Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar

Detalhes bibliográficos
Autor(a) principal: Fernandes, Patrícia Guimarães
Data de Publicação: 2017
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFG
dARK ID: ark:/38995/00130000029sp
Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/7202
Resumo: Introduction: Several types of insoles are used to promote changes in body positioning and improve balance. The postural insoles are orthoses used to correcting or improving postural alignment, balance and weight bearing. Podal elements are used in this insoles, positioned in specific places to promote this correction. The immediate effects of the elements on posture are factors that define the prescription of the insoles. Objective: To carry out a systematic review of the literature about the effect of insoles on static balance and posture. We verified the immediate effects of the podal elements (infracapital and retrocalcanenus bar, calcaneus wedges and infracuboid element) on a posture, static balance and a weight bearing of healthy individuals. Methodology: The review was implemented in the Medline, PuMed, SciELO and Cochrane Library databases. Inclusion criteria of the studies: interventional studies with insoles, published from 2010 to 2016; measurement of postural variables and static balance; in Portuguese and English. Fifteen studies were selected. The experimental, controlled and randomized study included a sample composed of 60 healthy individuals divided by raffle in control group (30) and study group (30). The inclusion criteria were: individuals between 18 and 40 years of age of both genders without musculoskeletal pain complaints. The exclusion criteria were: reports of injuries or neurological diseases, vertigo or dizziness, pregnant women with spinal or foot surgeries, foot ulcers, amputation, visual impairment, who are using postural insoles, without girdles asymmetries and with discrepancy in the length of the lower limbs greater than 5 millimeters. Postural evaluation and static baropodometry and stabilometry were performed. From the postural changes, the podal elements were prescribed for the study group. Both underwent identical reassessment, in the study group with the elements under the feet. The Shapiro-Wilk normality test (S-W) was used and, from this test, parametric and non-parametric tests were used according to the variable. For the analysis of the posture the chi square test was used and for comparative analysis of baropodometry and stabilometry the Wilcoxon test was performed. Results: In the systematic review, we did not find a positive result of insoles on the posture, but the results indicated an improvement of the static balance with the use of insoles in individuals who already presented balance deficit. In the clinical trial, pelvic and scapular assimetries improved and the plantar pressure peak decreased (p <0.05). Conclusion: Although the results point to an improvement in the static balance, due to the wide variety of insoles and populations studied, it was not possible to establish a consensus in the systematic review. In the experimental study, the podal elements were able to improve the posture and distribution of plantar pressure. Positive effects on balance in normal subjects not be proved in this research, which may be due to the time of exposure to the stimulus and also to the characteristics of the sample.
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spelling Amaral, Waldemar Naves dohttp://lattes.cnpq.br/4092560599116579Przysiezny, Wilson Luizhttp://lattes.cnpq.br/6279372044071224Amaral, Waldemar Naves doAndrade, Sara Rosa de SousaFerreira, Rui GilbertoLemos, Patrícia Abreu Pinheiro dehttp://lattes.cnpq.br/4424594596474238Fernandes, Patrícia Guimarães2017-04-20T14:43:42Z2017-03-25FERNANDES, P. G. Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar. 2017. 84 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017.http://repositorio.bc.ufg.br/tede/handle/tede/7202ark:/38995/00130000029spIntroduction: Several types of insoles are used to promote changes in body positioning and improve balance. The postural insoles are orthoses used to correcting or improving postural alignment, balance and weight bearing. Podal elements are used in this insoles, positioned in specific places to promote this correction. The immediate effects of the elements on posture are factors that define the prescription of the insoles. Objective: To carry out a systematic review of the literature about the effect of insoles on static balance and posture. We verified the immediate effects of the podal elements (infracapital and retrocalcanenus bar, calcaneus wedges and infracuboid element) on a posture, static balance and a weight bearing of healthy individuals. Methodology: The review was implemented in the Medline, PuMed, SciELO and Cochrane Library databases. Inclusion criteria of the studies: interventional studies with insoles, published from 2010 to 2016; measurement of postural variables and static balance; in Portuguese and English. Fifteen studies were selected. The experimental, controlled and randomized study included a sample composed of 60 healthy individuals divided by raffle in control group (30) and study group (30). The inclusion criteria were: individuals between 18 and 40 years of age of both genders without musculoskeletal pain complaints. The exclusion criteria were: reports of injuries or neurological diseases, vertigo or dizziness, pregnant women with spinal or foot surgeries, foot ulcers, amputation, visual impairment, who are using postural insoles, without girdles asymmetries and with discrepancy in the length of the lower limbs greater than 5 millimeters. Postural evaluation and static baropodometry and stabilometry were performed. From the postural changes, the podal elements were prescribed for the study group. Both underwent identical reassessment, in the study group with the elements under the feet. The Shapiro-Wilk normality test (S-W) was used and, from this test, parametric and non-parametric tests were used according to the variable. For the analysis of the posture the chi square test was used and for comparative analysis of baropodometry and stabilometry the Wilcoxon test was performed. Results: In the systematic review, we did not find a positive result of insoles on the posture, but the results indicated an improvement of the static balance with the use of insoles in individuals who already presented balance deficit. In the clinical trial, pelvic and scapular assimetries improved and the plantar pressure peak decreased (p <0.05). Conclusion: Although the results point to an improvement in the static balance, due to the wide variety of insoles and populations studied, it was not possible to establish a consensus in the systematic review. In the experimental study, the podal elements were able to improve the posture and distribution of plantar pressure. Positive effects on balance in normal subjects not be proved in this research, which may be due to the time of exposure to the stimulus and also to the characteristics of the sample.Introdução: Diversas modalidades de palmilhas são utilizadas com o objetivo de promover mudanças no posicionamento corporal e melhorar o equilíbrio. As palmilhas posturais são órteses utilizadas com o propósito de corrigir ou melhorar o alinhamento postural, o equilíbrio e a descarga de peso. Peças podais são os relevos utilizados nessas palmilhas, posicionados em locais específicos com vistas a promover essa correção. Os efeitos imediatos das peças podais sobre a postura são fatores que definem a prescrição das palmilhas. Objetivo: Relizar uma revisão sistematizada da literatura sobre o efeito de palmilhas sobre o equilíbrio estático e a postura. Verificar os efeitos imediatos das peças podais (barra infracapital e retrocalcaneana, cunhas de calcâneo e elemento infracubóide) sobre a postura, equilíbrio estático e a descarga de peso plantar de indivíduos saudáveis. Metodologia: A Revisão sistematizada foi realizada nas bases de dados Medline, PuMed, SciELO e Biblioteca Cochrane. Os critérios de inclusão dos estudos foram: estudos intervencionistas com palmilhas, publicados de 2010 a 2016; medida de variáveis posturais e de equilíbrio estático; nos idiomas português e inglês. Foram selecionados 15 estudos. O estudo experimental, controlado e randomizado apresentou uma amostra composta de 60 indivíduos saudáveis divididos por sorteio em grupo controle (30) e grupo de estudo (30). Os critérios de inclusão foram: indivíduos entre 18 a 40 anos de idade de ambos os gêneros sem queixas álgicas musculoesqueléticas. Já os critérios de exclusão foram: relato de lesões ou doenças neurológicas, com vertigem ou tontura, gestantes, com cirurgias na coluna ou nos pés, úlceras nos pés, amputação de membros, deficiência visual, que estejam em tratamento com palmilhas posturais, sem assimetrias de cinturas e com discrepância no comprimento dos membros inferiores maior que 5 milímetros. Foi realizada avaliação postural e exame estático de baropodometria e estabilometria. A partir das alterações posturais foram prescritas as peças podais para o grupo de estudo. Ambos passaram por reavaliação idêntica, no grupo de estudo com as peças podais sob os pés. Foi usado o teste de normalidade de Shapiro-Wilk (S-W) e, a partir desse, testes paramétricos e não paramétricos foram escolhidos conforme a variável. Para análise da postura foi aplicado o Teste Qui-quadrado e para as análises comparativas da baropodometria e estabilometria foi realizado o teste t e/ou Wilcoxon. Resultados: Na revisão sistematizada, não foi encontrado resultado positivo de palmilhas sobre a postura, porém os resultados apontaram melhora do equilíbrio estático com o uso de palmilhas em indivíduos que já apresentam déficit de equilíbrio. No ensaio clínico, houve melhora das básculas e rotações de cintura pélvica e escapular e diminuição do pico de pressão plantar (p<0,05). Conclusão: Apesar dos resultados apontarem uma melhora do equilíbrio estático, devido a ampla variedade de palmilhas e de populações estudadas, não foi possível estabelecer um consenso sobre o tema na revisão sistemática. No estudo experimental as peças podais promoveram melhora da postura e da distribuição da pressão plantar. Efeitos positivos sobre o equilíbrio em indivíduos normais não puderam ser comprovados nessa pesquisa, o que pode ter sido em função do tempo de exposição ao estímulo e também às características da amostra.Submitted by Cássia Santos (cassia.bcufg@gmail.com) on 2017-04-18T15:22:19Z No. of bitstreams: 2 Dissertação - Patrícia Guimarães Fernandes - 2017.pdf: 1438653 bytes, checksum: 83f1cf1990c08ec596c533d5a63b7a95 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-04-20T14:43:42Z (GMT) No. of bitstreams: 2 Dissertação - Patrícia Guimarães Fernandes - 2017.pdf: 1438653 bytes, checksum: 83f1cf1990c08ec596c533d5a63b7a95 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-04-20T14:43:42Z (GMT). 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dc.title.por.fl_str_mv Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar
dc.title.alternative.eng.fl_str_mv Immediate influence of the podal elements of the postural insoles on the body postural, orthostatic balance and distribution of plantar pressure
title Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar
spellingShingle Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar
Fernandes, Patrícia Guimarães
Postura
Equilíbrio postural
Órtese
Posture
Postural balance
Orthosis
CIENCIAS DA SAUDE
title_short Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar
title_full Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar
title_fullStr Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar
title_full_unstemmed Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar
title_sort Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar
author Fernandes, Patrícia Guimarães
author_facet Fernandes, Patrícia Guimarães
author_role author
dc.contributor.advisor1.fl_str_mv Amaral, Waldemar Naves do
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/4092560599116579
dc.contributor.advisor-co1.fl_str_mv Przysiezny, Wilson Luiz
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/6279372044071224
dc.contributor.referee1.fl_str_mv Amaral, Waldemar Naves do
dc.contributor.referee2.fl_str_mv Andrade, Sara Rosa de Sousa
dc.contributor.referee3.fl_str_mv Ferreira, Rui Gilberto
dc.contributor.referee4.fl_str_mv Lemos, Patrícia Abreu Pinheiro de
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/4424594596474238
dc.contributor.author.fl_str_mv Fernandes, Patrícia Guimarães
contributor_str_mv Amaral, Waldemar Naves do
Przysiezny, Wilson Luiz
Amaral, Waldemar Naves do
Andrade, Sara Rosa de Sousa
Ferreira, Rui Gilberto
Lemos, Patrícia Abreu Pinheiro de
dc.subject.por.fl_str_mv Postura
Equilíbrio postural
Órtese
topic Postura
Equilíbrio postural
Órtese
Posture
Postural balance
Orthosis
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv Posture
Postural balance
Orthosis
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Introduction: Several types of insoles are used to promote changes in body positioning and improve balance. The postural insoles are orthoses used to correcting or improving postural alignment, balance and weight bearing. Podal elements are used in this insoles, positioned in specific places to promote this correction. The immediate effects of the elements on posture are factors that define the prescription of the insoles. Objective: To carry out a systematic review of the literature about the effect of insoles on static balance and posture. We verified the immediate effects of the podal elements (infracapital and retrocalcanenus bar, calcaneus wedges and infracuboid element) on a posture, static balance and a weight bearing of healthy individuals. Methodology: The review was implemented in the Medline, PuMed, SciELO and Cochrane Library databases. Inclusion criteria of the studies: interventional studies with insoles, published from 2010 to 2016; measurement of postural variables and static balance; in Portuguese and English. Fifteen studies were selected. The experimental, controlled and randomized study included a sample composed of 60 healthy individuals divided by raffle in control group (30) and study group (30). The inclusion criteria were: individuals between 18 and 40 years of age of both genders without musculoskeletal pain complaints. The exclusion criteria were: reports of injuries or neurological diseases, vertigo or dizziness, pregnant women with spinal or foot surgeries, foot ulcers, amputation, visual impairment, who are using postural insoles, without girdles asymmetries and with discrepancy in the length of the lower limbs greater than 5 millimeters. Postural evaluation and static baropodometry and stabilometry were performed. From the postural changes, the podal elements were prescribed for the study group. Both underwent identical reassessment, in the study group with the elements under the feet. The Shapiro-Wilk normality test (S-W) was used and, from this test, parametric and non-parametric tests were used according to the variable. For the analysis of the posture the chi square test was used and for comparative analysis of baropodometry and stabilometry the Wilcoxon test was performed. Results: In the systematic review, we did not find a positive result of insoles on the posture, but the results indicated an improvement of the static balance with the use of insoles in individuals who already presented balance deficit. In the clinical trial, pelvic and scapular assimetries improved and the plantar pressure peak decreased (p <0.05). Conclusion: Although the results point to an improvement in the static balance, due to the wide variety of insoles and populations studied, it was not possible to establish a consensus in the systematic review. In the experimental study, the podal elements were able to improve the posture and distribution of plantar pressure. Positive effects on balance in normal subjects not be proved in this research, which may be due to the time of exposure to the stimulus and also to the characteristics of the sample.
publishDate 2017
dc.date.accessioned.fl_str_mv 2017-04-20T14:43:42Z
dc.date.issued.fl_str_mv 2017-03-25
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv FERNANDES, P. G. Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar. 2017. 84 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017.
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dc.identifier.dark.fl_str_mv ark:/38995/00130000029sp
identifier_str_mv FERNANDES, P. G. Influência imediata das peças podais das palmilhas posturais sobre a postural corporal, equilíbrio ortostático e distribuição da pressão plantar. 2017. 84 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017.
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