Supraomohyoid neck dissection is an important procedure in the treatment of patients with malignancy in the oral cavity and oropharynx, however there are common side effects in the post operative period. Results of an elaborate review of literature in electronic databases to investigate the effect of a resistance exercise protocol in this population showed significant improvement in the quality of life of patients trained, however studies which deal with the issue are limited. To quantify the damage caused by post-operative supraomohyoid neck dissection, and thus develop a secure protocol of exercises for this population, this study evaluated changes in body composition, body mass index, range of motion and quality of life in patients undergoing unilateral or bilateral supraomohyoid neck dissection pre and post-operatively (30 and 90 days). In the post-operative period, the 28 patients observed showed a significant reduction in body weight, muscle weight, and fat percentage. In terms of range of motion, a reduction of flexion, extension, abduction, medial rotation and lateral rotation was detected in the post-operative period (30 and 90 days). Decreased range of motion of flexion and abduction post-operatively had a negative correlation with quality of life, especially in areas of activity, recreation, shoulder, and the total score. The results of this study indicate that a resistance exercise protocol in patients undergoing neck dissection supraomohyoid may be an alternative to reduce the adverse effects of surgery and thus improve quality of life of these patients.

The photogrammetric analysis can be done by using different softwares. Thus, the purpose of this study was to assess the reliability and the usability of three different softwares during the hip flexion photogrammetric analysis and to discuss the qualitative and quantitative aspects of each one. Twenty-six volunteers participated in this study with age between 19 and 30 years old (x=25.4 years, SD=2.5) who underwent the sit-to-reach test through adapted Wells´ bench. Reflective skin markers were positioned in the anterior superior iliac spine and greater trochanter. The image acquisition was collected in the maximum limit of test execution. All softwares showed a high reliability between measures, besides it was presented specifics advantages and disadvantages during adoption one of them. SAPO´s software was considered with major points for professional practice, although taking the analysis for scientific research all softwares demonstrated characteristics that must be taken into consideration before adopting them.

The aim of the research was to evaluate the electrical activity and pain on palpation of the cervical muscles, the cervical range of motion (ROM) and the relationship between electrical activity and ROM in individuals with and without temporomandibular disorder (TMD). Fifty three volunteers took part in the study, being 24 with TMD and 29 without, both genders, from 18 to 32 years old. The TMD was diagnosed through Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD). The electromyografhy of Sternocleidomastoideus (SCM) and upper trapezius muscles was carried out bilaterally during rest situation, with a frequency of 2 KHz and band-pass filter of 10-1000Hz. The measures of flexion, extension, lateral tilt and rotation ROM were acquired through a fleximeter and the comparison between groups was analyzed by Mann-Whitney test. The Spearman test verified the correlation between the variables, with 5% of significance level. There were no differences in the cervical ROM between the groups. The electrical activity was significantly higher in the right SCM (p=0,0130), left (p=0,0335) and right (p=0,0334) trapezius muscles in the TMD group. There were no significant correlations between electrical activity and cervical ROM. Pain in the neck muscles was significantly higher only in the right SCM (p=0,0055). It is concluded that the studied groups had difference in the electrical activity of the cervical muscles, which was larger in the individuals with TMD.

Apesar de existirem diversos métodos para a determinação da amplitude de movimento (ADM), a baixa confiabilidade, a pouca sensibilidade, a subjetividade ou a ausência de valores do erro típico da medida (ETM) de alguns desses métodos comprometem a interpretação adequada dos resultados. O objetivo deste estudo foi determinar a confiabilidade intra-avaliador da medida e do método de fotogrametria para a ADM de extensão ativa e flexão passiva do joelho (FPJ), realizada no mesmo dia (consistência interna) e em dias diferentes (estabilidade). Participaram 18 sujeitos do sexo masculino (24,5±3,7 anos, 79,3±10,1 kg e 174,8±4,2 cm). Após a marcação dos pontos anatômicos de referência, a angulação dos movimentos foi registrada em fotografia, por meio da ferramenta de dimensão angular no software CorelDRAW®. A confiabilidade da medida e do instrumento foi estabelecida pelo coeficiente de correlação intraclasse (CCI) e pelo cálculo do ETM. A distribuição dos erros dos dados foi verificada pela representação gráfica de Bland e Altman. O método apresentou confiabilidade perfeita (ETM=0,01 e CCI=1,0) para ambos os movimentos. Para a confiabilidade da medida, foram encontrados os valores 0,97 e 0,93 para consistência interna e 0,96 e 0,83 para estabilidade (ETM=2,9 e 4,0%; p

A hanseníase é uma patologia crônica e granulomatosa, que atinge a pele e o sistema nervoso periférico pela invasão no sistema imune do Mycobacterium leprae. O objetivo deste estudo foi mensurar o ângulo articular do cotovelo com a aplicação do teste de tensão neural do nervo ulnar em pacientes com hanseníase. Na aplicação do teste de tensão neural, foram utilizadas a goniometria e a fotometria para a mensuração do ângulo articular do cotovelo, sendo que para a realização da fotometria foi utilizada uma câmera Samsung de 12.1 Mega pixels, e os dados foram analisados pelo software Corel Draw X5 (Microsoft®). Foram selecionados 44 indivíduos da Fundação Pró-Hansen, com média de idade de 48,13±12,55 anos, divididos em três grupos: G1, G2 e G3. O G1 compreende voluntários com hanseníase e sensibilidade preservada; o G2, aqueles com hanseníase e com perda de sensibilidade; e o G3, o controle. Na goniometria, foi encontrada diferença significativa (p

The purpose of this study was to elaborate and apply a physical therapy treatment for diabetic neuropathic patients, comparing their sensorial, motor and functional responses before and after treatment to those of a healthy control group. Ten healthy subjects (CG) and 10 neuropathic diabetes patients (DG) clinically diagnosed were studied. Motor, functionaland sensorial evaluations were performed pre and post-intervention in both groups. Treatment was individually applied in 45-minute sessions twice a week, during 5 weeks. Therapy program consisted in stretching exercises for hamstrings, triceps surae and tibialis anterior muscles, actively-resisted exercises for intrinsic and extrinsic foot and ankle muscles, practice of daily activities and feet self-care orientations. Data were statistically analysed. When comparing DG post treatment data to DG-pre and CG, thermal sensitivity showed improvement in heel, hallux, lateral and medial forefoot; DG ankle dorsiflexion and eversion ROM reached values similar to those of CG's; DG showed significant improvement in ankle extension and inversion; and DG-post reached the same muscular functions observed in CG in intrinsic feet muscles, tibialis anterior and triceps surae. The physical therapy treatment showed effective in reducing distal numbness, tingling and pricking and it was also effective in preventing muscle function and mobility limitations in diabetic neuropathic patients.

Abstract Aims: To investigate the factors associated with shoulder rotational range of motion and its correlation with the self-reported function scale and functional assessment of the shoulder (closed kinetic chain upper extremity stability, peak torque of shoulder rotators, glenohumeral internal rotation deficit - GIRD, and pectoralis minor length index) in competitive water polo players. Methods: Thirty-four competitive water polo players (age: 15 +/- 1.6 years) participated in this study. The shoulder rotational range of motion, closed kinetic chain upper extremity stability, pectoralis minor length index, isokinetic torque of shoulder internal and external rotations, and self-reported upper limb function were assessed. The Pearson correlation coefficient was used to test the linear correlation before the multiple linear regressions, that were used to predict the variables associated with the external rotation and internal rotation range of motion ratio (ER/IR ratio) of the throwing limb. Results: A significant association was identified between the throwing limb ER/IR ratio and GIRD, and this observation allows us to infer that GIRD was responsible for 18.4% (p=0.01) of the variation. No associations between ER/IR ratio and the variables closed kinetic chain upper extremity stability, peak torque of shoulder internal rotation, and pectoralis minor length index were identified. Conclusion: Anatomical GIRD was the only factor associated with the ER/IR ratio in asymptomatic competitive water polo players from high school, indicating the beginning of the typical adaptations to increase performance without significantly altering the self-perception and functionality of their upper limbs.

Abstract Changes in the suboccipital muscles and the hamstrings may interfere with head posture and the biomechanics of the temporomandibular joint, both of which contribute to the severity of temporomandibular disorders (TMD). The objective of this investigation was to evaluate the effects of a global postural exercise program (GPEP) on pain intensity and mouth-opening range of motion (ROM) in women with TMD. The participants were comprised of 30 women with TMD who were divided into two groups: an experimental group (EG) and a control group (CG). A pressure algometer was used for pain assessment and a paquimeter was used to measure ROM. The duration of the GPEP was six weeks. In the EG, there was a reduction in pain intensity and an increase in mouth-opening ROM compared to the CG. Therefore, we concluded that the GPEP was effective in relieving pain in all of the evaluated muscles and regions, and in increasing mouth-opening ROM in women with TMD.

Abstract Objective To evaluate the correlation between upper limb functionality and quality of life in women with five-year survival following breast cancer surgical treatment. The secondary objective was to evaluate the function of the ipsilateral upper limb and the quality of life in relation to the type of surgery and the presence of pain. Methods The Disabilities of Arm, Shoulder and Hand (DASH), and the Functional Assessment of Cancer Therapy - Breast plus Arm Morbidity (FACTB + 4) questionnaires were used to evaluate upper limb function and quality of life respectively. Data distribution was verified by the Shapiro-Wilk test. Pearson's correlation coefficient was used for the parametric variables, and Spearman's rank correlation coefficient was used for the distribution of non-parametric variables. The statistical significance was set at 5% (p < 0.05). Results The study included 30 patients, with a mean age of 51.23 (±8.72) years. The most common complications were: pain (50%), adherence (33.3%), and nerve lesion (20.0%). There was a moderate negative correlation between the instruments DASH and FACTB + 4 (total score), r = -0.634, and a strong negative correlation between the DASH and the FACTB + 4 armsubscale, r = -0.829. The scores of both questionnaires showed significant difference on the manifestation of pain. However, there was no significant difference found when comparing the scores considering the type of surgery performed. Conclusions Five years after surgery, the patients showed regular functionality levels on the ipsilateral upper limb and decreased quality of life, especially in the group manifesting pain.