Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado
Ano de defesa: | 2014 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o
|
Departamento: |
Sa??de
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/1343 |
Resumo: | Patellofemoral pain syndrome (PFPS) is a common complaint, especially in women. The hip muscles strengthening is an effective technique for the treatment of this disorder. In addition, the neuromuscular training has received attention as a therapeutic tool, but results in individuals with PFPS are still very evident and inconclusive. Therefore, the aim of this study was to compare the effects of a neuromuscular training program of the trunk and lower limbs associated with the hip and knee muscles strengthening in women with PFPS with a program that involves the isolated strengthening of those muscles. Thirty-four women aged 18 to 35 years with a clinical diagnosis of PFPS were randomized into two groups: Strengthening Group (SG) and Neuromuscular Group (NMG). Patients underwent 12 sessions of the strengthening (Knee extensors, hip abductor and hip external rotator) and the NMG, associated with this, received the balance, coordination and control of the lower limb training. Because of the nature of the study, we chose to report now, only the results of force and kinematics, since the clinical analysis is still in progress. Thus, the effects of treatment on muscle strength and kinematics were calculated using paired t test for parametric measures and the Friedman test with post hoc, for nonparametric measures. At the end of 4 weeks of treatment, significantly increased the strength of the hip abductor muscles (percentage of improvement from 20.7% to 19% for SG and NMG), hip external rotators (percentage of improvement of 18.2% was observed for SG and 17% for NMG) and knee extensors (percentage of improvement from 19.7% to 16.2% for SG and NMG) in both groups, and effectively reduce the range of motion of hip adduction in the voluntary NMG. We conclude that both programs proposed treatment promoted increased strength of the muscles evaluated, but only the associated neuromuscular training to strength training was able to effectively create change in kinematics, real improvement in hip adduction. |
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Lucareli, Paulo Roberto Garciahttp://lattes.cnpq.br/9905380373300754Lucareli, Paulo Roberto Garciahttp://lattes.cnpq.br/9905380373300754Fukuda, Thiago Yukiohttp://lattes.cnpq.br/0284066091914879Biasotto-Gonzalez, Daniela Aparecidahttp://lattes.cnpq.br/6741738316587978http://lattes.cnpq.br/3051030186027626Rabelo, Nayra Deise dos Anjos2016-05-25T15:44:32Z2014-12-04Rabelo, Nayra Deise dos Anjos. Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado. 2014. 160 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/1343Patellofemoral pain syndrome (PFPS) is a common complaint, especially in women. The hip muscles strengthening is an effective technique for the treatment of this disorder. In addition, the neuromuscular training has received attention as a therapeutic tool, but results in individuals with PFPS are still very evident and inconclusive. Therefore, the aim of this study was to compare the effects of a neuromuscular training program of the trunk and lower limbs associated with the hip and knee muscles strengthening in women with PFPS with a program that involves the isolated strengthening of those muscles. Thirty-four women aged 18 to 35 years with a clinical diagnosis of PFPS were randomized into two groups: Strengthening Group (SG) and Neuromuscular Group (NMG). Patients underwent 12 sessions of the strengthening (Knee extensors, hip abductor and hip external rotator) and the NMG, associated with this, received the balance, coordination and control of the lower limb training. Because of the nature of the study, we chose to report now, only the results of force and kinematics, since the clinical analysis is still in progress. Thus, the effects of treatment on muscle strength and kinematics were calculated using paired t test for parametric measures and the Friedman test with post hoc, for nonparametric measures. At the end of 4 weeks of treatment, significantly increased the strength of the hip abductor muscles (percentage of improvement from 20.7% to 19% for SG and NMG), hip external rotators (percentage of improvement of 18.2% was observed for SG and 17% for NMG) and knee extensors (percentage of improvement from 19.7% to 16.2% for SG and NMG) in both groups, and effectively reduce the range of motion of hip adduction in the voluntary NMG. We conclude that both programs proposed treatment promoted increased strength of the muscles evaluated, but only the associated neuromuscular training to strength training was able to effectively create change in kinematics, real improvement in hip adduction.A s??ndrome da dor femoropatelar (SDFP) ?? uma queixa comum, sobretudo em mulheres. O fortalecimento dos m??sculos do quadril ?? uma t??cnica eficaz para o tratamento dessa disfun????o. Al??m disso, o treino neuromuscular vem recebendo destaque como ferramenta terapeutica, por??m seus resultados em indiv??duos com SDFP ainda s??o pouco evidentes e inconclusivos. Sendo assim, o objetivo desse estudo foi comparar os efeitos de um programa de treinamento neuromuscular do tronco e membros inferiores associado ao fortalecimento dos m??sculos do quadril e joelho de mulheres com SDFP com um programa que envolve o fortalecimento isolado desses mesmos m??sculos. Trinta e quarto mulheres, entre 18 e 35 anos, com diagn??stico cl??nico de SDFP, foram aleatorizadas em dois grupos: Grupo Fortalecimento (GF) e Grupo Neuromuscular (GNM). As pacientes foram submetidas a 12 sess??es de fortalecimento da musculatura extensora do joelho e abdutora e rotadora lateral do quadril e o GNM, associado a isso, recebeu treinamento de equil??brio, coordena????o e controle do membro inferior. Por conta da natureza do estudo, optamos por reportar, nesse momento, apenas os resultados de for??a e cinem??tica, uma vez que a an??lise cl??nica ainda est?? em andamento. Sendo assim, os efeitos dos tratamentos foram calculados atrav??s de test t pareado para medidas param??tricas e teste de Friedman com post hoc, para medidas n??o param??tricas. Ao final das 4 semanas de tratamento foi observado aumento significante de for??a dos m??sculos abdutores (porcentagem de melhora de 20,7% para GF e 19% para GNM) e rotadores laterais (porcentagem de melhora de 18,2% para GF e 17% para GNM) do quadril e extensores do joelho (porcentagem de melhora de 19,7% para GF e 16,2% para GNM), em ambos os grupos, al??m de redu????o efetiva da amplitude de movimento da adu????o do quadril nas volunt??rias do GNM. Conclu??mos que ambos os programas de tratamento propostos promoveram ganho de for??a da musculatura avaliada, mas apenas o treinamento neuromuscular associado ao treino de for??a foi capaz de, efetivamente, gerar mudan??a na cinem??tica, com melhora real da adu????o do quadril.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2016-05-25T15:44:32Z No. of bitstreams: 1 Nayra Deise dos Anjos Rabelo.pdf: 1274728 bytes, checksum: 2fb87109dfbed0d375542469df6e6186 (MD5)Made available in DSpace on 2016-05-25T15:44:32Z (GMT). No. of bitstreams: 1 Nayra Deise dos Anjos Rabelo.pdf: 1274728 bytes, checksum: 2fb87109dfbed0d375542469df6e6186 (MD5) Previous issue date: 2014-12-04application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBrasilSa??debiomec??nicacinem??ticas??ndrome da dor femoropatelarquadriljoelhoneuromuscularbiomechanicskinematicsanterior knee painhipkneeneuromuscularCIENCIAS DA SAUDETreino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizadoNeuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: blinded and randomized clinical trialinfo: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:UNINOVEORIGINALNayra Deise dos Anjos Rabelo.pdfNayra Deise dos Anjos Rabelo.pdfapplication/pdf1274728http://localhost:8080/tede/bitstream/tede/1343/2/Nayra+Deise+dos+Anjos+Rabelo.pdf2fb87109dfbed0d375542469df6e6186MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1343/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/13432016-05-25 12:44:32.714oai: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:2016-05-25T15:44:32Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado |
dc.title.alternative.eng.fl_str_mv |
Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: blinded and randomized clinical trial |
title |
Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado |
spellingShingle |
Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado Rabelo, Nayra Deise dos Anjos biomec??nica cinem??tica s??ndrome da dor femoropatelar quadril joelho neuromuscular biomechanics kinematics anterior knee pain hip knee neuromuscular CIENCIAS DA SAUDE |
title_short |
Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado |
title_full |
Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado |
title_fullStr |
Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado |
title_full_unstemmed |
Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado |
title_sort |
Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado |
author |
Rabelo, Nayra Deise dos Anjos |
author_facet |
Rabelo, Nayra Deise dos Anjos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Lucareli, Paulo Roberto Garcia |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9905380373300754 |
dc.contributor.referee1.fl_str_mv |
Lucareli, Paulo Roberto Garcia |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/9905380373300754 |
dc.contributor.referee2.fl_str_mv |
Fukuda, Thiago Yukio |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/0284066091914879 |
dc.contributor.referee3.fl_str_mv |
Biasotto-Gonzalez, Daniela Aparecida |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/6741738316587978 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3051030186027626 |
dc.contributor.author.fl_str_mv |
Rabelo, Nayra Deise dos Anjos |
contributor_str_mv |
Lucareli, Paulo Roberto Garcia Lucareli, Paulo Roberto Garcia Fukuda, Thiago Yukio Biasotto-Gonzalez, Daniela Aparecida |
dc.subject.por.fl_str_mv |
biomec??nica cinem??tica s??ndrome da dor femoropatelar quadril joelho neuromuscular |
topic |
biomec??nica cinem??tica s??ndrome da dor femoropatelar quadril joelho neuromuscular biomechanics kinematics anterior knee pain hip knee neuromuscular CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
biomechanics kinematics anterior knee pain hip knee neuromuscular |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Patellofemoral pain syndrome (PFPS) is a common complaint, especially in women. The hip muscles strengthening is an effective technique for the treatment of this disorder. In addition, the neuromuscular training has received attention as a therapeutic tool, but results in individuals with PFPS are still very evident and inconclusive. Therefore, the aim of this study was to compare the effects of a neuromuscular training program of the trunk and lower limbs associated with the hip and knee muscles strengthening in women with PFPS with a program that involves the isolated strengthening of those muscles. Thirty-four women aged 18 to 35 years with a clinical diagnosis of PFPS were randomized into two groups: Strengthening Group (SG) and Neuromuscular Group (NMG). Patients underwent 12 sessions of the strengthening (Knee extensors, hip abductor and hip external rotator) and the NMG, associated with this, received the balance, coordination and control of the lower limb training. Because of the nature of the study, we chose to report now, only the results of force and kinematics, since the clinical analysis is still in progress. Thus, the effects of treatment on muscle strength and kinematics were calculated using paired t test for parametric measures and the Friedman test with post hoc, for nonparametric measures. At the end of 4 weeks of treatment, significantly increased the strength of the hip abductor muscles (percentage of improvement from 20.7% to 19% for SG and NMG), hip external rotators (percentage of improvement of 18.2% was observed for SG and 17% for NMG) and knee extensors (percentage of improvement from 19.7% to 16.2% for SG and NMG) in both groups, and effectively reduce the range of motion of hip adduction in the voluntary NMG. We conclude that both programs proposed treatment promoted increased strength of the muscles evaluated, but only the associated neuromuscular training to strength training was able to effectively create change in kinematics, real improvement in hip adduction. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-12-04 |
dc.date.accessioned.fl_str_mv |
2016-05-25T15:44:32Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Rabelo, Nayra Deise dos Anjos. Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado. 2014. 160 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/1343 |
identifier_str_mv |
Rabelo, Nayra Deise dos Anjos. Treino neuromuscular e fortalecimento muscular em pacientes com s??ndrome da dor femoropatelar: ensaio cl??nico cego e aleatorizado. 2014. 160 f. Disserta????o( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/1343 |
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por |
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Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o |
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UNINOVE |
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