THORACOLOMBAR BURST FRACTURES: SHORT FIXATION, WITHOUT ARTHRODESIS AND WITHOUT REMOVAL OF THE IMPLANT

ABSTRACT Objectives: To present the functional outcomes, through the first case series in our country, of patients with thoracolumbar burst fractures (A3,A4), submitted to short posterior fixation, without arthrodesis and without removal of the implants, until the end of the minimum follow-up of one year. Methods: Fifty five patients consecutively treated between January/2010 and January/2019 were evaluated through medical records and imaging exams. Radiographic analysis was performed by mea suring local and segmental kyphosis using the Cobb method. Functional assessment was analyzed using the non-specific SF-36 questionnaire and the 1983 Denis pain and work-specific questionnaire, applied after 12 months of follow-up. Results: With a loss of five patients (9%), 22 (44%) patients reported having minimal and occasional pain and 8 (16%) patients reported having no pain. Three (6%) patients responded that they were completely incapacitated. Patients had a mean score of 73.16 points in the SF-36 domains. There was a significant reduction in kyphosis in 12 months (9.1±5.2 [min-max 0-22]) compared to the preoperative period (14.9±7.8 [min-max 0-32]) ( p≤0.01). One patient required implant removal due to the symptomatic prominence of the implant. Conclusion: This case series suggests that the technique leads to satisfactory functional results, without implant failure or significant kyphosis after a minimum follow-up of 12 months of treatment. Evidence Level IV; Case series

Effect Of Different Grip Position And Shoulder- Abduction Angle On Muscle Strength And Activation During The Seated Cable Row

The purpose of this study was to compare the peak force and electromyographic activation in different techniques of the seated row. Eleven recreationally trained male (28±5 years, 176±5 cm, 94±16 kg) and ten female (27±5 years, 168±8 cm, 65±11 kg ) performed an isometric and a dynamic assessment of the seated cable row and the preacher curl: pronated grip (PRO), supinated grip (SUP), neutral grip (NEU), 30° (30°), 60° (60°), 90° (90°) of shoulder abduction, and cable preacher curl (PC). Peak force and muscle activation of upper trapezius, middle trapezius, upper latissimus, lower latissimus, posterior deltoid, and biceps bracii were recorded during the isometric and dynamic assessment of the exercises. p values<0.05 were considered statistically significant. The peak force was greater when shoulder abduction angle was closer to 0° (PRO, SUP, and NEU) and decreased as abduction angle increased (60° and 90°). Muscle activation of the upper back (upper trapezius, middle trapezius) and posterior deltoid increased as abduction angle increased (60° and 90°) on both isometric and dynamic analysis. Muscle activation of the upper and lower latissimus increased as abduction angle was closer to 0° (PRO, SUP, and NEU) on both isometric and dynamic analysis. Biceps brachii activation on both isometric and dynamic analysis during the PC was greater than all other rowing conditions; among the rowing techniques, BB activation was greater during SUP, NEU, and 90° techniques. In conclusion, the closer to 90° shoulder abduction the greater UT, MT, and PD activity, on the other hand, the closer to 0° shoulder abduction the greater peak force, UL, and LL activity during the variations of the rowing exercise

Significant Acute Response of Brain-Derived Neurotrophic Factor Following a Session of Extreme Conditioning Program Is Correlated With Volume of Specific Exercise Training in Trained Men

Several studies have demonstrated an acute and chronic increase of brain-derived neurotrophic factor (BDNF) in relation to different types of physical exercise. Currently, many individuals seek physical training strategies that present different types of stimulation and volume/intensity. Thus, the extreme conditioning methodology has gained great notoriety in the scientific and non-scientific environment. Knowing that BDNF values increase in an effort-dependent manner, it is necessary to study the effects of this strategy on BDNF levels. This study aimed to evaluate the acute response of BDNF in trained men submitted to an extreme conditioning program (ECP) session. Ten volunteers underwent an acute ECP session using the “as many reps as possible” (WOD-AMRAP) method, including three types of exercise (clean, wall ball and double or single-unders) for 9 min. BDNF was measured in the plasma, being collected baseline and immediately after the session. Total load of the clean exercise was five times greater than wall ball exercise (p &lt; 0.05; 2096.1 ± 387.4 kg vs 415.8 ± 81.03 kg), which influenced little in the total load (p &lt; 0.05, 2511.9 ± 358.52 kg) used. For the total volume, practitioners averaged 1.7 times more repetitions in the wall ball exercise compared to clean (46.2 ± 9 vs 29.5 ± 3.8 repetitions). The volunteers averaged 75.7 ± 12.6 double-unders repetitions, bringing the total volume of training to 151.4 ± 23.7 repetitions. Regarding the BDNF values, there was a significant difference (p = 0.05) between the pre- vs post-moments (11209.85 ± 1270.4 vs 12132.96 ± 1441.93 pg/ml). Effect size for this change as moderate (ES = 0.79). We found a positive correlation between total volume of clean exercise and delta BDNF values (p = 0.049). In conclusion, a single extreme conditioning session, through the practice of the WOD-AMRAP method, is capable of increasing the acute concentrations of plasma BDNF. In practical terms, we may suggest that future studies evaluate the effect of ECP as a strategy in the treatment of disorders associated with central degenerative changes

EFEITOS DO EXERCÍCIO FÍSICO SOBRE O COMPARTIMENTO MATERNO E COMPLEXO FETO-PLACENTÁRIO: UMA ATUALIZAÇÃO DA LITERATURA

During pregnancy, the woman and fetus-placental complex suffer various adjustments such as morphological and physiological adaptations. The regular practice of physical exercise promotes positive effects during pregnancy. However, many professionals suggest that this practice can bring potential risks for pregnancy and maternal-fetal health. An update of the literature was performed through an extensive search using the Pubmed database, and several mechanisms usually cited as problematic were raised. Exercise acts by modulating a number of positive adaptations on placental morphology and physiology, enabling a better exchange of gases and nutrients between mother and fetus. Both mother and fetus gain less weight and subsequent body fat during pregnancy, when the volume and intensity of exercise are analyzed in relationship to gestational age. In this study, we concluded that some beliefs about the practice of physical exercise was not support by literature and exercise should be assessed and prescribed according to gestational age

Barbell Hip Thrust, Muscular Activation and Performance: A Systematic Review

The present systematic review aimed to analyze the activation of the muscles involved in the barbell hip thrust (BHT) and its transfer to sports activities that include horizontal displacement. A search of the current literature was performed using the PubMed, SPORTDiscuss, Scopus and Google Scholar databases. The inclusion criteria were: (a) descriptive studies, (b) physically trained participants, (c) analyzed muscle activation using normalized EMG signals or as a percentage of maximal voluntary isometric contraction (MVIC) and (d) acute or chronic transfer of the BHT to horizontal displacement activity. Twelve articles met the inclusion criteria and the following results were found: 1) neuromuscular activation: hip extensor muscles (gluteus maximus and biceps femoris) demonstrated greater activation in the BHT compared to the squat. The straight bar deadlift exercise demonstrated greater biceps femoris activation than BHT; 2) Regardless of the BHT variation and intensity used, the muscle excitation sequence is gluteus maximus, erector spinae, biceps femoris, semitendinosus, vastus lateralis, gluteus medius, vastus medialis and rectus femoris; 3) acute transfer: four studies demonstrated a significant improvement in sprinting activities after BHT exercise; 4) as for the chronic transfer: two studies demonstrated improvement of the sprint time, while other two studies failed to present such effect. We concluded that: a) the mechanics of BHT favors greater activation of the hip extensor muscles compared to more conventional exercises; b) regardless of the variation of BHT used, the muscle excitation sequence is gluteus maximus, erector spinae, hamstrings, and quadriceps femoris; c) the acute transfer of the post-activation potentiation of the BHT is significant, improving the sprinting time; and d) despite training with BHT submaximal loads can improve sprint times, further investigations are needed