International Journal of Sports Medicine and Rehabilitation <p>ISSN:2637-5044<br />DOI:10.28933/IJSMR</p> en-US (International Journal of Sports Medicine and Rehabilitation) (International Journal of Sports Medicine and Rehabilitation) Sat, 16 Jan 2021 00:00:00 +0000 OJS 60 Observations of Performance and Body Composition Following 8-weeks of Progressive Resistance Training in Participants With Cerebral Palsy <p>Purpose: To observe the effects of progressive resistance training on performance and body composition in participants with cerebral palsy.</p> <p>Methods: Four quadriplegic (3 male, 1 female) and two hemiplegic (2 female) participants (22 ± 5 yr, mean ± SD) completed moderate to high intensity resistance training 2-3 days a week for 8-weeks. Strength training programs were developed for each participant based on their physical ability. Measurements of exercise performance and body composition (InBody 270 &amp; S10) were collected prior to and following training. Data from all participants was pooled, and samples with 5-6 subjects were analyzed using a paired t-test with significance set at p &lt; 0.05.</p> <p>Results: Measurements of muscular fitness improved, including plank performance (pre: 64 ± 40, post: 95 ± 61 s, n = 6), supine sled leg press 1RM (pre: 225 ± 69, post: 378 ± 124 lb, n = 6) and bench/sled press 1RM (pre: 92 ± 54, post: 115 ± 58 lb, n = 5). There was no change in peak sprint capacity (pre: 89 ± 32, post: 96 ± 29 W, n = 5) or peak aerobic capacity (pre: 303 ± 136, post: 370 ± 246 s, n = 4). Measurements of body weight (pre: 151 ± 40, post: 151 ± 42 lb, n = 6) and skeletal muscle mass (pre: 53 ± 8, post: 54 ± 9 lb, n = 6) were unchanged following training.</p> <p>Conclusion: Preliminary data is encouraging that the unique and challenging strength training program employed with these participants can be utilized to gain meaningful improvements in muscular fitness. However, a larger sample size and longer training period may be necessary to significantly increase muscle mass.</p> Brendan Aylward1 & Jason L. Talanian2* Copyright (c) 2021 Sat, 22 May 2021 00:00:00 +0000 The Impact of a Rotating Balance Platform on Leg Neuromuscular Activity in Healthy Young Adults <p>Balance is a functional activity that must be implemented in every type of rehabilitation for the back and lower extremities’ injury and pathology. With issues in these regions, balance is lessened, requiring exercises that enhance the patient’s stability.</p> <p>Purpose: To determine the impact of activities on a rotating balance platform with tracking tasks for lower limb muscle activation.</p> <p>Method: Twenty-five participants performed seven tasks on a balance board with a fixed middle fulcrum. For each trial, activation of the gastrocnemius and tibialis anterior muscles was recorded using surface electromyography. Upon examination of the EMG data, the following variables were quantified: time to peak muscle activation, time to decay of muscle contraction, and time of muscle contraction duration.</p> <p>Results: A repeated measures ANOVA revealed that TA exhibited significant modifications (P&lt;0.001) with less time to peak, duration, and decay, whereas GA only notably compensated (P&lt;0.001) with shorter duration and decay.</p> <p>Conclusion: For subjects with balance alterations due to slower nerve conduction or muscle weakness in the lower limb, we suggest incorporating activities with rotational movements on the balance board, where muscle activation is challenged due to surface and tracking activities. When endurance is prescribed, front-to-back tasks contribute to prolonged muscle activation. Balance rehabilitation should consider muscle activation timing with tracking tasks for more precise and targeted muscle execution.</p> Martin G. Rosario PT, Ph.D., CSFI, ATRIC1*, Carley Bowman SPT1, Abigail Versemann SPT1, Daniel Heistand SPT1 Copyright (c) 2021 Sat, 22 May 2021 00:00:00 +0000 Peripheral Neuropathy Impacts Gait Motor Components in Hispanic-Latinx living with HIV <p>HIV can cause numerous health-related complications that can lead to disabilities and affect the quality of life. Some problems added with HIV, like peripheral neuropathy (PN), may develop additional impediments in this population.</p> <p>Purpose: This study investigated PN’s impact on the cardio-motor profile of Hispanic Latino living with HIV.</p> <p>Methods: A submaximal cardiovascular test (Ross test) was conducted to obtain the study’s cardiomotor results. Cardiomotor data were compiled from records of members enrolled at La Perla de Gran Precio Community Centre on HIV in San Juan, Puerto Rico.</p> <p>Results: The motor profile included the speed and inclination of the treadmill. The cardiovascular data had blood pressure and heart rate at the time Ross’s test was terminated. Two hundred and ninety-one participants were further designated as 225 in the non-PN and 66 in the PN group. Both groups average comparable amounts of CD4 counts. An ANOVA was used to determine variations in the PN group with a considerable (P &lt; 0.05) increase in the time of HIV diagnosis and a reduction in gait velocity and treadmill inclination distinguished to counterpart.</p> <p>Conclusion: Hispanic Latino living with HIV and PN displayed distinctive motor gait deficiencies. Gait parameters, such as gait speed, were further impaired in those suffering from both conditions. We encourage healthcare providers to incorporate the specific cardio-motor items alluded to in this investigation to identify the process influencing gait that further alters the quality of life in those with HIV.</p> Martín G. Rosario PT, PhD, CSFI, ATRIC1*, Leah Jamison, PT, DPT1, Gabriel Gines BS, MPH, CPT, CSFI2 Copyright (c) 2021 Mon, 26 Apr 2021 00:00:00 +0000 Lower Limb Muscle Activity Adjustment and Lactate Variation in Response to Increased Speed with Proportional Resistance in Young Adults <p>Background: Various pathologies require physiotherapists to adjust therapy interventions, some of which are to reducing joint loads while strengthening the lower extremity musculature. Tools such as a sled can be used to accomplish a small load with high-repetition-resistance exercises.</p> <p>Purpose: This study examined the impact of pushing a sled with regulated resistance on lower limb muscle activation and fatigue while walking and running.</p> <p>Methods: The neuromuscular activity of the tibialis anterior (TA) and gastrocnemius (GA) muscles of thirty-six young adults were recorded using surface electromyography (EMG) and lactate data from a Nova Biomedical Lactate Plus meter. The sled used was the XPO Trainer, which maintains a steady resistance proportional to the user regardless of the forces applied to accelerate the sled. Baseline lactate was collected and followed by one of three protocols: run, run-push (RP), or walk-push (WP). Each included three trials over a 40 ft distance, during which EMG data were collected per trial, whereas lactate was collected following the completion of the appointed task.</p> <p>Results: Repeated measures ANOVAs were performed, showing a considerable increase (P&lt;0.05) in lactate levels between the WP and RP groups. Pushing the sled at both WP and RP speeds demonstrated substantial (P&lt;0.05) neuromuscular modifications, primarily in the TA, followed by the GA, in comparison to running.</p> <p>Conclusion: Pushing a constant resistance sled provoked distinct modifications in the lower limb musculature associated with speed. Running while pushing the sled elicits a higher blood lactate response associated with a longer maximal amplitude and a shorter time for muscle recruitment in the GA and TA muscles, all indicative of endurance-oriented exercise.</p> Martín G. Rosario* PT, PhD, CSFI, ATRIC, Daniel Heistand, SPT, Catie Lewis, SPT, Natalie Valdez, SPT, Matthew Nevarez, SPT, Mark Weber PT, PhD, ATC Copyright (c) 2021 Mon, 08 Mar 2021 00:00:00 +0000 Evaluation of Respiratory Musculature Work in High Performance Athletes <p>Introduction: The high yield sport is an activity where athletes need to improve performance, seeking expected results. Breathing supports, influencing the supply and transport of oxygen; reduction in fatigue, feeling of effort and athlete’s decision. Goals: Increase muscle strength and respiratory capacity, verifying cardiorespiratory repercussions in training. Methodology: The study was conducted at Sport Club do Recife, with 5 male Handball players individuals. Were submitted to respiratory assessment through POWER BREATHE carehealth 2 controlled by the breathlink software, performing 2 sessions 10 minutes long, 2 times a week, for 5 weeks. The charge for first session was 60% of the maximum inspiratory pressure (Pimáx) increased by 5%. Results: There has been an increase in Pimax in 80% of athletes, being 75% raised the average volume of air inspired by incursion. All presented beneficial physiological adaptations with the progression of respiratory load imposed and improves the sense of effort by the Borg scale. Conclusion: It was evidenced that the respiratory muscle training is an important tool in the preparation of high performance athletes, due to provide increased inspiratory muscle force, pulmonar volumes and capacities; and, reducing the sensation of dyspnea and muscle fatigue.</p> Souza F.S1; Leite F.L.R.A.G2; Ribeiro G.O3; Melo T.A4; Silva B.G.M5; França E.E.T6 Copyright (c) 2021 Sat, 01 Sep 2018 00:00:00 +0000 The Exercise Physical Practice Importance as Diabetes Prevention of Type 2 Mellitus <p>Introduction: Type 2 Diabetes Mellitus is a chronic disease related to modern lifestyle and inactivity, accounting for 90-95% of diagnosed cases. The beginning of continuous physical practices characterized as aof form prevention for people susceptible to this type of illness. Objectives: describe how physical activity can prevent the onset of diabetes mellitus type 2. Methodology: It is an integrative review, which used articles were obtained from the data base: MEDLINE. The descriptors being used: Healthy behaviors, Type 2 diabetes, Exercise and Quality of life, using the logical AND operator. Through employee, descriptors were identified 18 publications, of which 12 were excluded for not suit the theme of the study, editorials and reviews. Being admitted the following inclusion criteria: articles published in Portuguese and English, the years 2010 to 2017. The guiding question was: how physical exercise helps in the prevention of type 2 diabetes mellitus? Results and Discussion: The items used were published one in each year, respectively: 2010, 2012, 2013, 2014 and two in 2015, which showed that physical activities with guidance and regulars contributes positively to the reduction of weight and levels of cholesterol, and is associated with significant improvements in blood pressure, the same way that adds sensitivity to insulin and therefore improves the quality of life related to health. The article 2015 reports the existence dandy cost savings with treatment as prevention reduces spending on medication.<br>Conclusion: It is proven that improvements in lifestyle, along with constant practice of physical exercise and low intensity prevent type 2 diabetes mellitus.</p> Nascimento, D.B.L1; Costa, G.S2; Torres, R.L.N3; Manso, M.L.C4; Santos, P.M5; Melo, M.G6 Copyright (c) 2021 Sat, 01 Sep 2018 00:00:00 +0000 Biochemical Changes and Ponderal Weight After Administration of a Hyperlipidic Diet in Swiss Mice <p>Introduction: The type of diet influences the metabolic functions and leads to changes in weight and/or body composition. Researchers have been trying to develop animal models in order to mimic the metabolic states of disorder that occur in humans. Aim: To analyze the metabolic changes after administration of a hyperlipid diet in Swiss mice. Methods: Twenty male Swiss mice weighing 39 – 44g with 120 days old were used. The control group (CG) was maintained on a standard balanced diet (Presence®: 23% protein, 4% fat, 50% carbohydrate and 23% other components), whereas the experimental group (EG) received a special diet with formulation with a high fat content (37.20% encephalon powder, 41.86% crushed feed, 18.60% lard and 2.32% cellulose). The Protocol was approved by the Ethics Committee on Animal Use (CEUA) of the Center for Higher Education and Development (CESED), with Protocol No. 2010/4573. The statistic was performed by Student’s t-test. Results: The initial weight of the animals of the GC and GE groups were 383g and 389g, respectively, and the final weight was 385g and 424g, respectively, with a difference of 39g more for the group that received only the hyperlipidic diet. Cholesterol analysis were 57.4 ± 5.38 for GC and 100.2 ± 10.43 for the GE, where p = 0.0013, whereas for triglycerides values observed were of 50.4 ± 16.62 and 91, 91,6 ± 30.6 respectively. Discussion: The hyperlipid diet significantly increased animal weight, plasma triglyceride concentration, and cholesterol. As demonstrated in other studies this diet was also efficient in increasing body adiposity in this study. Conclusion: The hyperlipidic diet elaborated in this study demonstrates as an excellent model for induction of obesity and dyslipidemia in mice.</p> Silva Júnior, P.R1; Almeida, L.R.B2; Teófilo, P.B.E3; Arruda, I.T.S4; Oliveira, T.K.B5 Copyright (c) 2021 Sat, 01 Sep 2018 00:00:00 +0000 Food Consumption of Marathon and Founder Runnes, After Dietary Intervention, Petrolina – PE <p>Introduction: Food behavior is determined by interactions between physiological, psychological, genetic and environmental factors, besides being related to the nutritional status of the individual, represented by the sum of the interaction of somatic and functional elements responsible for nutrient absorption and adequacy of the physiological needs. Objective: To evaluate the dietary intake related to the physical performance of athletes, dietitians and marathon runners of Petrolina before and after the nutritional intervention. Methodology: The population was 10 athletes of the Petrolinense Association of Athletics (APA). Food intake was performed by the Food Frequency Questionnaire (FFQ) and the 24h recall (R24h). Calories, macronutrients and micronutrients were quantified before and after nutritional intervention. The consumption analysis was performed by dietwin. Results and Discussion: The energy consumed by the athletes was lower than the recommendation (p = 0.015); the carbohydrates and lipids consumed also presented inferior to the recommendations. In addition, only the protein did not differentiate between the consumed and the recommendation (p = 0.07). No changes were observed in relation to consumption and recommended (after intervention) at calcium and sodium levels – p&gt; 0.05. There was also no statistical difference between the intake of saturated fat (p = 0.856) and fibers (p = 0.887). The lower consumption of energy and carbohydrates by the athletes according to the physical modality practiced, can affect the yield. The lipid intake lower than the recommendations was related to the concern in reducing the weight and to combat the increase of the subcutaneous fat, altering the corporal composition. Conclusion: It was observed that the evaluation and intervention is important so that the athlete’s menus is adequate and, consequently, avoid the installation of a systematically deficient energy picture that can negatively reflect on health, affecting the athletic performance.</p> Silva L.A.R¹; Arruda A.A2; Alvez H.L3; Tenório D.M4; Muniz G.S5 Copyright (c) 2021 Tue, 18 Sep 2018 00:00:00 +0000 Nutritional Status of Athletes, Marathon and Founder Runnes, After Dietary Intervention, Petrolina – PE <p>Introduction: Nutritional status is the condition that the body assumes due to the nutrition and metabolic expenditure, representing the sum of the interaction of somatic and functional elements responsible for the absorption of nutrients and adequacy of physiological needs. The deficit in the nutritional status of athletes has a direct impact on physical performance, anthropometry and glycemia. Objective: To evaluate the nutritional status related to the physical performance of athletes, founder and marathon runners of Petrolina before and after the nutritional intervention. Methodology: The population was composed by 10 athletes and marathonists of the Petrolinense Association of Athletics. The evaluation of the nutritional status was performed through anthropometric analysis: body weight, height, body mass index (BMI), skin fold and circumferences. Results and Discussion: After nutritional intervention, athletes reduced body weight (p = 0.034) and BMI (p = 0.025). Consequently, they decreased the percentage of subcutaneous fat by the bioimpedance method (p = 0.012), and promoted an increase in muscle mass (p = 0.010). With the application and orientation of the alimentary plane, only the folds of the abdominal (p = 0.034) and the calf (p = 0.001) showed a reduction in the subcutaneous lipid content. It is possible to verify a strong relation between the energy expenditure of the race and the anthropometric measures, mainly with the corporal mass. This association is explained by the fact that athletes who reduce their weight by the loss of body fat improve the relation with the content of lean mass, therefore, increasing muscle power, with a direct impact on performance. Conclusion: The union of the evaluation of the nutritional status of the athletes and the subsequent nutritional intervention, they developed more their physical conditioning, reflecting less fatigue, better efforts during training and better results in competitions.</p> Arruda A.A.¹; Silva L.A.R.2; Alvez H.L.3; Tenório D.M.4; Muniz G.S.5 Copyright (c) 2021 Sat, 08 Sep 2018 00:00:00 +0000 Systematization of Nursing Assistance (SAE) in the Care of the Victim Patient of Spinal Cord Injury in the Light of Orem’s Theory of Self-Care: Academics’ Experience <p>Objectives: To report the experience of nursing students in assistance based on the Systematization of Nursing Care (SAE), founded by Self-care theory of Dorothea Orem, directed the patient victims of Trauma Spinal Cord (TRM). Methodology: study of the type of experience report. The experience occurred during the practical class of the discipline of Adult Health II given in an emergency hospital, located in Arapiraca-AL. During the care, anamnesis and physical examination, diagnosis, planning, implementation and nursing evaluation were performed. Results: some of the nursing diagnoses were anxiety, attitude towards positive care, impaired physical mobility, self-care deficit for bathing and hygiene, among others. Regarding the nursing interventions, some of them were to accompany the patient, administer medications, monitor respiratory condition, assess musculoskeletal condition, evaluate neurological condition, assist in mobility, among others. From this, the expected results were defined as presenting gas exchange with normalization of CO2 and O2 standards, improvement of respiratory pattern, passive physical mobility, anxiety relief, among others. Final considerations: It was noted that the patient with TSC benefits from developing an individual and targeted care plan. The implementation of the SAE ensures the role of nurses in the care and ensures a practice based on scientific evidence and nursing theories. The performance of academics in the hospital care service promotes the gain of experience and, thus, allows a better performance as a nurse practitioner.</p> Tâmara Ingrid de Oliveira1 *, Nádia Larissa Henrique de Lima2 , Claudenice Flávia dos Santos3 , Karol Fireman de Farias4 . Copyright (c) 2021 Thu, 18 Jul 2019 00:00:00 +0000 Arts and Science of Athletic Performance <p>Athletes utilize numerous strategies to reduce body weight or body fat and to increase stamina prior to competition. Personalized nutrition in athletic populations aims to optimize health, body composition, and exercise performance by targeting dietary recommendations to an individual’s genetic profile. Additionally, athletes’ nutritional requirements may vary widely depending on sport, position, timing of season, and training vs rest day. Bodily hydration during sporting activity is one of the best indicators of health in athletes and can be a limiting factor for sport performance. Treatment for athletes is primarily to increase energy availability and often requires a team approach including a sport physician, sports dietitian, physiologist, and psychologist. Maximizing athletic performance is a passion that athletes, coaches, athlete support professionals, and sports scientists share. A thorough understanding of the basics of all aspects of human physiology and the ability of the body to adapt to the environmental stress of exercise training is the foundation we use to explain the incredible athletic and sport performances that are commonplace in today’s world.</p> Abdul Kader Mohiuddin Copyright (c) 2021 Thu, 18 Jul 2019 00:00:00 +0000 Supplements and Enhancement Drugs: Athletes Torment Themselves with Potential Risks <p>An individual’s dietary and supplement strategies can influence markedly their physical performance. Issues related to knowledge of nutrition and dietary supplementation (DS) are understudied in professional athletes. Supplements nowadays are used with the aim of improve body composition, of which the origins are multiplex in structure. Many approaches to improve the response to resistance training are the use of pre-/post-/in between workout nutritional interventions; with beverages garnering significant interest. The health benefits and risks of dietary supplement use are controversial as there is no visible immediate benefits observed. Sports nutrition recommendations for endurance exercise however remains a complex issue with often opposing views and advice by various health care professionals. Many athletes, at all levels of competition, place great emphasis on the use of dietary supplements, but of all the factors that determine athletic performance, supplements can play only a very small role. Compared with factors such as talent, training, tactics, and motivation, nutrition has a small effect on performance, and supplements can be no more than a minor part of the athlete’s nutrition strategy.</p> Abdul Kader Mohiuddin Copyright (c) 2021 Thu, 18 Jul 2019 00:00:00 +0000 THE USE OF ELASTIC BANDAGE IN TREATMENT OF SPEECH THERAPY IN PATIENTS POST ORTHOGNATHIC SURGERY <p>Introduction: The orthognathic surgery is realized for the correction of maxillo-mandibular disproportions, providing improvement in aesthetics and setting a harmony between anatomical structures. As it is a readjustment of these structures, these patients may present a demand for speech therapists interventions, either in pre or post-operative with the objective of set a new functional pattern suitable to the new form. Objectives: To describe the experience regarding the effectiveness of patients post orthognathic surgery with the use of elastic bandage associated with speech therapy. Local: Specialized Center in Rehabilitation of the municipality of Maceió. Methods: A descriptive study of the experience in patients submitted to the orthognathic surgery. Interventions and lectures were realized in order to solve the doubts regarding speech therapy. The purpose of the action is to realize anamnesis, evaluation and speech-language intervention, focused on the area of orofacial motricity, in patients who entered the rehabilitation center and looked for phonoaudiological demand after orthognathic surgery. Results: Five patients who had realize orthognathic surgery to correct maxillo-mandibular disproportion were observed. Initially, a anamnesis speech-language pathology was realized, with the objective of knowing the clinical history and demand of each patient. Then, evaluations were carried out based on validated protocols, in order to analyze how was the structures and functions related to orofacial motricity, in order to draw up the therapeutic plan of these patients. Of the five patients initially mentioned, four presented a demand to apply for elastic bandage associated with the performance of speech therapy. The sessions were performed once a week, where orofacial myofunctional exercises were performed during therapy and finished with the application of elastic bandage. At the end of one year of observation, it was possible to verify that patients who used elastic bandage presented a faster rehabilitation process, when compared to those who did not, remaining in speech therapy for up to six months. Conclusion: Through the present report, it is possible to verify the effectiveness of the elastic bandage application in clinical practice, presenting as a positive point regarding the effectiveness of speech therapy.</p> Andressa Gouveia de Araújo1*, Nilian Cerqueira Azevêdo2, Mateus Saulo Dantas Correia e Sá3. Copyright (c) 2021 Thu, 18 Jul 2019 00:00:00 +0000 THE IMPORTANCE OF THE MULTIPROFESSIONAL APPROACH IN SOTOS SYNDROME <p>Introduction: Sotos syndrome or cerebral gigantism is a rare genetic disorder characterized by excessive physical growth in early childhood, being associated with the NSD1 gene, located on chromosome 5. The Individuals show as physical changes macrocephaly, neuropsychomotor retardation, stomatoglossognathic system alteration, delay in language acquisition and development, and cognitive deficit. Objectives: To report the importance of the approach of Occupational Therapy, Speech Therapy, Physiotherapy and Psychology professional regarding intervention in a patient with Sotos syndrome. Local: Unit of Neuropsychomotor rehabilitation of the Specialized Center for Rehabilitation of a region of the Alagoas backwood. Methodology: Patient attended the aforementioned institution with medical diagnosis of Sotos Syndrome and with complaints of motor deficit, delay in acquisition, development and use of oral language, difficulty in oral control, and cognitive and behavioral changes. Initially, the basic script for multiprofessional institutional evaluation was applied, as a way to gather more information about the general complaint of the patient, made the anamneses and specific evaluations of occupational therapy, phonoaudiology physiotherapy and psychology, looking to promote the rescue of specific complaints. Was also performed the application of the UTP- Unique Therapeutic Project, seeking to list the CIF of the patient and the objectives to be drawn in the short, medium and long term. The multiprofessional rehabilitation regarding of this patient was performed from preselected play resources, where she also had guidelines regarding early stimulation. Results: After 1 year in the unit of neuropsychomotor rehabilitation, it was observed that there was significant improvement in all aspects evaluated. With regard physiotherapeutic rehabilitation and occupational therapy, the patient shows improvement in gait resulting from lower limb strengthening and balance development. Regarding the speech-language complaints, the patient improved communicative intention, social interaction, linguistic structuring and oral control. It also presented a linear change in the psychological patterns of cognitive and behavioral development. Conclusion: Through this report, it was possible to divulge the importance of the multidisciplinary approach in an effective and substantial way, resulting to a better quality of life of these patients.</p> Andressa Gouveia de Araújo1*, Mateus Saulo Dantas Correia e Sá2, Nilian Cerqueira Azevêdo3. Copyright (c) 2021 Mon, 01 Jul 2019 00:00:00 +0000 PHYSIOTHERAPY APPROACH IN MICROCEPHALY PATIENTS <p>INDRODUCTION: Microcephaly is a neurological condition with a craniofacial anomaly where it has a reduced cephalic perimeter, resulting in malformation of the central nervous system. In 2015, Brazil registered an outbreak of the disease, mainly in the states of northeastern Brazil, causing a state of alert in the entire population and a problem for public health that after investigative studies, concluded that the responsible for the outbreak would be the Zika virus. In general, the disease may present a delay in the neuropsychomotor development, the application of an early intervention program should be done in a systematic and individual way, respecting the various changes in each case. With the physiotherapist applicability occurs the contribution with the physical and psychic benefits, creating more possibilities for psychosocial rehabilitation.</p> <p>OBJECTIVE: To show the approach of physiotherapy to minimize the impairment caused by microcephaly, through appropriate treatments mediating the disability of each individual.</p> <p>METHODOLOGY: For this summary, a study was made on the need for physiotherapy in patients with microcephaly. It was conducted by electronic research in the databases Scielo, Pubmed and Bireme</p> <p>RESULTS: Microcephaly is a pathology that causes severe functional and cognitive alterations, being important the rehabilitation with purpose the stimulation of the child according to the neuropsychomotor age. The conduct of any technique in the first years of life helps in the process of maturation of the central nervous system, being considered important for the development of motor, cognitive and sensory skills. The study demonstrated that in addition to early interventions, the care with an interdisciplinary health team and the support of the family environment favors the development and functionality leading to the autonomy and independence of the child.</p> <p>CONCLUSION: Microcephaly is a pathology that requires continuous treatment for the rest of life. The early stimulation through a conduct with kinesiotherapeutic techniques allows a better gain of ability. And with the participation of the multiprofessional team and the family environment, it enhances and contributes to the effectiveness of the treatment.</p> Maria Anita Coelho Epaminondas ¹*, Jennifer Hellen Melo Sobral¹, Juliana Marina Campelo¹, Ana Clara de Andrade Pereira¹. Copyright (c) 2021 Sat, 18 Jul 2020 00:00:00 +0000 EFFECTS OF GROUP EXERCISE PROGRAM ON MORPHOLOGICAL STATUS OF FEMALE UNIVERSITY STUDENTS <p>The objective of the research was to determine the effects of the “Body Workout” aerobic exercises on morphological characteristics of female university students after a period of 2 months with training sessions in the duration of three hours per week. The sample of research participants was made up of female university students from the Faculty of Sports and Physical Education in Novi Sad (AGE = 22.13±0.98 years) that were actively included in the workout program. The total sample participating in the research comprised of 52 participants, 25 of which comprised the experimental group (AGE=22.11±0.89; TV=166.11±5.01) while the remaining 27 of them comprised the control group (AGE=22.45±0.78 years, TV=169.51±5.04). The experimental group followed the “Body Workout” aerobic exercises model and the control group followed the regular curriculum for the university course of Fitness (Rekreacija in Serbian) at the Faculty of Sports and Physical Education in Novi Sad. At the initial measuring, there were no statistically significant differences among the participants (P=0.41). Physical changes that occurred in the participants’ bodies during the research period of two months were followed by means of monitoring of twelve morphological characteristics. According to the research results, significant effects were determined in transformation of morphological characteristics among the members of the experimental group on the level of the entire system (P=0.00) and the individual differences could be perceived in the final measuring in variables Circumference of the lower leg (p=0.05), Skinfold of biceps brachii (p=0.00), Skinfold of triceps brachii (p=0.00), Skinfold of the forearm (p=0.00), Subscapula skinfold (p=0.02) and Abdominal skinfold (p=0.00) among the members of the experimental group. That is an indication that the experimental Body Workout program had a significant impact on the above mentioned characteristics. At the same time, it was determined that the experimental program of aerobic exercises produced the greatest effects on the reduction in subcutaneous fatty tissue.</p> Čokorilo, N.1, Vasić, G.1, Prebeg, G.2, Tomašević, D.2, and Pantelić, S.3 Copyright (c) 2021 Tue, 01 Dec 2020 00:00:00 +0000 The biceps brachii role in the stabilization of the cross punch <p>Purpose: starting from an injury background, we assumed that the biceps brachii’s activations could have an important role in upper limbs injury. In this work we analyzed whether different activations of the biceps brachii impact on the power transfer of the punch and how boxers of different skill levels activate the biceps brachii when deliver a punch according to their skill level and efficacy.</p> <p>Methods: we enrolled, basing on official rankings, 23 skilled (n=6) and unskilled boxers. Subjects were instructed to perform three cross punches directed to a fixed elastic target triggered by the coach whistling, and were monitored through a surface electromyography sensor (EMG) on the biceps brachii to estimate the muscular activation during the performance, and through an accelerometer placed inside the elastic impact target to estimate the impact energy. We analyzed the oscillatory content of the EMG signal in order to assess the muscular activation between skilled and unskilled boxers, and between weak and strong punches.</p> <p>Results: both skilled and unskilled boxers threw strong, medium and weak strikes. Skilled boxers performed better than unskilled boxers (47% vs 25% in the “strong punch” category).The EMG analysis revealed a significant increase of lower and higher frequencies (2-4 Hz and 15-17 Hz) and a decrease on the medium frequencies (7-9 Hz) in the skilled boxers compared to the unskilled boxers in strong punches. Weak punches had a similar activation patterns in the two groups.</p> <p>Conclusions: our results support the hypothesis that skilled boxers adapt their activation pattern of the biceps to better stabilize the punch delivery (and thus increasing the transfer of force).</p> Marco Prenassi1 , Renato D. Donato2,3 , Simona Mrakic-Sposta4* , Lorenzo Rossi5, Luca Andreoletti3, Alessandra Vezzoli4, and Sara Marceglia6 Copyright (c) 2021 Wed, 18 Dec 2019 00:00:00 +0000 The comparison of the shoulder muscle activation in patients with rotator cuff tear under an abduction brace among the three postures <p>Background: Immobilization using an abduction brace is essential for the relaxation of the rotator cuff and scapular muscles and the prevention of a retear in patients with rotator cuff tear after arthroscopic rotator cuff repair (ARCR). However, thus far, the comparison of the scapular muscle activities has not been compared among different postures under an abduction brace in patients after ARCR.</p> <p>Objectives: The purpose of our study was to compare the scapular muscle activities among the supine position, sitting position, and walking under an abduction brace before and after ARCR</p> <p>Study Design: Observational, repeated measures study.</p> <p>Methods: Twelve patients with full-thickness rotator cuff tears were studied. The mean patient age was 64.7 years. The scapular muscle activations of the ipsilateral limbs were measured using surface electromyography in three postures: supine position, sitting position, and walking. The integrated electromyography relative values of the upper trapezius, anterior deltoid, middle deltoid, and biceps brachii were compared preoperatively and at two weeks after ARCR.</p> <p>Results: The trapezius, biceps brachii, and middle deltoid in the walking showed significantly higher integrated electromyography relative values than those in the supine position, preoperatively and at two weeks after surgery. The anterior deltoid in the sitting position had significantly higher integrated electromyography relative values than those in the supine position.</p> <p>Conclusions: Postures affected the scapular muscle activities in ARCR patients under an abduction brace. Understanding the influence of posture on the scapular muscle activity after ARCR will help rehabilitation accurately and appropriately.</p> Kazuya Okazawa1*, Naohide Takeuchi2, Naoya Kozono2, Kenichi Kawaguchi2, Sachie Noda1, Masayuki Kawaguchi1, Yasuharu Nakashima2 Copyright (c) 2021 Fri, 01 Jan 2021 00:00:00 +0000 Physiotherapists and physical activity at work among in Benin and France <p>Physical activity at work is an important indicator of the level of activity. Physiotherapists are one of professionals for the prevention against sedentary lifestyle. Objective: To assess the level of physical activity at work among physiotherapists in Benin and France. Method: Descriptive and analytical cross-sectional study, conducted from July 2017 to July 2018. With physiotherapists who consent to participate to this study we use a pedometer. They wear it at work for five consecutive days. The average number of daily steps at work was determined. Physiotherapist’s level of inactivity was assessed using the Baecke questionnaire. Data was analyzed using Epi Info 13.0. X2 of Pearson’s and ANOVA tests. They were used for the comparison of qualitative and quantitative variables respectively. Significance level was set at 0.05. Results: Among fifty-four physiotherapists evaluated, forty-four (81.5%) were sedentary, with a significant level of sedentary lifestyle in twenty-six cases (48.11%). This limitation of physical activity at the workplace and the level of sedentary lifestyle of the subjects were comparable among Beninese and French physiotherapists and they were not associated with any of the factors studied. Conclusion: The level of physical activity of physiotherapists at work is limited. Raising the awareness of these actors seems essential.</p> ALAGNIDE HE, NIAMA NATTA D, AGBO OVE, DJIVOH Y, ASSOGBA F, SOGBOSSI E, DAHOUETO W, KPADONOU GT. Copyright (c) 2021 Fri, 01 Jan 2021 00:00:00 +0000 Medial tibial stress syndrome: The relationship between gender and lower-extremity functional performance among collegiate track and field athletes <p>Medial tibial stress syndrome (MTSS) is a common lower extremity injury in track and field athletes. Many risk factors are associated with MTSS, and lower extremity performance may become altered in athletes suffering from prior symptoms, potentially increasing risk of future injury. The purpose of this study was to first examine the effect a prior history of MTSS has on lower-extremity measures, per gender, in collegiate level track and field athletes, and then determine if such measures predict future injury. Fifty-three healthy Division III collegiate track and field athletes (mean age = 19.40 ± 1.13 years) completed an injury history questionnaire along with five preseason lower-extremity functional tests including: ankle dorsiflexion (DF), single-leg anterior reach (SLAR), two timed single-leg balance (SLBAL) tests on a force plate, and single-leg hop for distance (SLH). Performance data were compared across gender and questionnaire data regarding injury history and occurrence of MTSS. Fifteen subjects (28%) reported previous MTSS symptoms within the last 2 years. Chi-square analyses revealed females experienced more diagnoses compared to males (p = .03). Independent t-tests revealed differences between gender on all SLBAL tests, as males performed better on all recorded measures (p &lt; .001 – p = .003). No significant differences were noted in lower-extremity performance tests between subjects with and without prior MTSS injuries. Regression analyses using postseason injury questionnaire data revealed prior MTSS injuries had 17.3 higher odds of experiencing MTSS during the season (adjusted odds ratio [AOR] = 17.33, 95% CI: 3.5 – 86.4; p = .001).</p> Megan E. Sievers, Andrew M. Busch Copyright (c) 2021 Fri, 01 Jan 2021 00:00:00 +0000 Progressive exercise therapy in muscle dystrophy: two case studies in adult patients with DM2 and LGMD2D <p>These two case studies aimed to investigate the effect and acceptance of progressive strength training in patients with muscular dystrophy. Case 1 completed a progressive resistance exercise over 12 weeks. The results showed increases in leg extensor strength, hand strength and balance. Furthermore, the anaerobic test showed an increase in the maximum glycolysis rate. Creatine kinase levels were reduced while maintaining low muscle soreness. Case 2 conducted seven weeks of electronically assisted strength training and electromyostimulation. In the course of the training, an increase in the self-contribution of the performance in the execution of movement was observed in the assisted strength training. Furthermore, an increase in the intensity of external stimuli was observed. The creatine kinase showed a reduction with physiological behavior of muscle soreness. The results demonstrate the acceptance and feasibility of progressive exercise protocols used to increase performance in two cases of muscular dystrophy.</p> Nico Nitzsche1*, Noah Augustin1, Michael Klotz1, Henry Schulz1 Copyright (c) 2021 Fri, 01 Jan 2021 00:00:00 +0000