Portuguese (pdf) · Article in xml format; How to cite this article; SciELO Analytics Exercícios de alongamento são usados para aumentar a flexibilidade e . Os exercícios de alongamento foram baseados em Kisner e Colby13 e Kendall et al. . facilita o vínculo e fortalece a motivação para atingir as metas terapêuticas . p. Portuguese. 2. Kisner C, Colby LA. Exercícios terapêuticos: funda- mentos e técnicas. 5th ed. São Paulo: Manole; p. Portuguese. 3. Maraschin R. Fase II: Constituída de exercício aeróbio (45 minutos de caminhada, três vezes por .. Kisner C, Colby L. Exercícios terapêuticos, fundamentos e técnicas.
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Get this from a library! Exercícios terapêuticos: fundamentos e técnicas. [Carolyn Kisner; Lynn Allen Colby]. Importa referir o artigo de Chal- mers48, que aponta para questões .. Kisner C, Colby L (). Exer- cícios terapêuticos: fundamentos e técnicas (3ª edição). PDF | A presença do padrão de pronação excessiva da articulação subtalar Kisner C, Colby LA. Exercícios terapêuticos: fundamentos e técnicas. 3ª ed. nal, utilizada em idosos, adaptada para a língua portuguesa.
The effect of duration of stretching of the hamstring muscle group for increasing range of motion in people aged 65 years or older. No significant differences were seen for age, weight, height, and body mass index. Booth 25 reported that muscular strength is rapidly reduced during the time a limb is immobilized because of a reduction of the size of the muscle and of tension by unit of muscular cross-sectional area. Stadler E, Leite N. Fase I:
BMJ ; Rev Bras Cien Mov ; Foss M, Keteyian S. Guanabara Koogan, ; Froelicher V, Myers J. Revinter, ; Hambrecht R, Wolf A. Effect of exercise on coronary endothelial function in patients with coronary artery disease. N Engl J Med ; Froelicher V, Jensen D. Cardiac rehabilitation: Arch Phys Med Rehabil ; Eckstein RW. Effect of exercise and coronary artery narrowing on coronary collateral circulation.
Circ Res ;5: Bruton A. Muscle plasticity: Physiotherapy ; Pickering J. Downie P. Hides et al. On average, participants had optimal depression of the abdominal wall, as measured by the PBU, with a gain of Ferreira et al. According to Jull and Richardson 30 and Richardson et al. Our findings are supported by other studies, 21 , 22 where SS translated into pain and functional capacity improvements.
The better results of the SS group may be explained by the fact that this technique addressed two muscles primarily affected by low back pain. Hides 16 identified selective atrophy of the LM after the first episode of back pain; the atrophy was unlikely to revert without specific training, and the lower muscular stability predisposed an individual to further episodes of low back pain.
In individuals with low back pain, the TrA has decreased anticipatory capacity, meaning that it has reduced segmental protective function.
The ST group performed exercises that aimed to strengthen the superficial muscles of the abdomen and trunk.
The regimen yielded significant pain and functional capacity improvements, which were also demonstrated by other studies. However, no improvements on TrA capacity of activation were observed.
Cairms et al. Accordingly, pain remission does not necessarily translate into improved muscle activation capacity.
The better improvement in all variables yielded by the SS relative to ST may be explained by the hierarchical structure of the muscular control system. According to Bergmark, 34 two systems are important. These muscles do not normally perform joint movements, which makes contracting them more difficult, and this is exacerbated by pain.
The second system is formed by the superficial muscles, which secondarily stabilize the spinal cord, further minimizing compressive forces. The main function of this system is to generate and control axial movements, and it makes little contribution to segmental stability. Snijders et al. According to Norris, 36 the rectus abdominis is the most important trunk flexor, while the obliquus muscles support flexion but also rotation, and lateral inclination as well as providing secondary stability during exercise.
Our findings suggest that both protocols are of clinical utility i n the improvement of chronic low back pain. Segmental stabilization and strengthening exercises effectively reduce pain and functional disability in individuals with chronic low back pain. Segmental stabilization but not strengthening improves TrA muscle activation capacity.
Improvement in all variables was superior in the segmental stabilization group opposed to the strengthening group. Moreover, biopsychosocial factors were not observed in this study. The test of the abdominal drawing in action in a prone position, monitoring the contraction of TrA with pressure biofeedback unit. National Center for Biotechnology Information , U. Journal List Clinics Sao Paulo v. Clinics Sao Paulo. Author information Article notes Copyright and License information Disclaimer.
This article has been cited by other articles in PMC. Assessments Participants were assessed at baseline and at the end of the treatment by an investigator physiotherapist who was blinded to the randomization, the severity of pain, functional disability, and TrA activation capacity.
Functional Disability Functional disability was estimated by the Oswestry disability questionnaire, 24 a functional scale assessing the impact of low back pain on daily activities. Table 1 Treatment protocol in the segmental stabilization and superficial strengthening groups. Open in a separate window. Table 2 Patient's clinical and demographic data, according to group. Intragroup Comparisons Table 5 contrasts the results seen in each group. Table 5 Mean Gain difference of before and after in each group , and p value.
Figure 1. Rozemberg S.
Chronic low back pain: Definition and treatment. Rev Prat. Back pain in athletes. J Am Acad Orthop Surg. De Vitta A. Rev Bras Fisioter. Implications for rehabilitation. Med Sci Sports Exerc. Borg G. Manole; Bastone AC. Indexes of severity for osteoarthritr of the hip and knee. Validation-value in comparison eith other in comparison. Scand J Rheumatol. Marques AP. Manual de goniometria. Mangine RE.
Physical therapy of the knee. New York: Churchill Lingstone; Baker KB, Mcalindon T. Exercise for knee osteoarthritis. Curr Opin Rheumatol. Therapeutic exercise for people with osteoarthritis of the hip or knee. A systematic review. J Rheumatol. Brandt KD. The importance of nonpharmacologic approaches in management of osteoarthritis.
Am J Med. Cipriano JS. Effectiveness and safety of strengthening, aerobic, and coordination exercises for patients with osteoarthritis. Yates DAH. The treatment of osteoarthorsis. Minor M.
Exercise in the management of osteoarthritis of the knee and hip. Arthritis Care Res. Jitpraphai C, Cheamvaraporn K. Conservative management of degenerative knee: J Med Assoc Thai. Lequesne M. Indices of severity and disease activity for ostearthritis. Semin Arthritis Rheum. The modified sphygmomanometer-an instrument to measure muscle strength: J Chronic Dis. Quadriceps weakness in knee ostearthritis: Ann Rheum Dis. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects.
Exercise and mobilization techniques in principles of physical medicine and rehabilitation in the muscles diseases. Cinesioterapia na osteoartrose. Med Reabil. Booth FW. Physiologic and biochemical effects of immobilization on muscle. Clin Orthop Relat Res. Kisner C, Colby LA.
Correspondences to: Received in: CASE SERIES Twenty five sedentary patients were assessed 19 females and 6 males , totaling 25 knees 15 right and 10 left knees from May to December , with a diagnosis of primary knee osteoarthritis, with ages ranging from 58 to 78 years average: MATERIAL Questionnaires were applied pre- and post-physiotherapeutic treatment in order to evidence personal data and issues associated to an individual's functional quality 4 with the key complaint of each patient.
METHOD After screening according to the inclusion and exclusion criteria, each patient, properly informed by the Free and Informed Consent Term approved by the Scientific Committee of the Institute, was randomly assigned by a member of the registration staff to be included in a given group.