步态和平衡评估
Pub Date : 2023-06-20 DOI: 10.20338/bjmb.v17i3.357
Ana C. De David
BACKGROUND: Gait and balance deficiencies are significant concerns for people with multiple sclerosis, resulting in reduced walking capacity, falls and poor quality of life. Issues caused by sensory loss and the inability to properly reweight sensory information are often reported. Even at the early stages of the disease, subclinical gait and balance impairments can be found. AIM: In this article, we review objective measures used to assess gait and postural balance impairment in multiple sclerosis patients. INTERPRETATION: Although scales and clinical tests are important tools for assessing postural instability and walking performance, they can be insensitive to minor disabilities in multiple sclerosis. Instrumented measurements, such as kinematics, kinetics, spatiotemporal gait parameters and center of pressure, play an important role in detecting impairment and evaluating the effects of interventions in people with mild to moderate multiple sclerosis. Thus, objective measurements may be more suitable for tracking deficits in gait and postural balance in multiple sclerosis, contributing to the early detection of disease symptoms, and therefore allowing for the planning of effective interventions to control the speed of disease progression.
背景:步态和平衡缺陷是多发性硬化症患者的重要问题,导致行走能力下降、跌倒和生活质量下降。由感觉丧失和不能适当地重新衡量感觉信息引起的问题经常被报道。即使在疾病的早期阶段,也可以发现亚临床步态和平衡障碍。目的:在本文中,我们回顾了用于评估多发性硬化症患者步态和姿势平衡障碍的客观措施。结论:虽然量表和临床测试是评估姿势不稳定性和行走性能的重要工具,但它们可能对多发性硬化症的轻微残疾不敏感。仪器测量,如运动学、动力学、时空步态参数和压力中心,在轻度至中度多发性硬化症患者的损伤检测和干预效果评估中发挥重要作用。因此,客观测量可能更适合于跟踪多发性硬化症的步态和姿势平衡缺陷,有助于早期发现疾病症状,从而允许规划有效的干预措施来控制疾病进展的速度。
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引用次数: 0
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Brazilian journal of motor behavior
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