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
19 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 19
- The effects of repetitive haemarthrosis on postural balance in children with haemophilia(2013) SOUZA, F. M. B.; MCLAUGHLIN, P.; PEREIRA, R. P.; MINUQUE, N. P.; MELLO, M. H. M.; SIQUEIRA, C.; VILLACA, P.; TANAKA, C.Sensory information from visual, vestibular and proprioceptive systems is necessary to control posture and balance. Impairment in proprioception due to repetitive joints bleeding may lead to a deficit in postural balance which, in turn, leads to high joint stress and risk of bleeding recurrence. Despite the increase in attention in this field during the past few years, the data concerning to how bleeds can affect postural control in children with haemophilia (CWH) remain scarce. This study aimed to evaluate the postural balance in CWH. Twenty CWH Haemophilia Group (HG) and 20 age-matched children Control Group (CG) were recruited to this study. A force plate was used to record centre of pressure (COP) displacement under four different postural conditions during quiet standing: eyes open on firm surface, eyes open on foam surface, eyes closed on firm surface and eyes closed on a foam surface. Variables of COP as sway area and mean velocity and in anterior-posterior (y) medio-lateral (x) direction were processed and for each variable sensory, quotients were calculated and compared between groups. No differences were found in visual and vestibular quotients variables between groups. A higher value was found in sway area variable on proprioception quotient in the HG when compared with CG (P=0.042). CWH with repetitive joint bleed on lower limbs showed differences in postural balance when compared with non-haemophiliac children. The identification of early balance impairments in CWH can help us understand better the effects of bleeds inside joints on postural control and plan a more effective preventive and rehabilitative treatment.
conferenceObject The postural alignment in enuretic children and teenagers(2013) PEREIRA, Rita Pavione Rodrigues; KOCH, Vera HerminaKalika; FAGUNDES, Simone Nascimento; KARIYA, Larissa Tiaki; ARAJO, Talita Souza de; SAKIMA, Thaisa Mayumi; TANAKA, ClariceconferenceObject Occurrence Of Systemic And Pulmonary Complications In Patients Undergoingtracheostomy(2013) RAMOS, M. C. S.; SILVA, J. M.; MAFRA, M.; SILVEIRA, L.; CARRASCOSA, T.; TANAKA, C.; FU, C.conferenceObject Acute renal failure and hemodialysis increases the length of invasive mechanical ventilation, hospital stay and hospital costs in severe polytrauma patients(2013) PADOVANI, Caue; ROTTA, Bruna P.; SILVA, Janete M.; FU, Carolina; TANAKA, ClariceconferenceObject The hip and spine mobility is diminished in enuretic children and teenagers(2013) PEREIRA, Rita Pavione Rodrigues; KOCH, Vera Herminakalika; GONCALVES, Monica Maria Ribeiro; MILHORATTI, Thais de Souza; PACHECO, Daniela Castro; TANAKA, ClariceconferenceObject Functional status of patients readmitted to ICU(2013) SILVEIRA, Leda T. Y.; SILVA, Janete M.; MAFRA, Jose M. S.; RAMOS, Michele C. S.; TANAKA, Clarice; FU, Carolina- Balance Disturbances in Asthmatic Patients(2013) CUNHA, Angelo G. J.; NUNES, Maria P. T.; RAMOS, Renato T.; CARVALO-PINTO, Regina M.; BOFFINO, Catarina C.; MARTINS, Fernanda C.; TANAKA, ClariceObjective. The aim of this study was to investigate balance control in asthmatic patients. Methods. Thirty subjects with controlled persistent asthma were compared with 30 non-asthmatic subjects who were matched by age and sex. Individuals who had received psychiatric treatment, demonstrated chronic musculoskeletal pain, had limited joint movements, or showed vestibular or other equilibrium disorders were excluded from both the groups to avoid biomechanical bias in the dynamic posturography. Balance control was evaluated with the subject standing still on a force platform under four different sensory test conditions. These conditions combined the subject's eyes being opened or closed with a fixed or mobile force platform. A mobile platform provides a somatosensory perturbation, and when associated with the eyes closed condition, only vestibular information is available to moderate balance control. Sensory manipulation provides a more sensitive condition to differentiate postural control between populations or pathologies. Data were sampled at 100 Hz in three 20-second trials and four postural conditions were assessed. The center of pressure (CoP) displacement values were used to calculate area and velocity in the medial-lateral and forward-backward directions. A two-factor analysis of variance with repeated measurements was applied to the data. Results. In comparison to the control group, the asthma group demonstrated a greater area of CoP displacement in conditions using the mobile force platform (with eyes opened or closed) and a higher velocity in forward-backward direction on the mobile platform with the eyes closed. Conclusion. Asthmatic individuals presented a greater area for the CoP displacement under somatosensory perturbations and a higher velocity in the forward-backward direction when vestibular information only was made available. Our data suggest that balance needs to be evaluated in asthmatic patients.
conferenceObject 24-hour of physiotherapy assistance does not reduce frequency of postoperative pulmonary complications(2013) SILVA, Janete Maria; ROTTA, Bruna Peruzzo; PADOVANI, Caue; RAMOS, Michele; FU, Carolina; TANAKA, Clarice- The Impact of Surgical Breast Reduction on the Postural Control of Women with Breast Hypertrophy(2013) BARBOSA, Alessandra F.; LAVOURA, Patricia H.; BOFFINO, Catarina C.; SIQUEIRA, Cassio M.; COSTA, Marcio P.; LIMA JUNIOR, Jonas E.; TANAKA, ClaricePrevious studies have demonstrated the impact of breast reduction surgery on the daily lives of women, including impacts directly related to changes in postural control such as a reduced center-of-pressure displacement. However, postural control is a dynamic process that depends on the integration of sensory information to organize a proper motor strategy to overcome the balance demands of the task. This study evaluated sensory integration in the postural control of women with breast hypertrophy after breast reduction surgery. In this study, 14 women with breast hypertrophy were evaluated before surgery and 6 months afterward. A force platform was used to assess how the somatosensory, visual, and vestibular systems contributed to postural control. Four conditions were used: eyes open/fixed platform (normal condition), eyes closed/fixed platform, eyes open/mobile platform, and eyes closed/mobile platform. For each condition, a nonparametric Friedman test was applied to compare the area and velocity of the center-of-pressure displacement between pre- and post-surgery tests. After surgery, the women demonstrated a smaller displacement area under normal conditions and in the eyes closed/fixed platform condition. The mean velocity in the forward-backward direction was significantly reduced after surgery when the women's eyes were closed on a mobile platform. After breast reduction surgery, women were found to control their posture with a smaller center-of-pressure displacement area when all sensory information was available and when their vision was suppressed with a fixed platform. Furthermore, the velocities were smaller when vision was suppressed with inaccurate somatosensory information.
- Caracterização do uso do cicloergômetro para auxiliar no atendimento fisioterapêutico em pacientes críticos(2013) PIRES-NETO, Ruy Camargo; PEREIRA, Aná Luiza; PARENTE, Camila; SANT'ANNA, Guadalupe Nery de; ESPOSITO, Daniela Daguer; KIMURA, Aline; FU, Carolina; TANAKA, ClariceOBJECTIVE: The objective of this study was to use a cycle ergometer to assess cardiorespiratory changes during active exercise and to verify patients' satisfaction with this type of activity. METHODS: A single intervention involving active lower limb exercise was performed with a cycle ergometer (without load) for 5 minutes. The following variables were measured before, during and immediately after exercise: heart rate, blood pressure, respiratory rate, peripheral oxygen saturation and the Borg dyspnea scale score. Following the exercise, the patients answered a questionnaire to evaluate their satisfaction with this type of activity. RESULTS: A total of 38 patients (65% male) with a mean age of 48 ± 16 years old participated in the study. Enrolled patients presented a sequential organ failure assessment (SOFA) score of 2 (0 - 5 scale). During the exercise, 16% of the patients used ventilation support and 55% of them were breathing at room air. A comparison of the initial and final values of the variables indicated increases in the heart rate (92±17 beats/min vs. 95±18 beats/min; p<0.05), the respiratory rate (19 ± 8 breaths/min vs. 23±8 breaths/min; p<0.05) and the Borg dyspnea scale score (1.3±1.8 vs. 2.8±2.2; p<0.05). In addition, 85% of the patients reported enjoying the activity. Only 25% of the patients reported some discomfort, and 100% of the patients wanted to repeat this type of activity in future treatments. CONCLUSION: During the cycle ergometer exercises, minor cardiorespiratory changes were observed in the patients. The evaluated patients reported high satisfaction with this type of activity.