As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar

Detalhes bibliográficos
Autor(a) principal: Colonezi, Gustavo Lacreta Toledo
Data de Publicação: 2015
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da Uninove
Texto Completo: http://bibliotecatede.uninove.br/handle/tede/1806
Resumo: INTRODUCTION: Abnormal trunk movements in the sagittal plane during weight-bearing activities can have a direct effect on the joints of the lower limbs. It is known that a greater range of trunk flexion leads to less patellofemoral stress. Assessments of the kinematics of patients who suffer from patellofemoral pain (PFP) during several activities can be found in the literature. However, none of these studies have addressed the effects of trunk flexion during the single leg hop test (SLHT). OBJECTIVE: Therefore, the aim of the present study was to assess the relation of trunk flexion on pain (NPRS 0-10), functional performance (SLHT distance) and the angular kinematics of the lower limbs of women with PFP during the propulsion phase of the SLHT. METHODS: Thirty-four sedentary women, with a mean age of 25.59 (18 - 35 years), were assessed retrospectively in terms of pain, functional performance and three-dimensional kinematics during the propulsion phase of the SLHT. The women were then divided into two groups based on the maximum angular value of the trunk: less trunk flexion (LFT group, n=17) and greater trunk flexion (GFT group, n=17). RESULTS: Differences were found between the groups for pain (P=0.04; Effect Size (ES) =0.70 ; mean difference = 0.88; Confidence Interval (CI) = 95%: 0.01 ??? 1,75), LFT group presented less pain than GFT group. Therefore women in the GFT group exhibited better functional performance funcional (P=0.01; ES=1.17 mean difference: 16.29cm; 95% CI: 25.95 - 6.62) than those in the LFT group. The GFT group also performed higher values of ipsilateral trunk lean (mean difference: 2.5??; 95% CI: 0.9 a 4.1??), pelvic anteversion (mean difference: 5.8??; 95% CI: 1.7 a 9.8??), hip flexion (mean difference: 8.2??; 95% CI: 2.1 a 14.4??) and ankle dorsiflexion (mean difference: 3.7??; 95% CI: 0.3 a 7.1??) than the LFT group. CONCLUSION: Increases in the sagittal plane trunk flexion shows relation to the functional performance and angular kinematics of proximal segments during the propulsion phase of the SLHT.
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spelling Lucareli, Paulo Roberto GarciaLucareli, Paulo Roberto GarciaLanza, Fernanda de CordobaCosta, Luciola da Cunha Menezeshttp://lattes.cnpq.br/8035149924023633Colonezi, Gustavo Lacreta Toledo2018-06-19T15:01:27Z2015-12-15Colonezi, Gustavo Lacreta Toledo. As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar. 2015. 61 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1806INTRODUCTION: Abnormal trunk movements in the sagittal plane during weight-bearing activities can have a direct effect on the joints of the lower limbs. It is known that a greater range of trunk flexion leads to less patellofemoral stress. Assessments of the kinematics of patients who suffer from patellofemoral pain (PFP) during several activities can be found in the literature. However, none of these studies have addressed the effects of trunk flexion during the single leg hop test (SLHT). OBJECTIVE: Therefore, the aim of the present study was to assess the relation of trunk flexion on pain (NPRS 0-10), functional performance (SLHT distance) and the angular kinematics of the lower limbs of women with PFP during the propulsion phase of the SLHT. METHODS: Thirty-four sedentary women, with a mean age of 25.59 (18 - 35 years), were assessed retrospectively in terms of pain, functional performance and three-dimensional kinematics during the propulsion phase of the SLHT. The women were then divided into two groups based on the maximum angular value of the trunk: less trunk flexion (LFT group, n=17) and greater trunk flexion (GFT group, n=17). RESULTS: Differences were found between the groups for pain (P=0.04; Effect Size (ES) =0.70 ; mean difference = 0.88; Confidence Interval (CI) = 95%: 0.01 ??? 1,75), LFT group presented less pain than GFT group. Therefore women in the GFT group exhibited better functional performance funcional (P=0.01; ES=1.17 mean difference: 16.29cm; 95% CI: 25.95 - 6.62) than those in the LFT group. The GFT group also performed higher values of ipsilateral trunk lean (mean difference: 2.5??; 95% CI: 0.9 a 4.1??), pelvic anteversion (mean difference: 5.8??; 95% CI: 1.7 a 9.8??), hip flexion (mean difference: 8.2??; 95% CI: 2.1 a 14.4??) and ankle dorsiflexion (mean difference: 3.7??; 95% CI: 0.3 a 7.1??) than the LFT group. CONCLUSION: Increases in the sagittal plane trunk flexion shows relation to the functional performance and angular kinematics of proximal segments during the propulsion phase of the SLHT.INTRODU????O: Altera????es dos movimentos do tronco no plano sagital durante atividades com descarga de peso podem ter efeito direto sobre as articula????es dos membros inferiores. Sabe-se que maior amplitude de flex??o do tronco diminui o estresse femoropatelar. Avalia????es cinem??tica de pacientes que sofrem com dor femoropatelar (DPF) durante v??rias atividades podem ser encontrados na literatura. No entanto, nenhum estudo abordou a influ??ncia da flex??o do tronco durante o single leg hop test (SLHT). OBJETIVO: Portanto, o objetivo do presente estudo foi avaliar a rela????o da flex??o do tronco sobre a dor (NPRS 0-10), o desempenho funcional (distancia do SLHT) e da cinem??tica angular dos membros inferiores em mulheres com DPF durante a fase de propuls??o dos SLHT. M??TODOS: Trinta e quatro mulheres sedent??rias, com idade m??dia de 25,59 (18 - 35 anos), foram avaliadas em termos de dor, desempenho funcional e cinem??tica tridimensional durante a fase de propuls??o do SLHT. As volunt??rias foram divididas em dois grupos com base no valor angular m??ximo de flex??o de tronco: menor flex??o de tronco (MEFT grupo, n = 17), e com maior flex??o do tronco (MAFT grupo, n = 17). RESULTADOS: Diferen??as foram encontradas entre os grupos para a dor (P=0.04; Effect Size (ES) =0.70 ; diferen??a m??dia = 0.88; Intervalo de Confian??a (IC) = 95%: 0.01 ??? 1,75), sendo que, o grupo MEFT apresentou menos dor em rela????o ao grupo MAFT. Entretanto as volunt??rias do grupo MAFT exibiram melhor desempenho funcional (P=0.01; ES=1.17 diferen??a m??dia: 16.29cm; 95% IC: 25.95 - 6.62) do que aquelas do grupo MEFT. O grupo MAFT tamb??m apresentou maiores valores de inclina????o ipsilateral de tronco (diferen??a m??dia: 2.5??; 95% IC: 0.9 a 4.1??), antevers??o p??lvica (diferen??a m??dia: 5.8??; 95% IC: 1.7 a 9.8??), flex??o de quadril (diferen??a m??dia: 8.2??; 95% IC: 2.1 a 14.4??) e dorsiflex??o do tornozelo (diferen??a m??dia: 3.7??; 95% IC: 0.3 a 7.1??). CONCLUS??O: O aumento da flex??o do tronco no plano sagital mostra rela????o com melhor desempenho funcional e com a cinem??tica angular de segmentos proximais durante a fase de propuls??o do SLHT.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-06-19T15:01:27Z No. of bitstreams: 1 Gustavo Lacreta Toledo Colonezi.pdf: 608536 bytes, checksum: 6f8b788f6abee5387f62055ac9f34005 (MD5)Made available in DSpace on 2018-06-19T15:01:27Z (GMT). No. of bitstreams: 1 Gustavo Lacreta Toledo Colonezi.pdf: 608536 bytes, checksum: 6f8b788f6abee5387f62055ac9f34005 (MD5) Previous issue date: 2015-12-15application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBrasilSa??decinem??ticador patelofemoraltroncojoelhoreabilita????okinematicspatellofemoral paintrunkkneerehabilitationCIENCIAS DA SAUDEAs influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelarThe relationship of trunk flexion on functional performance and angular kinematics of the lower limbs during Single Leg Hop Testinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALGustavo Lacreta Toledo Colonezi.pdfGustavo Lacreta Toledo Colonezi.pdfapplication/pdf608536http://localhost:8080/tede/bitstream/tede/1806/2/Gustavo+Lacreta+Toledo+Colonezi.pdf6f8b788f6abee5387f62055ac9f34005MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1806/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/18062018-06-19 12:01:27.196oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2018-06-19T15:01:27Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false
dc.title.por.fl_str_mv As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar
dc.title.alternative.eng.fl_str_mv The relationship of trunk flexion on functional performance and angular kinematics of the lower limbs during Single Leg Hop Test
title As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar
spellingShingle As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar
Colonezi, Gustavo Lacreta Toledo
cinem??tica
dor patelofemoral
tronco
joelho
reabilita????o
kinematics
patellofemoral pain
trunk
knee
rehabilitation
CIENCIAS DA SAUDE
title_short As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar
title_full As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar
title_fullStr As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar
title_full_unstemmed As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar
title_sort As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar
author Colonezi, Gustavo Lacreta Toledo
author_facet Colonezi, Gustavo Lacreta Toledo
author_role author
dc.contributor.advisor1.fl_str_mv Lucareli, Paulo Roberto Garcia
dc.contributor.referee1.fl_str_mv Lucareli, Paulo Roberto Garcia
dc.contributor.referee2.fl_str_mv Lanza, Fernanda de Cordoba
dc.contributor.referee3.fl_str_mv Costa, Luciola da Cunha Menezes
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/8035149924023633
dc.contributor.author.fl_str_mv Colonezi, Gustavo Lacreta Toledo
contributor_str_mv Lucareli, Paulo Roberto Garcia
Lucareli, Paulo Roberto Garcia
Lanza, Fernanda de Cordoba
Costa, Luciola da Cunha Menezes
dc.subject.por.fl_str_mv cinem??tica
dor patelofemoral
tronco
joelho
reabilita????o
topic cinem??tica
dor patelofemoral
tronco
joelho
reabilita????o
kinematics
patellofemoral pain
trunk
knee
rehabilitation
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv kinematics
patellofemoral pain
trunk
knee
rehabilitation
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description INTRODUCTION: Abnormal trunk movements in the sagittal plane during weight-bearing activities can have a direct effect on the joints of the lower limbs. It is known that a greater range of trunk flexion leads to less patellofemoral stress. Assessments of the kinematics of patients who suffer from patellofemoral pain (PFP) during several activities can be found in the literature. However, none of these studies have addressed the effects of trunk flexion during the single leg hop test (SLHT). OBJECTIVE: Therefore, the aim of the present study was to assess the relation of trunk flexion on pain (NPRS 0-10), functional performance (SLHT distance) and the angular kinematics of the lower limbs of women with PFP during the propulsion phase of the SLHT. METHODS: Thirty-four sedentary women, with a mean age of 25.59 (18 - 35 years), were assessed retrospectively in terms of pain, functional performance and three-dimensional kinematics during the propulsion phase of the SLHT. The women were then divided into two groups based on the maximum angular value of the trunk: less trunk flexion (LFT group, n=17) and greater trunk flexion (GFT group, n=17). RESULTS: Differences were found between the groups for pain (P=0.04; Effect Size (ES) =0.70 ; mean difference = 0.88; Confidence Interval (CI) = 95%: 0.01 ??? 1,75), LFT group presented less pain than GFT group. Therefore women in the GFT group exhibited better functional performance funcional (P=0.01; ES=1.17 mean difference: 16.29cm; 95% CI: 25.95 - 6.62) than those in the LFT group. The GFT group also performed higher values of ipsilateral trunk lean (mean difference: 2.5??; 95% CI: 0.9 a 4.1??), pelvic anteversion (mean difference: 5.8??; 95% CI: 1.7 a 9.8??), hip flexion (mean difference: 8.2??; 95% CI: 2.1 a 14.4??) and ankle dorsiflexion (mean difference: 3.7??; 95% CI: 0.3 a 7.1??) than the LFT group. CONCLUSION: Increases in the sagittal plane trunk flexion shows relation to the functional performance and angular kinematics of proximal segments during the propulsion phase of the SLHT.
publishDate 2015
dc.date.issued.fl_str_mv 2015-12-15
dc.date.accessioned.fl_str_mv 2018-06-19T15:01:27Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
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dc.identifier.citation.fl_str_mv Colonezi, Gustavo Lacreta Toledo. As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar. 2015. 61 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo.
dc.identifier.uri.fl_str_mv http://bibliotecatede.uninove.br/handle/tede/1806
identifier_str_mv Colonezi, Gustavo Lacreta Toledo. As influ??ncias da flex??o do tronco sobre o desempenho funcional e a cinem??tica angular dos membros inferiores durante o Single Leg Hop Test em mulheres com dor femoropatelar. 2015. 61 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo.
url http://bibliotecatede.uninove.br/handle/tede/1806
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dc.publisher.none.fl_str_mv Universidade Nove de Julho
dc.publisher.program.fl_str_mv Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o
dc.publisher.initials.fl_str_mv UNINOVE
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Sa??de
publisher.none.fl_str_mv Universidade Nove de Julho
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