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Made available in DSpace on 2022-04-29T08:32:06Z (GMT). No. of bitstreams: 0 Previous issue date: 2022-02-01 Abstract: The desire to reduce and remodel undesirable fatty deposits has increased the popularity and use of aesthetic procedures, among them, cryolipolysis. However, repercussions on the autonomic nervous system must be considered, since the decrease in cutaneous body temperature can have repercussions on sympathetic and parasympathetic components. The aim was to evaluate the behavior of cardiac autonomic modulation during and after a single application of cryolipolysis. A single-arm, prospective interventional study evaluated data from 13 women with a mean age of 22.38 ± 2.95 years, who had an accumulation of abdominal fat of at least 1.5 mm, were using oral contraceptives, and were sedentary. A professional applied cryolipolysis in a single 40-min session. RR intervals were collected by means of a cardiofrequency meter, at rest prior to the technique for 10 min, during the performance of the technique, and immediately after the end of the technique for a period of 50 min. Heart rate variability (HRV) analysis was performed using time, frequency, and Poincaré plot indices. For the mean RR, SDNN, rMSSD, SD1, SD2, and LF [ms2] indices, the values increased during the execution of cryolipolysis when compared to rest. In the recovery period, increases in the mean values of the RR, SDNN, rMSSD, SD1, SD2, HF [ms2], LF [nu], and HF [nu] indices were also observed when compared to the baseline moment. Both during the technique and in the recovery period, there were changes in the behavior of HRV characterized by an increase in global and vagal indices. Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Programa de Pós-Graduação em Ciências da Saúde Universidade do Oeste Paulista, SP Programa de Pós-Graduação em Fisioterapia Universidade Estadual Paulista (FCT/UNESP), SP Graduada em Fisioterapia Universidade Estadual Paulista (FCT/UNESP), SP Docente do curso de Estética e Cosmética Universidade do Oeste Paulista, SP Programa de Pós-Graduação em Ciências do Movimento Universidade Estadual Paulista (FCT/UNESP), SP Departamento de Fisioterapia Faculdade de Ciências e Tecnologia – FCT/UNESP, SP Programa de Pós-Graduação em Fisioterapia Universidade Estadual Paulista (FCT/UNESP), SP Graduada em Fisioterapia Universidade Estadual Paulista (FCT/UNESP), SP Programa de Pós-Graduação em Ciências do Movimento Universidade Estadual Paulista (FCT/UNESP), SP Departamento de Fisioterapia Faculdade de Ciências e Tecnologia – FCT/UNESP, SP

Introducao: A paralisia cerebral e a deficiencia fisica mais comum na infância. A fisioterapia desempenha um papel central na gestao do tratamento das sequelas da PC. Contudo, e sempre um desafio conseguir quantificar os resultados obtidos nas intervencoes fisioterapeuticas. Dessa forma, a eletromiografia de superficie vem sendo cada vez mais empregada por fisioterapeutas por ser um metodo quantitativo de avaliacao e tratamento das disfuncoes do sistema neuromuscular. Objetivo: Analisar o uso da eletromiografia de superficie como medida de desfecho da fisioterapia em criancas com paralisia cerebral. Metodo: A partir da busca em duas importantes bases de dados, foram selecionados ensaios clinicos de intervencoes fisioterapeuticas que utilizaram a eletromiografia de superficie como fator de desfecho da fisioterapia em criancas com paralisia cerebral, publicados em portugues, ingles, frances ou espanhol ate agosto de 2019. Resultados: Foram encontrados 166 artigos nas bases consultadas. Desses, somente 15 foram incluidos e classificados com qualidade metodologica boa pelo PEDro e por terem relacao com a eletromiografia de superficie. Um fluxograma com padronizacao das acoes foi construido levando em consideracao os achados mais prevalentes nos estudos. Conclusao: a eletromiografia de superficie vem sendo aplicada pelos fisioterapeutas para avaliar os efeitos da intervencao, mas precisa melhorar seu nivel de evidencia.

Background Understanding of the influence of trunk muscles on the older adult's limit of stability (LOS) is important for clinical practice. Objective To compare the anterior and posterior LOS and the flexor and extensor trunk muscle function; verify the association of trunk muscles and LOS, and the association of LOS and the previous falls of community-dwelling older adults. Methods Sample characterization data, trunk muscle function (peak torque - PT and torque steadiness - TS), LOS and previous falls (6 months) were collected from 79 older people. Comparisons were made between the variables of the anterior/posterior LOS (Reaction time, Movement velocity, Maximum excursion, Directional control), between trunk extensors/flexors muscle function and between TS at 10% and at 50%. Associations were made between the anterior/posterior LOS and the number of previous falls and between LOS and trunk muscle function. Results The posterior LOS was worse than the anterior LOS, except for the reaction time. The flexor muscles obtained a lower PT, but better performance in TS. The TS at 10% of the trunk extensor was associated with the posterior directional control (p = 0.032). There was no association between trunk muscle function and the anterior LOS, or between previous falls and LOS. Conclusions The older adults presented worse performance in the posterior LOS and worse TS in the trunk extensor muscles, although the trunk extensor muscles presented a higher PT. Although no association between LOS and previous falls, the better the TS at 10% of the trunk extensors, better posterior directional control.

Objective to investigate the accuracy of the step test (ST) to evaluate total lower limb muscle strength (LLMS) in older women. Design observational cross-sectional study. Methods 119 community-dwelling older women were submitted to the ST and LLMS evaluation (isometric peak torque of eight muscle groups of the dominant lower limb). The capacity of the ST to discriminate older women with reduced LLMS was measured using ROC curve, followed by the posttest probability (PoTP) calculation. Results a ST score of 0.24 cm per cm of participant's height presents a sensitivity of 63.3%, specificity of 77%; enhances the PoTP from 48% to 72% for positive test and decreases the PoTP from 48% to 31% for negative test. Conclusion the ST may complement the clinical screening of reduced LLMS in older women, given that it is a simple and quick low-cost test and allows the evaluation of each lower limb separately.

Objective: To investigate whether lower limb muscle strength could be a risk factor for the first fall among nonfaller community-dwelling older adults. Method: Hip, knee, and ankle peak torque (PT) was measured with an isokinetic dynamometer in 101 older adults with no history of falls in the previous year. Next, the authors followed up the participants on a monthly basis by telephone contact to determine the occurrence of fall episodes over a period of 1 year. Multivariate logistic regression adjusted for confounding variables was applied to assess the relationship between falls and lower limb PT. Results: there was no association between lower limb PT and future falls ( p > .05). Conclusion: Based on these results, it is important to identify other factors that predispose older adults with no history of falls to falling for the first time, so that early and effective preventive strategies may be elaborated.