FATIMA APARECIDA CAROMANO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina
LIM/34 - Laboratório de Ciências da Reabilitação, Hospital das Clínicas, Faculdade de Medicina
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- Força de preensão e destreza manual na criança com Síndrome de Down(2013) PRIOSTI, Paula Aivazoglou; BLASCOVI-ASSIS, Silvana Maria; CYMROT, Raquel; VIANNA, Denise Loureiro; CAROMANO, Fátima AparecidaChildren with Down Syndrome (DS) present delays in motor skills acquisition compared to those with normal development, which may interfere in activities such as grip strength and manual dexterity. The evaluation of these activities can provide performance indicators in daily activities. The objective was to analyze the correlation between grip strength and manual dexterity in children with DS and healthy children aged 7 to 9 years old. Twenty-six children with DS, of both genders, who formed the DS Group, and 30 healthy ones, constituting the Control Group (CG) participated in this study. The grip strength evaluation was performed with the Jamar dynamometer and manual dexterity through the Box and Block Test. The DS Group presented a lower performance in both grip strength and in manual dexterity compared to CG. There was no significant correlation between grip strength and manual dexterity in the DS Group, but in the CG there was it. There was no difference in performance between genders for the items assessed in the two groups; performance on tests of grip strength and manual dexterity in the CG showed an evolution in the course of aging, in the DS Group these developments did not happen. It is concluded that differences were found in the performance of the two groups, indicating peculiar characteristics to DS. Further investigation must be done on these data, since they can contribute to the identification of objectives to be considered in stimulation programs.
- Thoracic cirtometry in children with Duchenne muscular dystrophy - expansion of the method(2013) GARCIA JUNIOR, Agenor; CAROMANO, Fatima A.; CONTESINI, Adriana M.; ESCORCIO, Renata; FERNANDES, Lilian A. Y.; JOAO, Silvia M. A.Background: Thoracic cirtometry is a simple and accessible technique to evaluate chest mobility during forced breathing. However, it does not allow for the assessment of compensatory movements commonly used by people with chronic diseases, such Duchenne muscular dystrophy (DMD). DMD is a condition characterized by progressive and irreversible degeneration of the musculoskeletal system. Objectives: To expand the method of thoracic cirtometry to allow for the assessment of compensatory movements; to analyze the reliability of the tool; and to describe thoracic mobility of children with DMD during deep breathing. Method: Sixty boys, 30 with DMD (10.1 +/- 0.5 years) and 30 healthy controls (9.5 +/- 0.6 years) participated in the study. The expanded thoracic cirtometry was organized in two phases: 1. the body could move freely, allowing the assessment of compensatory movements (free thoracic cirtometry) and 2. the body without compensatory movements, allowing for the direct study of the movements of the chest (guided thoracic cirtometry). This method includes videotaping and systematic observation of body movements using descriptive and numeric data. We investigated reliability of these measures in both groups. Results: Measures of axial and the xiphoid thoracic cirtometry (both free and guided) showed excellent reliability. All measures were significantly different between groups. In DMD boys, free thoracic cirtometry presented a greater value of chest expansion when compared with the guided measures, which probably occurred due to compensatory movements. The most commons were movements of the head, shoulder and torso. Conclusions: The expanded thoracic cirtometry method showed excellent reliability and achieved the objectives of determining measures of chest mobility and compensatory movements during deep breath. We suggested its use in the respiratory evaluation of children with DMD.
- Evaluation Scale Development, Reliability for Sitting and Standing From the Chair for Duchenne Muscular Dystrophy(2013) HUKUDA, Michele Emy; ESCORCIO, Renata; FERNANDES, Lilian Aparecida Yoshimura; CARVALHO, Eduardo Vital de; CAROMANO, Fatima AparecidaThe authors aimed to (a) develop a scale to evaluate non-wheelchair-dependent children with Duchenne muscular dystrophy (DMD) while sitting and standing from the chair, (b) test its reliability, and (c) correlate the scores of this scale with the time, the age and the Vignos. Thirty DMD boys performed sit-to-stand and stand-to-sit from the chair 4times. Scale development was based on a previous movement characterization in healthy children and in DMD children and on suggestions by physical therapists with expertise in DMD. The final version of the scale was submitted to the analysis of reliability. The sitting evaluation consists of phases: flexion, contact of the hip with the chair, extension. The standing evaluation comprehends the phases: flexion; transference; extension. Sitting and standing phases presented an excellent reliability (intraclass correlation coefficient [ICC] 0.91) and a good reproducibility (ICC 0.89). The scores generated by sitting on the chair correlated to the time taken to perform the tasks (r = .69) and to the age of the patient (r = .44) and the score of standing from the chair also correlated to the time of performance (r = .66). The sit-to-stand functional evaluation scale DMD is a reliable assessment tool that allows the description and quantification of the functional performance of DMD children.