JULIANO TAKASHI WADA
Projetos de Pesquisa
Unidades Organizacionais
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina
7 resultados
Resultados de Busca
Agora exibindo 1 - 7 de 7
conferenceObject ABDUCTOR HALLUCIS MUSCLE HAS ONE MORE MUSCLE INSERTION POINT(2018) WADA, Juliano; AKAMATSU, Flavia Emi; ITEZEROTE, Ana Maria; HOJAIJ, Flavio; ANDRADE, Mauro; JACOMO, Alfredo Luiz- Effects of aerobic training combined with respiratory muscle stretching on the functional exercise capacity and thoracoabdominal kinematics in patients with COPD: a randomized and controlled trial(2016) WADA, Juliano T.; BORGES-SANTOS, Erickson; PORRAS, Desiderio Cano; PAISANI, Denise M.; CUKIER, Alberto; LUNARDI, Adriana C.; CARVALHO, Celso R. F.Background: Patients with COPD present a major recruitment of the inspiratory muscles, predisposing to chest incoordination, increasing the degree of dyspnea and impairing their exercise capacity. Stretching techniques could decrease the respiratory muscle activity and improve their contractile capacity; however, the systemic effects of stretching remain unknown. Objective: The aim of this study was to evaluate the effects of aerobic training combined with respiratory muscle stretching on functional exercise capacity and thoracoabdominal kinematics in patients with COPD. Design: This study was a randomized and controlled trial. Participants: A total of 30 patients were allocated to a treatment group (TG) or a control group (CG; n=15, each group). Intervention: The TG was engaged in respiratory muscle stretching and the CG in upper and lower limb muscle stretching. Both groups performed 24 sessions (twice a week, 12 weeks) of aerobic training. Evaluations: Functional exercise capacity (6-minute walk test), thoracoabdominal kinematics (optoelectronic plethysmography), and respiratory muscle activity (surface electromyography) were evaluated during exercise. Analysis of covariance was used to compare the groups at a significance level of 5%. Results: After the intervention, the TG showed improved abdominal (ABD) contribution, compartmental volume, mobility, and functional exercise capacity with decreased dyspnea when compared with the CG (P<0.01). The TG also showed a decreased respiratory muscle effort required to obtain the same pulmonary volume compared to the CG (P<0.001). Conclusion: Our results suggest that aerobic training combined with respiratory muscle stretching increases the functional exercise capacity with decreased dyspnea in patients with COPD. These effects are associated with an increased efficacy of the respiratory muscles and participation of the ABD compartment.
conferenceObject Relationship between psychosocial factors, dyspnea and thoracoabdominal mechanics in COPD patients(2013) BORGES-SANTOS, Erickson; WADA, Juliano; CANO, Desiderio; PAISANI, Denise; SILVA, Cibele Marques da; CUKIER, Alberto; STELMACH, Rafael; CARVALHO, Celso; LUNARDI, AdrianaconferenceObject Effects of pulmonary rehabilitation on thoracoabdominal mechanic, dyspneia and daily activities in patients with COPD(2013) WADA, Juliano; BORGES-SANTOS, Ericksson; CANO, Desiderio; PAISANI, Denise; SILVA, Cibele Marques da; CUKIER, Alberto; STELMACH, Rafael; LUNARDI, Adriana; CARVALHO, Celso- Anxiety and depression are related to dyspnea and clinical control but not with thoracoabdominal mechanics in patients with COPD(2015) BORGES-SANTOS, Erickson; WADA, Juliano Takashi; SILVA, Cibele Marques da; SILVA, Ronaldo A.; STELMACH, Rafael; CARVALHO, Celso R.; LUNARDI, Adriana C.Objective: To investigate the relationship between the presence of symptoms of anxiety or depression with breathing pattern and thoracoabdominal mechanics at rest and during exercise in COPD. Methods: Cross-sectional study enrolled 54 patients with COPD ranked according to Hospital Anxiety and Depression Scale (HAD) score and compared to dyspnea, clinical control, hypercapnia, breathing pattern and thoracoabdominal mechanics at rest and during exercise. Results: Seventeen patients with COPD had no symptoms, 12 had anxiety symptoms, 13 had depressive symptoms and 12 had both symptoms. COPD with depressive symptoms presented greater degree of dyspnea (p < 0.01). Poor clinical control was observed in COPD with anxious and/or depressive symptoms (p < 0.05). Breathing pattern and thoracoabdominal mechanics were similar among all groups at rest and during exercise. Conclusions: COPD with symptoms of depression report more dyspnea. Anxiety and depression are associated with poor clinical control without impact on breathing pattern and thoracoabdominal mechanics in COPD.
conferenceObject MYOFASCIAL PLANTAR PAIN AND THE RELATIONSHIP BETWEEN THE INNERVATION OF ABDUCTOR HALLUCIS MUSCLE. NEW PHYSIOPATHOLOGICAL APPROACH(2018) WADA, Juliano; AKAMATSU, Flavia Emi; ITEZEROTE, Ana Maria; HOJAIJ, Flavio; ANDRADE, Mauro; JACOMO, Alfredo Luiz- An Anatomical Basis for the Myofascial Trigger Points of the Abductor Hallucis Muscle(2020) WADA, Juliano T.; AKAMATSU, Flavia; HOJAIJ, Flavio; ITEZEROTE, Ana; SCARPA, Jose Carlos; ANDRADE, Mauro; JACOMO, AlfredoMyofascial pain syndrome is characterized by pain and a limited range of joint motion caused by muscle contracture related to motor-end-plate dysfunction and the presence of myofascial trigger points (MTrPs). It is the most frequent cause of musculoskeletal pain, with a worldwide prevalence varying between 13.7% and 47%. Of the patients with myofascial pain syndrome, approximately 17% have pain in the medial hindfoot area. The abductor hallucis muscle is located in the medial, posterior region of the foot and is related to painful plantar syndromes. The objective of this study was to describe the distribution of the medial plantar nerve and their anatomical relationship with MTrPs found in the literature. Thirty abductor hallucis muscles were dissected from 15 human cadavers (8 males and 7 females). The muscles were measured, and the distribution data of the medial plantar nerve branches in each quadrant were recorded. For statistical analysis, we used generalized estimation equations with a Poisson distribution and a log logarithm function followed by Bonferroni multiple comparisons of the means. The data are expressed as the mean +/- standard deviation. The level of significance was adjusted to 5% (p<0.05). A high concentration of nerve branches was observed in the first quadrant (Q1) of the abductor hallucis muscle, which is the same area in which the MTrPs are described. The topography of the entry points of the branches of the medial plantar nerve to the abductor hallucis muscle correlates with the topography of the muscular trigger points. The anatomical structure of the MTrPs may be useful for a better understanding of the pathophysiology of myofascial disorders and provide a basis for surgical and clinical treatments.