Navegando por Palavras-chave "discinesias"
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- ItemAcesso aberto (Open Access)Análise do SICK Scapula em jogadores de handebol com e sem dor no ombro durante o arremesso(Sociedade Brasileira de Medicina do Exercício e do Esporte, 2014-07-01) Almeida, Gabriel Peixoto Leão; Silveira, Paula Fiquetti; Rosseto, Nathália Polisello; Barbosa, Gisele; Ejnisman, Benno [UNIFESP]; Cohen, Moises [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do CearáINTRODUCTION:The scapular dyskinesia is defined as a change in scapular position, both dynamic and static, resulting from periscapular imbalances secondary to muscle fatigue, trauma or neurological injury. The SICK Scapula statically evaluates and characterizes the scapular changes, ranging from 0 to 20 (0 = best). This exam addressed three aspects: objective pain, subjective pain and scapular malposition.OBJECTIVE:To compare the SICK Scapula in symptomatic and asymptomatic handball players.METHODS:The sample consisted of 57 handball athletes divided into two groups according to the presence of shoulder pain: asymptomatic group (AG) (N = 27) and symptomatic group (SG) (N = 30). The SICK Scapula score has been reported among athletes, both in relation to the total score and its subscales. The GS had a significantly higher score than the GA (8±2.3 vs. 2.7±1.8; p<0.001).RESULTS:In the subscales, GA and SG also showed significant differences in subjective pain (0 vs. 1.73±0.83, p<0.001), objective pain (0.41±0.64 vs. 2.5±0.86, p<0.001) and scapular malposition (2.3±1.9 vs. 3.7±1.5, p=0.002).CONCLUSION:The handball athletes with throwing-related pain have a higher score with respect to pain and changes of scapular positioning, as assessed by SICK Scapula, compared with those who did not have symptoms.
- ItemAcesso aberto (Open Access)Discinesias induzidas por levodopa em 176 pacientes com doença de Parkinson(Academia Brasileira de Neurologia - ABNEURO, 1995-12-01) Rocha, Maria Sheila G. [UNIFESP]; Andrade, Luiz Augusto Franco de [UNIFESP]; Ferraz, Henrique B. [UNIFESP]; Borges, Vanderci [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Dyskinesias are frequently observed in parkinsonian patients during levodopa treatment. The occurrence of these movement disorders usually makes the therapeutic management of the patients very difficult. The clinical characteristics of 176 patients with dyskinesias were retrospectively studied. Dyskinesias occurred, on average, after 6,2 years of duration of Parkinson's disease and after 4.2 years on treatment with levodopa. Patients were more likely to have dyskinesias during more advanced stages (measured by Hoehn and Yahr scale). Peak of dose and square wave were the types of dyskinesia more frequently described and were associated with choreic movements in most cases. Dystonia occurred in 40% of the cases and was predominant in end of dose and diphasic dyskinesias. Thirty-five percent of dystonia cases presented as early morning dystonia. Chorea was the most frequent involuntary movement and mostly generalized. Dystonia was most commonly described in lower limbs. Orofacial dyskinesia, when occurred alone, was more frequently seen in old rather than young patients. When dyskinesia was unilateral it was more likely to occur in the side where Parkinson's disease was more severe.