JULIA MARIA D ANDREA GREVE
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Ortopediae Traumatologia, Faculdade de Medicina - Docente
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/41 - Laboratório de Investigação Médica do Sistema Músculoesquelético, Hospital das Clínicas, Faculdade de Medicina - Líder
6 resultados
Resultados de Busca
Agora exibindo 1 - 6 de 6
- Functional Balance Assessment: review(2014) ALONSO, Angélica Castilho; LUNA, Natália Mariana; DIONÍSIO, Felipe Nunes; SPECIALI, Danielli Souza; LEME, Luiz Eugênio Garcez; GREVE, Júlia Maria D'AndréaThe aim of this study was to perform a literature review on different methods of postural balance assessment and to provide a theoretical framework for further study of this subject. Medline, PubMed and LILACS databases were used to find currently employed methods which show good reproducibility and reliability. Clinical examination and scale application or force platform testing, each one with their own advantages and limitations, can be used to assess postural balance. There is no common standard. The evaluator should be familiar with all available methods in order to be able to select the most appropriate for his specific requirements.
- Driving evaluation methods for able-bodied persons and individuals with lower extremity disabilities: a review of assessment modalities(2015) GREVE, Julia Maria D'Andrea; SANTOS, Luciana; ALONSO, Angelica Castilho; TATE, Denise G.Assessing the driving abilities of individuals with disabilities is often a very challenging task because each medical condition is accompanied by physical impairments and because relative individual functional performance may vary depending on personal characteristics. We identified existing driving evaluation modalities for able-bodied and lower extremity-impaired subjects (spinal cord injury patients and amputees) and evaluated the potential relationships between driving performance and the motor component of driving. An extensive scoping review of the literature was conducted to identify driving assessment tools that are currently used for able-bodied individuals and for those with spinal cord injury or lower extremity amputation. The literature search focused on the assessment of the motor component of driving. References were electronically obtained via Medline from the PubMed, Ovid, Web of Science and Google Scholar databases. This article compares the current assessments of driving performance for those with lower extremity impairments with the assessments used for able-bodied persons. Very few articles were found concerning ""Lower Extremity Disabilities,'' thus confirming the need for further studies that can provide evidence and guidance for such assessments in the future. Little is known about the motor component of driving and its association with the other driving domains, such as vision and cognition. The available research demonstrates the need for a more evidenced-based understanding of how to best evaluate persons with lower extremity impairment.
- Risk factors for overuse injuries in runners’ ankles: a literature review(2015) GREVE, Julia Maria D’Andréa; ANDERE, Nathalie Ferrari Bechara; LUNA, Natalia Mariana Silva; CANONICA, Alexandra Carolina; CRUZ, Ticiane Marcondes F. da; PETERSON, Mark; ALONSO, Angelica CastilhoINTRODUCTION: In spite of the numerous benefits to human health and given the increase of running as an exercise that has become popular worldwide, this type of sport may be the cause of a number of different injuries. The foot, ankle and lower leg comprise almost 40% of the injuries. However, the etiology of these types of injury is still not completely understood. OBJECTIVE: To investigate the causes of the onset of overuse injury in runners. METHODS: A systematic search of the electronic database was made: Bireme, Pubmed and PEDro, which were selected that addressed clinical trials, control cases, prospective and cross-sectional studies. RESULTS: The search through the descriptors yielded 324 references. Using our predefined inclusion criteria (case studies, clinical trials, prospective studies and cross studies that addressed adult runners, amateur or professional) 68 articles remained; 24 citations were excluded after reading the title, and 35 were excluded after reading the abstract and the full text. Therefore nine studies that met the criteria for analysis were included. CONCLUSION: The etiology of overuse injuries in runners is multifactorial. This review showed that distance, soil type and footwear, as well as a history of previous injuries, biomechanical changes such as increased dorsiflexion and eversion ankle, and greater knee flexion are risk factors that influence the occurrence of these injuries.
- Effects of treadmill training on gait of elders with Parkinson's disease: a literature review(2020) LUNA, Natalia Mariana Silva; BRECH, Guilherme Carlos; CANONICA, Alexandra; ERNANDES, Rita de Cassia; BOCALINI, Danilo Sales; GREVE, Julia Maria D'Andrea; ALONSO, Angelica CastilhoParkinson's disease is the second most common neurodegenerative disorder in old age. Aging process for elders with Parkinson's disease can induce gait disturbances with more functional disabilities than for elders without the disease. Treadmill training as a therapy has resulted in notable effects on the gait of patients with Parkinson's disease and may be a resource for geriatric neurological rehabilitation. This review aimed to study the effects on gait after treadmill training in elderly patients with Parkinson's disease. The search was performed in the databases PubMed (R), LILACS, PEDro and EMBASE, with the following keywords: ""Parkinson's disease"", ""elderly"", ""treadmill training"" and ""gait evaluation"". The quality of the studies included was assessed by PEDro Scale. Eleven studies met the inclusion and exclusion criteria. Eight studies were randomized, and only one did a follow-up. One can observe in this review that treadmill training with or without weight support (at least 20 minutes, two to three times a week, with progressive increase of loads, for minimum of 6 weeks) in elderly patients with the Parkinson's disease was effective to improve gait. In addition, both were considered safe (since some studies described the use of belts, even in unsupported training) and can be associated with therapies complementary to gait, such as repetitive transcranial magnetic stimulation, visual cues or anodal transcranial direct current stimulation. Treadmill training in elderly patients with Parkinson's disease is an intervention that improves gait outcomes, but further studies are required for better proofs.
- The effect of gait training and exercise programs on gait and balance in post-stroke patients(2015) MOCHIZUKI, Luis; BIGONGIARI, Aline; FRANCIULLI, Patricia Martins; FRANCICA, Juliana Valente; ALONSO, Angelica Castilho; ERVILHA, Ulysses Fernandes; KIYOMOTO, Henry Dan; GREVE, Julia Maria D’AndreaThe aim of this review is to evaluate studies about gait training and exercise interventions applied to patients following chronic stroke on gait and balance. The studies included in this review were random clinical trials, including only chronic post-stroke individuals that evaluated gait and balance outcomes and with a PEDro scale score ≥ 7.0. Eight studies were selected. The results suggest gait and balance will only be affected in chronic post-stroke patients if training sessions last at least 30 minutes, are repeated three times a week, and maintained for at least five weeks. Gait training affects how chronic post-stroke individuals walk. They will probably walk faster and with a lower risk of falling; however, it is unclear whether the consequences of these procedures affect the quality of life.
- Comparing the Aerobic Fitness of Professional Male Soccer Players and Soccer Referees(2019) SANTOS-SILVA, Paulo R.; GREVE, Julia M. D'Andrea; PEDRINELLI, Andre; ALMEIDA, Adriano M.; OSORIO, Bruna B.; FERREIRA, Marcelo; FERREIRA, CelsoWe looked to compare the aerobic performance between professional soccer referees and players. Fifty male soccer referees and 61 male soccer players were tested on a treadmill. The referees and players possessed 15 +/- 7 years and 7 +/- 3 years of experience in soccer, respectively. Significant differences were observed between the referees and players with regards to: age (34.8 +/- 4.6 years vs 20.8 +/- 2.7 years; P < 0.001, maximum oxygen uptake (54.7 +/- 5.4 mL center dot kg(-1)center dot min(-1) vs 58.8 +/- 4.4 mL center dot kg(-1)center dot min(-1); P < 0.001), and maximal heart rate in peak exercise (184 +/- 11 bpm vs 192 +/- 9 bpm, P < 0.001). Less significant differences also were observed and included; running speed at the maximum oxygen uptake (16.6 +/- 1 km center dot h(-1) vs 16.4 +/- 1.1 km center dot h(-1)), running speed at the ventilatory threshold (213.5 +/- 1.1 km center dot h(-1) vs 13.2 +/- 0.9 km center dot h(-1)), and percentage of maximal oxygen uptake at the ventilatory threshold (285.1% +/- 3.2% vs 84.1% +/- 6.2%). The effect size of most comparative variables between the two groups was small (<0.6). Older elite-level soccer referees are able to reach and maintain aerobic physical fitness levels similar to professional soccer players. Aerobic physical fitness may be a measurable factor for maintaining elite-level soccer licensure rather than age alone.