CLARICE TANAKA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina - Docente
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina - Líder
4 resultados
Resultados de Busca
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- Inter-rater reliability of the evaluation of muscular chains associated with posture alterations in scoliosis(2012) FORTIN, Carole; FELDMAN, Debbie Ehrmann; TANAKA, Clarice; HOUDE, Michelle; LABELLE, HubertBackground: In the Global postural re-education (GPR) evaluation, posture alterations are associated with anterior or posterior muscular chain impairments. Our goal was to assess the reliability of the GPR muscular chain evaluation. Methods: Design: Inter-rater reliability study. Fifty physical therapists (PTs) and two experts trained in GPR assessed the standing posture from photographs of five youths with idiopathic scoliosis using a posture analysis grid with 23 posture indices (PI). The PTs and experts indicated the muscular chain associated with posture alterations. The PTs were also divided into three groups according to their experience in GPR. Experts' results (after consensus) were used to verify agreement between PTs and experts for muscular chain and posture assessments. We used Kappa coefficients (K) and the percentage of agreement (%A) to assess inter-rater reliability and intra-class coefficients (ICC) for determining agreement between PTs and experts. Results: For the muscular chain evaluation, reliability was moderate to substantial for 12 PI for the PTs (% A: 56 to 82; K: 0.42 to 0.76) and perfect for 19 PI for the experts. For posture assessment, reliability was moderate to substantial for 12 PI for the PTs (% A > 60%; K: 0.42 to 0.75) and moderate to perfect for 18 PI for the experts (% A: 80 to 100; K: 0.55 to 1.00). The agreement between PTs and experts was good for most muscular chain evaluations (18 PI; ICC: 0.82 to 0.99) and PI (19 PI; ICC: 0.78 to 1.00). Conclusions: The GPR muscular chain evaluation has good reliability for most posture indices. GPR evaluation should help guide physical therapists in targeting affected muscles for treatment of abnormal posture patterns.
conferenceObject Correlation between the hemophilia joint health score (HJHS 2.1) and the number of previous joint bleeds in children with hemophilia: preliminary results.(2014) SOUZA, Fabio; MELLO, Marcia; TANAKA, Clarice; HILLIARD, Pamela; ZOURIKIAN, Nichan; ABAD, Audrey; VILLACA, Paula; CARNEIRO, Jorge- Age and Disease have a Distinct Influence on Postural Balance of Patients with COPD(2019) BOFFINO, Catarina Costa; PEREIRA, Ana Carolina Alves Caporali; COELHO, Daniel Boari; XAVIER, Rafaella Fagundes; SILVA, Cibele Cristin Berto Marques da; TANAKA, Clarice; RAMOS, Renato Teodoro; YAMAGUTI, Wellington Pereira; CARVALHO, Celso R. F.The postural imbalance is an extra-pulmonary condition, associated with chronic obstructive pulmonary disease (COPD). COPD affects older individuals and it is unclear whether balance abnormalities can be described as pathophysiological mechanism or aging. The present study aimed to evaluate the influence of age or disease on postural balance of patients with COPD. Patients with COPD over 50 years old were compared with age- and sex-matched healthy adults, and with sex-matched younger healthy adults (n = 30 in each group). The Modified Sensory Organization Test (mSOT) was performed in four different conditions fixed or sway-referenced surface both either with full or no vision. It was analyzed the center of pressure (CoP) variables: amplitude, velocity, root-mean-square and load asymmetry. Three-way ANOVA and post hoc analysis were performed been represented of age (older or COPD compared with younger healthy adults) or disease influences (COPD compared with older healthy groups). Main results were as follows: The CoP excursion was faster, with higher amplitude and variability progressively from COPD vs. older healthy vs. younger healthy adults (p < 0.05) showing age and disease influences (p < 0.05). Age and disease influences were also observed in the sway-referenced surface in both vision conditions. Impairment in postural balance was found related to aging and disease in patients with COPD older than 50 years.
- Beyond the target area: an integrative view of tDCS-induced motor cortex modulation in patients and athletes(2019) MORYA, Edgard; MONTE-SILVA, Katia; BIKSON, Marom; ESMAEILPOUR, Zeinab; BIAZOLI JR., Claudinei Eduardo; FONSECA, Andre; BOCCI, Tommaso; FARZAN, Faranak; CHATTERJEE, Raaj; HAUSDORFF, Jeffrey M.; MACHADO, Daniel Gomes da Silva; BRUNONI, Andre Russowsky; MEZGER, Eva; MOSCALESKI, Luciane Aparecida; PEGADO, Rodrigo; SATO, Joao Ricardo; CAETANO, Marcelo Salvador; SA, Katia Nunes; TANAKA, Clarice; LI, Li Min; BAPTISTA, Abrahao Fontes; OKANO, Alexandre HidekiTranscranial Direct Current Stimulation (tDCS) is a non-invasive technique used to modulate neural tissue. Neuromodulation apparently improves cognitive functions in several neurologic diseases treatment and sports performance. In this study, we present a comprehensive, integrative review of tDCS for motor rehabilitation and motor learning in healthy individuals, athletes and multiple neurologic and neuropsychiatric conditions. We also report on neuromodulation mechanisms, main applications, current knowledge including areas such as language, embodied cognition, functional and social aspects, and future directions. We present the use and perspectives of new developments in tDCS technology, namely high-definition tDCS (HD-tDCS) which promises to overcome one of the main tDCS limitation (i.e., low focality) and its application for neurological disease, pain relief, and motor learning/rehabilitation. Finally, we provided information regarding the Transcutaneous Spinal Direct Current Stimulation (tsDCS) in clinical applications, Cerebellar tDCS (ctDCS) and its influence on motor learning, and TMS combined with electroencephalography (EEG) as a tool to evaluate tDCS effects on brain function.