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
10 resultados
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- Is 12 months enough to reach function after athletes? ACL reconstruction: a prospective longitudinal study(2022) FELIX, Ellen Cristina Rodrigues; ALONSO, Angelica Castilho; BRECH, Guilherme Carlos; FERNANDES, Tiago Lazzaretti; ALMEIDA, Adriano Marques de; LUNA, Natalia Mariana Silva; SOARES-JUNIOR, Jose Maria; BARACAT, Edmund Chada; HERNANDEZ, Arnaldo Jose; GREVE, Julia Maria D'AndreaContext: Anterior Cruciate Ligament (ACL) injury is disabling in several sports because it causes knee instability and functional deficit. Usually, surgical treatments produce the best functional outcomes, however, sometimes they are not always able to fully restore stability and function.Objective: The objective of this study was to evaluate postural balance, muscle strength, and functional perfor-mance of young athletes with an ACL injury before and after ACL reconstruction. Design: This was a longitudinal observational prospective study. Method: 74 athletes, 60 men, and 14 women, aged between 16 and 45, divided into two groups: the Group-Lesion of ACL with 34 athletes (24.1 years) and the Group-Control with 40 athletes without ACL lesion (27.7 years old). All volunteers performed posturography, isokinetic dynamometry, and the Hop-Test. The ACL-Group was evalu-ated before and 12 months after the reconstruction and the control group was evaluated once.Results: The Postoperative ACL Group presented greater limb symmetry, 0.96 (+/- 0.12), than the preoperative ACL Group, 0.87 (+/- 0.17), p < 0.01 in the Hop-Test. In the posturography, the displacement area was smaller in the postoperative ACL Group, 19.85 (+/- 5.74), compared to the preoperative ACL Group, 24.20 (+/- 8.97), p < 0.01. In isokinetic dynamometry the torque peak was greater in the postoperative ACL Group, 0.91 (+/- 0.14), than in the preoperative ACL Group, 0.74 (+/- 0.15), p < 0.01.Conclusion: The functional outcomes increased in ACL reconstruction athletes after 12 months, but not at the same level as in the Control Group. The result indicates an incomplete functional recovery, adaptive changes in postural control after injury, reconstruction, and return to sport.
- Translation and validation into Portuguese of the international spinal cord injury pulmonary function basic data set(2022) FREITAS, Simone Ferreira de; PIRES, Cristhiane Valerio Garabello; ASA, Sabrina Kyoko; GREVE, Julia Maria D'AndreaINTRODUCTION Spinal cord injury (SCI) is a serious disabling syndrome, and the clinical picture depends on the level and extent of the injury. The International Spinal Cord Society (ISCoS) and the American Spinal Cord Association (ASIA) have developed instruments (Data Sets) to assess the various aspects of the SCI. In 2012, the International SCI Pulmonary Function Basic Data Set was elaborated. It is composed of four questions and spirometry for the collection of lung function basic data. OBJECTIVE The objective was to translate and validate the International SCI Pulmonary Function Basic Data Set to the Portuguese language. METHODS The entire methodology followed the recommendations of the ISCoS and ASIA. Two translations of the original version into Portuguese were performed, and after consensus among the translators, the Portuguese version was sent for back-translation. After back-translation and comparison with the original version, the final Portuguese version was obtained. For the second phase of the study, 30 SCI individuals were selected. Two interviewers applied the questionnaire in two distinct moments. RESULTS All results presented constant, excellent, or perfectly concordant data, except for the third question in the inter-rater comparison, where the Kappa coefficient showed value reasonable in the first interview and good in the second. CONCLUSION The translation into Brazilian Portuguese of the ""International SCI Pulmonary Function Basic Data Set "" created a valid and highly reliable instrument, like the original without linguistic and cultural disagreements that allow its use in the evaluation of patients with SCI in Brazil.
- A cross-cultural mixed methods validation study of the spinal cord injury quality of life basic dataset (SCI QoL-BDS)(2022) ROHN, Edward J.; WIND, Aline J. Hakbijl-van der; POST, Marcel W. M.; FORCHHEIMER, Martin; CHARLIFUE, Susan; NEW, Peter W.; GREVE, Julia M. D.; TATE, Denise G.Study design Mixed methods inquiry using cognitive interviews and thematic content analysis. Objectives Cross-validation of the concept of quality of life (QoL) and of the International Spinal Cord Injury Quality of Life Basic DataSet (SCI QoL-BDS) items across five sites in four countries: United States, Australia, Brazil, and the Netherlands. Analysis aimed to uncover patterns, differences, and similarities suggesting conceptual equivalence for overall QoL and the three SCI QoL-BDS items. Setting International, community. Methods Semi-structured cognitive interviews with 51 participants across five sites and four countries. Participants with spinal cord injury/disease (SCI/D) completed the SCI QoL-BDS items and one additional question. Interviews were audio recorded and transcribed. Transcripts were coded using NVivo software. Coded data were analyzed using thematic content analysis. Seventeen themes were identified. Responses by sites were compared for conceptual equivalence. Results Across the five sites, equivalence in the conceptual meaning of QoL was found based on the frequent commonalities in terminology employed to describe it. Despite sample differences in terms of demographic and SCI characteristics, participants across all sites replied to the SCI QoL-BDS items in a similar way, suggesting good item equivalence. Qualitatively, the differences noted with respect to the use of themes for each question suggest some variability on how participants with SCI/D describe QoL. In spite of these contextual differences, there is a high degree of commonalty not explained by participants' demographic or injury/disease characteristics. Conclusions The SCI QoL-BDS shows good cross-cultural validity among the international sites included in this study.
- Editorial: Coronavirus Disease (COVID-19): Psychological and Behavioral Consequences of Confinement on Physical Activity, Sedentarism, and Rehabilitation(2022) MOCHIZUKI, Luis; BRACH, Michael; ALMEIDA, Pedro L.; VEGA, Ricardo De la; GARZON, Mauricio; GREVE, Julia Maria D'Andrea; LIMON, Margarita
conferenceObject Incidence Of Injuries During The Covid-19 Pandemic In A Professional Soccer Team During The A2 Series Of Sao Paulo Championship(2022) SANTOS, Leandro; OLIVEIRA, Ezequiel; ANDRADDE, Igor; JACOBASSO, Fabio; ARNONI, Natan; GREVE, Julia- The variability of isokinetic ankle strength is different in healthy older men and women(2022) BERSOTTI, Felipe Marrese; MOCHIZUKI, Luis; BRECH, Guilherme Carlos; SOARES, Andre Luiz de Seixas; SOARES-JUNIOR, Jose Maria; BARACAT, Edmund Chada; GREVE, Julia Maria D. 'Andrea; ALONSO, Angelica CastilhoContext: In the elderly, weak lower limb muscles impair functional tasks' performance. Objective: To evaluate the healthy elderly's ankle dorsiflexion and plantarflexion maximum torque and its variability in two sets of 5 RM isokinetics evaluation. Method: 50 women (68.0 +/- 4.6 years old) and 50 men (72.7 +/- 8.5 years old) did two sets of ankle plantar flexor and dorsiflexor isokinetic tests at 30 degrees/s. Peak torque, total work, and coefficient of variation were analyzed. Results: Men did the strongest plantarflexion torque (p < 0.05) and dorsiflexion torque (p < 0.05); their highest peak torque occurred at set 2 (p < 0.05), while the largest plantarflexion torque variability (p < 0.05), dorsiflexion torque variability (p < 0.05), and the largest plantarflexion torque variability occurred at set 1 (p < 0.05). Men did the highest plantarflexion and dorsiflexion total work (p < 0.05) at set 2 (p < 0.05). Conclusion: Older men are stronger than older women. The torque variability, in men, was higher during the first set, suggesting an adaptation to the isokinetics evaluation. Clinicians and researchers should consider that different muscles might need different numbers of sets and trials to measure their maximal muscle strength.
- Influence of invertor and evertor muscle fatigue on functional jump tests and postural control: A prospective cross-sectional study(2022) CASTILLO, Gabriela Borin; BRECH, Guilherme Carlos; LUNA, Natalia Mariana Silva; TARALLO, Fernanda Botta; SOARES-JUNIOR, Jose Maria; BARACAT, Edmund Chada; ALONSO, Angelica Castilho; GREVE, Julia Maria D'AndreaObjective: Fatigue of the ankle's stabilizing muscles may influence the performance of functional activities and postural control. The purpose of this study was to evaluate the performance of healthy young adults using functional jump tests and static posturography control under pre-and post-fatigue conditions of the ankle invertor and evertor muscles. Methods: Thirty physically active healthy male and female (15 male and 15 female) volunteers (24.3 years) were enrolled in this prospective cross-sectional study. Participants performed tests on one day under a non-fatigued state of invertor and evertor muscles and on the second day in a fatigued state. Tests included static posturography on a force platform in a bipedal stance with eyes open and closed and in one-legged support with eyes open and functional jump tests (figure-of-8, side hop, 6-m crossover hop, and square hop). Fatigue of the ankle invertor and evertor muscles was induced using isokinetic dynamometry with 30 repetitions at 120 degrees/s. Results: Participants had an average age of 24.3 years (SD +/- 2.08), the height of 1.73 m (SD +/- 0.08), and a weight of 68.63 kg (SD +/- 10.29). The average Body Mass Index (BMI) was 22.88 (SD +/- 2.46). A decrease in performance was observed in functional activities and postural control under all conditions after the induction of muscle fatigue, except for the speed at a bipedal stance with eyes open. Conclusions: Functional jump tests are low cost and useful for clinical practice and evaluation of the effects of muscle fatigue and could be used in clinical practice.
- Use of alcohol and illicit drugs by trauma patients in Sao Paulo, Brazil(2022) BOMBANA, Henrique Silva; BOGSTRAND, Stig Tore; GJERDE, Hallvard; JAMT, Ragnhild Elen Gjulem; CARVALHO, Heraclito Barbosa de; ANDREUCCETTI, Gabriel; BERNINI, Celso de Oliveira; MUNOZ, Daniel Romero; LEYTON, Vilma; GREVE, Julia Maria D'AndreaIntroduction: Alcohol and illicit drugs impair cognitive and psychomotor skills and may thereby increase the risk of involvement in a road traffic crash and other types of injuries. However, the knowledge on the use of psychoactive substances among injured patients presenting to emergency departments in low and middle-income countries remains limited. Aims: To estimate the prevalence of alcohol and illicit drug use among patients with traumatic injuries admitted to an emergency department in Sao Paulo, Brazil. Methods: Blood samples from injured patients requiring hospitalization for more than 24 h due to road traffic crashes, falls, or violence, were collected from July 2018 to June 2019. The samples were analyzed for alcohol and illicit drugs. Results: A total of 376 patients were included in this study; the median age was 36 years and 80% of patients were male. The majority (56%) of injuries resulted from road traffic crashes, with approximately half of them being motorcyclists. Alcohol, drugs, or both were detected in 32% of samples. The proportion that tested positive was highest for males (35%), for the age group 18-39 years (41%), for singles (43%), and for patients injured at nighttime (4 4%). Patients injured due to violence had the highest prevalence of alcohol or drugs in their blood samples (4 4%). Alcohol was most prevalent (23%), followed by cocaine (12%) and cannabis (5%). Conclusion: The use of alcohol and illicit drugs was common among injured patients in Sao Paulo; it was likely a contributing factor in a third of the injurious accidents. Alcohol was the most prevalent substance followed by cocaine and cannabis.
- Changes in postural balance associated with a woman's aging process(2022) BRECH, Guilherme Carlos; BOBBIO, Tatiana Godoy; CABRAL, Kelem de Negreiros; COUTINHO, Patricia Mota; CASTRO, Leila Regina de; MOCHIZUKI, Luis; SOARES-JUNIOR, Jose Maria; BARACAT, Edmund Chada; LEME, Luiz Eugenio Garcez; GREVE, Julia Maria D'Andrea; ALONSO, Angelica CastilhoContext: Aging causes a progressive worsening in postural balance, affecting functional independence and increasing the risk of falls. Objective: The aim of the study was to evaluate the effect of aging on the static balance in women from 50-years to 89-years of age. Design: This was a cross-sectional study, with 400 irregularly active women were evaluated and grouped by age: Group 6(th) decade (age 50 to 59) - 58 participants; Group 7(th) decade (age 60 to 69) - 214 participants; Group 8(th) decade (age 70 to 79) - 92 participants; Group 9(th) decade (age 80 to 89) - 36 participants. Postural balance was evaluated using a portable force platform in a standard standing position, with Eyes Open (EO) and Eyes Closed (EC). Results: In the two measurement conditions, the elderly women in Group 9(th) decade presented mediolateral displacement and range, and mean velocity greater than the women's values in Groups 6(th) and 7(th) decade. In the EO e EC situation, the displacement was higher in the elderly Group 9(th) decade compared to younger groups. Group 8(th) has a mean velocity greater than Group 6(th) decade in the EO situation. Conclusions: Posturography showed a decline in postural balance with advancing age, suggesting that the 9th decade of life is a borderline age to this detriment due to an increase in postural instability.
- An international survey of the structure and process of care for traumatic spinal cord injury in acute and rehabilitation facilities: lessons learned from a pilot study(2022) ABEDI, Aidin; BIERING-SORENSEN, Fin; CHHABRA, Harvinder S. S.; GREVE, Julia Maria D'Andrea; KHAN, Nasser M. M.; KOSKINEN, Eerika; KWAN, Kenny Yat Hong; LIU, Nan; MIDDLETON, James W. W.; MOSLAVAC, Sasa; RAHIMI-MOVAGHAR, Vafa; O'CONNELL, Colleen; PREVINAIRE, Jean G. G.; PATEL, Alpesh; SCIVOLETTO, Giorgio; SHARWOOD, Lisa N. N.; TOWNSON, Andrea; URQUHART, Susan; VAINIONPAEAE, Aki; ZAMAN, Atiq Uz; NOONAN, Vanessa K. K.; CHENG, Christiana L. L.Background: To describe the key findings and lessons learned from an international pilot study that surveyed spinal cord injury programs in acute and rehabilitation facilities to understand the status of spinal cord injury care. Methods: An online survey with two questionnaires, a 74-item for acute care and a 51-item for rehabilitation, was used. A subset of survey items relevant to the themes of specialized care, timeliness, patient-centeredness, and evidence-based care were operationalized as structure or process indicators. Percentages of facilities reporting the structure or process to be present, and percentages of indicators met by each facility were calculated and reported separately for facilities from high-income countries (HIC) and from low and middle-income countries (LMIC) to identify ""hard to meet "" indicators defined as those met by less than two-thirds of facilities and to describe performance level. Results: A total of 26 acute and 26 rehabilitation facilities from 25 countries participated in the study. The comparison of the facilities based on the country income level revealed three general observations: 1) some indicators were met equally well by both HIC and LMIC, such as 24-hour access to CT scanners in acute care and out-patient services at rehabilitation facilities; 2) some indicators were hard to meet for LMIC but not for HIC, such as having a multidisciplinary team for both acute and rehabilitation settings; and 3) some indicators were hard to meet by both HIC and LMIC, including having peer counselling programs. Variability was also observed for the same indicator between acute and rehabilitation facilities, and a wide range in the total number of indicators met among HIC facilities (acute 59-100%; rehabilitation 36-100%) and among LMIC facilities (acute: 41-82%; rehabilitation: 36-93%) was reported. Conclusions: Results from this international pilot study found that the participating acute and rehabilitation facilities on average adhered to 74% of the selected indicators, suggesting that the structure and processes to provide ideal traumatic spinal cord injury care were broadly available. Recruiting a representative sample of SCI facilities and incorporating regional attributes in future surveys will be helpful to examine factors affecting adherence to indicators.