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3. HOVEDDEL

3.5. D RØFTING AV BISTAND TIL TVANGSINNLEGGELSE

3.6.2. Nonverbal kommunikasjon

Aspectos éticos, desenho experimental e participantes

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Critérios de inclusão e exclusão

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Procedimentos e Instrumentos de Medida

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Avaliação do nível de atividade e funcionalidade dos grupos

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Ressonância Magnética Nuclear

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Avaliação isocinética

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Aquisição da atividade muscular por eletromiografia 

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Análise Estatística 

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0D\HU 2V YDORUHV GD GLIHUHQoD HQWUH PpGLDV GRV JUXSRV IRUDP H[SUHVVRV HP SRUFHQWDJHP H IRUDPDSUHVHQWDGRVFRPRGpILFLW8PDOIDGHFRPXPLQWHUYDORGHFRQILDQoDGHIRUDP XWLOL]DGRVSDUDWRGRVRVWHVWHVTXHIRUDPUHDOL]DGRVFRPRVRIWZDUH6366YHUVmR 6366 ,QF&KLFDJR,OOLQRLV 

 

RESULTADOS

Caracterização dos Sujeitos

Níveis de atividade, mobilidade, funcionalidade e qualidade de vida

&RQIRUPH D 7DEHOD  R *UXSR &RQWUROH DSUHVHQWRX RV VHJXLQWHV YDORUHV UHIHUHQWHV jV GLPHQV}HV Medical Outcomes Study–36 Health Status Measurement (SF-36) FDSDFLGDGH IXQFLRQDO “ DVSHFWRVItVLFRV “ GRU “ HVWDGRJHUDOGHVD~GH “ YLWDOLGDGH “ DVSHFWRVVRFLDLV “ DVSHFWRVHPRFLRQDLV “  HVD~GHPHQWDO “ (PUHODomRDR*UXSR+HPLSDUpWLFRRHVFRUHPpGLRGRËQGLFH GR 'HVHPSHQKR 0RWRU )XJO0D\HU IRL GH  “    2V YDORUHV GD Functional

Ambulation CategoryIRUDPQtYHO Q  HQtYHO Q  2VYDORUHVGD(VFDODGH $VKZRUWK

0RGLILFDGD IRUDP TXDGULO  Q    Q    Q   MRHOKR  Q    Q    Q    Q  WRUQR]HOR Q   Q   Q   Q  $SRQWXDomRGD(VFDODGH(TXLOtEULRGH %HUJGR*UXSR+HPLSDUpWLFRIRLGH“FRPUHGXomRVLJQLILFDWLYDGRHTXLOtEULRTXDQGR FRPSDUDGRDR*UXSR&RQWUROH Tabela 1S 

+RXYH XP DXPHQWR VLJQLILFDQWH QR WHPSR GR WHVWH 78* UHDOL]DGR SHOR *UXSR +HPLSDUpWLFRTXDQGRFRPSDUDGRDR*UXSR&RQWUROH Tabela 1S (PUHODomRDRWHVWHGH FDPLQKDGDGHPR*UXSR+HPLSDUpWLFRDSUHVHQWRXXPDGLPLQXLomRQDYHORFLGDGHTXDQGR FRPSDUDGRDR*UXSR&RQWUROH 7DEHODS  2YDORUPpGLRGRËQGLFHGH%DUWKHOLQGLFRX XPDOWRQtYHOGHLQGHSHQGr QFLDGXUDQWHDVDWLYLGDGHVGHYLGDGLiULD “ 2YDORUPpGLRGD (VFDODGH4XDOLGDGHGH9 LGD(VSHFtILFDSDUD,QGLYtGXRV+HPLSDUpWLFRVIRLGH“   LQGLFDQGRXPQtYHOPRGHUDGRGHTXDOLGDGHGHYLGD

 

Tabela 1 – Descrição demográfica e funcional dos grupos. Variáveis  Grupo Controle  (n=14) Grupo Hemiparético (n=14) 9DORU3 Idade (anos) “ “  Altura (m)  “ “  Peso Corporal (Kg) “ “ 

Índice de Massa Corporal “ “ 

   

Escala de Equilíbrio de Berg  “ “  

TUG Test (s) “ ±   

Teste de caminhada 10 m (m/s)  “ “  

Alcance Funcional “ “  

   



Volume dos músculos flexores e extensores do joelho

$Figura 2pUHSUHVHQWDWLYDGDPHQVXUDomRGRYROXPHPXVFXODUGRVP~VFXORVTXDGUtFHSV H LVTXLRWLELDLV QRV *UXSR &RQWUROH H *UXSR +HPLSDUpWLFR 1DV LPDJHQV GH 5HVVRQkQFLD 0DJQpWLFD1XFOHDUpSRVVtYHOLGHQWLILFDURDXPHQWRGRWHFLGRFRQMXQWLYRHDDWURILDQRVP~VFXORV GRPHPEURSDUpWLFR 2VJUiILFRVGHPRQVWUDPDVGLIHUHQoDVGRYROXPHPXVFXODUHQWUHRVJUXSRV +RXYH GLIHUHQoD VLJQLILFDWLYD QR YROXPH PXVFXODU WRWDO GR TXDGUtFHSV S   H GRV LVTXLRVWLELDLV S  VRPHQWHHQWUHPHPEURVSDUpWLFRHFRQWUROH9 DORUHVPpGLRVGRYROXPH PXVFXODUWRWDOGRTXDGUtFHSVPHPEURFRQWUROH “FP PHPEURQmRSDUpWLFR  “FP PHPEURSDUpWLFR “FP HGRVLVTXLRWLELDLVPHPEURFRQWUROH “ FP PHPEURQmRSDUpWLFR “FP PHPEURSDUpWLFR “FP  8PD GLPLQXLomR VLJQLILFDWLYD QR YROXPH GRV P~VFXORV 9 0 S  GpILFLW GH   9 , S GpILFLW  %) S GpILFLW H66 S GpILFLW GRPHPEUR

 

SDUpWLFRFRPSDUDGRDRPHPEURFRQWUROHIRLLGHQWLILFDGD+RXYHDDWURILDVHOHWLYDGRVP~VFXORV 9 0 9 , %) H 66 QRV PHPEURV SDUpWLFRV 2V P~VFXORV 5) H 9 / DSUHVHQWDUDP YROXPHV VHPHOKDQWHVDRFRQWUROH 5)S H9 /S UHVSHFWLYDPHQWH 1mRIRUDPREVHUYDGDV GLIHUHQoDVHQWUHRVP~VFXORVGRPHPEURQmRSDUpWLFRHRPHPEURFRQWUROHHHQWUHRPHPEUR SDUpWLFRHRPHPEURQmRSDUpWLFR S! 



Figura 2Volume dos músculos extensores e flexores do joelho.0&PHPEURFRQWUROH013PHPEUR QmRSDUpWLFR03PHPEURSDUpWLFR$ )LJXUDUHSUHVHQWDWLYDGD510GRJUXSRFRQWUROH *& % )LJXUD UHSUHVHQWDWLYDGD510GR*UXSR+HPLSDUpWLFR *+ & 9 ROXPHGRVP~VFXORV4XDGUtFHSV UHWRIHPRUDO 5)YDVWRPHGLDO9 0YDVWRLQWHUPpGLR9 ,YDVWRODWHUDO9 / ' 9 ROXPHGRVP~VFXORVLVTXLRWLELDLV VHPLWHQGLQRVRHVHPLPHPEUDQRVR66HEtFHSVIHPRUDO%)  SFRPSDUDGRDR*&1RWHDDWURILD VHOHWLYDGRVP~VFXORV9 09 ,%)H66QRVPHPEURVSDUpWLFRV%DUUDFP

 

Concentrações séricas de IGF-I e IGFBP-3

$VFRQFHQWUDo}HVVpULFDVGH,*),H,*)%3HVWmRGLPLQXtGDVQR*UXSR+HPLSDUpWLFR TXDQGRFRPSDUDGDVDR*UXSR&RQWUROH S HS UHVSHFWLYDPHQWHFig. 3 2EVHUYRXVH XPD IRUWH FRUUHODomR HQWUH DV FRQFHQWUDo}HV VpULFDV GH ,*), H GH ,*)%3 QR *UXSR +HPLSDUpWLFR 5 S  

Figura 3Concentrações séricas de IGF-I e IGFBP-3*&JUXSRFRQWUROH*+*UXSR+HPLSDUpWLFR S FRPSDUDGR D *& 2EVHUYH TXH R *+ DSUHVHQWRX PHQRUHV FRQFHQWUDo}HV VpULFDV GH ,*), H ,*)%3HPFRPSDUDomRDR*&

 



Torque e Ativação muscular

2V YDORUHV GDV YDULiYHLV LVRFLQpWLFDV VmR DSUHVHQWDGRV QD Tabela 2 +RXYH XPD GLPLQXLomRVLJQLILFDWLYDGR37WUDEDOKRHSRWr QFLDGRVP~VFXORVIOH[RUHVHH[WHQVRUHVGRMRHOKR GR PHPEUR SDUpWLFR HP UHODomR DR PHPEUR QmR SDUpWLFR H DR PHPEUR FRQWUROH QRV PRGRV FRQFr QWULFR H H[Fr QWULFR S Tabela 2  1mR KRXYH GLIHUHQoD GDV YDULiYHLV LVRFLQpWLFDV LQYHVWLJDGDVHQWUHPHPEURQmRSDUpWLFRHPHPEURFRQWUROH S!Tabela 2 

(PUHODomRjDWLYDomRPXVFXODUHPFRQWUDo}HVFRQFr QWULFDV Fig. 4 IRLGHPRQVWUDGRTXH GXUDQWHD H[WHQVmRKiXPPDLRUSLFRGHDWLYDomRGRP~VFXOR5)QRV PHPEURQmRSDUpWLFR H PHPEURSDUpWLFRFRPSDUDGRDPHPEURFRQWUROH SFig. 4 2EVHUYDVHDLQGDRDXPHQWR GRPDLRUSLFRGHDWLYDomRGRP~VFXOR67QRPHPEURSDUpWLFRGXUDQWHDH[WHQVmRFRQFr QWULFDHP FRPSDUDomRDRPHPEURQmRSDUpWLFRHRPHPEURFRQWUROH SFig. 4 (PUHODomRjIOH[mR FRQFr QWULFDIRLGHWHFWDGRXPDXPHQWRGRPDLRUSLFRGHDWLYDomRGRVP~VFXORV5)9 0H9 /QR PHPEURSDUpWLFRHP UHODomR DRPHPEURQmRSDUpWLFRHDRPHPEURFRQWUROH S )LJ  'XUDQWHDH[WHQVmRH[Fr QWULFDKRXYHPDLRUDWLYDomRGRP~VFXOR5)GRPHPEURQmRSDUpWLFRHP UHODomRDRPHPEURFRQWUROHHPHPEURSDUpWLFR SFig. 5 $OpPGLVVRIRLREVHUYDGRXP DXPHQWRGRPDLRUSLFR GHDWLYDomRGRP~VFXOR 67GXUDQWHD H[WHQVmRH[Fr QWULFDQRPHPEUR SDUpWLFR HP UHODomR DR PHPEUR FRQWUROH S   Fig. 5  1mR KRXYH GLIHUHQoD HQWUH RV PHPEURVGXUDQWHDIOH[mRH[Fr QWULFD S!Fig. 5 

 

 

Tabela 2 – Desempenho Muscular Isocinético

CONCÊNTRICA

Extensão Flexão