SILVIA MARIA AMADO JOAO
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
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
7 resultados
Resultados de Busca
Agora exibindo 1 - 7 de 7
- Posture Alignment of Adolescent Idiopathic Scoliosis: Photogrammetry in Scoliosis School Screening(2017) PENHA, Patricia Jundi; PENHA, Narima Livia Jundi; KELLY, Barbarah; CARVALHO, Goncalves De; ANDRADE, Rodrigo Mantelatto; SCHMITT, Ana Carolina Basso; JOAO, Silvia Maria AmadoObjective: The objective of this study was to describe the posture patterns of adolescents diagnosed with adolescent idiopathic scoliosis (AIS) in a scoliosis school screening (SSS). Methods: Two-dimensional photogrammetry was used to assess the posture of 37 adolescents diagnosed with scoliosis (scoliosis group, SG) (Cobb angle >= 10 degrees) and 76 adolescents with a false positive diagnosis (false positive group, FPG) (Cobb angle <10 degrees, angle of trunk rotation >= 7 degrees). In total, 2562 10-to 14-year-old adolescents were enrolled in the SSS, which was performed in public schools in the cities of Amparo, Pedreira, and Mogi Mirimin the state of Sao Paulo, Brazil. Their posture was analyzed using Postural Analysis Software. Continuous variables were tested using Student t test, and categorical variableswere tested using a chi(2) test. The SG, FPG, simple curve group, and double curve groupwere all compared. Bivariate analysis was used to identify associations between postural deviations and scoliosis. The adopted significance level was alpha = .05. Results: The SG (2.7 +/- 1.9 degrees) had greater shoulder obliquity than the FPG (1.9 +/- 1.4 degrees) (P = .010), and this deviation was associated with scoliosis (odds ratio [95% CI] P = 1.4 [1.1-1.8] 0.011). The SG had asymmetry between the right-and left-side lower limb frontal angle, shoulder sagittal alignment, and knee angle. The double curve group (3 +/- 1.7 degrees) presented a greater value of the vertical alignment of the torso than the simple curve group did (1.9 +/- 1 degrees; P = .032). Conclusions: Adolescents diagnosed with AIS in an SSS had greater shoulder obliquity and asymmetry between the right and left sides. Shoulder obliquity was the only postural deviation associated with AIS.
- Reliability in Mandibular Movement Evaluation Using Photogrammetry in Patients With Temporomandibular Disorders(2019) ANDRADE, Rodrigo Mantelatto; GUIMARAES, Luciana Ribeiro; RIBEIRO, Ana Paula; MARQUES, Amelia Pasqual; CRIVELLO JR., Oswaldo; CARVALHO, Barbarah Kelly Goncalves de; JOAO, Silvia Maria AmadoObjective: The purpose of this study was to propose a quantitative evaluation for mandibular opening closing movement asymmetries and to verify the intraexaminer and interexaminer reliability using photogrammetry in individuals with and without myogenic temporomandibular disorders. Methods: Forty-nine female participants between ages 18 and 40 were enrolled in this study. They were assigned to 2 different groups: a temporomandibular disorder group, (n = 25; 28.1 +/- 3.6 years) and an asymptomatic group (n = 24; 25.6 +/- 5.1 years). Data were collected through photogrammetry using Corel Draw X3 software (Corel Corp, Ottawa, Ontario, Canada) for angle measurements. Reliability analysis was done on the total sample, and the photographs were obtained by a singular examiner on 2 occasions (intraexaminer) 1 month apart and from measurement made by another examiner (interexaminer) on different days. The intraclass correlation coefficient (ICC) was applied with a significance level of 5%. Results: The photogrammetry had excellent intrarater and inter-rater reliability for the evaluation of opening and closing movements of the jaw (intrarater: opening ICC = 0.99; closing ICC = 0.98; inter-rater: opening ICC = 0.89 and closing ICC = 0.82). Photogrammetry also demonstrated excellent intra- and inter-rater reliability in the evaluation of head posture (intra-rater: head deviation ICC = 0.96; head position [CC = 0.75; inter-rater: head deviation ICC = 0.98; head position ICC = 0.98). Conclusion: Under these experimental conditions, most angular values presented excellent intra- and interexaminer reliability.
- Influence of Sex and Body Mass Index on the Thoracic Kyphosis and Lumbar Lordosis(2022) MIRANDA, Ana P. O. C.; PENHA, Patrica J.; PEREIRA, Luciana G.; PESSOA, Wallace C.; JOAO, Slvia M. A.Objectives: The purpose of this study was to assess the influence of sex and body mass index (BMI) on the thoracic kyphosis and lumbar lordosis of adolescents and to assess the reliability and agreement of the flexicurve method for these measurements. Methods: The study included 217 adolescents of both sexes, aged between 11 and 15 years, who were students from municipal schools in the city of Sao Jose dos Campos in Sao Paulo. The measurement of thoracic kyphosis and lumbar lordosis angles was performed using the flexicurve method. Descriptive analysis of the data, analysis of covariance for comparison between groups (by BMI and sex), assessment of reliability, and intrarater agreement were analyzed. Results: There was a significant difference between the groups by BMI and sex only for lumbar lordosis. The obese group had greater lumbar angles for both sexes (female sex: 32.6 degrees +/- 7.8 degrees [eutrophic]; 37.7 degrees +/- 7.3 degrees [obese]; male sex: 25.3 degrees +/- 7.3 degrees [eutrophic]; 32.2 degrees +/- 7.3 degrees [obese]). In the comparison between the sexes, the greatest lumbar angles were found in the female sex (female sex: 32.6 degrees +/- 7.8 degrees; male sex: 25.3 degrees +/- 7.3 degrees) among the eutrophic. Excellent intrarater reliability was found for thoracic kyphosis (intraclass correlation coefficient, 0.86) and moderate for lumbar lordosis (intraclass correlation coefficient, 0.72). Conclusion: Sex and BMI were associated with lumbar lordosis in adolescents and were greater in individuals with obesity and female individuals. The flexicurve method was reliable and accurate for the assessment of thoracic kyphosis and lumbar lordosis in adolescents.
- Age, Sex, Body Mass Index, and Laterality in the Foot Posture of Adolescents: A Cross Sectional Study(2020) CARVALHO, Barbarah Kelly Goncalves de; PENHA, Patricia Jundi; RAMOS, Narima Livia Jundi Penha; ANDRADE, Rodrigo Mantelatto; RIBEIRO, Ana Paula; JOAO, Silvia Maria AmadoObjective: To investigate the relationship between the right and left foot posture in terms of body mass index (BMI), sex, and age in adolescents aged 10 to 14. Methods: A total of 1400 adolescents were included. For assessment, the Foot Posture Index (FPI-6) was used. Each foot was assessed and ranked as supinated, normal, or pronated by the sum of the FPI-6 criteria. Each criterion was scored on a scale of -2 to +2, with negative for supinated and positive for pronated posture. A linear mixed model with repeated measures was used for statistical analysis. Results: Sex, BMI, and right and left foot are associated with FPI-6. The total score attributed for male sex (b = 0.29, P = .04) and the left foot (b = 0.73, P < .001) was higher (male right foot: mean standard deviation [SD], 3.09 +/- 2.84, male left foot: 3.76 +/- 2.80; female right foot: mean +/- SD, 2.28 +/- 2.61, female left foot: 3.45 +/- 2.66; laterality for left foot: mean +/- SD, 3.55 +/- 2.71, laterality for right foot: mean +/- SD, 2.82 +/- 2.7). On the other hand, the correlation coefficient for the BMI was negative (b =-0.08, P = < .001), which means that the higher the BMI the lower the score attributed to the FPI-6. Conclusions: The FPI-6 is positively related to the male sex and the left foot-that is, the predicted score is higher, so the feet tend to present with a tendency to pronation. Although BMI is associated with FPI-6, it was not possible to establish a relationship between high BMI and pronation of the feet.
- Quantitative Postural Analysis of Children With Congenital Visual Impairment(2018) PADUA, Michelle de; SAUER, Juliana F.; JOAO, Silvia M. A.Objectives: The aim of this study was to compare the postural alignment of children with visual impairment with that of children without visual impairment. Methods: The sample studied was 74 children of both sexes ages 5 to 12 years. Of these, 34 had visual impairment and 40 were control children. Digital photos from the standing position were used to analyze posture. Postural variables, such as tilt of the head, shoulder position, scapula position, lateral deviation of the spine, ankle position in the frontal plane and head posture, angle of thoracic kyphosis, angle of lumbar lordosis, pelvis position, and knee position in the frontal and sagittal planes, were measured with the Postural Assessment Software 0.63, version 36 (SAPO, Sao Paulo, Brazil), with markers placed in predetermined bony landmarks. Results: The main results of this study showed that children with visual impairment have increased head tilt (P < .001), shoulder deviation in frontal plane (P = .004), lateral deviation of the spine (P < .001), changes in scapula position (P = .012), higher thoracic kyphosis (P = .004), and lower lumbar lordosis (P < .001). Conclusions: Visual impairment influences postural alignment. Children with visual impairment had increased head tilt, uneven shoulders, greater lateral deviation of the spine, thoracic kyphosis, lower lumbar lordosis, and more severe valgus deformities on knees.
- The influence of gender and body mass index on the FPI-6 evaluated foot posture of 10-to 14-year-old school children in Sao Paulo, Brazil: a cross-sectional study(2017) CARVALHO, Barbarah Kelly Goncalves de; PENHA, Patricia Jundi; PENHA, Naima Livia Jundi; ANDRADE, Rodrigo Mantelatto; RIBEIRO, Ana Paula; JOAO, Silvia Maria AmadoBackground: Adolescence is marked by changes to the body, including the feet. The Foot Posture Index (FPI-6) stands out from other foot type classification methods as valid, reliable, and multidimensional. However, the current literature differs according to age group, with little consolidation of normative data in school children, largely due to the influence of such factors as sex, age and body mass index (BMI). Thus, this study assesses foot posture in adolescents according to age, sex and BMI. Methods: The study evaluated 1.394 adolescents from Amparo and Pedreira regions in Sao Paulo, Brazil. Subjects were positioned barefoot on a wooden base and each foot was assessed by FPI-6 criteria. Each criterion was scored on a scale of -2 to +2, negative for supinated and positive for pronated posture. Initially the data were assessed for normality using the Shapiro-Wilk test and descriptive statistics were calculated. To investigate and compare the scores of FPI-6 with regards to age and body mass index, analysis of variance (ANOVA) was used, followed by post hoc Tukey. To compare the FPI-6 with regard to gender, an independent student t test was used. All data were analyzed using SPSS version 21.0 and the 5% significance level. Results: Boys had higher scores than girls (p = 0.037) for the right foot, and the group with normal BMI values scored higher than the obese group (p = 0.001). For the left foot, 11- and 13-year-olds differed (p = 0.024) with respect to age in general. The overweight and obese group scored lower than the normal BMI group (p = 0.039; p = 0.001, respectively). Conclusions: Overall, the feet in this study were classified as normal, with a tendency to pronation, particularly in boys. There were differences between the 11 and 13 year groups and, with regard to BMI, there were higher scores for the group with normal BMI. Therefore, a higher BMI in adolescence is not indicative of a pronated foot type.
- POSTURAL ASSESSMENT OF LUMBAR LORDOSIS AND PELVIC ALIGNMENT ANGLES IN ADOLESCENT USERS AND NONUSERS OF HIGH-HEELED SHOES(2011) PEZZAN, Patricia Angelica de Oliveira; JOAO, Silvia Maria A.; RIBEIRO, Ana Paula; MANFIO, Eliane FatimaObjective: The aims of this study were (1) to analyze the influence of wearing high-heeled shoes on lumbar lordosis and pelvic inclinations among adolescents aged between 13 and 20 years were users and nonusers of high-heeled shoes and (2) to correlate these postural angles with age. Methods: Fifty adolescents from the nonuser group (NUG) of high-heeled shoes and 50 from the user group (UG) were evaluated. Postural assessments were obtained by photogrammetry under 2 conditions-barefoot and with high-heeled shoes-and analyzed using the evaluation postural software. The measured angles included lumbar lordosis and the horizontal alignment of the pelvis. Descriptive analyses were carried out, with a significance level of 5%. Results: With high-heeled use, the NUG demonstrated rectification of the lumbar spine and pelvic retroversion, whereas the UG demonstrated hyperlordosis and pelvic anteversion. When barefoot, smaller lumbar lordosis angles for both groups were observed. However, the pelvic angles were lower for the UG group and higher for the NUG. The studied angles showed high reliabilities. Age was correlated with lumbar lordosis angles for the NUG in the barefoot condition and with pelvic alignments in both conditions for the UG. Conclusion: For the subjects in this study, the use of high-heeled shoes is correlated with increased lumbar lordosis and pelvic anteversions. Lumbar lordosis angles are correlated with age for the NUG when barefoot. (J Manipulative Physiol Ther 2011;34:614-621)