terapia manual 47.indb

141 Pages·2012·2.51 MB·English

EXPEDIENTE
Editor Chefe
Prof. Dr. Luís Vicente Franco de Oliveira
Pesquisador PQID do Conselho Nacional de Pesquisa CNPq - Professor pesquisador
do Programa de Pós Graduação Mestrado/Doutorado em Ciências da Reabilitação
da Universidade Nove de Julho – UNINOVE - São Paulo – SP
Co-Editores
Ter. Man. 2012 Dr Pierre Marie GAGEY
Jan/Mar 10(47) Président d'honneur dDer l ’PAhssiloicpipateio Vni ldlee npeoustvuerologie internationale.
ISSN 1677-5937 podoPlorgéusied,e onst tdéeo pl’aAtshseo ceita tcihoanr gdée dpeo sctouurorslo àg ilea ifnatceurlntaét dioen aPlaer.i sP oXsI teunro Plohgyuseio,l ogie de AméerSniics atLe íLnmaeatai nRpaea,gr iaeo lRn Caealv rdiisbetea I,sn EfCosirepmnañtaíacfi icyóa nPs ortugal
ISSN-e 2236-5435 de la posture et du mouvement. LILACS
Dr Bernard WEBER
Vice-président: de l’Association de posturologie internationale. Latin American and Caribbean Health Sicience
Editores associados
Prof Dr Antônio Nardone teacher and researcher at Posture and Movement Laboratory – Medical Center of Veruno – Veruno – Itália
Prof Daniel Grosjean professeur et elaborateur de la Microkinesitherapie. Nilvange, France. Il partage son temps avec l’enseignement
de la méthode depuis 1984, la recherche, les expérimentations et la rédaction d’articles et d’ouvrages divers sur cette technique.
Prof François Soulier – créateur de la technique de l’Equilibration Neuro musculaire (ENM). Kinésithérapeute, Le Clos de Cimiez, Nice, France.
Prof Khelaf Kerkour – Coordinateur Rééducation de L’Hopital Du Jura – Delémont – França • President de l’Association Suisse de Physiothérapie.
Prof Patrice Bénini - Co-foundateur de la Microkinesitherapie. Il travaille à l’élaboration de la méthode, aux expérimentations, à la
recherche ainsi qu’à son enseignement. Montigny les Metz, France.
Prof Pierre Bisschop - Co-founder and administrator of the Belgian Scientifi c Association of Orthopedic Medicine (Cyriax), BSAOM since
1980; Professor of the Belgian Scientifi c Association of Orthopedic Medicine; Secretary of OMI - Orthopaedic Medicine International – Bélgium.
Conselho Científi co
Prof. Dr. Acary Souza Bulle Oliveira • Prof. Dr. Fernando Silva Guimarães • Prof. Dr. Mauro Gonçalves •
Departamento de Doenças Neuromusculares - Universidade Federal do Rio de Janeiro – UFRJ – Rio Laboratório de Biomecânica da Universidade Estadual
Universidade Federal de São Paulo – UNIFESP – São de Janeiro, RJ - Brasil. Paulista – UNESP – Rio Claro, SP – Brasil.
Paulo, SP - Brasil. Profª. Drª. Gardênia Maria Holanda Ferreira • Profª. Drª. Patrícia Froes Meyer•
Prof. Dr. Antônio Geraldo Cidrão de Carvalho • Programa de Pós Graduação Mestrado em Fisioterapia Universidade Potiguar – Natal, RN – Brasil
Departamento de Fisioterapia - Universidade Federal da Universidade Federal do Rio Grande do Norte – Prof. Dr. Paulo de Tarso Camillo de Carvalho •
da Paraíba - UFPB – João Pessoa, PB - Brasil. UFRN – Natal, RN – Brasil. Programa de Pós Graduação Mestrado/Doutorado em
Profª. Drª. Arméle Dornelas de Andrade • Prof. Dr. Gérson Cipriano Júnior • Ciências da Reabilitação da Universidade Nove de
Centro de Ciências da Saúde - Universidade Federal Universidade de Brasília – UnB – Brasília, DF – Brasil. Julho – UNINOVE - São Paulo, SP – Brasil.
do Pernambuco - UFPE – Recife, PE - Brasil. Prof. Dr. Heleodório Honorato dos Santos • Prof. Dr. Paulo Heraldo C. do Valle •
Prof. Dr. Carlo Albino Frigo • Departamento de Fisioterapia da Universidade Federal Universidade Gama Filho - São Paulo, SP – Brasil.
Dipartimento di Bioingegneria - Istituto Politécnico di da Paraíba – UFPB – João Pessoa, PB - Brasil. Profª. Drª. Regiane Albertini •
Milano – MI - Itália Prof. Dr. Jamilson Brasileiro • Programa de Pós Graduação Mestrado/Doutorado em
Prof. Dr. Carlos Alberto kelencz • Programa de Pós Graduação Mestrado em Fisioterapia Ciências da Reabilitação da Universidade Nove de
Centro Universitário Ítalo Brasileiro - UNIÍTALO – São da Universidade Federal do Rio Grande do Norte – Julho – UNINOVE - São Paulo, SP – Brasil.
Paulo, SP – Brasil. UFRN – Natal, RN – Brasil. Profª. Drª. Renata Amadei Nicolau •
Prof. Dr. César Augusto Melo e Silva • Prof. Dr. João Carlos Ferrari Corrêa • Instituto de Pesquisa e Desenvolvimento IP&D -
Universidade de Brasília – UnB – Brasília, DF – Brasil. Programa de Pós Graduação Mestrado/Doutorado em Universidade do Vale do Paraíba – Uni Vap – São José
Profª. Drª. Claudia Santos Oliveira • Ciências da Reabilitação da Universidade Nove de dos Campos, SP – Brasil.
Programa de Pós Graduação /Doutorado em Ciências Julho – UNINOVE - São Paulo, SP – Brasil. Prof. Dr. Renato Amaro Zângaro •
da Reabilitação da Universidade Nove de Julho – Profª. Drª. Josepha Rigau I Mas • Universidade Castelo Branco – UNICASTELO - São
Paulo, SP – Brasil.
UNINOVE - São Paulo, SP – Brasil. Universitat Rovira i Virgili – Réus - Espanha.
Prof. Dr. Roberto Sérgio Tavares Canto •
Profª. Drª. Daniela Biasotto-Gonzalez • Profª. Drª. Leoni S. M. Pereira •
Departamento de Ortopedia da Universidade Federal
Programa de Pós Graduação Mestrado em Ciências Programa de Pós Graduação Mestrado/Doutorado em
de Uberlândia – UFU – Uberlândia, MG – Brasil.
da Reabilitação da Universidade Nove de Julho – Ciências da Reabilitação da Universidade Federal de
Profª. Drª. Sandra Kalil Bussadori •
UNINOVE - São Paulo, SP – Brasil. Minas Gerais – UFMG – Belo Horizonte, MG – Brasil. Programa de Pós Graduação Mestrado em Ciências
Profª. Drª. Débora Bevilaqua Grossi • Profª. Drª. Luciana Maria Malosa Sampaio Jorge • da Reabilitação da Universidade Nove de Julho –
Departamento de Biomecânica, Medicina e Reabilitação Programa de Pós Graduação Mestrado em Ciências UNINOVE - São Paulo, SP – Brasil.
da Universidade de São Paulo USP – Ribeirão Preto – da Reabilitação da Universidade Nove de Julho – Drª. Sandra Regina Alouche •
SP - Brasil. UNINOVE - São Paulo, SP – Brasil. Programa de Pós Graduação Mestrado em Fisioterapia
Prof. Dr. Dirceu Costa • Prof. Dr. Luiz Carlos de Mattos • da Universidade Cidade de São Paulo - UNICID - São
Programa de Pós Graduação Mestrado/Doutorado em Faculdade de Medicina de São José do Rio Preto – Paulo, SP – Brasil.
Ciências da Reabilitação da Universidade Nove de FAMERP – São José do Rio Preto, SP – Brasil. Profª. Drª. Selma Souza Bruno •
Julho – UNINOVE - São Paulo, SP – Brasil. Prof. Dr. Marcelo Adriano Ingraci Barboza • Programa de Pós Graduação Mestrado em Fisioterapia
Prof. Dr. Edgar Ramos Vieira • Faculdade de Medicina de São José do Rio Preto – - Universidade Federal do Rio Grande do Norte – UFRN
University of Miami, Miami, FL, USA. FAMERP – São José do Rio Preto, SP – Brasil. – Natal, RN - Brasil.
Profª. Drª. Eliane Ramos Pereira • Prof. Dr. Marcelo Custódio Rubira • Prof. Dr. Sérgio Swain Müller •
Departamento de Enfermagem Médico-Cirúgica e Pós- Centro de Ens. São Lucas – FSL – Porto Velho, RO – Brasil. Departamento de Cirurgia e Ortopedia da UNESP –
Graduação da Universidade Federal Fluminense – São Prof. Dr. Marcelo Veloso • Botucatu, SP – Brasil.
Gonçalo, RJ – Brasil. Universidade Federal de Minas Gerais – UFMG – Belo Profª. Drª. Tânia Fernandes Campos •
Profª. Drª. Eloísa Tudella • Horizonte, MG – Brasil. Programa de Pós Graduação Mestrado em Fisioterapia
Universidade Federal de São Carlos – UFSCAR - São Prof. Dr. Marcus Vinicius de Mello Pinto • da Universidade Federal do Rio Grande do Norte –
Carlos, SP – Brasil. Departamento de Fisioterapia do Centro Universitário UFRN – Natal, RN – Brasil.
Profª. Drª. Ester da Silva • de Caratinga, Caratinga, MG – Brasil. Profª. Drª. Thaís de Lima Resende •
Programa de Pós Graduação Mestrado em Fisioterapia Profª. Drª. Maria das Graças Rodrigues de Araújo • Faculdade de Enfermagem Nutrição e Fisioterapia da
- Universidade Metodista de Piracicaba – UNIMEP – Centro de Ciências da Saúde - Universidade Federal Pontifícia Universidade Católica do Rio Grande do Sul,
Piracicaba, SP – Brasil. do Pernambuco - UFPE – Recife, PE - Brasil. UFRGS - Porto Alegre, RS – Brasil.
Prof. Dr. Fábio Batista • Profª. Drª. Maria do Socorro Brasileiro Santos • Profª. Drª. Vera Lúcia Israel •
Chefe do Ambulatório Interdisciplinar de Atenção Centro de Ciências da Saúde - Universidade Federal Universidade Federal do Paraná – UFPR – Matinhos, PR - Brasil.
Integral ao Pé Diabético - UNIFESP – São Paulo – do Pernambuco - UFPE – Recife, PE - Brasil. Prof. Dr. Wilson Luiz Przysiezny •
Universidade Federal de São Paulo - UNIFESP – São Prof. Dr. Mário Antônio Baraúna • Universidade Regional de Blumenau – FURB –
Paulo, SP, Brasil. Centro Universitário UNITRI – Uberlândia, MG – Brasil. Blumenau, SC – Brasil.
Responsabilidade Editorial
Instituto Salgado de Saúde Integral S/S LTDA - CNPJ 03.059.875/0001-57
A Revista Terapia Manual - Posturologia ISSN 1677-5937 ISSN-e 2236-5435 é uma publicação científi ca trimestral que abrange as áreas da
Posturologia, Terapia Manual, Ciências da Saúde e Reabilitação.
A distribuição é feita em âmbito nacional e internacional com uma tiragem bimestral de 1.000 exemplares e também de livre acesso (open access) pelos sites
http://institutosalgado.com.br/, www.revistatm.com.br do sistema SEER de editoração eletrônica, http://terapiamanual.net/ e http://revistaterapiamanual.com.br
Direção Editorial: Luis Vicente Franco de Oliveira • Supervisão Científi ca: Isabella de Carvalho Aguiar e Nadua Apostólico
• Revisão Bibliográfi ca: Vera Lúcia Ribeiro dos Santos – Bibliotecária CRB 8/6198
• Editor Chefe: Luís Vicente Franco de Oliveira • Email: [email protected]
Missão
Publicar o resultado de pesquisas originais difundindo o conhecimento técnico científi co nas áreas da Posturologia, Terapia Manual, Ciências da Saúde e Reabilitação
contribuindo de forma signifi cante e crítica para a expansão do conhecimento, formação acadêmica e atualização profi ssional nas áreas afi ns no sentido da melhoria
da qualidade de vida da população.
A revista Terapia Manual - Posturologia está indexada nas bases EBSCO Publishing Inc., CINAHL - Cumulative Index to Nursing and Allied Health Literature,
SportDiscus™ - SIRC Sport Research Institute, LILACS - Latin American and Caribbean Health Science, LATINDEX - Sistema Regional de Información en Línea
para Revistas Científi cas de América Latina, el Caribe, España y Portugal e é associada da ABEC - Associação Brasileira de Editores Científi cos.
Revista Terapia Manual – Posturologia
ISSN 1677-5937 ISSN-e 2236-5435
Capa e Diagramação: Mateus Marins Cardoso
• Produção Gráfi ca: Escola de Terapia Manual e Postural
Instituto Salgado de Saúde Integral S/S LTDA
Rua Martin Luther King 677 - Lago Parque, CEP: 86015-300
Londrina, PR – Brasil. Tel: [phone] - www.revistatm.com.br
Solicita-se permuta/Exchange requested/Se pide cambio/On prie l’exchange
Ter. Man. 2012
Jan/Mar 10(47)
ISSN 1677-5937
ISSN-e 2236-5435
SUMÁRIO/SUMMARY
y Editorial.....................................................................................................................................................................................................................................6
Artigos Originais
• Correlation between clinical and kinetic testing in sport podiatry ........................................................................................................7
Correlação entre testes clínicos e cinéticos em posturologia esportiva
Marc Janin.
• Correlações de força isométrica de elevação de ombro no plano escapular e de preensão palmar com medidas de capacidade
e desempenho dos membros superiores em indivíduos com hemiparesia crônica. ............................................................................12
Relationships between shoulder isometric strength during upper limb elevation in the scapular plane and grip strength with upper
limb capacity and performance measures in chronic stroke survivors.
Isabela de Resende Braga, Lidiane Mara Miranda Ramos, Maria Clarice Lopes da Silva, Lucas Rodrigues Nascimento, Janaíne Cunha Polese, Luci Fuscaldi
Teixeira-Salmela.
• Fisioterapia na reeducação do intestino neurogênico como resultado de uma lesão medular. ........................................................19
Physical therapy in neurogenic bowel rehabilitation of the gut as a result of spinal cord injury.
Bruna Isadora Thomé, Isabela da Silva Borgui, Joely Berardi, Auristela Duarte Lima Moser, Gisela Maria Assis.
• Avaliação postural em escolares do ensino fundamental de escolas públicas e privadas de Teresina – PI. .................................28
Postural evaluation of elementary school students in public and private schools in Teresina – PI.
Renata Oliveira Moura, Maria Ester Ibiapina Mendes de Carvalho, Juliana da Silva Torres, Letícia Helene Mendes Ferreira, Bruno Rodrigues de Miranda.
• Efeitos terapêuticos do biofeedback e do laser de baixa intensidade na função física e social em pacientes com paralisia facial
periférica. ....................................................................................................................................................................................................34
Therapeutic effects of biofeedback and low-level laser in physical and social function in patients with peripheral facial paralysis.
Priscila de Oliveira Januário, Ariela Torres Cruz, Ana Gabriela Garcez, Alderico Rodrigues de Paula Júnior, Renata Amadei Nicolau, Mário Oliveira Lima.
• Efeitos da manipulação na articulação sacro-ilíaca e transição lombossacral sobre a flexibilidade da cadeia muscular posterior. ...40
Effects of manipulation in the sacroiliac joint and lumbosacral transition on the posterior muscle chain flexibility.
Valquíria Zatarin, Gustavo Luiz Bortolazzo.
• Força muscular e parâmetros espaço temporais da marcha em diabéticos neuropatas. ...................................................................46
Muscle strength and diabetic neuropathy´s temporal and spatial gait parameters.
Cristina Elena Prado Teles Fregonesi, Ana Claudia de Souza Fortaleza,Andrea Jeanne Lourenço Nozabieli,Alessandra Rezende Martinelli, Alessandra Madia
Mantovani, Dalva Minonroze Albuquerque Ferreira.
• Efeito de um programa de treinamento aeróbio na dor, desempenho físico e funcional e na resposta inflamatória em idosos com
osteoartrite de joelho- Resultados preliminares. ...................................................................................................................................52
Effect of an aerobic training program on pain, physical and functional performance as well as inflammatory response in elders with knee
osteoarthritis - preliminaries results.
Daniel Almeida Freitas1, Marcello Barbosa Otoni Guedes2, Sueli Ferreira da Fonseca¹, Mateus Ramos Amorim¹, Wellington Fabiano Gomes3, Gustavo Eus-
táquio Brito Alvim de Melo3, Patrícia Silva Santos Guimarães5, Ana Cristina Rodrigues Lacerda6.
• Correlation between malocclusion and facial muscle behavior in children ..........................................................................................60
Correlação entre má-oclusão e alteração de musculatura facial em crianças
Analúcia Ferreira Marangoni, Carolina Carvalho Bortoletto, Raquel Agnelli Mesquita-Ferrari, Kristianne Porta Santos Fernandes, Sandra Kalil Bussadori
• Biofotogrametria da lordose lombar e sua correlação com a capacidade de contração dos músculos do assoalho pélvico em
mulheres nulíparas. .....................................................................................................................................................................................66
Lumbar lordosis biofotogrametry and its correlation with the pelvic floor muscles ability´s of contraction in nulliparous women.
Cibele Nazaré da Silva Câmara, Bianca Callegari, Camille Yoldi dos Reis, Luciana Tonette Zavarize, Angélica Homobono Nobre, Regina Célia Brito.
• Capacidade Pulmonar e força ventilatória em obesos mórbidos. ........................................................................................................71
Pulmonary capacity and ventilatory strength in morbidly obese patients.
Isabella de Carvalho Aguiar, Israel dos Santos dos Reis, Nadua Apostólico, Lia Azevedo Pinto, Wilson Rodrigues Freitas Jr, Carlos Alberto Malheiros, Vera
Lúcia dos Santos Alves,Rafael Melillo Laurino Neto,Luis V. F. de Oliveira.
Relatos de Caso
• Contribuições da massagem Shantala aplicada a bebês de uma unidade de terapia intensiva pediátrica. ......................................75
Contributions of massage Shantala applied on babies from a pediatric intensive care unit.
Indaiara Felisbino, Elisiane Krupniski de Souza, Ana Paula Micos, Tharcila Pazinatto da Veiga, Mônica Fernandes dos Santos, Arlete Ana Motter.
• Análise dos Aspectos de Desempenho na Natação em Diferentes Condições de Nado: Crawl com Pernada Tradicional e Crawl
com Pernada de Borboleta. .....................................................................................................................................................................81
Analysis of Performance Issues in Different Conditions of Swimming in Swimming: Crawl with Traditional Legs and Crawl with Legs But-
terfly.
Caio Graco Simoni da Silva, Antonio Carlos Mansoldo, Ivan Wallan Tertuliano, Hagamenon Francisco de Farias Júnior, Stella de Souza Vieira, Carlos Alber-
to Kelencz.
• Avaliação da atividade dos músculos acessórios da respiração em crianças asmáticas no período assintomático. .......................89
Muscle activity analysis in asthmatic children during asymptomatic period.
Ana Lúcia de Gusmão Freire, Fernando Jose Vasconcelos Paes, Carla Barbosa de Oliveira, Ana Carolina Ramos Ferreira, Maria do Amparo Andrade, Dayse
de Amorim Lins e Silva, Silvana Maria Macêdo Uchôa, Cesar Ferreira Amorim3, Luciana Dias Chiavegato.
• Efeito do alongamento estático dos músculos esternocleidomastóideo, trapézio superior e peitoral maior sobre a capacidade
vital em portadores de respiração oral. .................................................................................................................................................95
Effect of sternocleidomastoid, upper trapezius and pectoral muscle stretching in oral breathing patient.
Ana Lúcia Gusmão Freire, Fernando Jose Vasconcelos Paes, Paula Berenice Melo de Miranda Motta, Flavia Manfredi Freitas, Diego Paiva Azevedo, Priscilla
Anjos de Sousa, Rosimeire Simprini Padula, Cesar Ferreira Amorim, Luciana Dias Chiavegato.
Revisões
• A eficácia da fisioterapia manual na cefaléia tensional: uma revisão sistemática.. ..............................................................................100
The eficacy of physicaltherapy in tension-type headache: systematic review.
Anniele Azevedo de Medeiros, Bruna Rafaela Dornelas de Andrade Lima, Danielle Ferreira de Siqueira.
• Efeitos da quiropraxia em pacientes com lombalgia: uma revisão sistemática. ..................................................................................105
Effects of chiropractic in patients with low back pain: a review systematic.
Rodrigo Marcel Valentim da Silva, Márcio Souza de Lima, Fernando Henrique Costa, Ana Carolina da Silva.
• Efeitos da estimulação elétrica neuromuscular em crianças com paralisia cerebral: Revisão Sistemática. .......................................111
Effects of neuromuscular electrical stimulation in children with cerebral palsy: a Systematic review.
Roberta Delasta Lazzari, Nathalia de Almeida Carvalho Duarte, Leandro Henrique Grecco, Claudia Santos Oliveira, Renata Calhes Franco, Luanda André
Collange Grecco.
• Síndrome de Hutchinson-Gilford Progéria e o benefício da interveção fisioterapêutica: uma revisão da literatura internacional. ..........117
Hutchinson-gilford progéria syndrome and the benefit of physicaltherapy intervention: a review of international literature.
Mariane Braga da Silva, Gizele Fontana Costalonga, Hélio Gustavo Santos.
• Técnicas de estimulação neuromuscular para avaliação de déficits de força: uma breve revisão. ...................................................123
Neuromuscular stimulation techniques for strength deficits evaluation: a brief review.
Paulo Henrique Marchetti, Simone Dal Corso.
• Efeito do taping com fita rígida na atividade eletromiográfica do vasto médio e suas implicações clínicas: uma revisão
sistemática. ................................................................................................................................................................................................129
Effect of taping with rigid tape in the electromyography activity of vastus medialis and its clinical implications: a systematic review.
Gustavo Sousa Leal Da Mata, Mauricio Correa Lima, Leonardo Luiz Igreja Colonna.
Editorial
Caros autores, leitores e colaboradores, a revista Terapia Manual passou por uma série de problemas quanto à
editoração no período de 2010 e 2011 o que com certeza lhes causou de alguma forma aborrecimentos. Assumimos a
revista a partir de janeiro de 2012 e com certeza trabalharemos com todas as nossas forças para juntos, autores, re-
visores, corpo editorial e leitores colocarmos em ordem e cada vez mais aumentar a sua credibilidade. A revista está
passando por algumas modifi cações quanto ao seu processo de tramitação de artigos científi cos (recepção, avalia-
ção, correção, retorno, documentação e publicação) que visarão maior agilidade e transparência buscando aumentar
a sua confi ança.
A revista Terapia Manual recebeu também o registro para a versão eletrônica (on line) ISSN 2236-5435 e atual-
mente é fi liada a ABEC – Associação Brasileira de Editores Científi cos e mantêm as indexações junto ao LILACS, CI-
NAHL, LATINDEX, Sport Discus tendo sido aceita em dezembro de 2011 pela base de dados internacional EBSCO Pu-
blishing aumentando ainda mais a sua visibilidade internacional. Atualmente, ela se encontra no estrato B2 do WEB
Qualis da área 21 (Educação Física, Fisioterapia, Fonoaudiologia e Terapia Ocupacional) da CAPES/MEC.
Desde janeiro de 2012 a revista Terapia Manual passou a ter o subtítulo “Posturologia” devido a maior ênfase na
publicação de artigos nesta área e futura parceria com a Association internationale de la posturologie. A revista pas-
sou a utilizar o sistema “SEER – Sistema Eletrônico de Editoração de Revistas” para a tramitação dos artigos, desde
a inserção até a aprovação fi nal e publicação, onde todo o processo poderá ser acompanhado através do site http://
www.revistatm.com.br/, sendo publicada apenas on line, adotando a política Open Access, ou seja, ser de livre aces-
so. O Corpo Editorial será renovado e o quadro de revisores (peer review) ampliado. A comunicação com o “Expedien-
te” da revista deverá ser realizada através do email [email protected]
Também será adotado o sistema internacional de identifi cação de artigos CrossRef DOI – Digital Object Identifi er
e visando a indexação junto ao Scielo, Med Line e ISI teremos em breve uma versão on line em inglês. Visando a co-
bertura parcial das despesas com o processo de manutenção da revista, passará a ser cobrada dos autores e ou patro-
cinadores da pesquisa, uma taxa de publicação para cada artigo publicado no valor de 200,00 doláres americanos.
Temos certeza que com estas novas alterações e com a participação de todos, teremos uma revista científi ca cada
vez mais forte, ética e neutra, com credibilidade e visibilidade nacional e internacional, fi gurando nas bases de dados
mais importantes. A partir deste momento começamos uma nova fase na história da revista.
Agradecemos a todos, autores, revisores, corpo editorial e leitores, que de uma forma ou de outra, com críticas, elo-
gios e ou com sugestões contribuiram para que a revista Terapia Manual atingisse a posição em que se encontra hoje.
Luis Vicente Franco de Oliveira
Editor Chefe
Dear authors, readers and contributors, the Terapia Manual journal has undergone a problems related to pu-
blishing in the period of 2010 and 2011 for sure what caused them trouble in some way. We took the journal from Ja-
nuary of 2012 and certainly work with all our strength to together, authors, reviewers, editorial board and readers put
in order and increasingly enhance their credibility. The journal is undergoing some changes as to its due process of
scientifi c articles (reception, evaluation, repair, return, documentation and publishing) in order to achieve greater fl e-
xibility and transparency as to increase their confi dence.
The Terapia Manual journal also received the electronic record (online) ISSN-e 2236-5435 and is currently affi -
liated with ABEC - Brazilian Association of Science Editors and maintain the indexes with the LILACS, CINAHL, LATIN-
DEX, Sport Discus have been accepted in December 2011 by an international database EBSCO Publishing further in-
creasing its international visibility. Currently, it’s in stratum B2 of WEB Qualis area 21 (Physical Education, Physiothe-
rapy, Speech and Occupational Therapy) from CAPES / MEC.
Since January 2012 the journal changed your subtitle for “posturology”, due to greater emphasis on publishing
articles in this area and future partnership with the Association Internationale de la posturologie. The Terapia Manu-
al journal began using the system “SEER - Electronic System for Journal Publishing” for the conduct of articles, from
insertion to fi nal approval and publication, where the whole process may be accompanied by site http://www.revis-
tatm.com.br /, being published only on line, adopting the Open Access policy, that is, be freely accessible. The Edito-
rial Board will be renewed and the framework of reviewers (peer review) expanded. The communication with our edi-
torial should be made via this email: [email protected]
It will also be adopting the international system of identifi cation of the items CrossRef DOI - Digital Object
Identifi er and for indexing by the SciELO, and ISI Med Line we will soon have an online version in English. Te-
rapia Manual journal uses a business model in which expenses are recovered in part by charging a publication
fee to the authors or research sponsors for each published article the amount of U$200.00 american dollars.
We are confi dent that with these new changes and with the participation of all, we have a journal increasingly
strong, ethical, neutral and credible national and international visibility, appearing in major databases. From this mo-
ment we begin a new phase in the history of the journal.
We thank all authors, reviewers, editorial board and readers, who in one way or another, with criticism,
compliments and suggestions or contributed to the Terapia Manual journal reached a position where it is today.
Luis Vicente Franco de Oliveira
Editor-in-Chief
7
Artigo Original
Correlation between clinical and kinetic testing
in sport podiatry.
Marc Janin.
Resumo
Introdução: Em posturologia esportiva, avaliação clinica e estudos cinéticos são executados para avaliar e corrigir
desequilíbrios que são resultados de assimetrias podais. Medidas cinéticas (distribuição da pressão plantar e posição
do Centro de Pressão (CDP) bem como resultados de testes clínicos (Bassani e testes posturodinâmicos) são sistema-
ticamente registrados. Objetivo: Foram revisados dados para determinar se há uma correlação entre as medidas cli-
nicas e cinéticas. Nossa hipótese foi de que os resultados dos testes de Bassani, pico de pressão plantar e posição do
centro de pressão (CDP) se correlacionam com o pé de chute; e que os resultados dos testes posturodinâmicos se cor-
relacionam com o pé de salto. Método: O grupo experimental consistiu de dezesseis jovens ginastas. A lateralidade
podal foi determinada por meio do teste de chute. Cada indivíduo foi avaliado através dos testes clínicos (Bassani e
testes posturodinâmicos); o posicionamento do (CDP) ao longo do eixo x (esquerdo-direita) e distribuição plantar di-
reito-esquerda foram registrados em uma plataforma de força computadorizada associada a um equipamento de ba-
ropodometria para avaliar o desempenho posturocinético. Resultados: Os teste de Bassani e posturodinâmicos cor-
relacionam com o pé de salto. Entretanto o posicionamento do CDP e pico de pressão plantar correlacionam com o pé
de chute. Estes resultados confi rmam nossa hipótese, com exceção dos resultados do teste de Bassani que indicam
que a assimetria postural esta localizada no lado do pé de salto em aproximadamente 70% dos registros. Conclusão:
Este estudo valida o uso de medidas clínicas específi cas e documenta a relação entre as medidas cinéticas realizadas
em posturologia esportiva.
Palavras-chave: Teste de Bassani e testes posturodinâmicos clínicos, Centro de Pressão e distribuição de pressão
plantar, capacidade cinética postural, posturologia esportiva.
Abstract
Introduction: In sports podiatry, clinical assessment and kinetic studies are performed to evaluate and correct imbal-
ances resulting from foot asymmetries. Kinetic measurements (plantar pressure distribution and position of the Cen-
ter of Pressure [COP]) as well as the results of clinical tests (Bassani and posturodynamic tests) are systematically re-
corded. Objective: We reviewed data in order to determine if there is a correlation between the clinical and kinetic
measurements. Our hypothesis was that the Bassani test results, peak plantar pressures and the position of the Cen-
ter of Pressure [COP] would correlate with the kicking foot; and that posturodynamic test results would correlate with
the jumping foot. Methods: The study group consists of sixteen young gymnasts. Foot laterality was determined by
means of the kicking test. Each individual was evaluated through clinical tests (Bassani and posturodynamic tests); the
positioning of COP along the x axis (left-right) and right-left plantar pressure distribution was recorded on a computer-
ized force platform coupled with a baropodometry device to evaluate posturokinetic performance. Results: The Bas-
sani and the posturodynamic tests correlate with the jumping foot. However COP positioning and peak plantar pres-
sure correlate with the kicking foot. These results confi rm our hypothesis, at the exception of the Bassani results which
indicate that postural asymmetry is located on the side of the jumping foot in approximately 70% of the recordings.
Conclusion : This study validates the use of specifi c clinical measurements and documents the relationship between
the kinetic measurements performed in sports podiatry.
Key worlds : Bassani and Posturodynamic clinical tests, Centre of Pressure and plantar foot pressure distribution, Ki-
netic Postural Capacity, Sport podiatry
Recebido em 24 de Outubro de 2011, aceito em 19 de Novembro de 2011.
1. Laboratory of Physiology, School of Medicine University of Toulouse,
31062 Toulouse, France.

Andress correspondence:
Podiatrist, 7 Rue de Treguel, 86000 Poitiers, France.
Ter Man. 2012; 10(47):7-11
8 Correlation between clinical and kinetic testing in sport podiatry.
INTRODUCTION body adaptative response to specifi c situations: body os-
The podiatry assessment is an integral part of the cillations and sway density are higher after performing a
routine physical examination performed on athletes. The triathlon(12,19, 20). In clinical practice, this kinetic measure-
analysis and evaluations of static and dynamic postur- ments are important to better assess the particular state
al asymmetries are recommended for podiatrists to per- of the subject: kinetic measurements can be differentiat-
form for the correction of imbalances and to better de- ing factors for scoliosis and non-scoliosis populations(21),
sign foot orthotics(1,2). The podiatry assessment of the can quantify improved performance in practicing mara-
athlete includes multiple clinical and kinetic tests. thon runners versus beginners(22), and can demonstrate
The clinical tests include static and dynamic mor- the particular use of the ankle strategy in judo players ac-
phology observations, articular range of movement cording to the oscillations of the COP(14,23).
analysis, muscle testing, and foot specifi c sports shoes These different tests provide a precise evaluation
analysis… During the exam, based on the clinician de- of the plantar support forces. These results facilitate the
cision some additional tests are performed such as the development of a specifi c treatment plan to position or-
test of Bassani and the posturodynamic test which are thotic stimulations for the rehabilitation and correction
easy to perform in clinical practice or on the athletic fi eld of plantar conditions potentially leading to pathologies.
as they do not require any particular equipment. These In practice, the identifi cation of the kicking foot and
tests provide a global, time effective analysis as well the jumping foot is essential. Each sport displays its own
as clinically indicated spinal segmental articular analy- particular plantar activities and constraints(20). Actually,
sis. The test of Bassani consists of positioning the ex- in physical and sports activities, the kicking foot is de-
aminer’s thumbs on the athletes’ Posterior Superior Iliac fi ned as the foot performing the execution of the move-
Spine (PSIS) landmarks on each side and recording the ment, i.e. the foot that kicks the football, the foot which
difference of elevation of the thumbs during complete provides the impulse in steeple race or the foot that in-
upper body fl exion(3-6). The posturodynamic test provides duces the movement of the athletes from the static po-
a global analysis of spinal movement during lateral fl ex- sition which is also the fi rst foot that gets off the fl oor.
ion of the upper trunk(7-9). This particular test has a great The jumping foot however is the foot that stays on the
inter and intra examiners reliability(10) and demonstrates ground when kicking the ball, the foot that stays on the
abnormal physiological asymmetries of the spine(16). As beam in gymnastics, or the foot that stay on the ice
a result, if abnormal muscular tension is present, the when maintaining balance(13, 18, 24).
range of movement and the tests results clearly demon- The corrective elements available for the manufac-
strate an abnormal physiological response. Such abnor- turing of orthotics provide different outcomes according
mal muscular tension may lead to sports injury. to their specifi c location under the plantar surface of the
The kinetic tests include videographic analysis, foot resulting from the level of pressure applied(3, 13, 25).
static and dynamic foot pressure analysis and move- The specifi c location of a plantar stimulation under the
ments of the Center of Pressure (COP). Foot pressure jumping foot creates less pressure variation than stim-
analysis is performed with a computerized podometry ulation under the kicking foot. For an equal stimulation
system providing plantar pressure mapping. It quanti- at the level of the medial arch, the stimulation under
fi es muscular activity and evaluates the relationship be- the kicking foot provides a better medio-lateral distribu-
tween the distribution and modifi cation of foot pres- tion of foot pressures. The same stimulation under both
sure and particular pathologies such as lumbalgia. It is feet triples the shifting distance of the COP towards the
noted that in long distance walkers’ population, an in- kicking foot(26). Finally in certain muscular tone asymme-
crease of heel pressure correlates with the incidence of tries, the orthotics elements are located according to the
low back pain during physical activity(11). Foot mapping clinical test results (posturodynamic, single foot stand,
study (surface and pressure distribution) demonstrates dropped arch, talus support, and foot asymmetries(27,28).
an asymmetry in muscular tone and the use of myostat- During orthotics manufacturing, the podiatrist takes
ic regulatory feedbacks in response to positioning foam foot laterality into consideration (the kicking vs. Jump-
under the plantar surface of the foot(12-14). Another ap- ing foot), specifi c corrections according to clinical and ki-
plication of computerized podometry is the evaluation netic data collected into account, the sports activity into
of different treatment protocols through foot pressure account (foot placement in ice hockey is different from
variations(15) as well as performance improvements fol- fencing), and the functional constraints on the feet into
lowing specifi c stimulations(16). account (acrobatic gymnastics where each foot can al-
In addition to these podometry data, posturo-kinet- ternatively become the kicking or the jumping foot vs.
ic indicators are recorded(17,18). The method selected to handball the jumping foot remains the same) into ac-
evaluate the posturo-kinetic capacity is the recording of count.
the oscillations of the COP. The analysis of COP move- In this study, we are investigating if there is a rela-
ments in the horizontal plan allows the observation of the tionship between particular asymmetries of the postur-
Ter Man. 2012; 10(47):7-11
Marc Janin. 9
okinetic measurements and the two clinical tests with COP and plantar pressures recordings: the posi-
the medio lateral positioning and distribution of foot tioning of COP along the x axis (left-right) and right-left
pressures according to the foot type (jumping or kick- plantar pressure distribution was recorded on a comput-
ing foot). Our hypothesis is that the Bassani test results, erized force platform coupled with a baropodometry de-
peak foot plantar pressure and position of the COP re- vice (Fusyo3, Médicapteurs, France). This computerized
late to the kicking foot and the results of the posturody- device provides simultaneously foot pressure mapping
namic test relate to the jumping foot. and the movements of the COP on the horizontal plan.
Removable guides impose reliable positioning of the feet
METHODS on the device with a 30° angle for symmetrical external
rotation between the feet. For this study recordings are
Population sampled at a frequency of 40Hz for 51s.
13 young gymnasts (average 8 years old + 9 month,
132 cm +8cm, 27.5 Kg + 5.5Kg.), with right foot later- Testing protocol:
ality participated in this study (with parental consent). First, each subject receives instructions about the
Foot laterality was determined by means of the kicking procedures to get accustomed to the testing protocol.
test (the foot kicking the ball is the kicking foot, the foot Then a ball was presented to each subject and the sub-
which stays on the group is the jumping foot). ject was instructed to kick the ball in order to defi ne
the kicking foot and the jumping foot. The clinical tests
Clinical Tests (Bassani and posturodynamic tests) were performed
Clinical Test of Bassani : recording higher verti- as described previously in this document. In order to
cal elevation of one thumb in comparison to the other ; avoid the infl uence of one test over the other; testing
right thumb being located on the right Posterior Superi- was performed alternatively: the Bassani test was per-
or Iliac Spine (PSIS) and the left thumb on the left PSIS. formed fi rst and then the posturodynamic test for one
The practitioner is located behind the patient and posi- subject; the next subject performed the posturodynamic
tions each thumb on the patient anatomical landmarks test fi rst and then the Bassani test. The non physiologi-
(right and left PSIS). The patient is instructed to bring cal response to the test was scored 1 on the right or -1
progressively his chin to his chest and fl ex the upper on the left and the physiological response was scored 0.
body forward. The thumbs of the practitioner follow the The subject was then instructed to step on the platform;
movement of the anatomical landmarks. At the end of then the positioning guides were removed by the exam-
the patient’s movement, a difference of height may ap- iner in order to perform the recordings. The complete
pear between the thumbs(2). The validity of the test de- protocol of clinical tests and recordings was performed 3
pends on the ability of the practitioner to accurately lo- times. Between each protocol the subject was instructed
cate the PSIS on the posterior portion of the iliac crest to walk freely and quietly around the room.
and not the gluteal folds. The reproducibility of this test
is good but can be effected with large subjects(1,2), which RESULTS
is not the case in the particular population selected in Spearman Statistical correlations test (Ki-2) indi-
this study. cated that the results to the Bassani and the postur-
Clinical posturodynamic test : Postural tone is quan- odynamic tests coincide with the jumping foot. There is
tifi ed through spinal lateral fl exion and hip translation also a correlation between the position of the COP, peak
maneuvers. The practitioner positions his hands succes- plantar pressures and the kicking foot.
sively on the four anatomical regions to be evaluated:
lumbar, dorsal, cervical, and the pelvic girdle. For the
fi rst three anatomical regions, the subject is instructed
to lean in the sagital plan to the right and then to the
left. The physiological responses in the lumbar and dor-
sal region is characterized by a wide and slowly progres-
sive contra lateral rotation, there is no secondary move-
ments present in the cervical region. For the Pelvic girdle
region, the lateral movement of the hip triggers a wide
and slowly progressive contralateral rotation(3-6). Publi-
cations on the validity of this test indicate a 80% inter
examiner reliability and a 53% intra examiner reliabil-
ity (51% for the lower limbs, 82% for the lumbar re- Figure 1. Stabilo-baro-podometry recording of kinetic indicators
: Centre of Pressure (CoP) and distribution of plantar pressures.
gion, 61% for the dorsal region, and 98% for the cervi-
In this recording the CoP and peak plantar pressure are located
cal region(8,30). on the same side (right).
Ter Man. 2012; 10(47):7-11
10 Correlation between clinical and kinetic testing in sport podiatry.
DISCUSSION
The results confi rm the hypothesis with one excep-
tion pertaining to the results on the test of Bassani. The
clinical test results indicate that postural asymmetry is
located on the side of the jumping foot in approximate-
ly 70% of the trials. This test measures muscular tone
at the PSIS level, its distribution is located on the jump-
ing foot side which may indicate that muscular tone is
primarily used for stabilization of movements. We were
expecting to fi nd a more important muscular tone at the
hip level in order for the body to perform its motor ath-
letic activity such as kicking the ball.
The correlation between posturodynamic data and
the jumping foot indicate higher muscular tone on that
particular side. This observation is confi rmed with pub-
lished references documenting muscular patterns relat- Figure 2. distribution of clinical and kinetic test according to
ed to articular mobilizations during physical activity(31). foot laterality. The kicking foot is the right foot and the jumping
foot is the left foot.
The contraction of stabilizing muscles (pre-motor adjust-
ment) takes place prior to muscle contractions for motor
activity programs(10, 31); as a result the muscular tone is
more elevated on the jumping foot for increasing stabili-
zation of articulations involved in the mechanical applica-
tion of the movement and to better manage movement
induced imbalances. This « pre »muscle tension activity
leads to the presence of a minor constraint which can be
observed through a larger non-physiological response on
the posturodynamic clinical test response on the side of
the jumping foot. Limited movement on the posturody-
namic test indicates an increased muscular tone in op-
Figure 3. Stabilo-baro-podometry recording of kinetic indicators :
position to the movement. These results on the jump-
Centre of Pressure (CoP) and distribution of plantar pressures. In
ing foot facilitate kinetic activities on the kicking foot as this recording the CoP and peak plantar pressure are located on the
documented through specifi c kinetic indicators (COP and left (6.4 mm) and the right/left plantar pressure distribution ratio
56% is located on the opposite side, under the kicking foot.
plantar pressure) in agreement with our hypothesis.
In clinical practice, with injuries and pathologies, an
important lateralization of the COP may appear on the the position of the COP are located on the side of the
opposite side of the injury or pathology (fi gure 3), which kicking foot which is well referenced in publications on
indicates an abnormal biomechanical response and foot the initiation of movement such as walking, in which
pressure distribution is then located on the opposite side the COP is moving towards the side which initiates the
of the COP. At times, the two clinical tests provide op- movement.
posite results indicating a muscular constraint leading to This study validates the use of clinical measures
additional mechanical constraints at the articular levels. and the relationships between the tests performed in
The control and coordination of the motor activity pro- podiatry exams and muscular pathologies in which the
gram is affected and is potentially the cause of sports clinical and kinetic tests results do not match properly.
related pathologies. The relationship between the clini- The correlation between clinical results and kinetic indi-
cal test and kinetic test results is important for assess- cators helps refi ne the treatment plan and the compo-
ing rehabilitation progress and the therapeutic value of nents involved in the design of foot orthotics according
orthotics and other procedures. to specifi c physiological parameters for the prevention
The distribution of the peak plantar pressures and and care of the athletes within the sports medical team
BIBLIOGRAPHIE
1. Bassani B. Les sciatiques et la vertébrothérapie. In : Actes des V émes journées d’acupuncture et de vertébroth-
érapie, Clermont Ferrand, 1966, 57-61.
Ter Man. 2012; 10(47):7-11