EXERCICIOS TERAPEUTICOS CAROLYN KISNER PDF - Exercicios terapêuticos: fundamentos e técnicas. Front Cover. Carolyn Kisner. Exercícios baseados na estabilização central no tratamento da Kisner C, Colby LA. Exercícios terapêuticos: fundamentos e técnicas. 4a ed. Kisner and Colby .. O exercício físico influencia a postura corporal de idosas? Motriz: Exercicios terapêuticos: fundamentos e técnicas. 5ª.
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Get this from a library! Exercícios terapêuticos: fundamentos e técnicas. [Carolyn Kisner; Lynn Allen Colby]. Library of Congress Cataloging-in-Publication Data. Kisner, Carolyn. Therapeutic exercise: foundations and techniques / Carolyn Kisner, Lynn Allen Colby. Kisner Exercicios Terapeuticos Fundamentos e Tecnicas 5 Edicao - Ebook download as PDF File .pdf) or read book online.
Danilo Catelli. Our findings regarding the increase of external rotation coincide with research conducted by Willson, Binder- Macleod and Davis . Eleven subjects were studied and divided in two groups: Sacco et aI. InformationResource , genont:
After this first evaluation stage, the shorten muscles. These interventions may be associ- the PFG group underwent a physical therapy interven- ated with a positive clinical outcome including a reduc- tion in the University Hospital. The functional and tion in pain, improved function and decreased biomechanical evaluation were repeated after the recurrence of pain .
VL ratio during 2. Results did not Subjects in both groups PFG and CG were evalu- demonstrate significant differences among the groups for ated by a functional and biomechanical evaluation the VMO! A similar re- protocol consisting of three stages. This protocol was developed based on pa- with a higher knee Q angle revealed a lower VMO! VL pers by Kendall , Lapierre  and Daniels and ratio in comparison with other subjects.
Postural evaluation was complemented by Three samples of each task were collected with a sam- the Q angle measurement . The evaluation of the pling frequency of Hz for periods of 6 s.
From the recorded image 2. Physical therapy treatment we calculated the plantar longitudinal arch rate to categorize the arch type of the subjects: The pur- functional injury leveI of the knee joint complex using a pose of the protocol was to improve the clinical con- visual analogue scale VAS to access pain intensityand dition and symptoms of patients, as well to restore the twoscales widely approved in the scientific literature: The knee evaluation scale based on Lysholm  and 2 protocol consisted of six simple exercises: Such analysis was made while carrying out two locomotor tasks in an auto-selected cadence: Statistical and mathematical analysis a staircase.
This staircase had four stairs, each measur- ing 15 cm high. Walking up and down stairs were se- From the electromyographic data collected, we ad- lected in order to cause excessive loading in the justed the base line or zero reference with the raw patellofemoral joint and because pain and stress is more signals, when these were offsetting.
Afterwards, we evident while performing these tasks. The root mean square RMS values analyzed. Brasil, which enabled the analysis ofthe selected muscles The electromyographic variables, anthropometric, through active differential electrodes. The EMG surface demographic characterization of the subjects and Q an- electrodes are pre-amplified with facto r 20 on the elec- gle were initially analyzed with respect to their statisti- trode itself and facto r 50 on the amplifier.
We chose to cal distribution using the Shapiro Wilks W test. As to other cat- Angular variation measurement of the knee joint egory variables in our study, these were represented by during locomotor tasks was ma de using a planar elec- percentage distribution for the groups and compared trogoniometer synchronized with the EMG measure- using the Chi Square Test or Fischer Exact Test when ment consisting of a fixed rotation potencyometer, frequencies in these tables were lower than 5.
Differ- aligned with the knee's rotation axis and two wooden ences with a significance leveI P lower than 0. Depending on changes in position of the segments in question, the potencyometer alters the Table 1 electric tensians, which can be calibrated according Means, standard deviation and percentage distribution for demo- to previously known positions.
Sacco et ai. Results conditions within the PFG group. Therefore, the Lys- holm and Karlsson scales showed an improvement Table 1 shows the means and standard deviation for tendency of functionality in the PFG. Therefore, we excluded some factors that Figs.
The groups were similar in relation to Q angle mea- sured in both knees. With respect to median values for functional knee scale scores, the groups had the following results: Percentage distribution of postura] alignments for plantar Fig.
Percentage distribution of postural alignments for knees in arches in control group CG and patellofemoral groups pre-PFG and frontal, sagittal and transverse planes in control group CG and pos-PFG. Saeco et a!. I Journal of Eleetromyography and Kinesiology 16 Table 3 Means, standard deviation and p values for RMS variables of EMG for vastus lateralis and vastus medialis while carrying out locomotor tasks by control group and patellofemoral group subjects Movement Table 3 shows the means, standard deviation and sig- post-PFG but we could not conclude that there was nificance leveI among groups for EMG RMS values of no symptoms improvement with the treatment because, the VM and VL while walking up and down stairs.
There was a tendency for the RMS ing, decreasing the percentage of patients with these pos- of the VL to be progressively lower in this order: CG tura1 alterations, and therefore, having a higher 10wer than the pre-PFG condition lower than post- a1ignment of these lower segments. Another change that PFG, although it was not significant.
The post-PFG we observed, although of small statistica1 significance, group decreased muscle activation magnitude of the was a decrease in the occurrence of knee rotation. Although some of the data did not have statistically 4. Discussion significant differences among groups, we highlight the c1inical significance of these postural changes and clini- The patelIar compression test is frequently used to cal characterization observed, and that as such, deserve evaluate patients complaining of knee pain because it to be pointed out in this discussion.
Since this test consists of exerting traction on the RMS values obtained for the VL and VM muscles the patella in the posterior direction, concurrent with a for the two tasks studied is the fact that there were no contraction of the quadriceps muscle [16J and we ob- significant differences for these values, when comparing served a reduction of positive responses to this test, we the CG and pre-PFG. AlI statistically actions. Knee pain is a symptomatic characteris- pared to pre-PFG. Studies showed  that an eccentric tic and a diagnostic criteria for PFS [14J and therefore, contraction carried out by the quadriceps muscle while such result was expected in the PFG group.
Saeco et ai. Fur- Consequently, the RMS value decrease for the VM mus- thermore, walking down stairs also showed less activa- ele after physical therapy treatment might represent low- tion of the VL muscle, decreasing patella lateral er activation of motor units while walking down stairs tracking tendencies. This finding corrobo- resembles the CG values demonstrating muscle activa- rates some studies stating that there are no widely ac- tion similar to healthy individuaIs.
Considering that some studies [14,26,32] able to demonstrate the need for a physical therapy recommend physical therapy treatment in order to de- approach to PFS and that a rehabilitation program crease patella lateral tracking tendencies and consequent can modify the behavior of the knee extensor mecha- patellofemoral joint stress, lower activation of the VL nism in individuaIs with this pathology.
Future studies musele may be considered a positive result of the treat- may seek to reproduce the data obtained in our study ment. Besides, the RMS value also decreased for the using a wider sample.
Other contribution to our study post-PFG in comparison with the pre-PFG while walk- is to improve the physical therapy protocol with func- ing down stairs. And finally, post-PFG subjects showed a significant increase in VM musele activity and higher tendency for activation of the VL muscle while walking up stair References in comparison with CG. Boucher, M. King, R. Lefebvre, A. We observed femoris muscle activity in patellofemoral pain syndrome, Am. Brechter, C. Powers, Patellofemoral joint stress observed higher activation of the VM musele after during stair ascent and descent in persons with and treatment.
Brunet, M. Brinker, S. Cook, P. Christakis, B. Fong, L. Patron, D. O'connor, Patellar tracking during simulated 5. Conclusions quadriceps contraction, Clin. We observed characteristic postural changes among [5J C.
Cabra I, V. Callaghan, J. Oldham, Quadriceps atrophy: Both healthy and PFS subjects before phys- does it exist in patellofemoral pain syndrome? Sports Med. Cavanagh, M. Rodgers, The arch index: There was a clear improvement among PFG sub-  S. Cowan, K. Bennell, P. Hodges, K.
Crossley, J. McConnell, Delayed onset of electromyographic activity of vastus jects carrying out eccentric exercises walking down medialis obliquus relative to vastus lateralis in subject with after physical therapy treatment: McConnell, Simultaneous feedforward recruitment of the vasti in possibly leading to a smaller energy consume, particu- untrained postural tasks can be restored by physical therapy, J.
Then, we single out that Orthopaed. De Luca, The use of surface electromyography in biome- squatting, walking down stairs or slopes were efficient chanics, J.
J de CN. Daniels, C. Manole, Doucette, E. Goble, The effect of exercise on patellar Waterloo, ] Revinter, Henry, The patellofemoral joint, Southern Med. Paulo - Brazil since ] She received the  S.
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