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
14 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 14
- RELATIONSHIP OF FORCE PLATFORM WITH THE CLINICAL BALANCE EVALUATION SYSTEMS TEST IN OLDER ADULTS(2020) ERNANDES, Rita De Cassia; BRECH, Guilherme Carlos; LUNA, Natalia Mariana Silva; NUNES, Michele Figueira; GREVE, Julia Maria D'Andrea; LEME, Luiz Eugenio Garcez; ALONSO, Angelica CastilhoThe aging process can alter the organization of postural control causing instability; literature shows several equipment and clinical tests whose purpose is to measure postural balance, involving different protocols and methodologies. Objective: To evaluate postural balance during the task to walk over the force platform (turn and return) and its relationship with clinic balance test (BESTest) in older adults. Methods: 60 older people of both sexes, aged 60 to 79 years, were tested in the force platform (NeuroCom Balance) and BESTest to evaluate postural balance. Results: negative correlations were found when comparing domains of the clinical test with stabilometric parameters in time and velocity variables of the tests Step/Quick turn. The highest correlations were in the total score (time spent to perform the task - 0.41, and in the velocity left side - 0.33/right side - 0.43), as well as in the stability limit (time spent to perform the task left side - 0.34/right side - 0.37, and the equilibrium velocity left side - 0.37/right side - 0.43). Conclusion: There are slim correlations between the clinical test and force platform variables, showing that each test measures different parameters.
- Association between handgrip strength, balance, and knee flexion/extension strength in older adults(2018) ALONSO, Angelica Castilho; RIBEIRO, Samia Maria; LUNA, Natalia Mariana Silva; PETERSON, Mark D.; BOCALINI, Danilo Sales; SERRA, Marcos Mauricio; BRECH, Guilherme Carlos; GREVE, Julia Maria D. Andrea; GARCEZ-LEME, Luiz EugenioThe objective of the study was to examine the association between handgrip strength (HGS), knee flexion and extension strength, and static and dynamic balance in older women. One hundred and ten women with a mean age of 67.4 +/- 5.9 years were assessed for dynamic postural balance using the Time Up & Go Test (TUG) with and without cognitive tasks. Semi-static balance was assessed by means of a force platform; knee flexor and extensor muscle strength was calculated using an isokinetic dynamometer; and HGS using a hand held dynamometer. Weaker HGS was significantly correlated with worse performance in dynamic postural balance, as well as performance with TUG with and without cognitive tasks; however, there was no correlation between HGS and static balance. There was a moderate positive correlation between knee flexion/extension strength and HGS. This suggests that HGS could be used as a proxy indicator of overall strength capacity for clinical screening among older women.
- Assessment of the quality of life, muscle strength, and dynamic balance of elderly Kendo players(2017) MENDONCA, Dario Lucas Costa de; ALONSO, Angelica Castilho; GREVE, Julia Maria D'Andrea; GARCEZ-LEME, Luiz EugenioOBJECTIVE: To compare Kendo players with active elderly adults in terms of quality of life, functional aspects (muscle strength, postural balance) and body composition. METHODS: This was a controlled cross-sectional study. Twenty elderly individuals were divided into two groups: the Kendo group, with an average age of 71.8 (5.4) years, and the Control group, with an average age of 73.1 (4.8) years. Quality of life was evaluated using a questionnaire (WHOQOL-bref and WHOQOL-old); body composition was evaluated with a bioimpedance scale (InBody230); hand-grip strength was assessed with a portable manual dynamometer (Jamar SH 5001); flexor and extensor muscle strength of the knees was evaluated with an isokinetic device (Biodex (R) System 3 model Biodex Multi Joint System, BIODEX); and dynamic balance was assessed using a force platform (Balance Master System, Neurocom International, Inc.(R) Clackamas County, Oregon, USA). RESULTS: The groups were statistically homogeneous in terms of socio-demographic characterization, body composition, muscle strength, and dynamic balance, but the Control group was faster in the sit-to-stand test (p=0.03). The Kendo group had a statistically significantly better quality of life; in the WHOQOL-bref, these differences were present in the physical (p <= 0.001) and environment (p=0.004) domains, and in the WHOQOL-old, these differences were present in social participation (p=0.001) and in past, present, and future activities (p=0.019). CONCLUSION: The results suggest that Kendo is a health-promoting activity that improves the quality of life, functional aspects (muscle strength and postural balance) and body composition of players.
- 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.
- Balance and Muscle Strength in Elderly Women Who Dance Samba(2016) SERRA, Marcos Mauricio; ALONSO, Angelica Castilho; PETERSON, Mark; MOCHIZUKI, Luis; GREVE, Julia Maria D'Andrea; GARCEZ-LEME, Luiz EugenioConsidering the growth of the aging population, and the increasing risk for falls and related morbidity, it is vital to seek efficient, comprehensive, and culturally relevant prevention programs for elderly people to reduce risks for falls. The aim of the present study was to evaluate the postural balance and muscle strength among women participating in the ""Wing of Baianas"" in the carnival parades. One hundred and ten women, with an average age of 67.4 5.9 years, were divided into two groups: Baianas group elderly participants of the carnival parades in the ""Wing of Baianas"", and a Control group of women who do not dance samba. Assessments included a physical activity questionnaire, isokinetic muscle strength testing for the knee extensors and flexors, and a postural balance assessment completed on a force platform. There were no differences between groups, for postural balance outcomes, during the eyes open condition; however, with eyes closed, there was a significant effect between groups (Baianas vs Control) in all variables. The Baianas group showed less medio-lateral displacement (p < 0.04); and anteroposterior displacement (p < 0.007); larger amplitudes of medio-lateral displacement (p < 0.001); and anteroposterior displacement (p < 0.001); increased mean velocity (p < 0.01); and elliptical area (p < 0.01) There were no differences in the isokinetic peak torque corrected by body weight, total work and flexor/extensor ratio. Participation in the Wing of Baianas is associated with better balance with closed eyes, but there were no differences between dancers and non-dancers for muscle strength.
- IMPACT OF DIABETIC NEUROPATHY ON QUALITY OF LIFE AND POSTURAL BALANCE IN BRAZILIAN OLDER ADULTS(2020) ERNANDES, Rita de Cassia; BRECH, Guilherme Carlos; LUNA, Natalia Mariana Silva; BEGA, Armando; GUIMARAES, Danielle Serra; BOCALINI, Danilo Sales; SCHERRER JUNIOR, Gerson; GREVE, Julia Maria D'andrea; LEME, Luiz Eugenio Garcez; ALONSO, Angelica CastilhoObjective: To analyze the impact of the Peripheral Diabetic Neuropathy (PDN) on the postural and functional balance and quality of life of Brazilian older adults. Methods: A cross-sectional study. Sixty older men and women (60-79 years) were divided into three groups: control, DM without and with PDN. The following parameters were evaluated: anthropometry; quality of life; postural balance (BESTest); functional balance in force plate (NeuroCom Balance). Results: PDN group presented significant differences compared with the other groups, with the worst performance in quality of life than DM2 without PDN in: sensory functioning (p = 0.030); past and future (p = 0.036); death and dying (p = 0.035). Postural balance deficit in the total score (p = 0.025) and biomedical constraints section (p = 0.043) of the BESTest, comparedwith DM2 without PDN (p = 0.007). In the functional balance (Neurocom), PDN group presented a worse performance in the time spent on the left side (p = 0.030) than the control group. During step up over test, the control group performed the task faster than the group with PDN (p = 0.004). Conclusion: This study showed that neuropaths presented worse physical performance and postural balance deficits, sensorial limitations, affecting the daily tasks and, as a consequence, decreasing the quality of life in Brazilian older adults.
- The effects of foot morphology and anthropometry on unipodal postural control(2016) ALONSO, Angelica C.; PETERSON, Mark; DUGANIERI, Márcia R.; GARCEZ-LEME, Luiz E.; MOCHIZUKI, Luis; BOCALINI, Danilo S.; LUNA, Natalia M. S.; CANONICA, Alexandra C.; GREVE, Júlia M. D.Abstract The maintenance of posture is a constant challenge for the body, as it requires rapid and accurate responses to unforeseen disturbances, which are needed to prevent falls and maintain balance. The purpose of the present study was to compare different types of plantar arch in relation to postural balance, and analyze the relationships between variations the plantar arch and anthropometric characteristics of the feet with unipedal static balance. We evaluated 100 men and women between the ages of 20 and 40 years old, to determine anthropometry and posturography with a force platform. There was a weak correlation between plantar arches and anthropometric measurements and postural balance, except for the length of the male foot, which showed a correlation between increased size and poorer static balance. We conclude that the type of plantar arch does not influence postural balance, and of the anthropometric factors, only foot length was related to postural balance.
conferenceObject Resistance Training Prevents Age-related Decline in Exercise Tolerance but not in VO2MAX of Older Runners: Preliminary Results of the Sao Silvestre Older Runners Cohort Study(2012) CIOLAC, Emmanuel Gomes; HIRAO, Leonardo Kenji; GREVE, Julia Maria D'Andrea; GARCEZ-LEME, Luiz EugenioPURPOSE: The purpose of present study was to investigate the effects of resistance training on maximal and submaximal parameters of cardiorespiratory fitness (CRF) of older runners. METHODS: Twenty-four elderly male runners (age 69±0.9 years; time of training 21±7.2 years; training frequency 4.5±0.6 days·wk-1; training volume 57.5±10.9 km·wk-1) performed a graded exercise test before (T1) and after (T2) 8.9±0.2 years of follow-up. The subjects were divided into two different groups: resistance trained older runners (REG, subjects that continued endurance training and initiated a resistance training program 3.1±0.6 years before T2; n=11) and control older runners (CG, subjects that continued endurance training but did not performed resistance training; n=13). Submaximal and maximal parameters of CRF were compared between the two groups. RESULTS: Data are displayed in Table 1. Both groups reduced similarly maximal oxygen consumption (VO2MAX) after follow-up (REG = 17.7±2.6%; CG = 23.1±4.9%), but the reduction of VO2 at respiratory compensation point (VO2RCP) was lower in REG than CG (13.8±3.4% vs. 22.1±5.1%; p<0.05). Tolerance time to reach respiratory compensation point (TTRCP) and TTMAX were reduced in CG after follow-up, but did not change significantly in REG. Maximal heart rate (HR) reduced similar in both groups, but lower reduction of HRRCP was observed in REG than CG (4.4±2.6% vs 10.9±1.4%, p=0.03). CONCLUSION: Lower reductions of VO2RCP, TTRCP, TTMAX and HRRCP (but not VO2MAX and HRMAX) were found in REG than CR. These results suggest that regular resistance training may have important implications for reducing age-related decline in CRF of older runners. Table 1. Graded exercise test parameters Resistance Trained Runners Control Runners Variable Before After Before After HRRCP (bpm) 151.9±5.9 144.0±3.5* 156.0±4.2 139.0±4.1* HRMAX (bpm) 170.7±3.9 163.7±3.2* 172.5±5.4 161.8±3.4* TTRCP (min) 10.9±0.9 10.1±0.5 9.5±0.5 7.5±0.5*† TT2MAX (min) 15.5±0.8 14.9±0.6 13.8±0.7† 12.2±0.5*† VO2RCP (ml·kg·min-1) 38.1±1.4 32.8±1.7* 35.3±1.3 26.5±1.5*† VO2MAX (ml·kg·min-1) 45.6±1.5 37.4±1.4* 42.8±1.4 32.4±1.5*† RER 1.15±0.02 1.17±0.02 1.13±0.01 1.17±0.02* Different from before follow-up at same group (p<0.05). ? Different from resistance trained runners at same period (p<0.05). HR, heart rate; TT, tolerance time; VO2, oxygen uptake; RCP, respiratory compensation point; MAX, maximal.- RELATIONSHIP BETWEEN BONE MINERAL DENSITY AND BODY COMPOSITION IN ELDERLY(2018) ALONSO, Angelica Castilho; GONCALVES, Tuane Andreatta; ALMEIDA, Jenifer Kristina Alves de; MACHADO-LIMA, Adriana; ERNANDES, Rita de Cassia; GREVE, Julia Maria D'Andrea; GARCEZ-LEME, Luiz EugenioObjective: To evaluate the association between bone mineral density (BMD) and body composition in healthy older adults at different skeletal sites. Methods: We analyzed 87 medical records and BMD along with the body composition of men ranging from 60 to 87 years of age (mean: 68.5, standard deviation: 6.5). Inclusion criteria were normal BMD values (T-score greater than or equal to -1.0) and body mass index within normal or overweight range (18.5 to 29.5 kg/m(2)). Body composition was evaluated using bone densitometry with dual-energy X-ray absorptiometry (DEXA) in a LUNAR-DPX apparatus. Results: Greater lean mass, fat mass, and soft tissue was associated with better BMD values in older adults, and higher age was associated with poorer BMD. Conclusion: Body composition (lean and fat masses and soft tissue) in older men is positively associated with BMD at all body sites (arms, legs, and trunk).
- KNOWLEDGE ASSESSMENT INSTRUMENT ON BASIC SUPPORT OF HIP FRACTURES IN THE ELDERLY(2015) SANTOS, Ednei Fernando dos; APRILE, Maria Rita; ALONSO, Angelica Castilho; GARCEZ-LEME, Luis Eugenio; GREVE, Julia Maria D'AndreaObjective: To validate an instrument to determine the graduate students' knowledge level of health care on the basic support of life procedures, risk factors, damage and disorders in elderly patients with hip fractures. Method: A group of experts was asked to analyze the instrument in two steps. Firstly, the procedure was done subjectively and according to objective analysis using the Likert scale proposed by the Delphi method. After adjustment according to the suggestions, the version of the instrument was applied to 179 undergraduate students in the health area. Result: The instrument has achieved in its entirety and in parts (risk factors), the minimum criteria established for the Cronbach's alpha (i.e., >= 0.70). There was no change in the Cronbach's alpha (0.551) for the maintenance of initial items of the instrument, as well as the deletion of seven assessment items. Conclusion: The instrument developed has sufficient internal validity to determine the level of knowledge of undergraduate students in the health area on basic life support, damage, injuries and risk factors in elderly patients with hip fractures from falls.