REVISTA JOSPT - ABRIL DE 2010

O Volume 40, No. 4/2010 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) já está disponível online para os membros do Grupo de Interesse de Fisioterapia no Desporto da nossa Associação que tenham aderido http://www.jospt.org/

EDITORIAL - Honors Authors for Research and Clinical Inquiry Papers at CSM 2010

Guy G. Simoneau

Activation of the Shoulder Musculature During Pendulum Exercises and Light Activities

Joy L. Long, Ramon A. Ruberte Thiele, Jack G. Skendzel, Jongeun Jeon, Richard E. Hughes, Bruce S. Miller, James E. Carpenter

Osteochondral Lesion of the Talus

Bradley J. Stockton, Robert E. Boyles

 

A Psychometric Investigation of Fear-Avoidance Model Measures in Patients With Chronic Low Back Pain                 Steven Z. George, Carolina Valencia, Jason M. Beneciuk

Reducing Impact Loading During Running With the Use of Real-Time Visual Feedback

Harrison Philip Crowell, Clare E. Milner, Joseph Hamill, Irene S. Davis

Rehabilitation Following Lumbosacral Percutaneous Nucleoplasty: A Case Report

Emilio J. Puentedura, Candi L. Brooksby, Harvey W. Wallmann, Merrill R. Landers

Long-Term Stability and Minimal Detectable Change of the Cervical Flexion-Rotation Test

Toby Hall, Kathy Briffa, Diana Hopper, Kim Robinson

Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain

David S. Logerstedt, Lynn Snyder-Mackler, Richard C. Ritter, Michael J. Axe, Joseph J. Godges

REEDUCAÇÃO POSTURAL GLOBAL

RPG – Reeducação Postural Global

A Reeducação Postural Global (RPG) foi criada em 1980 por Philippe Souchard (fisioterapeuta francês). Trata-se de um método que actua nas patologias/disfunções do sistema músculo-esquelético e que se baseia no princípio do alongamento das cadeias musculares, principalmente dos músculos da estática, que uma vez encurtados originam alterações posturais e problemas músculo-esqueléticos (dor e desconforto, encurtamentos e desequilibrios musculares).

A RPG é um método terapêutico baseado em várias posturas básicas (deitado, sentado e em pé), mantidas por um determinado tempo (aproximadamente 10 a 20 minutos). Estas posturas estáticas são suaves e progressivas e têm como objectivo actuar no conjunto das cadeias musculares. E são realizadas juntamente com exercícios respiratórios. Durante cada sessão, o utente tem uma participação activa, sob a orientação do fisioterapeuta.

Faz-se uma abordagem global colocando todo o corpo em tensão de modo a evidenciar as suas compensações. O principal objectivo da RPG é avaliar e tratar o sujeito como um todo. A abordagem consiste em colocar todo o corpo em tensão evidenciando assim todos os seus encurtamentos e compensações. Todo o trabalho é realizado a nível das fascias, cadeias musculares, diafragma e outros musculos respiratórios.

O tratamento através do método de RPG tem uma duração e frequência variáveis, de acordo com a situação do utente (individual e personalizado). Após uma avaliação inicial é traçado o plano de tratamento que inicialmente poderá ter uma frequência de tratamento de 1 a 2 sessões por semana, que progressivamente se vão espaçando, com a duração de aproximadamente 60 minutos. Apenas deve ser realizada por Fisioterapeutas com formação especifica e com experiência nesta abordagem terapêutica.

É uma técnica com efeitos a longo prazo, pois vai-se corrigindo e/ou evitando compensações que estão como adquiridas na postura corporal. 

Com este método poderão estar indicadas as patologias/disfunções do sistema músculo-esquelético como:

a) alterações posturais funcionais ou estruturais (escolioses, lordoses, cifoses, rectificação ou inversão das curvaturas fisiológicas);

b) desequilíbrios musculares, hipermobilidade, encurtamentos/diminuição da flexibilidade;

c) queixas dolorosas nos tecidos moles, desalinhamentos articulares, etc.

Serão ensinados também ao utente alguns cuidados, exercícios e posturas que devem ser respeitados ao longo da vida como prevenção, num príncipio de educação para a saúde e promovendo atitudes de autonomia e de co-responsabilização dos utentes/pacientes.

FIsioterapeutas Ana Azevedo, Fátima Sancho, Nuno Morais e Raul Oliveira

R´Equilibri_us - Gabinete de Fisioterapia

Av. D. João I, nº 8, Oeiras
309 984 508 /917231718/ 917776556
raulov@netcabo.pt

LESÃO TOTAL DO TENDÃO DE AQUILES

Caros leitores: Viram como é que o David Beckham fez uma rotura total do Tendão de Aquiles num gesto sózinho e aparentemente de pouco esforço ?

Podem ver aqui neste link do YOU TUBE:

http://www.youtube.com/watch?v=cgOemKqIzEE&feature=player_embedded

Entretanto já foi operado e estará fora do Mundial e a recuperação não será inferior a 6 meses no mínimo, para treinar novamente. Infelizmente antecipo o final da carreira deste excelente futebolista com quase 35 anos.

Raul Oliveira

FISIOTERAPIA AO DOMICÍLIO

FISIOTERAPIA AO DOMÍCILIO

(Lisboa, Oeiras, Cascais, Sintra)

 

R’Equilibri_us é um gabinete de Fisioterapia em Oeiras vocacionado para a prestação de serviços na área da saúde em geral e da Fisioterapia em particular que iniciou a sua actividade em 2007.

Os nossos serviços são prestados por uma equipa de profissionais de Fisioterapia e de Saúde competentes, com vasta experiência clinica aliada a uma formação científica sólida e de elevado prestígio.

Pretendemos centrar a nossa intervenção – prevenção, aconselhamento, avaliação, tratamento e/ou reabilitação funcional – nas necessidades de saúde das pessoas procurando prestar um serviço de qualidade, personalizado, humanizado e eficiente.

O empenho profissional e o sentido de responsabilidade aliados à motivação da nossa equipa são uma constante na promoção da qualidade de vida, do bem-estar e da autonomia funcional dos nossos utentes.

Estamos disponíveis para prestar cuidados de Fisioterapia de proximidade - domicilio dos pacientes - sempre que a autonomia funcional dos nossos pacientes assim o exijam.

O apoio domiciliário é uma ferramenta essencial quando a autonomia funcional está seriamente comprometida. Tem como objectivo ir ao encontro daqueles que necessitam de serviços especializados em Fisioterapia, sendo dirigido predominantemente a pessoas que por apresentarem dificuldade de locomoção e/ou logística não possam usufruir do tratamento de fisioterapia no nosso gabinete, necessitando de um maior apoio clínico de proximidade (domicilio).

Área de cobertura: A R’Equilibri_us conta com membros que prestam serviço na área da Grande Lisboa (Lisbos, Oeiras, Cascais e Sintra)

Para saber mais informações acerca do apoio domiciliário de Fisioterapia contactar os Fisioterapeutas:

Raul Oliveira - raulov@netcabo.pt / 917231718

Ana Azevedo - fisiot.ana@netcabo.pt

Gabinete R`Equilibrius - requilibrius@netcabo.pt ; 309 984 508 / 917776556

R´Equilibri_us - Av. D. João I, nº 8, 2780 – 051 Oeiras

REVISTA JOSPT - MARÇO DE 2010

O Volume 40, No. 3/2010 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) já está disponível online para os membros do Grupo de Interesse de Fisioterapia no Desporto da nossa Associação que tenham aderido http://www.jospt.org/

Aqui fica o indíce da Revista de Março/2010

EDITORIAL  - Physiotherapist Classifiers Ensure Competitive Fair Play in Para-Archery

Pauline Betteridge

EMG Activity in Shoulder Musculature During Pendulum Exercises and Light Activities

Joy L. Long, Ramon A. Ruberte Thiele, Jack G. Skendzel, Jongeun Jeon, Richard E. Hughes, Bruce S. Miller, James E. Carpenter

The Addition of Cervical Thrust Manipulations to a Manual Physical Therapy Approach in Patients Treated for Mechanical Neck Pain: A Secondary Analysis

Robert E. Boyles, Michael J. Walker, Brian A. Young, Joseph Strunce, Maj Robert S. Wainner

The American Society of Shoulder and Elbow Therapists' Consensus Rehabilitation Guideline for Arthroscopic Anterior Capsulolabral Repair of the Shoulder

Bryce W. Gaunt, Michael A. Shaffer, Eric L. Sauers, Lori A. Michener, George M. McCluskey, Chuck Thigpen

Time Line for Noncopers to Pass Return-to-Sports Criteria After Anterior Cruciate Ligament Reconstruction

Erin H. Hartigan, Michael J. Axe, Lynn Snyder-Mackler

Three-Dimensional Scapular and Clavicular Kinematics and Scapular Muscle Activity During Retraction Exercises

Sakiko Oyama, Joseph B. Myers, Craig A. Wassinger, Scott M. Lephart

Attentional Demands and Postural Control in Athletes With and Without Functional Ankle Instability

Leila Rahnama, Mahyar Salavati, Behnam Akhbari, Masood Mazaheri

Extreme Skeletal Adaptation to Mechanical Loading

Stuart J. Warden

Diagnostic Imaging Following Cervical Spine Injury

Lance M. Mabry, Michael D. Ross, Michael A. Tall

Patellofemoral Pain Syndrome: Proximal, Distal, and Local Factors, An International Retreat, April 30-May 2, 2009, Fells Point, Baltimore, MD Irene S. Davis, Christopher M. Powers

REVISTA JOSPT - FEVEREIRO DE 2010

O Volume 40, No. 2/2010 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) já está disponível online para os membros do Grupo de Interesse de Fisioterapia no Desporto da nossa Associação que tenham aderido http://www.jospt.org/. 

Aqui fica o indíce de uma Revista temática dedicada à Anca/Coxa e as suas implicações na biomecânica de lesões do membro inferior e nas suas estratégias de prevenção, avaliação e intervenção.

EDITORIAL - Lower Extremity Injuries: Is It Just About Hip Strength?

Bryan C. Heiderscheit

Competitive Female Runners With a History of Iliotibial Band Syndrome Demonstrate Atypical Hip and Knee Kinematics

Reed Ferber, Brian Noehren, Joseph Hamill, Irene S. Davis

Hamstring Strain Injuries: Recommendations for Diagnosis, Rehabilitation, and Injury Prevention

Bryan C. Heiderscheit, Marc A. Sherry, Amy Silder, Elizabeth S. Chumanov, Darryl G. Thelen

Kinesiology of the Hip: A Focus on Muscular Actions

Donald A. Neumann

The Influence of Abnormal Hip Mechanics on Knee Injury: A Biomechanical Perspective

Christopher M. Powers

Distinct Hip and Rearfoot Kinematics in Female Runners With a History of Tibial Stress Fracture

Clare E. Milner, Joseph Hamill, Irene S. Davis

The Architectural Design of the Gluteal Muscle Group: Implications for Movement and Rehabilitation

Samuel R. Ward, Taylor M. Winters, Silvia S. Blemker

Treatment of an Individual With Piriformis Syndrome Focusing on Hip Muscle Strengthening and Movement Reeducation: A Case Report

Jason C. Tonley, Steven M. Yun, Ronald J. Kochevar, Jeremy A. Dye, Shawn Farrokhi, Christopher M. Powers

Strengthening and Neuromuscular Reeducation of the Gluteus Maximus in a Triathlete With Exercise-Associated Cramping of the Hamstrings

Tracey Wagner, Nazly Behnia, Won-Kay Lau Ancheta, Richard Shen, Shawn Farrokhi, Christopher M. Powers

 

Femoroacetabular Impingement in a Running Athlete

Peter S. Ames, Christie S. Heikes

Enchondroma in a Running Athlete With Persistent Mid-Thigh Pain

Evangelos Pappas, Bohdanna T. Zazulak, Lee D. Katz

February 2010 Abstracts

REVISTA PORTUGUESA DE FISIOTERAPIA NO DESPORTO - VOL.4, Nº1

Já está disponível online em http://www.apfisio.pt/gifd_revista/pages/inicio.php

o Vol.4, nº 1 da Revista Portuguesa de Fisioterapia no Desporto.

Aqui fica o indice

EDITORIAL
Parabéns!!
Marco Jardim


ARTIGOS ORIGINAIS

Contributo Para Adaptação Transcultural do Instrumento de Medida Injury Report Form IRB 2007 para a Realidade Portuguesa - Validade De Conteúdo

Pedro Sousa & Bruno Neves

Efeito do Tape McConnell na Inibição da Actividade Electromiográfica do Vasto Lateral
Liliana Lima, Paulo Carvalho & Rui Torres

Efeito do Tape McConnell na Limitação da Amplitude Extrema de Rotação Externa do Ombro e na Posição Tridimensional da Omoplata em Voleibolistas de Nível Competitivo

Andrea Ribeiro & Augusto G. Pascoal


ARTIGO DE OPINIÃO
Perfil Muscular do Ombro de Atletas Praticantes de Acções de Lançamento
Pedro Pezarat-Correia


ESTUDO DE CASO

Fisioterapia na Recuperação Funcional do Ombro de um Profissional da Policia, após Cirurgia Reparadora do Labrum Glenoideu - Estudo de Caso

David Pires, António Cartucho & Raúl Oliveira




REVISÃO DE LIVROS
O Ombro
Raúl Oliveira

REVISTA JOSPT - JANEIRO DE 2010

O Volume 40, No. 1/2010 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) já está disponível online para os membros do Grupo de Interesse de Fisioterapia no Desporto da nossa Associação que tenham aderido  http://www.jospt.org/.

Aqui fica o indíce :


An Expanding Delivery Model Helps Clinicians Access the Literature - EDITORIAL
Guy G. Simoneau

A Magnetic Resonance Imaging Investigation of the Transversus Abdominis Muscle During Drawing-in of the Abdominal Wall in Elite Australian Football League Players With and Without Low Back Pain
Julie A. Hides, Carly L. Boughen, Warren R. Stanton, Mark W. Strudwick, Stephen J. Wilson

Effects of a Wobble Board-Based Therapeutic Exergaming System for Balance Training on Dynamic Postural Stability and Intrinsic Motivation Levels

Diarmaid Fitzgerald, Nanthana Trakarnratanakul, Barry Smyth, Brian Caulfield

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder SurgeryCSM Orthopaedic and Sports Physical Therapy Section Programming 2010

Gerard P. Brennan, Eric C. Parent, Joshua A. Cleland

Radial Head Fracture Following a Fall

James A. Dauber, Scott R. Naspinsky

ARTIGO DO MÊS - 29/2009

Effect of Medial Arch Support on Displacement of the Myotendinous Junction of the Gastrocnemius During Standing Wall Stretching

Do-Young Jung, Eun-Kyung Koh, Oh-Yun Kwon, Chung-Hwi Yi, Jae-Seop Oh, Jong-Hyuck Weon

DOI: 10.2519/jospt.2009.3158 / J Orthop Sports Phys Ther 2009;39(12):867-874. doi:10.2519/jospt.2009.3158

STUDY DESIGN: Controlled laboratory study.

OBJECTIVES: To examine the effects of standing wall stretching with and without medial arch support (WMAS versus WOMAS) on the displacement of the myotendinous junction (DMTJ) of the medial gastrocnemius, rearfoot angle, and navicular height in subjects with neutral foot alignment and pes planus.

BACKGROUND: Standing wall stretching is often prescribed to increase ankle dorsiflexion range of motion for sports fitness and rehabilitation. However, the effect of standing wall stretching WMAS on DMTJ is unknown.

METHODS: Fifteen subjects with neutral foot alignment and 15 subjects with pes planus performed standing wall stretching under WMAS and WOMAS conditions. Measurements of DMTJ and rearfoot position were performed using ultrasonography and video imaging. Navicular height was measured using a ruler. Dependent variables were examined with a 2-way mixed-design analysis of variance. The 2 factors were foot type (neutral foot versus pes planus) and stretching condition (WMAS versus WOMAS).

RESULTS: There were significant interactions of medial arch support by foot type for DMTJ, rearfoot angle, and navicular drop (P<.001). A post hoc paired t test showed that standing wall stretching in the WMAS condition significantly increased the DMTJ, compared to stretching in the WOMAS condition, in subjects with neutral foot (mean ± SD, 9.6 ± 1.6 versus 10.5 ± 1.6 mm; difference, 0.9 mm; 99% CI: 0.4-1.4 mm) and in those with pes planus (10.0 ± 1.8 versus 12.7 ± 2.0 mm; difference, 2.7 mm; 99% CI: 1.9-3.5 mm) (P<.001). When comparing WOMAS and WMAS, the difference in DMTJ (1.8 mm; 99% CI: 0.9-2.7 mm) was significantly greater in subjects with pes planus than in those with neutral foot (P<.001).

CONCLUSION: Standing wall stretching with medial arch support maintained subtalar joint neutral position and increased the length of the gastrocnemius in subjects with pes planus. When prescribing standing wall stretching, clinicians need to emphasize the use of medial arch support to effectively stretch the gastrocnemius in subjects with pes planus.

KEY WORDS: ankle stretching, myotendinous junction, standing wall stretching, ultrasonography

Raul Oliveira, Fisioterapeuta

R´Equilibri_us - Gabinete de Fisioterapia
Av. D. João I, nº 8, Oeiras
309 984 508 /917231718/ 917776556
raulov@netcabo.pt
Faculdade de Motricidade Humana

REVISTA JOSPT - DEZEMBRO DE 2009

O Volume 39, No. 12/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido http://www.jospt.org/. Aqui fica o indíce :

Reliability of Thickness Measurements of the Dorsal Muscles of the Upper Cervical Spine: An Ultrasonographic Study

Ya-Jung Lin, Huei-Ming Chai, Shwu-Fen Wang


Conservative Management of a Young Adult With Hip Arthrosis

Kyle M. Cook, Bryan C. Heiderscheit

Efficacy of an Ankle Brace With a Subtalar Locking System in Inversion Control in Dynamic Movements   
Songning Zhang, Michael Wortley, Qingjian Chen, Julia Freedman

Interrater Reliability of a Clinical Scale to Assess Knee Joint Effusion

Lynne Patterson Sturgill, Lynn Snyder-Mackler, Tara J. Manal, Michael J. Axe


Effect of Medial Arch Support on Displacement of the Myotendinous Junction of the Gastrocnemius During Standing Wall Stretching

Do-Young Jung, Eun-Kyung Koh, Oh-Yun Kwon, Chung-Hwi Yi, Jae-Seop Oh, Jong-Hyuck Weon


Lunate Fracture in an Amateur Soccer Player

Aswinkumar Vasireddy, Ian Lowdon

Raul Oliveira, Fisioterapeuta

ARTIGO DO MÊS - 28/2009

Anterior Cruciate Ligament Deficiency Causes Brain Plasticity

Kapreli, E;  Athanasopoulos, S.; Gliatis, J.; Papathanasiou, M. ; Peeters, R.;  Strimpakos, N.;  Hecke, P.V.;  Gouliamos, A.; Sunaert, S.

Am J Sports Med 2009 37: 2419

http://ajs.sagepub.com/content/37/12/2419

Background: The mechanoreceptors located in anterior cruciate ligament (ACL) constitute an afferent source of information toward the central nervous system. It has been proposed that ACL deficiency causes a disturbance in neuromuscular control, affects central programs and consequently the motor response resulting in serious dysfunction of the injured limb.

Purpose: The objective of this study was to investigate whether chronic anterior cruciate ligament injury causes plastic changes in brain activation patterns.

Study Design: Case control study; Level of evidence, 3.

Methods: Seventeen right leg–dominant male participants with chronic anterior cruciate ligament deficiency and 18 matched healthy male participants with no special sport or habitual physical activity participated in this study. Patient selection criteria comprised a complete right unilateral anterior cruciate ligament rupture ≥6 months before testing. Brain activation was examined by using functional magnetic resonance imaging technique (1.5-T scanner).

Results: Results show that patients with anterior cruciate ligament deficiency had diminished activation in several sensorimotor cortical areas and increased activation in 3 areas compared with controls: presupplementary motor area, posterior secondary somatosensory area, and posterior inferior temporal gyrus.

Conclusion: The current study reveals that anterior cruciate ligament deficiency can cause reorganization of the central nervous system, suggesting that such an injury might be regarded as a neurophysiologic dysfunction, not a simple peripheral musculoskeletal injury. This evidence could explain clinical symptoms that accompany this type of injury and lead to severe dysfunction.Understanding the pattern of brain activation after a peripheral joint injury such as anterior cruciate ligament injury lead to new standards in rehabilitation and motor control learning with a wide application in a number of clinical and research areas (eg,surgical procedures, patient re-education, athletic training, etc).

Keywords: anterior cruciate ligament (ACL) deficiency; noncopers; central nervous system; reorganization; plasticity; functional magnetic resonance imaging (fMRI)

(...) rehabilitation should focus on CNS reeducation rather than optimizing only the peripheral neuromuscular function. Therapists should take advantage of the adaptive abilities of the CNS, identifying the goals, providing the tools, and allowing the CNS to find a solution.

(...) rehabilitation  should be based on procedures that stimulate the learning process and CNS reprogramming

ARTIGO DO MÊS - 27/09

A Systematic Review of Anterior Cruciate Ligament Reconstruction with Autograft Compared with Allograft

Carey,J.; Dunn, W.R.; MPH, Dahm, D.L.; Zeger, S.L.; and Spindler, K.P.

J. Bone Joint Surg Am. 2009;91:2242-50

Background: Anterior cruciate ligament reconstruction can be performed with use of either autograft or allograft tissue. It is currently unclear if the outcomes of these two methods differ significantly. This systematic review and meta-analysis investigated whether the short-term clinical outcomes of anterior cruciate reconstruction with allograft were significantly different from those with autograft.

Methods: A computerized search of the electronic databases MEDLINE and EMBASE was conducted. Only therapeutic studies with a prospective or retrospective comparative design were considered for inclusion in the present investigation. Two reviewers independently assessed the methodological quality and extracted relevant data from each included study. If a study failed the qualitative assessment and statistical tests of homogeneity, it was excluded from the meta-analysis. Furthermore, a study was withdrawn fromthe meta-analysis of a particular outcome if that outcome was not studied or was not reported adequately. A Mantel-Haenszel analysis utilizing a random-effects model allowed for pooling of results according to graft source while accounting for the number of subjects in individual studies.

Results: Nine studies were determined to be appropriate for the systematic review. Eight studies compared bone-patellar tendon-bone grafts, and one study compared quadruple-stranded hamstring grafts. Five studies were prospective comparative studies, and four were retrospective comparative studies. One study, which investigated allografts that underwent a unique sterilization process, demonstrated an allograft failure rate of 45% (thirty-eight of eighty-five). That study failed the qualitative assessment and statistical tests of homogeneity and consequently was excluded from the meta-analysis. When the outcomes from the remaining studies were pooled according to graft source, the meta-analyses of the Lysholm score, instrumented laxity measurements, and the clinical failure rate estimated mean differences and odds ratios that were not significant. These findings were robust during the sensitivity analysis, which varied the included studies or variables on the basis of graft type, instrumented laxity cut-off value, secondary sterilization technique, duration of follow-up, mean patient age, and study methodology.

Conclusions: In general, the short-term clinical outcomes of anterior cruciate reconstruction with allograft were not significantly different from those with autograft. However, it is important to note that none of these nonrandomized studies stratified outcomes according to age or utilized multivariable modeling to mathematically control for age (or any other possible confounder, such as activity level, that is not equally distributed in the two treatment groups). Understanding these limitations of the best available evidence, the surgeon may incorporate the results of the present systematic review into the informed-consent and shared-decision-making process in order to individualize optimum patient care.

Level of Evidence: Therapeutic Level III.

COOL-DOWN PROGRAM FOR DANCERS

Na 19ª conferência anual da INTERNATIONAL ASSOCIATION FOR DANCE MEDICINE & SCIENCE (IADMS) realizado em Haia - Holanda entre os dias 29 e 31 de Outubro de 2009, apresentámos um tema , em conjunto com o Prof. Luis Xarez da Faculdade de Motricidade Humana, sobre "COOL-DOWN PROGRAM FOR DANCERS"

Aqui fica uma breve sintese das ideias-chaves apresentadas

WHY dancers should do cool-down program?

The cool down program is just as important as the warm up to ensure muscle protection from extreme soreness, to help effort recovery, to prevent unforeseen injuries and allows the heart rate to return to normal. The main aim of the cool down program is to promote active recovery and return the body to a pre exercise, or pre work out level.

During a strenuous dancing activity body´s dancers go through a number of stressful processes. Neuromuscular system, tendons and joint structures get damaged, and waste products build up within your body. The cool down program, performed properly, will assist your body in its repair and recovery process. One area the cool down will help with is "post exercise muscle soreness."

 

WHAT it is?

Cool down exercises usually consist of slower dancing, relaxation exercises and active stretches exercises that are designed to lower your heartbeat after dancing and contribute for active recovery after a hard work activity. Making the cool down a permanent part of your regular dance routine is recommended helping a better physically recovery.

 

WHEN should dancers do this program?

Dancers must develop and perform an appropriate cool down exercises routine after dancing rigorously (class, rehearsal or performance) and before total stop dancing activity.

 

HOW to organize it?

It depends of individual characteristics (age, fitness, technical level) and the context (time of the day, season time, room conditions). There are some items dancers have to follow: duration, intensity and specificity of exercises

 

Key-Points of our warm-down program

1) Pick a slower song and dance to it-just be sure you are still moving your body, but going from a fast paced rhythm to a slower paced rhythm. If you just stop cold turkey after dancing, you will put your body at risk. SOME MOVEMENTS BUT SLOWER RHYTM.

2) ACTIVE STRETCHING EXERCICES of the principal muscles that had been working – this program needs to have a common base (depends on type of Dance) and personnel basis (depends of the past or recent history of injuries or complaints). Goal: Release any tension from the joints and muscles. Specificity and duration of exercises depend of type of dance and individual characteristics.

3) Be sure to take the time to slow down your heartbeat the proper way. Have time and prepare your mind to feel your body and the anatomic regions you feel tired or soreness (special trunk, shoulders, and pelvic girdle – axial joints and postural and respiratory muscles) ACTIVE MIND/BODY RELAXATION EXERCICES.

4) Finally you should then spend two to three minutes lying completely flat and feel your body and your breathing.

WHO should prepare it?

You must do it. Nobody can do it for you. Take an advice and learn with your teacher, other dancers and physical therapists with experience in dance activities BUT DO YOURSELF.


Luis Xarez e Raul Oliveira
raulov@netcabo.pt

ARTIGO DO MÊS - 26/09

The Ability of 4 Single-Limb Hopping Tests to Detect Functional Performance Deficits in Individuals With Functional Ankle Instability

Erin Caffrey, Carrie L. Docherty, John Schrader, Joanne Klossner

DOI: 10.2519/jospt.2009.3042 in JOSPT NOVEMBER 2009, Volume 39, No. 11

 

STUDY DESIGN: Experimental laboratory testing using a cross-sectional design.

 OBJECTIVES: To determine if functional performance deficits are present in individuals with functional ankle instability (FAI) in 4 single-limb hopping tests, including figure-of-8 hop, side hop, 6-meter crossover hop, and square hop.

BACKGROUND: Conflicting results exist regarding the presence of functional deficits in individuals with FAI. It is important to evaluate whether functional performance deficits are present in this population, as well as if subjective feelings of giving way can assist in identifying these deficits.

METHODS: Sixty college students volunteered for this study. Thirty participants with unilateral ankle instability were placed in the FAI group and 30 participants with no history of ankle injuries were placed in the control group. The FAI group was subsequently further divided to indicate those that reported giving way during the functional test (FAI-GW) and those that did not (FAI-NGW). Time to complete each test was recorded and the mean of 3 trials for each test were used for statistical analysis. To identify performance differences, we used 4 mixed-design 2-way (side-by-group) ANOVAs, 1 for each hop test. A Tukey post hoc test was completed on all significant findings.

RESULTS: We identified a significant side-by-group interaction for all 4 functional performance tests (P<.05). Specifically, for each functional performance test, the FAI limb performed significantly worse than the contralateral uninjured limb in the FAI-GW group. Additionally, the FAI limb in the FAI-GW group performed worse than the FAI limb in the FAI-NGW group, and the matched limb in the control group in 3 of the 4 functional performance tests.

CONCLUSION: We found that functional performance deficits were present in participants with FAI who also experienced instability during the test. This difference was identified when comparing the FAI limb to the contralateral uninjured limb as well as control participants. However, the performance deficits identified in this study were relatively small. Future research in this area is needed to further evaluate the clinical meaningfulness of these findings. Finally, we found that limb dominance did not affect performance.

 

KEY WORDS: 6-meter crossover hop, agility, figure-of-8 hop, side hop, square hop

The authors determine if functional performance deficits are present in individuals with functional ankle instability (FAI) in 4 single-limb hopping tests, including figure-of-8 hop, side hop, 6-meter crossover hop, and square hop.

Comentário: Os testes de desempenho funcional representativos de cada segmento funcional e da sua coordenação/interacção com os segmentos adjacentes envolvendo os mecanismos neuromotores que os controlam podem ser variáveis a integrar quer na avaliação quer na reeducação/normalização da função.

PROGRAMA REQUILIBRIO

PROGRAMA REQUILIBRIO
Aqui está o link com a reportagem que passou no telejornal de Domingo (ontem), na RTP 1, sobre o programa R´EQUILIBRIO – Programa de Exercício e Saúde, onde se PROMOVEM ESTILOS DE VIDA ACTIVOS/SAUDÁVEIS

REVISTA JOSPT - NOVEMBRO/2009

O Volume 39, No. 11/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido http://www.jospt.org/. Aqui fica o indíce :

Mechanosensitivity of the Lower Extremity Nervous System During Straight-Leg Raise Neurodynamic Testing in Healthy Individuals  Benjamin S. Boyd, Linda Wanek, Andrew T. Gray, Kimberly S. Topp

Changes in Lateral Abdominal Muscle Thickness During the Abdominal Drawing-in Maneuver in Those With Lumbopelvic Pain

Deydre S. Teyhen, Laura N. Bluemle, Jeffery A. Dolbeer, Sarah E. Baker, Joseph M. Molloy, Jackie L. Whittaker, Maj John D. Childs

Patellar Tendon Rupture in a Basketball Player    - Sean D. Johnson, Kornelia Kulig

The Ability of 4 Single-Limb Hopping Tests to Detect Functional Performance Deficits in Individuals With Functional Ankle Instability  Erin Caffrey, Carrie L. Docherty, John Schrader, Joanne Klossner

Knee Extension and Flexion Weakness in People With Knee Osteoarthritis: Is Antagonist Cocontraction a Factor?     Tamika L. Heiden, David G. Lloyd, Timothy R. Ackland

Choosing Among 3 Ankle-Foot Orthoses for a Patient With Stage II Posterior Tibial Tendon Dysfunction      Christopher Neville, Jeff R. Houck

Acute Dislocation of the Proximal Tibiofibular Joint    Chih-Hsin Hsieh, Jian-Chih Chen

Scapular Summit 2009  William B Kibler, Paula M. Ludewig, Philip W. McClure, Timothy L. Uhl, Aaron Sciascia

PROGRAMA REQUILIBRIO - MEXER-SE PELA SAÚDE

Aqui está um link com uma videoreportagem que passou no Telejornal da RTP no Domingo dia 1 de Novembro sobre o n/ programa Requilibrio - Mexer-se pela Saúde.

http://videos.sapo.pt/ukCluMv9rjGDNyAQzd9T

O que se pretende é PROMOVER ESTILOS DE VIDA ACTIVOS/SAUDÁVEIS estimulando actividades físicas regulares num contexto de educação para a saúde onde se abordam diversos temas relacionados com a alimentação/nutrição, controle do peso, prevenção de lesões e disfunções, educação postural e autonomia funcional.


para mais informações consulte o link aqui ao lado : http://requilibrio.blogspot.com/

Raul Oliveira

REVISTA JOSPT - OUTUBRO/2009

O Volume 39, No. 10/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido http://www.jospt.org/Aqui fica o indíce :

Trapezius Muscle Timing During Selected Shoulder Rehabilitation Exercises De Mey, K., Cagnie, B., Danneels L.A., Cools A.M., Van de Velde, A.

Acute Bony Bankart Lesion and Surgical Fixation Rosenthal M.D. , Provencher, M.T.

A Randomized Sham-Controlled Trial of a Neurodynamic Technique in the Treatment of Carpal Tunnel Syndrome Bialosky J.E., Bishop,M.D., Price, D.D., Robinson, M.E., Vincent K.R., Georg, S.Z.

Changes in Abdominal Muscle Thickness Measured by Ultrasound Are Not Associated With Recovery in Athletes With Longstanding Groin Pain Associated With Resisted Hip Adduction Jansen J.A.C.G., Mens, J.M.A., Backx,F.J.C., Stam, H.J.

Structural Factors Associated With Hallux Limitus/Rigidus: A Systematic Review of Case Control Studies Zammit, G.V., Menz, H.B., Munteanu, S.E.

Clinical Interpretation of Computerized Adaptive Test Outcome Measures in Patients With Foot/Ankle Impairments Wang,Y-X, Hart, D.H., Stratford,P.W. , Mioduski, J.E.

Anterior Cruciate Ligament Injury and Bucket Handle Tear of the Medial Meniscus Ballas,E.R,, Stillman, C.A.

REVISTA PORTUGUESA DE FISIOTERAPIA NO DESPORTO

Já está disponível online o vol.3 nº 2 da Revista Portuguesa de Fisioterapia no Desporto

(ver em http://www.apfisio.pt/gifd_revista/pages/inicio.php )

Aqui fica o indice:

EDITORIAL
Um Triénio Diversificado! Marco Jardim

ARTIGOS ORIGINAIS
Interleucina 6 participa nos Ajustes Metabólicos Desencadeados na Fase Aguda da Imobilização Articular - Estudo em Ratos Carlos Alberto da Silva, Marcial Zanelli de Souza, Eliete Luciano, Luciano Julio Chingu

REVISÃO DA LITERATURA

Definição de Lesão Desportiva Tiago Atalaia, Ricardo Pedro, Cristiana Santos

Calor, Desidratação e Degradação Muscular no Exercício José Macieira

LESÕES NO TÉNIS - CASOS REAIS (6)

RAFAEL NADAL após 2 meses de paragem regressou à competição nos Torneios Masters que antecedem o US Open 2009.

Para já parece estar recuperado, mas o teste principal vai ser no US Open onde os jogos são discutidos à melhor de 5 sets e em piso rápido.

Face ao histórico destas lesões - Tendinopatias crónicas - comentadas ao longo deste blog, os primeiros indicadores são positivos o que confirma a necessidade de repouso que Rafa foi obrigado associado aos tratamentos adequados que a equipa clinica que o acompanha realizou.

No entanto sugere-se moderação na participação dos principais Torneios com períodos de recuperação activa.

Faço votos para que o grande campeão espanhol volte em pleno.

Raul Oliveira, Fisioterapeuta

R´Equilibri_us - Gabinete de Fisioterapia

Av. D. João I, nº 8, Oeiras

309 984 508 /917231718/ 917776556

raulov@netcabo.pt

Faculdade de Motricidade Humana

REVISTA JOSPT - SETEMBRO/2009

O Volume 39, No. 9 de SETEMBRO/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido http://www.jospt.org/
Aqui fica o indíce :

Development of Active Hip Abduction as a Screening Test for Identifying Occupational Low Back Pain Nelson- Wong, E; Flynn, TW; Callaghan, JP

Reliability and Validity of Observational Risk Screening in Evaluating Dynamic Knee Valgus Ekegren, CL; Miller, WC; Celebrini, RG; Eng, JJ; MacIntyre, DL

Acetabular Fracture and Protrusio Acetabuli in an Elderly Patient Following a Fall Gillard, AJ; Deyle, GD

Increased Forward Head Posture and Restricted Cervical Range of Motion in Patients With Carpal Tunnel Syndrome De-la-Llave-Rincón, AI; Fernández-de-las-Penas, C.; Palacios-Cena, D; Cleland, JA

Patterns of Patellofemoral Articular Cartilage Wear in Cadavers Gorniak, GC

Effects of Electrical Stimulation Parameters on Fatigue in Skeletal Muscle Gorgey, AS; Black, CD; Elder, CP; Dudley, GA

Clinical and Electrodiagnostic Abnormalities of the Median Nerve in Dental Assistants

Greathouse, DG; Root, TM; Carrillo, CR; Jordan, CL; Pickens, BB; Sutlive, TG; Shaffer, SW; Moore, JH.

Thrower's Exostosis in a Collegiate Pitcher Manske, RC; Stovak, M; Prohaska, D