An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas

Detalhes bibliográficos
Autor(a) principal: Novello, Aline de Almeida
Data de Publicação: 2016
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/1850
Resumo: Evidences found in the literature are inconsistent and there is no consensus about the kinematic differences performed by women with patellofemoral pain (PFP) during stair descent, and there are no studies that have evaluated the tridimensional kinematics of the trunk, pelvis, hip, knee and ankle using a multisegmental model of the foot, simultaneously during this task in patients with PFP and evaluated separately the sub phases of stair descent. Therefore, the aim of this study was to compare the tridimensional kinematics of the trunk, pelvis and lower limbs in different sub phases of stair descent and identify the discriminatory capability of the kinematic variables among PFP and healthy women during this task. In this cross-sectional study, thirty-four women with PFP (PFP group) and thirty-four painless women (control group) between 18 and 35 years-old underwent kinematic evaluation during the stair descent. It was observed that kinematic differences between groups occurred only in the first double support phase of the stair descent and the variables of internal rotation of the hindfoot in relation to the tibia in the initial contact, the contralateral pelvic drop in the load-response, external rotation range of motion of the hindfoot in relation to the tibia and dorsiflexion of the forefoot in relation to the hindfoot were the variables that presented the best capacity to discriminate women with and without PFP. Therefore, our results provided a better understanding of the trunk, pelvis and lower limbs kinematics in different subphases of the support phase of stair descent in women with PFP.
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spelling Lucareli, Paulo Roberto GarciaLucareli, Paulo Roberto GarciaBiasotto-Gonzalez, Daniela AparecidaSerr??o, Fabio Viadannahttp://lattes.cnpq.br/3256462096312128Novello, Aline de Almeida2018-07-17T20:24:08Z2016-12-13Novello, Aline de Almeida. An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas. 2016. 77 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/1850Evidences found in the literature are inconsistent and there is no consensus about the kinematic differences performed by women with patellofemoral pain (PFP) during stair descent, and there are no studies that have evaluated the tridimensional kinematics of the trunk, pelvis, hip, knee and ankle using a multisegmental model of the foot, simultaneously during this task in patients with PFP and evaluated separately the sub phases of stair descent. Therefore, the aim of this study was to compare the tridimensional kinematics of the trunk, pelvis and lower limbs in different sub phases of stair descent and identify the discriminatory capability of the kinematic variables among PFP and healthy women during this task. In this cross-sectional study, thirty-four women with PFP (PFP group) and thirty-four painless women (control group) between 18 and 35 years-old underwent kinematic evaluation during the stair descent. It was observed that kinematic differences between groups occurred only in the first double support phase of the stair descent and the variables of internal rotation of the hindfoot in relation to the tibia in the initial contact, the contralateral pelvic drop in the load-response, external rotation range of motion of the hindfoot in relation to the tibia and dorsiflexion of the forefoot in relation to the hindfoot were the variables that presented the best capacity to discriminate women with and without PFP. Therefore, our results provided a better understanding of the trunk, pelvis and lower limbs kinematics in different subphases of the support phase of stair descent in women with PFP.As evid??ncias encontradas na literatura s??o inconsistentes e n??o h?? consenso sobre as altera????es cinem??ticas em mulheres com dor femoropatelar (DFP) durante a descida de escadas. Al??m disso, n??o h?? estudos que tenham avaliado a cinem??tica tridimensional do tronco, pelve, quadril, joelho e tornozelo, utilizando um modelo multisegmentar do p??, simultaneamente durante esta tarefa em pacientes com DFP e que tenha avaliado separadamente as subfases da descida de escadas. Portanto, os objetivos deste estudo foram comparar a cinem??tica tridimensional do tronco, pelve, e membros inferiores em diferentes subfases da descida de escadas e identificar a capacidade discriminat??ria das vari??veis cinem??ticas entre mulheres com DFP e saud??veis nesta tarefa. Neste estudo transversal trinta e quatro mulheres com DFP (grupo DFP) e trinta e quatro mulheres sem dor (grupo controle) entre 18 e 35 anos foram submetidas ?? avalia????o cinem??tica durante a descida de escadas. Foi observado que diferen??as cinem??ticas entre os grupos ocorreram somente na fase de primeiro duplo apoio da descida de escadas, sendo que as vari??veis de rota????o interna do retrop?? em rela????o ?? t??bia no contato inicial, a queda contralateral da pelve na resposta ?? carga, a amplitude de rota????o externa do retrop?? em rela????o ?? t??bia e de dorsiflex??o do antep?? em rela????o ao retrop?? foram as vari??veis que apresentaram melhor capacidade de discriminar mulheres com e sem DFP. Sendo assim, nossos resultados proporcionaram maior entendimento da cinem??tica do tronco, pelve e membros inferiores em diferentes subfases do apoio na descida de escadas em mulheres com DFP.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-07-17T20:24:08Z No. of bitstreams: 1 Aline de Almeida Novello.pdf: 1138078 bytes, checksum: 601d6ef4a7fc406204ec932dce901793 (MD5)Made available in DSpace on 2018-07-17T20:24:08Z (GMT). No. of bitstreams: 1 Aline de Almeida Novello.pdf: 1138078 bytes, checksum: 601d6ef4a7fc406204ec932dce901793 (MD5) Previous issue date: 2016-12-13application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBrasilSa??dejoelhocinem??ticas??ndrome da dor femoropatelarkneekinematicspatellofemoral pain syndromeCIENCIAS DA SAUDEAn??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticasComparative and discriminatory kinematic analysis of proximal, local and distal factors during the subphases of support in new descent of among women with and without patellofemoral paininfo: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:UNINOVEORIGINALAline de Almeida Novello.pdfAline de Almeida Novello.pdfapplication/pdf1138078http://localhost:8080/tede/bitstream/tede/1850/2/Aline+de+Almeida+Novello.pdf601d6ef4a7fc406204ec932dce901793MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1850/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/18502018-07-17 17:24:08.608oai: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:2018-07-17T20:24:08Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false
dc.title.por.fl_str_mv An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas
dc.title.alternative.eng.fl_str_mv Comparative and discriminatory kinematic analysis of proximal, local and distal factors during the subphases of support in new descent of among women with and without patellofemoral pain
title An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas
spellingShingle An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas
Novello, Aline de Almeida
joelho
cinem??tica
s??ndrome da dor femoropatelar
knee
kinematics
patellofemoral pain syndrome
CIENCIAS DA SAUDE
title_short An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas
title_full An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas
title_fullStr An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas
title_full_unstemmed An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas
title_sort An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas
author Novello, Aline de Almeida
author_facet Novello, Aline de Almeida
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 Biasotto-Gonzalez, Daniela Aparecida
dc.contributor.referee3.fl_str_mv Serr??o, Fabio Viadanna
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/3256462096312128
dc.contributor.author.fl_str_mv Novello, Aline de Almeida
contributor_str_mv Lucareli, Paulo Roberto Garcia
Lucareli, Paulo Roberto Garcia
Biasotto-Gonzalez, Daniela Aparecida
Serr??o, Fabio Viadanna
dc.subject.por.fl_str_mv joelho
cinem??tica
s??ndrome da dor femoropatelar
topic joelho
cinem??tica
s??ndrome da dor femoropatelar
knee
kinematics
patellofemoral pain syndrome
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv knee
kinematics
patellofemoral pain syndrome
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Evidences found in the literature are inconsistent and there is no consensus about the kinematic differences performed by women with patellofemoral pain (PFP) during stair descent, and there are no studies that have evaluated the tridimensional kinematics of the trunk, pelvis, hip, knee and ankle using a multisegmental model of the foot, simultaneously during this task in patients with PFP and evaluated separately the sub phases of stair descent. Therefore, the aim of this study was to compare the tridimensional kinematics of the trunk, pelvis and lower limbs in different sub phases of stair descent and identify the discriminatory capability of the kinematic variables among PFP and healthy women during this task. In this cross-sectional study, thirty-four women with PFP (PFP group) and thirty-four painless women (control group) between 18 and 35 years-old underwent kinematic evaluation during the stair descent. It was observed that kinematic differences between groups occurred only in the first double support phase of the stair descent and the variables of internal rotation of the hindfoot in relation to the tibia in the initial contact, the contralateral pelvic drop in the load-response, external rotation range of motion of the hindfoot in relation to the tibia and dorsiflexion of the forefoot in relation to the hindfoot were the variables that presented the best capacity to discriminate women with and without PFP. Therefore, our results provided a better understanding of the trunk, pelvis and lower limbs kinematics in different subphases of the support phase of stair descent in women with PFP.
publishDate 2016
dc.date.issued.fl_str_mv 2016-12-13
dc.date.accessioned.fl_str_mv 2018-07-17T20:24:08Z
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dc.identifier.citation.fl_str_mv Novello, Aline de Almeida. An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas. 2016. 77 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/1850
identifier_str_mv Novello, Aline de Almeida. An??lise cinem??tica comparativa e discriminat??ria dos fatores proximais, locais e distais durante as subfases do apoio na descida de escadas entre mulheres com dor femoropatelar e assintom??ticas. 2016. 77 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/1850
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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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