Avaliação postural de idosas após o uso de palmilhas proprioceptivas

• Autor(a) principal: Gomide, Adriane Barbosa
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/0013000003wxp
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/3245
• topic: Idosas; Equilíbrio postural estático; Palmilhas proprioceptivas; Elderly; Proprioceptives insoles; Static postural equilibrium; CIENCIAS DA SAUDE

Introduction: The usual physiological and biomechanical changes during aging lead to the appearance of pain in different places, in addition to musculoskeletal disorders and to increased instability in posture maintenance, which increases the risk of falling off. Objectives: the aim of this study was to evaluate the efficiency of the proprioceptives insoles in tonic postural equilibrium and reprogramming postural of the elderly. Methods: In this work, were evaluated 19 elderly, one evaluation was done before use proprioceptives insoles and one revaluation was done 3 months after the begin of the use of the insoles. It was traced, initially, the antropometric and sociodemographic profile of elderly and a Visual Analogic Scale was applied to evaluate the pain before and after the use. Thereafter, were submitted an evaluation to the posturology in the sagittal, frontal and horizontal plan for the best option of the insoles for each volunteer. Then, all elderly performed three trials in which they maintained a quasi-static posture lasting 60 s in each trial, both with open and closed eyes. Were analyzed arrows of sagittal plan variables – envelope occipital arrow (OCC), cervical arrow (CA), lumbar arrow (LA) and gluteo plan (PG) – and stabilometric variables – 80% power frequency (F80), root mean square (RMS), and mean velocity (MV), both for the anteroposterior (AP) and mediolateral (ML) displacements of the pressure center (COP), and the COP area. Results: The pain evaluated by EVA had a significant improvement, although as the evaluations performed in the sagittal plane for the variables OCC, CA and PG. There wasn’t found significant difference before and after the use of the insoles in condition of OA. By the way, in condition of OF, a significant improvement was observed in the variables RMS ML and MV ML. In comparison between OA and OF before of the use of proprioceptive insoles, it was observed significant differences in the following variables: F80, AP; RMS AP; MV AP; and COP area, however, after use of insoles the difference was significant only F80ML and MV ML. Conclusion: The use of proprioceptive insoles had significant influence in the improvement of the pain frame and static posture, mainly in the sagittal plane. When the visual information was withdrawn after the use of the insole, there wasn’t difference in several significant variables. This could suggest that the use of insoles promoted an improvement of the results in tonic postural balance of elderly.