Scribd Logo
Cargar

¡Te damos la bienvenida a Scribd!

  • 56 94 1 PB

    Cargado por

    Torque
    10 vistas265 páginas
    buen material.

    Título original

    56-94-1-pb

    Derechos de autor

    © © All Rights Reserved

    Formatos disponibles

    PDF o lea en línea desde Scribd

    ¿Le pareció útil este documento?

    ¿Este contenido es inapropiado?

    Denunciar este documento
    buen material.

    Copyright:

    © All Rights Reserved
    Descargue como PDF o lea en línea desde Scribd
    Marcar por contenido inapropiado
    10 vistas265 páginas

    56 94 1 PB

    Cargado por

    Torque
    buen material.

    Copyright:

    © All Rights Reserved
    Descargue como PDF o lea en línea desde Scribd
    Marcar por contenido inapropiado
    de 265
    Ter ania M all al PO STUROLOGIA ix Peer Cd Tn Oe ea Priicident d’honneur: Dr Pierre Marie GAGEY ee aoe Prasident: Philioge VILLENEUVE eae eos eee ee cLal) Decrurtemel eas Peet Eg eet ea cry) eer Ce ens eee em Ue cele carey Cee cee Cee eau ea) Da SLL ene aoe el alle) Decrees ole Responsable Belgique: Anne Marie LEPORCK Pee etiete athe cial eee ee eee icc a aes [aoe aoe Le ames G Le} Ree a meee OR Ct ao RecA ae Docteur P QUERCIA Peed eee 20 rue du rendez-vous 75012 Patis - RE Pare eer) eed eee ule Terapia Manual Lain Gtr ie SportDiscus Sete Eta Seleeseees. (AlBiElC yt of afte Boi si) "Copan Mots ond PDN EBSCO Publishing Conseiho Gieniliico ries Ferar corres « Se a A de Sesieas oa ae ra Reabltarae de Univortade fuer! de TMG. Bo aizonte MBit.” Fograma dof Crauats Mesado em elas meeres, ATA au Cyaan Nove So rant defo ears Hesado on mela lencus'an nesbavaqao”unwersaase Nowe oF " ‘irecao eatioria: ta' ‘Sra uperuede Geni: emia Se Eva Aag «hada Besa Corrsunds norma ncn en ares expat 0 enhane,fmatan sense stvasetieprotananal ra rea ho sai a mea bare Revisia Gontssae de Aden Latina ol Geb, spate y Portugal e€aeaodada da ABEC. Asbosegie Bras de Ba REVISTA EY Terapia Manual SUMARIO/ SUMMARY Editorial 688 stigpe Onions * Cephalometnc evahuslion of mouth-breahiag paicns 689 Ira Ati Go oa Bory. Sara Kat? Susatl, Anata Ferrara Wrargon aja Ramapuai, bana Carona Bacio Caria Cardoso 1+ Rixagio do atuetlo iransvereo do dodome em iadviduos com ¢ sem loabslga aréuica neepecticn om ‘Acuisuon of the Lmiaereus abcomne alzele im patcule Woh ed wlhout nonbeede elvone low beck pain’ ee eee fe ee ee ee me ones a ina sagt nave ca fotopranctna Miscenanrt of cenalocepinke postion aease mis mpl plise wong alaue plistoguassiny Epindobatclgco do cicto daterapia LED (Light Eating Diode) aacncbrne sonal sp cio date sic om mises fiecloacel aia FS (igh aicice Bisde| caps Se encitad wicr ake eth ia face pal oF nla Sopaasio Hexic cTeepaadade fineond entre idonoe soe © te ‘belecca phen eatne wad ccdcatan ldedy people wackcala wth uta tad ial wee rete Teer Nevegt TAS Pra hg! Mara Canae Sores De Har. onpwario car cu Uetancslon de cnotespia ¢ ciulaio clcinca newomcdar pararecuperagiofncond de pacer Kembutchoce copiaicos por ancentc vascue eaocidieo. See aaa CGabirare elses tcelboaie ef ctiepy ual cums celica iii i ecical cocncy ef paca by ask heupeete ciroke Sinparanlo entre doagamatto sx excéntico « faatagéo netwomiseer proprioceptiva ao getko de feubiicade dos ms slob nquctibian. iid Compandon of ectac caccalre arctahing ead pecpaceeptne ncwcmecthe Beliaion in gin cay handling masces ‘Sstnara ts Ae a Camara, ne Sapa Gano Siva. Hae Vana ao, Ppo Francs Teplfo da Fonseca, Susan Rey BxMioo 3 REDe Sedicoio posturd clas curvairas de colusa aa reaido corneal c torkecy de ioe, 23 Dota! wooeceuedh of etnabureo ot cereal wal thonee eps n eklesh people stor Sos spain ‘an Gv fue, nat Ura Siin, afr ons Gs Aes ios Mt, Sara Zeon Ma Tovth asd pan haa eure a the tesa hep) unt nso ‘nr Waren Camarze de ela, Nola ra Serr. raiane feared ran oan Zam nea A « Gitte on devane pletel‘cacngschs © lnotcrgprs mu GhidSSe wih pleunl eifece clase eget! sxc praca hen . Brsliee ieee Idopalcewilenca ce excrdaos de donganemo na,gbosidack. flexibiidade © qualidade de vida us ‘colons hence of exetchng erereves 2 apm debra, Senblty ancl cals Keatecer as oes oe ei ‘wisn bn oes sano Pom tna ne re Pg om, sn i ico copa ie sfeawea de Et to degnticg c.g up de oestadoreaprtio en dnp soma, Scapannt Sash ofthe dshngs ioenlisnweehncbs tal oe SP Se asa oproaser a soul aac Stor di Corrente tunca aa dor aatabiidsde aticar do jocko, Eitan cuanion ct Ge pond lace ash ‘dis ‘da relazdo enlze dor lonbar,idace Setissond ¢ gilded vide cite a giclee 68 fmbeu of ie sbtoniyp betmeea Loe Laciun geinsoll age end quity PAE dun preg’ atic deicosia capa spe fnctergpa en pats pecaciconveatlades necateaes ~ metas filo do Keaige cP eepmion’ achans cr Ssacticnpr acca sailed sedate plete“ phtcloaral wpeste ofc e spinor 168 Fepe ‘< Sasa cea Tin igirunento de weiegso. Gia DerGlspaceial hse a inca i cial acocuaaat of aia waceat wae doc w wails ik ease Avdiagio di capacidade para o trabalho e da fingio cardicrespirscia de trabalhadorea eadavcia 188 ‘rutin of sbi to wock endl earciopulaoauy exireie Leeug fx bean’ eubyecta fev inedia’s de terapia de bberagéo posicional aplicada aos miacilos aubocopitas na abertura ava da booe:enrao duce ico i Labedate chtct SY poabcilrlcece ticepy apple tthe aibcccial muck oa elie acid Spans wadoaisd lal al Dano rus Kanonen cape agus Fonent Ano Reere Zaneng Bait Oars Potala eho + Beto ‘ee mnpuleso suotsecal na lmzagto cs sbevirs finaond de boce 800 the effet of toeea annpiston the imistion of the Aucusl opeaiag of a itbida e dessa de eecnda em indvicuon com ES) Gu eo dea pad lea ae mp. 0 CaS SE eg aise Bat Se eee ah Sa aati OP OFS EE de a ca ks ci tle cm nee + Hesico ci powtrse acta aa dns «aus poate comecpénai no desenichinene de ptclogss cxtecmiosticlies..8S iatolon of he wdopicd pastime itcance all fa possi conscopcacea a the detcopec of Suciodciial dectaca + Hits megs ch aaupuacto tdecrwal a balanss camcan wakadce atexés de crac catbilometa, Ingcciale cfecia of magublion ofthe tacerunl out i chookn Pale chucere revewedl by buopodouct wt danibarl «+ [rfenaa’ do Bonconamesto na feqiencs reapistont de lacenen, so lctueace of pbstonng on teapitton rae 0! «fares. Warn ae 9 Sone, Danie Cre, Outans & oan fin LF. Gone cans Beran Gotguslat ach oftLy pda end Un cetslation per pekare Cetescs soit ed rca ekki *FERSCUn Siemanal gina fats ¢ Sazeisou Contin 1 equllseo danse Cdl 2a as wick ‘eipe gots dos Suros Rentes, Patna sparesiéaCatanane, Maze tn Tae bora Srp sowsimann ara hens Megan! de Anes + Fisosile de atin ¢ arene po ttancto de tecoopsis de oabys adequcto da técace. ie fecincpe 5 832 3 2 Seocention of kiwed wil Urzound io the Nesiacal of teadanpalay Shoudsr Galabltyol Recto de Co ose de Scheyermanm: um estuco de cao, Schevetmm bphoais enzo etc + Mbotagea di cence A aie elo de puna tl penktnce pep mca eve cs. 861 Of the concep Dit athe Leaiuest of penpbera Bell pura ter umum t cuss ac + Hee Gr ibcragio de ioe ancSaicgs na lancite plata. 368 Ifecls ofthe releaac of imcks in te estomenl pari Reciia gfe eh Spr eer, Parcs Gt Tc te Lire are apeeaer ees ete Bigs ie i sce pi cm Deng Padi Chés feos: telat dE CHO, eres 7 ge ss a - ante] crete of ees ba Bs oe re it i ge te et el a ts es ee eee = DISS SF tialat gen cones bret area mc ee Pe ea at ae ee or deca ce pon hda dc S totve ancl rythmic cxeroises wath Saas Ball in Derlanaon's chacezc — a cae report. ee a teens ee tae a, ee et Eifeimetieics ie: Sie en REPL St Se, acon ch que de yeh dle wm pete com Boas redo de xn Pas c Spas & Ses mle es gee Sr em ea om Sr ite ‘ant Canard cad ae Pl Gampoe de oes + fittoeniads (ie na cakineto urnzna pie progtatectomx regalso ce caton. 908 dusfice cecal sene Simision m poa-prosalectiay uamey axoainence noe pone + Breage taies sic spicadh em lacteake as uncade de Capra camnaraaio de tus ik Roo ioriote egy Bites ons ta Rens fet te aero Gans mes, once Fu ion Hesse ssa os Wales Samoa, se cat tgp de Ress +A efcjaa da feria ail a dafingio ten 313 — ‘The cficecy of the’ mamal therapy on the temporomancioiar diaorder « gee Se airs aa a ie ns es a ere ESI Doecor roa mage epi canoe nce Soph cee ee Sire ratuncr pets eet een ee «Pines Sai ateatacs mati ee Sissies Susan Bierces pr Spe kt atten Rea nr aaeriarsomer om «eee Mees crac : 1 irene Bl ceie ael erncr ~ SSIES Hau Gen ee tee ee ere Seater awe necmtiredcae rapa 38 Editorial Caros autores, leltores colaboradores, chegamos a final de mais um ano de existéncia. Temos muito a comemorar!!! A revista Terapia Manual passou por alguns problemas quan- to & editoracao neste ano de 2011 e com certeza Ihes causou de alguma forma, aborrecimen- tos. Para 2012 estamos propondo uma série de alteragées junto ao proceso de publicagéo da revista. Neste final de ano, a revista foi aceita pela base de dados internacional EBSCO Pu- blishing, o que aumenta ainda mais a sua visibilidade internacional. Fechamos o ano com a publicagao de 127 (cento e vinte e sete) artigos originais, 18 (de- zoito) estudos de caso e 18 (dezoito) revisées de literatura, Estes nimeros superam em muito a quantidade exigida e preconizada para a indexacéo em bases de dados intermacionais. Atual- mente, a revista se encontra no estrato B2 do WEB Qualis da area 21 (Educagao Fisica, Fisio- terapia, Fonoaudiologia e Terapia Ocupacional) da CAPES/MEC, Com as novas alteragdes e com a participagdo de todos, com certeza, teremos uma revis- ta clentifica cada vez mais forte, ética e neutra, com credibilidade e visibilidade nacional ¢ in- ternacional, figurando nas bases de dados mais importantes, A partir do préximo ano comega- mos uma nova fase na histérla da revista. Agradecemos a todos, autores, revisores, corpo editorial e leitores, que de uma forma ou de outra, com eriticas, elogios e ou com sugestées contribuiram para que a revista Terapia Ma- nual atingisse a posicao em que se encontra hoje. Luis Vicente Franco de Oliveira Editor Chefe Dear authors, readers and contributors, we come to the end of another year of existence. We have much to celebrate! The Terapia Manual journal experienced some problems regarding pu- blishing in 2011 and certainly caused them somehow hassles. For 2012 weare proposing a number of changes along the editorial process of the journal, In this final year, our journal was accepted by international database EBSCO Publishing, which further enhances its international visibility. We finished the year with the publication of 127 (one hundred and twenty seven) origi- nal articles, eighteen (18) case studies and eighteen (18) literature reviews. These num- bers far exceed the amount required and recommended for indexing in international data- bases. Currently, the Terapia Manual journal is in the WEB Qualis B2 stratum area 21 (Phy- sical Education, Physical Therapy, Speech and Occupational Therapy) from CAPES / MEC. With the new changes and with the participation of all, of course, we will have a journal in- creasingly strong, ethical, neutral and credible national and international visibility, appearing in major databases. From next year we started a new phase in the history of the magazine. Wethankallauthors,reviewers,editorialboardand readers, whoinonewayoranother, withcriticism, praiseorsuggestionsandcontributedtothe Terapia Manualjournalreachedaposition whereitistoday, Luis Vicente Franco de Oliveira Editor-in-Chief Attige Ovigion! Cephalometric evaluation of mouth-breathing paticats. Maria Aldeide da Costa Borgest, Sandra Kalil Bussadori®, Analuicia Ferreira Marangoni®), Rejane Hamaguehi(?, Joanna Carolina Bachiega®?, Carolina Cardoso Guedes, Elaine Marcilio Santos, Resumo Introducao: Respiracdo desempenha um papel na matriz fundonal, atuando na din&mica de pistes, bem como © crescimento © desenvolvimento do complexo maxilo-facial. Objetive: © cbjetivo do presente estudo fol ava- liar a cefslometria de respirar pela boca pacientes, Método: A andiise foi realizado em 40 pacentes (22 mulhe- res @ 18 homens), entre cinco e 14 anes de idade na Ortopedia Funcional des mavilares Clinica da Universida- de Camile Castelo Branco (SP, Brasil). Lateral tele-radiografias foram sbtidas, para que a andlise cafalométrica de Ricketts fol realizada eo indice VERT foi calculado. Resultados: Os resultedes da andlise revelaram uma re- dugdo nos anguies do exo facial, altura da parte inferior do rosto e do arco mandibular, bem como um eumen- to na altura facal total, convexidade do pento A eo grau de ccnvexidade do perfil mole. Profundidade facial, an- ula do plane mandibular © maxilar profundidade estavam dentro da faiva de normalidade. Na andiise dental, 05 Indsivos inferiores, molares superiores e indinacio dos indsivos inferiores foram posiconados normalmente. © valor do indice VERT fol alta, Indicando uma ceracteristcs grave dolicocéfelo (face longa). Conclusao: © pe- dre de respiraco oral fol responsdvel por vérias anormalidades no crescmento e desenvelvimento craniofacial Palavras-chave: respiracso bucal, andlise cefalemétrica de Ricketts", o indice VERT. Abstract Introduction: Breathing plays a part in the functional matrix, acting on plastic dynamics as well as the growth and development of the mauillofacial complex, Objective: The aim of the present study was to assess the cephalome- tries ef mouth-breathing patients. Method: Analysis was carried cut on 40 patients (22 females and 18 males), be tween five and 14 years of age at the Functional Orthopedics of the Maxllae Clinic of the Universidade Camilo Caste- la Branco (SP, Brazil). Lateral tele-radiographs were obtained, for which Ricketts's cephalometric analysis was perfor- med and the VERT index was calculated. Results: The results of the analysis revealed a reduction in the angles of fa dal axis, height of te lower face and mandibular arch as well as en increase in total fad height, convexity of Paint A and the degree of convexity of the soft profile. Facial depth, angle of the mandibular plane and maxilary depth were within the range of normality. In the dental analysis, the lower incisors, upper malars and inclination of the lower in- asors were positined normally, The VERT index value was high, indicating a severe dalichacephalic (long face) cha- racteristic. Conclusion: The mouth breathing pattern was responsible for various abnormalities in eraniofacial gro- wth and development. Keywords: mouth breathing, Ricketts" cephalometric analysis, VERT index ‘artigo rocobido om 21 do julho do 2011 0 acsito om 15 satembro do 2011. 1. Specialist in Padiatic Dentistry and Functional Orthopedics ofthe Maxila, Universidade Camilo Castelo Branco ~ Lnicastlo, S20 Paule, sao Paulo, Braz, 2. Haalth Scances Directive Body, Master's dagree in Rehabilitation Sciancas, Unversdads Nove de Julho ~ Uninove, $20 Paulo, Sa0 Paulo, Broa 3. Specaistin PediavicDantsty and Functional Orthopedics of the Maxlae; Master's studentin Rehabilitation Sdiances, Universidade Nove de Juha ~Uninove, S20 Paulo, Sao Paul, Brea ‘4 Spedalat in Functional Orthopedies af te Maxilae, Universidade Camilo Castelo Branco ~ Unicastele, Sa Paulo, San Paul, Braz 5 Specials in Pediatic Dentistry, Master's student in Rehabilitation Sciences, Universidade Nove de Julho -Uninove, Sac Paulo, 530 Paulo, Bra 6. Speciale in Peatic Dantistry, Universidade Nova da Juha - Uninove, Sao Paulo, Sao Paulo, Bra 7. Dectoral degree in Ped atic Dentistry, Professor of specialization Course in Functional Orthopedics ofthe Mailae, Universidade Camilo Castelo Branco ~ Unicastele, sao Paulo, Sao Paulo, Braz Address tor correspondence: ‘analdca Ferreira Marangon ~ Rua Antnio 20 da Medeiros, 412 /21ttaim, Sdo Paulo, Se Saal el. (12)3539-3070; Fax (11)4538, ‘a8, E-mail analusaferrairanarangoni@inatnaicom. TeeMan 2038; 946):608-694 INTRODUCTION Breathing plays a part in the functional matrix, act- ing on plastic dynamics as well as the growth and de~ velopment of the mauillofacial complex. When reath- ing is performed through the nose, there is condition ing and filtering of air so that the air enters the respira tory tract with an adequate temperature and free of a large portion of microorganisms and impurities, there by providing @ better quality of life. However, an ab- normal increase in anatomic issues, such as the ade- nnoids, can impede the passage of air through the nasal ‘canal, An obstruction ef a suffident dimension to impede nasal breathing will result in adaptation through mouth breathing. In such cases, the tongue is held in a low- er-than-nermal pasitien®®, This changes the equilibrium between the pressure of the tongue and cheeks against the first molars, which tend to change their inclination toward the palatine direction, Over time, pestural adaptations accur in the struc- tures of the head and neck as a compensatory mecha- nism so that the amount of airis adequate to the needs cf the individual. This generates compensation in the extension of the head, leading to a large craniocervical angle and consequent reducten in airway space. Such alterations also have sn effect on the positions relation ship of the dental arches and ocdusion development’ Furthermore, obstructed airways are associated tolarge craniocervical angles, small mandible dimensions, man- dibular retrognathism, accentuated indination of the mandible and posterior inclination of the upper incisors" Crose-sectional studies have demanstrated an assoaa- on betneen the craniocervical angle and craniofadel morphology, with a greater incidence of atresic palate, crossbite, retro-positicned mandible rotated counter dockiise in relation to the base of the skull, increased lower and total maxillary height, and a prevalence of the dlichocephalic pattern (long face) Mouth-breathing patients may exhibit the mast varied types of malecdusion and are therefere not lim- ted to any specific malecdusion. However, @ significant prevalence has been observed of patients with verti «al growth pattern and reduced oropharynx area due to the eltered position of the tengue and mandible, This may be followed by postural alterations involving struc- tures of the head and neck as a response to the chang- {es in the sagittal relationship of the dental arches, Mouth breathing predisposes individuals to the devel- ‘epment of “long face syndrome” or “adencid faces"? ‘as well as other significant conditions, such as sleep ‘apnea, hypoventilation and abnormal development of the thoraxti380 Mouth breathing during sleep — whether or not as- sodated to apnea ~ causes a drop in oxygenation of the blood, which affects muscle function, especially in the cervical musculature. This aggravates the negative pos- eran 2013; 966)609-688 Ccephalomettic analysis and mouth breathing. tural aspects and causes musde fatiquels". Therefore, in cxder to achieve integraiity in the teatment of the face during growth and development until reaching maturity with esthetic harmony and functional homeostasis, it is necessary to identify and treat mouth breathing in order to avoid or limit harm to oral myofacial structures'# The alm of the present study was to assess the cephalometiics of mouth-breathing pavents, describ- ing the main characteristics and changes in the orofacial ‘complex in order to assist healthcare professionals in addressing this syndrome more effectively during multi- disapiinary treatment METHOD The present study received approval from the Eth- les Committee of the Universidade Camilo Castelo Bran- co (process number 1470-1800/08). All parents/quard- lans received information regarding the project and signed terms of informad consent, in compliance with Resolution 196/96 of the National Health Counc A cross-sectional study was carried cut for the as- sessment of the functions of the stomatognathic sys- tem and posture of the head ameng students at 9 public school in a city in the state of $80 Paulo, Braz. A total of 237 patients were evaluated. The following were the inital indusion criteria: age between five and 14 years; not having undergone orthodontic or orthopedic treat- ment; and the presence of permanent first malars. Chil dren under respiratory tract treatment and those with craniofadal malformations were exduded. The students who fulfiled the eligibility criteria (n=110) were evalu- ated with regard to breathing pattern (nasal-breathing and mouth-breathing) The breathing type of each participant was deter- mined through a dinical evaluation and specific tests, In the clinical evaluation, the presence or absence of the following signs was determined: elongated face, dreop- ing eyes, dark arcles arcund the eyes, thin upper lip, dried er hypotenic lips, inverted lower lip, narrow nos- tls, high-arched palate, inadequate lip sealing and an- terior open bite, The mirror test was performed with @ double-faced mirror placed below the nostrils for the formation of vapor on the upper or lower part stem= ming from respiration. Vapor on the upper part indicat €¢4 nasal breathing and vapor on either the lower part ‘both parts indicated mouth breathing. Another meth- fod used fer the determination of mouth breathing in- volved having the child hold water in his/her mouth and Instructing him/her to remain with his/her lips sealed, without swallowing the water for three minutes, Chil dren who were unable to da so were considered mouth breathers. Forty patients fulfilled the mouth-breathing avte- hon (22 females and 18 males). Tele-radiographs were cbtained for all patients, for whom Ricketts’ cephalo- MAC Borgos, Sk Bussadori, AF Marangoni, R Hamaguth, JC Bachiaga, CC Guedes, EM Santos oo metic analysis was performed and the VERT index was determined through computer analysis. Twalve Factors were studied using Ricketts’ cephalometric analysis: sb regarding the mandible (facial axis, facial depth, total facal height, mandibular plane, height of the lower face and mandibular arch); twa regarding the maxila (con- veuity of Point & and maxilla depth); three regarding dental analysis (protrusion of the lower indsors, indina- tion of the lower indsors and position of the upper first mdars); and one regarding the soft profile (position of the lower lip). ‘The VERT index determines the degree of severi- ty of the facial pattern (mesocephalic, brachycephalic or dalichecephalic) by means of a numerical calculation of Six mandible factors (facial axis, facial depth, total facial height, mandibular plane, height of the lower face and) ‘mandibular arch). The difference between normal values and those of the patients are divided by the standard de- Viation to an accuracy of ene decimal paint. Ths value is the number of standard deviations. The arithmetic mean of the number of standard deviations provides the se- verity of the facial patter: 0.5 to 0.9 (mild), 1.0 to 1.7 (moderate) and 1.8 or more (severe). 4 negatve sign was established for the calaulaton of the dolichacepha- lie pattern and a positive sign was established for the brachycephalic pattern, With the dalichocephalic pattern, facal axis, facal depth and mandibular arch ance val~ es are always below normal values, whereas the oppo- site is tue for the brachycephalic pattem. Angles of total facil height, mandibular plane and height of the lower face are always higher than nermal in the delichacepha- lic pattern end lower than normal in the brachycephalie pattem, All data were assessed using the MINITAB sta- tistical program (version 5.1) RESULTS The data analysis regarding mouth-breathing chile dren revealed the following Facial axis angles were between 78° and 96%, with mean value of 6.4? and standard deviauon of 3.801424", indicating a dolichocephalic characteristic; Facial depth angles were between 81° and 93°, with mean value of $7.375° and stendard deviation of 2.714515, characterizing a normal mandible; Total facial height angles were between 67° and 187°, with mean value of 76.075° and standard devie- tion of §.0402862, characteriang oreater than normal height; Mandibular plane angles were between 20° and 38°, with mean value of 29.35° and standard deviation of 4.6495112, characterizing a mesocephalic type; Height angles of the lower face were between 31° end 42°, with mean value of 35.95° and standard devia tion of 2.398044; charactenzing a brachycephalic lower third of the face; Mandible arch angles were between 0° and 4%, woth mean value of 1.416657° and standard deviation of 1.421779; characterizing a tendency toward open bite; Convexity of Point A values were between O mm and 11 mm, with mean value of 4.615385 mm and stan- dard deviation of 2.758965 mm; characterizing skele- tal dass Il; Maxillary depth angles were between 86° and 96°, with mean value of 91.9259 and standard deviation of 2.822868°, characterizing a normal maxila; Positen of the lower incisors was between -2 mm and 8 mm, with mean value of 2.375 mm and standard deviation of 2.283581 mm, characterizing normal posi boning: Indination of the lower inasers was between 5° and 42°, with mean value of 20.7°and standard devie- tion 7.075418%; characterizing normal indinaton; Positen of the upper melars was between S mm and 22 mm, with mean value of 13.97436 mm and stan- dard deviation of 3.215803 mm; characterizing a nor- mal positioning; Position of lower ip was between -6 mm and & mm, with mean value of 2.105263 mm end standard devi- ation 2.555222 mm, characterizing a provuded lower lips VERT index values were between -4.2 and -25, with mean value of -3.153846 and stendard deviation 0.519031 mm, characterizing a severe dolichocephalic pattern (abela 1) (labela 2) For the factors analyzed, there was @ reduction in the angle of the facial axis, height of the lower Face and mandible arch as well as an increase in total facial height, with values fecal depth and mandible plane an~ les within the normal clinical ranges. The mandible was characterized by a delichocephalic growth patter due to the greater-than-normal height, as facal depth was within the range of normality. The lower 1/3 of the face Inferior exhibited a brachycephalic pattern and a strong tendency toward open bite was detected, Moxilary depth values fell within the range of nor- ality and therefore exhibited @ nermal position in rela~ tion to the base of the skull. The lower incisors also ex- hibited an inclination within the range of dinicsl normal- ity. In the mauilla, convesity of Pant A was greater than normal, characterizing skelatal class II. Regarding to the dental analysis, the position of the lower indsers and Upper molars fell with in the range of normality. In the analysis of the soft profile, there was an increase in the degree of convexity, with the lower lip in protrusion. The \VERT index values were higher than normal, indicating severe dalichacephalic pattern ameng the patients. ‘Analysis differentating the genders was also per- TeeMan 2038; 946):608-694 formed, ebtsining mean values and standard deviation (Tables 1 and 2). The only difference was with regard to the angle of the mandibular plane, which characterized 1a mesocephalic type for females and a dolicnocephal- Ic type for males. DISCUSSION Ricketts’ cephalomevie analysis end the VERT Index employedin the present study revealed abnormal ities in @ number of the factors analyzed in relation to the mouth-breathing pattern, such as a reduction in the: angles of facal axis; height of the lower face and man dibular arch as well as an increase in total facial height, cenvesity of Point A and the degree of convenity of the soft profi. ‘A mouth-breathing pattem may be caused by aller- ic, anatomical or functional conditions. Phinitis stands ceut among the allergic causes. Anatomical causes in- dude a deviated septum, adencid-tonsl hypertrophy ‘and nasal shells, Functicnal causes in childhood include nail biting, fnger/pactier sucking, and bottle feeding as ‘cephalometric analysis and mouth breathing. 4 substitute for breastfeeding and tongue interposition. With these harmful habits, a child becomes accustomed to breathing through the mouth, which leads to an 2c ‘commedation of the musculature to mouth breathing” Such habits generally result from the repetition of be- havior that, in ts fundamental essence, has a particular finality and invalves a complex learned muscle pattern. Habits such as natural breastfeeding act as a stimulus to ‘growth, whereas the develooment of harmful habits is an etiological factor for occlusion problems. Impaired nasal breathing exerdises an influence on the growth and development of the crofacal comple: Changes in the positioning of the tongue and mandi- ble predispose individual to the development of "long: face syndrome" or "adenoid facies"™9, Mouth breathing Is also an etiological factor for otier ocdusion problems, such a8 overjet of the anterior teeth, anterior and pos- terior open bite, anterior and posterior crossbite, local generalized tooth displacement and deviation from the medial-sagital linet, The results of the present study also demonstrated Table 1. Means and standard deviation ofkicketts analysis and VERT inde: for female patents Factor Moan ‘Stonidard deviation “Observation Foal ac 86.40909 3.261012 Dalichocephaie Facial depth 7.90909 2.505405 Normal mandisie Tota faoal height 76.1618 216997 Incraased Mandibular lane ever 916997 Mesocephalie ype Height of Lower Face a6 10162 2.520023 Brachyeepahaic lower 3/3 Mandibular arch y3isie2 1547236 pen bite tendency, Point & 481018 25919 Skeletal dass 1 Maar depth oa.z2727 206122 Normal masila Provusion of L 2.409091 2.302361 Normal Indination of 20.13636 5.682487 Normal Position of UM 13.62626 3.244709 Normal posidon of ower tip 26364 2.605751 Protruded VERT index 3.060162 0.499301 Severe doichocephatic a= aa STAT OA TT TT Table 2. Means and standard deviation of hcketts analysis and VERT index for male patients Factor Mean "Standard deviotion Observation Fadil ais 96.30008 479982 Dolienecephalic Facil depth 9.722022 2oseiss Normal mandible Total facal height 7s.90448 5.439206 Increased ‘Mandibular Plane aoa 4.470674 Dolichocephalic type Height of Lower Face 25.66687 padesas Brachycepahatic lower 1/2 Mandibular Arch 53883 arenas (pen bite tendancy Point & 4.916687 aaasize Sheletal lass 1 aillary depth o2.55558 2.306558 Normal mala Protusion of LL 2.993393, 2.92632 Normal Incination of 2130009 0.637394 Normal Position of UM 1422222 3227736 Normal Position of lowar i 2.130009 2.408051 Protruded veRTindes 3.230009 o.s4s641 Severe dalichecephalic eter Comer SRE OW OBE eran 2013; 966)609-688 MAC Borgos, Sk Bussadori, AF Marangoni, R Hamaguth, JC Bachiaga, CC Guedes, EM Santos a number of these characteristics, with @ strong tenden- cy toward open bite, protruded lower lip, class I! skeletal characterises and severe dolichocephalic tendency, with a high VERT index value. The mandible and maxil~ la, however, were in normal positions in relation to the base of the stall Abnormality in the posture of the mandible is a factor thet wiggers abnormality in the posture of the skull and, consequent, the cervical, dorsal and jum= ber spine. This posture causes muscle imbalance, there by leading to contractons and distensions in the mus de groups that sustain the head as well as in the open~ ing and closing of the mouth, swalloning, speech and breathing, along with an impact on the tempereman- dibular joint ‘With regard to gender, both males and females ex- hibited the same types of cephslomenic abnormalities ‘The only divergent factor was the angle of the mandibu- lar plane, for which males exhibited a greater than nor ‘mal angle, whereas that of females was within the range lof normality. Therefere, the boys were characterized as REFERENCES: 1. Moyers RE. Ortodonta having @ dalichocephalic pattern regarding this charac- teristic and the girls were characterzed as having a me- siocephale pattern, ‘Studies on obstruction of the upper airways, mouth breathing and orofacal development are of an interdis- plinary nature due to the different anatomical systems that interact during function. In order to achieve inte ‘rality in the weatment of the face during growth and development until reaching maturity with esthetic har~ mony and functional homeostasis, the interaction of all the specelues involved is necessary. It should also be taken into account that this condiben has 2 mult-fac tor eticlogy and that the signs and symptoms stemming from an unharmenius face are only the visible part of larger, more complex conditions that need ta be studied ‘and analyzed. CONCLUSION ‘The meuth breathing pattern was respensible for varieus abnermalities in craniofacial growth and devel- ‘coment. 49, ed, Rio de Janeiro: Guenabare Kogan; 1991,4832 Linder-Aronscn S, Leighton 8C, A |ong\tudinal study of the development of the posterior nasopharyngeal wall be- tween 3 and 16 years of age. Eur J Orthod 1983; 547-55 3. Linder-Aronsen S. Effects of adenoidectomy on dentition and nasopharynx. AM J Orthod 1974; 65:1-45. 4. Cazzclla AP, Campisi G, Lacaita GM, Cucca AM, Ripa A, Testa NF, Gavarella D, Lo Muzo L. Changes in pharynge- {al aerobic microflora in oral breathers after palatal rapid xpansion.®MC Oral Health, 2006;6:2 5, Huggare JAV, Laine-Alava MT. Nesorespiratery funchon and head posture. Am J Orthod Dentofac Orthop 1997; 142:507-11 6, Battagel JM, Johel A, Smith AM, Keteche B. Postural veriation in eropharyngeal dimensions in subjects with sleep disordered breathing: @ cephalometric study. Eur] Orthod 2002; 24(3):263-76, 7. Peltomakt T. The effect of mode of breathing on craniofacial growth-revisited. Eur J Ort. 2007; 426-29. 8. Petrou-Amerikanau C, Belazi MA, Daskslopoulau E, Viachayiannis E, Danilidau Nv, Papanayiotou PC. Oral find- ings in pavents with obstructive sleep apnea syndcome: the Imaortance of cephalometric variables. Quintessence Int 2005} 36 (4):293-8, 9. Schenhofer B, Franklin KA, Brunia H, Wehde H, Kehler D. Effect of nasal-valve dilation an cbstructive sleep apnea, Chest. 2000 Sep; 118 (3):587-90. 10. Ceylan 1, Oktay H. A study on the pharyngeal size in cfferent skeletal patterns. Am J Orthed Dentofac Orthep 1995; 108:69-75, 11, Lessa FC, Encki C, Feres MF; Valera FC, Lima WT, Matsumoto MA. Breathing made influence in craniofacial devel- ‘opment, Pev Bras Otorrinelaringol, 2005;71(2): 155-60 12, Tecco S, Festa F, Tete S, Lenghi'v, D’Atblio M. Changes in head posture after rapid mauillary in mouth-breathing iris: 8 controlled study. Angle Orthod, 2005; 75:171-176, 13, Sforza C, Colombo A, Tursi M, Grassi G, Ferrario VE Induced oral breathing and craniocervical postural relations: ‘an experimental study in healthy young adults. Cranio. 2004; 22:21-26 44 Subtelny 3D. Oral respiration: facal maldevelopment and corrective dentofacal orthopedics. Orthod 1989; 50:147-64 15, Raskin, S, Limme M, Poirier R. Could mouth breathing lead to cbstructive sleep apnea syndromes. A preliminary ‘study. Orthod Fr, 2000 Jan; 71 (1):27-35, TeeMan 2038; 946):608-694 ‘cephalometric analysis and mouth breathing. 16. Ww. 16 18, Zettergren-Wijk L , Forsberg CM, Linder-Aronson $ 2006 Changes in dentofacal morphology after adeno-/ton- sillectomy in young children with obstructive sleep apnea — a 5-year follow-up study . European Journal of Or- thedenties 26:319-26 Maciel CTV, Leite ICG. Eticlogical aspects of antericr open bite and its implications to the oral functions. Pré-Feno Revista de AtualizagSo Ceentifica, Barueri (SP). 2005 set/dez: 17 (3):293-302, McNamara Jr 1A. A method of cephalometric evaluation. Am J Orthed 1984; 86(6):449-69. Hungria H. Otorrinolaringologia, 5°, ed, Rio de Janeiro: Guenabara Koogan; 1988 Tourne LP. Geonth of the pharynx and its physiclogie implications, Am J Orthed Dentofac Orthop 1991; 99(2):129-39, eran 2013; 966)609-688 Attige Ovigion! Ativagaéo do mtisculo transverso do abdome em individuos com ¢ sem lombalgia crdnica inespecifica. Activation of the traneveraus abdlominis muacle in patients with and without nonspecific chronic low back pain Luiz Armando Vidal Ramos, Fabio Jorge Renavato Franca®, Erica Sato Hanada®?, Themaz Nogueira Burke ®, Amélia Pasqual Marques (. Resume Introdugao: 4 dor lombar ¢ um importante problema de sauce piblca presente er todas 3s nagbes industrializadas, & lesté em segundo luger ene as causas de absenteisme no abalho. Objetive: Avalar a capacidade de abvage do mus~ culo transverse do aadome (TTA), der © capacidade funcional, e comparar a capacdade de ativagao do TrA de lomlg- ces crSnicos inespecficas com no lambdlgicas. Métada: Partiaiparam da estuda 40 individuas divididos em ders grupos: Grupo Lombalgico (n=20, idade 40,9 + 5,32) e Grupo nfo lombslgica (n=20, Idade 40,4 + 8,26). Os individuos foram avaliados quanto a der (Escala Visual Analdgica-EVA e Questiondrio McGill de Dor), capacidade funcional (Indice de Inca pacidade de Oswestry) ¢ capacdade de ativagao do misculo TA (Unidade de Biofeedback Pressérico-BP) Resultados: © Grupo Lombaigice apresenteu intensidade da dor de 6,59{1,41) om e eapacdade funcional moderada 37,45(7,50) "Ye, Na comparagao entre os grupos, a capacidade de contragio do TrA em lombalgicos e NBo lomblgices mostrou-se -0,3 (1,34) mmitg -3,6 (1,79) mmbig respectvamente, indieando recrutamento mais efente em nao lombalgicos (9<0,01). Conclusio: Individuos com lembalgia crénica apresentaram ativacSo do TrA insuficente, niveis moderados de der e capacidade funcional, enquanto no lombalgicas alcancaram valores préximos da contracio dima, Descritores: Lombalgia, Transverso do abdome, Capacidade Funconal Abstract Introduction: Low back pain is a major public health problem present in all industrialized nations, and ranks second among the causes of absenteeism from work. Objective: To evaluate the contraction of the tanisversus abdominis (7A), pain, and functional capacity in patients with and withaut chronic low back pain. Methads: The study included +40 patents divided into two groups: Low Back Pain Group (n = 20, age 40.9 * 5.32) and Centra Group (n = 20, age 40.4 + §.26). Subjects were evaluated for pain (VAS-visual analogical scale and McGill pain questionnaire), functonal disability (Oswestry Disability Index) and WA musde acuvaton eapacty (Pressure Biofeedback Unit-UBP), Results: “The Low Back Pain Group showed pain intensity of 6.59 (1.41) cm and moderate functional capacity 37.45 (7.50) % Comparing the groups, the ability of TrA contraction in low back pain patients and in Control Group showed -0.3 (1.34) mmHg and -3.6 (1.79) mmttg respectively, indicating more effective recruitment in Contrel Greup (p<0.01). Canelu- sion: Individuals with chronic low back pain showed insufficent activation of TrA, moderate levels of pain and functio ral capacity, while Control Group obtained 2 good degree of activation of this musde, Keywords: Low back pain, Transversus abdominis, Functional Capaaty. Recebide em 15 de 3utho de 2011 @ aceito em 04 de Setembro de 2011 . Fisoterapeuta, Mestrando em Ciéncas da Reabiliacao~ Faculdade de Medicina da Universidade de Sdo Paulo- FMUSP, Sao Paulo, Fikoterapauta,Doutorando em Citndas (Fisionatoogia Experimantal)-Faculdade de Medina da Universidade de Sa Paulo- FMS, Paulo, Bras | Fisiotarapeuta, Gradvada pela Faculdade de Madiona da Universidade de S30 Paulo- FMUSH, So Paulo, Bras Fsioterapeuta, Professoraassociada do Departamenta de Fisioterapla, Ponoaudilogiae Terapia Ocupaconal- Faculdade de Medicina a Universidade de Sao Paulo-FMUSP, S30 Paul, Basi a 3 Enderago para corrasnpendéncia: Luiz Armando Vida! Ramos, Rua Cipotdnea, 51, Cidade Universitaria, Sdo Paulo, Brasil. Tel: (21) 3091-8423, (41) 0567-658 mali luz sm andogusp.or Toran 2038 946):695-699 INTRODUGAO, ‘A lombalgia crénica pode ser definida como dor persistente por mais de 12 semanas nos niveislombar € sacral da coluna vertebral . Sua prevaléncia esté entre 12 a 33 % na populagio adults, e estima-se que apro- ximadamente 11 2 64% de pessoas no mundo relatarso dor lombar crénica ao longo da vida ®. A classificagSo internacional mais aceita divide dor lombar em tres categorias: patclogia espedtica da caluna, dor radicular e der lombar cronica inespecifica, A dor lombar cénica inespecitica, nfo é atribuida & pato- logia conheada, per exemplo, infeecSo, tumor, osteopo~ rose, fratura, doenga inflamatéria, espondilte, sindrome radicular ou sindrome da cauda equina Estudos demonstram que individues corn lombal- gis cronica apresentam disfungSo da musculstura eb- dominal profunda, em especial o misculo transverso do abdame (TrA) (#3, Ferreira et al © chservaram que este musculo em episédio de dor lombar apresenta diminui- ‘go de forca, atrofa ¢ atraso na velocdade de disparo, (0 TrA possui bras em orientaglo transversa origi- nando-se dos processos transversos das vértebras lom- bares va fésce téraco-lombar € inserindo anteriormen- tena linha alba, A contragSo deste musculo resulta em aumento da tensdo da féscia téracotombar e acrésci- mo da pressao inira-abdorniial pela depressao da pare de do abdome. Loge, 0 Tra contribui para a estabilizaco lombar por estes dois mecanismos © instrumento comumente utlizado na pratica di- nica ena pesquisa para avaliar a capacidade de ativagio do Tr é 3 Lnidade de Biofeedback Pressévieo (LISP) com boa confiabilidade e auréca™. A UBP avalia a ago de depresso da parede abdominal, e @ qualidade do con- trae moter do TA pode ser estimado indiretamente pela performance demenstrada no teste (i, Este instrumen- to 8 foi correlacenado com exames por imagem € com cletromiografia que so considerados padrées-ouro na andiize da compertamento do Tr 8. Além dissa, 0 gray de atvidade deste misculo pode fernecer dados quan- btatives e, desta forma, auxiliar na indicagao de exerci- Gos a serem realizados I, Embora alguns estudos apontem a importanas ds do%, cepacidade funcional e disiungBe da musculature abdominal profunda em individues com lombalgia én ca inespecifica "9, hé escassa literatura que avalie si- multanesmente esses aspectos, Sendo assim, este es- tudo tem como ebjetiva avaliar a capacidade de ativacso do TiA, dor € capacidade funcicnal nesses individuos, # compara capacidade de ativagSo do THA de lombaigi= 08 crénicos inespecificos com néo lombalgicos. MeToDO Participaram do estudo 40 individuos divididos em das grupos: Grupa Lomblgico (n=20) « Grupo Ngo Lombilgico (n=20) com idade entre 28 e 54 anos. No Tecan 2013; 946):695-698 ‘vvagSo do transverso do abdome na lombalia Grupo Lombélgico foram critérios de indusso: ter lom- balgia crénica inespecifica (dor ha mais de trés meses) localizada entre T12 € a prega gldtea (com ou sem irra~ diagio dolerosa para o membro infericr) e de exclusso: ccrurgia lombar prévia, carcinoma e doengas reumatole- leas. Pacientes das dois grupos envelvides em espor- tes ou em treinamento com carga para a coluna lobar durante os Wés meses anteriores & avallagio também foram exduides. © presente estudo for aprovado pelo Comité de Evce © Pesquisa do HU-FMUSP (Registro 700/06) € do HC-FMUSP (Protecado de pesquisa 1249/06) e todos of participantes assinaram o termo de consentimento livre ‘e esclarecado. PROCEDIMENTO (Os individuos foram avaliados cegamente por um fisioterapeuta previamente treinado quanto & escala © ‘20s questionarias de dor, capacdade funcional, e grau de ativagto do misculo transverso do abdome mensu- vedo pela UBP Avaliacae da dor 19) Escala Visual Analégica (EVA): Ao pacente fot ‘entregue uma felha com uma linha reta de 10 em, cuje evtremidade esquerda estava escrito ausénoe de dor, € direita dor insuportivel, Fo solicitado que assinalas- se sobre este reta a intensidade de dor no momento da avaliagSo, Valores altos indicam dor mais intensa. Este Inserumento mostrou boa reprodutibilidade na avaliagso dda dor 'b) Questionério McGill de dor: Foi adaptedo para @ lingua portuguesa por Varali e Pedraza’ ‘9, ¢ é utliza- do para avaliar qualitatva @ quantitatvamente o relato das experiénaas de dor sende erganizada em quatro ca- tegorias: sensorial, afetiva, avaliativa e mista, com 20 suboategerias © 78 palavras descritoras da dor, descre~ ‘vendo a qualidade da dor Q indice de avaliagc da der é 1a 'soma des valores agregades cada palavra escolhida em cada uma das dimensbes & a pontuaco maxima de cada categoria: Sensorial = 34, Afetva = 17, Avaliatva 5, Mista = 11, Total = 67. Em nosso estudo avaliamos ‘as categorias Sensorial, Afebve e Total Avaliagae da capacidade funcional A capacidade funcional foi avaliada pelo indice de Incapacdade de Oswestry 8, instrumento valida do para a lingua portuguesa com excelentes proprieda- des psicoméricas, e alte confabilidade pare @ popula ‘Bo brasileira 7, sendo desenvelvido para defnir 0 grau de incapacdade lombar \'®, 0 indice é calaulada saman- do-se o escore total (cada seco vale de zero a cnco) ‘total de pontos equivale a soma dos pontos das 10 se~ (Gbes. A interpretagio é realizada por meio de porcenta- gem: 0% a 20%: incapacidade minima; 21% a 40%: in- Lula Armando Vidal Ramos, Fabio Jorge RenovatoFranga, Erica Sato Hanada, et capacdade moderada; 41% @ 60%: incapacidade seve- ra; 61% a 80%: invalidez: £1% a 100%: pacente aco- mado ou exagera nos sintomas. Avaliacao da ativacao do musculo transverse do abdome pela Unidade de Biofeedback Pressorico (Os pacientes foram agendados para a coleta de dades mediante as seguintes ovientagies: jejum de dduas horas previamente ao comego des testes (indusive qua), esvaziamento da bexiga antes do teste © no re- clizagio de exercidos abdominals no dia anteriey, assim como no dia do teste, Os pacentes também receberarn ogdes basicas sobre anatomia, blomecénica e fungSo do TrA, Os testes foram realizados em decibito ventral Antes de realizar 6 teste os pacientes receberam trelnamento especitico quanto 80 movimento szropriado do TrA, A depressao da parede abdominal contra a colu- nna lombar resulta na reduséo da pressio, que fol regis~ trada com © esfigmemanémetro da UBP. Em sequida 20 teinamento, 0 paciente fei posicio- nado em decibito ventral sobre uma superfide rigids| abaixo do tronco e abdome para minimizar a deferma- gfe da espuma, Os pés mantinham-se fora da maca & (os membros superiores a0 lado do corpo, com 2 cabega rodada para a direita. A UBP foi posicionada logo acma das espinhas liacas antero-superiores, sobre a cicatrz umbilical. Antes do inido da contragio, a bolse presse rica fol insuflada a pressio de 70 mmHg, estando a val vwula fechada. Os individuos foram crientados a realizar dduas inspiragdes € expiragées, utlizando principalmen- te a regio abdominal. A pressio fol entSo, reajustada a 70 mma, Foi dado 0 sequinte comando: “Murche a re- ido inferior do abdome para dentro sem mover a coluns © a pelve" Estas contracées foram mantidas por dez se- jundes cronometrades. Foram realizadas duas contra- RESULTADOS: ‘A tabela (1) apresenta média e desvia padrao dos dados demogratieas de individues lombalgices © no lombéigicos. Observa-se que os grupes so semelhan- tes em todas as varidvels Na tabela (2) pode-se observar a caracterizagse da dor € capacdade funaanal de individues com lomblgia erénica inespecifica Na tabela (3) observou-se que a capacidade de ativaggo do TrA obteve valores de -0,3 mmHg -3.6 mig nos grupos lombalgico € no lombalaico, respec- yamente piscussAo © abjenve deste estudo fei avaliar a capaadade de ‘ativagiio do misculo transverso do abdome, dor e capad- Figura 1, Teste para o miscule TA, realzade em dacibito ‘ventral com 2 UBF ; Teel 2 Caxacrsiascicas da popli d etd com interval de 30 segundos ene cade, efeltaa Somes :tombalies varias 0) bio oe Analise Estatistica oer ‘Todos os testes estatisticos foram realizados com (0-10 em)# cae o softnare Siomastat versd0 35. Para as vardvels de Dor (cca) sat353) distbuigdo normal, uthzci-se o teste t Student nas MES amon ODF aes nlorermals fol ulizadoo teats de Mann-hiney pare Meeuatem@™ae — comparagso entre os grupos. Considerou-se nivel de (indice Oswestry) (0-100% )# Aaa Sarifainde o- 0,05, Frame porte Tebola 1. Dados donogrtos dos grupos: —_— ‘embagica (@=20) Ne Lombaaica W=8) Média (OP) ‘Maia (DP) e ead ner) 0552) 2) 0075" massa) 9¢10,80) 5.94.13) aE ara (m) 2671619) e402) cate ime xn 252(1,88) 25,281) aioe Varidvel con Gatibuigio normal ~ teste Student **Varidvel com dstribusgio nde-normal testa Mann-whitney Toran 2038 946):695-699 2. Dados da Unicode de biofeedback Prassérico (UEP), ‘vvagSo do transverso do abdome na lombalia UBP (0 a 10 mmHg) -0,5(1,34) -3.8(1,79)

    También podría gustarte