Comparative study of joint range of motion in children between 7 and 12 years of age from different gender

The aim of the study was to evaluate and compare active and passive joint range of motion in children in relation to gender and age. This study involved 103 children (43 boys and 60 girls) categorized into two groups: G1 (7 to 9 years old) and G2 (10 to 12 years old). The flexitest protocol, active and passive, and the SAPO® were used to evaluate joint range of motion. A paired t test was applied to compare active and passive joint range of motion and an independent t test (p < .05) was used to compare active and passive range of motion between gender and age. Results showed that the passive joint ranges of motion of the lower limbs are higher than active motion (p < .001). Girls presented greater passive ankle flexion than boys did (p = .002). Children between 7 and 12 years of age presented similar standards of joint range of motion of low limb. Significant differences were found between passive and active angular range of motion in the hip, knee and ankle. There were no differences between boys and girls in the joint range of motion as well as among age groups

VO2 indirect maximum and fitness age of sedentary and non-sedentary

El objetivo es: comparar la edad cronológica con la edad fitness obtenida por medio del VO2 máximo indirecto, de un grupo de personas sedentarias y no sedentarias. Método: 253 personas fueron evaluadas respecto a masa corporal, estatura, perímetro de cintura, frecuencia cardiaca basal y un cuestionario del modelo web "Fitness Calculator". Los resultados demostraron diferencias significativas en las variables antropométricas y fisiológicas entre personas sedentarias y no sedentarias (P<,001). Las personas no sedentarias tienen un mayor VO2máx en comparación con las personas sedentarias. Las personas sedentarias indican que presentan una edad fitness que se encuentra sobre 12 años cronológicos promedio de lo esperado. Conclusión: Las personas sedentarias tienen una mayor edad fitness, esto permite establecer que su cuerpo se deteriora más rápido que los no sedentarios. El bajo VO2 máx es un potente predictor de la capacidad cardiorrespiratoria y se establece como un predictor de enfermedades cardiovascularesThe purpose was to compare chronological age with fitness age obtained through indirect VO2max in a group of sedentary and non-sedentary people. Method: 253 people were evaluated for body mass, height, waist circumference, basal heart rate and a web model questionnaire "Fitness Calculator". The results: showed significant differences in anthropometric and physiological variables between sedentary and non-sedentary people (P <.001). Non- Sedentary people have a greater higher VO2máx group compared to sedentary people. This indicates that sedentary people have a fitness age 12 years over their expected chronological average age. Conclusion: Sedentary people have a higher fitness age; therefore your body deteriorates faster than the nonsedentary people. A low level of VO2máx is a powerful predictor of cardiorespiratory capacity and of cardiovascular diseasesEl estudio fue financiado por la Escuela de Kinesiología de la Universidad Bernardo O`higgin

Insatisfação corporal em gestantes: uma revisão integrativa da literatura

Resumo A imagem corporal de gestantes deve ser alvo de atenção por parte dos profissionais, tendo em vista a promoção da saúde materna infantil. O objetivo da presente revisão integrativa foi analisar a literatura sobre imagem e insatisfação corporal em gestantes. Foram buscados artigos nas bases de dados Scopus, PubMed, BVS e PsycINFO utilizando o cruzamento de “pregnancy” com as palavras-chave: “body image” e “body dissatisfaction”. Após a adoção dos critérios de inclusão e exclusão foram analisados 40 estudos. Estes apontam dados inconclusivos quanto à insatisfação corporal durante a gestação. Presença de sintomas depressivos, baixa autoestima, atitude alimentar inadequada e ganho de peso fora dos limites recomendados têm sido associados a uma imagem corporal negativa. Contradições nos achados podem estar relacionados às diferenças nos instrumentos utilizados para mensurar a imagem corporal. Pelo possível impacto de uma imagem corporal negativa durante a gestação na saúde materna e infantil, são recomendadas novas investigações, em especial o desenvolvimento de um instrumento avaliativo de imagem corporal específico para gestantes

Strategies to enhance self-efficacy and adherence to home-based pelvic floor muscle exercises did not improve adherence in women with urinary incontinence: a randomised trial

Question: Do strategies to enhance self-efficacy and exercise mastery affect adherence to home-based pelvic floor muscle exercises in women with urinary incontinence? Design: Two-arm, parallel, randomised, controlled trial with intention-to-treat analysis. Randomisation was performed using computer-generated random numbers in five blocks of 20 women. Participants: Eighty-six women with stress, urgency or mixed urinary incontinence. Intervention: All participants underwent three individual physiotherapy clinic visits at Day 0, 15 and 30, and 2 further months of home-based pelvic floor muscle exercises. The experimental group also received self-efficacy enhancing interventions, including a structured discussion on accomplishments and goals, a 9-minute video with testimonials, and a reminder. Outcome measures: The primary outcome – adherence to at least 20 fast and 20 slow contractions every day – was evaluated with a structured questionnaire at 15, 30 and 90 days after enrolment and completion of a daily diary. A validated questionnaire was used to assess urinary incontinence. Self-efficacy and pelvic floor muscle function were also measured. Results: Seven women withdrew from each group before the Day-30 assessment. There was no difference in adherence to pelvic floor muscle exercises at 90 days between the groups (MD 0.5 points, 95% CI –1.1 to 2.1) on the questionnaire, which was scored from 2 to 21. At Day 90, 56% of the experimental group and 44% of the control group were performing the exercises every day. Adherence scores of both groups decreased during the 2-month follow-up period without any supervised physiotherapy session (p < 0.05). The groups did not differ on the remaining secondary outcomes. Conclusion: Discussion of accomplishments and goals, a testimonial video and a reminder did not increase exercise adherence more than exercise mastery. Trial registration: Brazilian Registry of Clinical Trials UTN:U1111-1128-8684. [Sacomori C, Berghmans B, Mesters I, de Bie R, Cardoso FL (2015) Strategies to enhance self-efficacy and adherence to home-based pelvic floor muscle exercises did not improve adherence in women with urinary incontinence: a randomised trial. Journal of Physiotherapy 61: 190–198

Predictors for adherence to a home-based pelvic floor muscle exercise program for treating female urinary incontinence in Brazil

Objective: To assess predictors for adherence to a home-based pelvic floor muscle exercise (PFME) program supplemented with three physical therapy sessions in women with urinary incontinence (UI). Design: Secondary analysis of a randomized controlled trial of interventions to enhance self-efficacy with respect to PFME. Setting: Patients were referred from public primary or secondary care providers in Florianopolis, Brazil. Participants: Adult women with UI. Intervention: Three supervised physiotherapy sessions for the treatment of UI combined with home-based PFME program. Treatment groups were combined for predictive modelling because there was no difference after intervention between groups regarding UI and adherence rates. Main Outcome Measures: Adherence to PFME at 3-month follow-up (structured questionnaire). Baseline Predictors: self-efficacy and outcome expectation scales; severity of UI (ICIQ-SF), pelvic floor muscle strength, age, body mass index (BMI), and educational level. Results: 86 women with UI of whom 72 completed the study. An intention-to-treat analysis was performed. Forty-three women reported carrying out PFME every day. Adherence was correlated to: baseline self-efficacy (r = 0.299); age (r = 0.242); and educational level (r = -0.273). Hierarchical regression analyses incorporating treatment group, age, education, disease-related factors (severity of UI; pelvic floor muscle strength; BMI), and outcome expectations and self-efficacy showed that only baseline self-efficacy predicted adherence (R-2 = 0.217). Conclusions: Adherence to home-based PFME is a complex phenomenon. Assessing self-efficacy may help physiotherapists to detect patients' confidence in performing home-based exercises and, when necessary, give patients additional incentives