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Spasticity is one of the main causes of contracture, muscle weakness and subsequent functional incapacity. The passive static stretching can be included as having the purpose of increasing musculoskeletal flexibility, however, it also can influence the muscle torque. The objective is to verify the immediate effect of passive static stretching in the muscle strength of healthy and those who present spastic hemiparesis. There were assessed 20 subjects, 10 spastic hemiparetic (EG) and 10 healthy individuals (CG), including both sexes, aged between 22 and 78 years. The torque of extensor muscles of the knee was analyzed using isokinetic dynamometer. Results have shown that EG has less muscle torque compared to CG ( p < 0.01). In addition, EG presented a decrease in significance of muscle torque after stretching ( p < 0.05), however, it has not shown significant alteration in muscle torque of CG after performing the program that was prescribed. Immediately after the passive stretch, a significant torque decrease can be seen in hypertonic muscle; it is believed that this reduction may be associated with the physiological overlap between actin and myosin filaments and so preventing the muscle to develop a maximum contraction.
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35--39
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Bibliogr. 26 poz., rys., tab., wykr.
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autor
- Laboratory of Sensory Motor Rehabilitation Engineering – Universidade do Vale do Paraíba – São José dos Campos, SP, Brazil
autor
- Laboratory of Sensory Motor Rehabilitation Engineering – Universidade do Vale do Paraíba – São José dos Campos, SP, Brazil
autor
- Laboratory of Sensory Motor Rehabilitation Engineering – Universidade do Vale do Paraíba – São José dos Campos, SP, Brazil
autor
- Laboratory of Sensory Motor Rehabilitation Engineering – Universidade do Vale do Paraíba – São José dos Campos, SP, Brazil
autor
- Laboratory of Sensory Motor Rehabilitation Engineering – Universidade do Vale do Paraíba – São José dos Campos, SP, Brazil
autor
- Laboratory of Sensory Motor Rehabilitation Engineering – Universidade do Vale do Paraíba – São José dos Campos, SP, Brazil
autor
- Laboratory of Sensory Motor Rehabilitation Engineering – Universidade do Vale do Paraíba – São José dos Campos, SP, Brazil
Bibliografia
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- [2] APPELROS P., STEGMAYR B., TERE’NT A., Sex Differences in Strokes Epidemiology, Stroke, 2009, 40, 1082–1090.
- [3] BENSMAIL D., FERMANIAN C., ROBY-BRAMI A., Botulinum Toxin to Upper-Limb Spaticity in Hemiparetic Patients: Analysis of Function and Kinematics of Reaching Movements, Neurorehabil. Neural. Repair, 2010, 3(24), 273–281.
- [4] CASTRO J.C. et al., Tratamiento quirúrgico de la espasticidad, Neurocirugia Contemporanea, 2008, 2(12).
- [5] DEHKORDI S.N., TALEBIAN S., OLYAEI G., MONTAZERI A., Reliability of Isokinetic Normalized Peak Torque assessments for Knee Muscles in Post-Stroke Hemiparesis, Gait Posture, 2008, 27(4), 715–718.
- [6] PASTERNAK-MLADZKA I., MLADZKI Z., BEDZINSKI R., BARAN B., Objective Measurements of Muscle Force in a Group of AfterStroke Patients With Hemiparesis, Acta Bioeng. Biomech., 2007, 9(1), 19–23.
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- [12] O’DWYER N.J.O., ADA L., NEILSON P.D., Spasticity and Muscle Contrcture Following, Stroke, Brain, 1996, 119, 1737–1749.
- [13] BALLANTYNE F., FRYER G., MCLAUGHLIN P., The effect of muscle energy technique on extensibility: the mechanism of altered flexibility hamstring, J. Osteopath. Med., 2003, 6(6), 59–63.
- [14] AYALA F., BARANDA P.S., CROIX M.S., SANTONJA F., Comparison of active stretching technique in males with normal and limited hamstring flexibility, Phys. Ther. Sport, 2013, 14(2), 98–104.
- [15] CERIOTTI A.P., SILVA G.R., WIBELINGER L.M., VIDMAR M.F., Torque Muscular de Flexores e Extensores de Joelho de Mulheres Idosas Praticantes de Atividade Física, Rev. Bras. Ciên. Saúde, 2012, 10(32), 9–15.
- [16] BOHANNON R.W., LARKIN P.A., SMITH M.B., HORTON M.G., Relationship Between Static Muscle Strength Deficits and Spasticity in Stroke Patients With Hemiparesis, Phys. Ther., 1987, 67(7), 1068–1071.
- [17] DAMIANO D.L., MARTELLOTTA T.L., QUINLIVAN J.M., ABEL M.F., Deficits in Eccentric Versus Concentric Trque in Children With Spastic Cerebral Palsy, Med. Sci. Sports Exerc., 2001, 33(1), 117–122.
- [18] LIMA M.O., LIMA F.P.S., FREITAS S.T.T., RIBEIRO S.R., TORTOZA C., LUCARELI J.G. et al., Efecto de la estimulación eléctrica neuromuscular y de los ejercicios isotónicos en los músculos flexores y extensores de la rodilla en pacientes hemipléjicos, Rev. Neurol., 2008, 46(3), 135–138.
- [19] SILVA D.D., BORGES A.C.L., LIMA M.O., LIMA F.P.S., FREITAS S.T.T., NOGUEIRA D.V. et al., Resistência ao Movimento e Atividade Eletromiográfica dos Músculos Flexores e Extensores de Cotovelo em Pacientes Hemiparéticos Espásticos Submetidos à Crioterapia e Estimulação Elétrica Neuromuscular, Rev. Bras. Eng. Biom., 2012, 28(3), 248–260.
- [20] OLIVEIRA N.T., ESBEGUE T.M., FREITAS S.T.T., Comparação do Ganho de Flexibilidade dos Isquiotibiais em Indivíduos Idosos, Ter. Man., 2011, 9(45), 606–611.
- [21] ALMEIDA G.P.L., CARNEIRO K.K.A., MORAIS H.C.R., OLIVEIRA J.B.B., Influência do alongamento dos músculos isquiostibial e retofemoral no pico de torque e potência máxima do joelho, Fisioter Pesqui, 2009, 16(4), 346–351.
- [22] GAO F., REN Y., ROTH E.J., HARVEY R., ZHANG L.Q., Effects of Repeated Ankle Stretching on Calf Muscle-Tendon and Ankle Biomechanical properties in Stroke Survivors, Clin. Biomech. (Bristol, Avon), 2011, 26, 516–522.
- [23] RAMOS G.V., SANTOS R.S., GONÇALVES A., Influência do Alongamento Sobre a Força Muscular: Uma Breve Revisão sobre as Possíveis Causas, Rev. Bras. Cineantropon., 2007, 2(9), 203–206.
- [24] BEHM D.G., BAMBURY A., CAHILL F., POWER K., Effect of Acute Static Stretching on Force, Balance, Reaction Time, and Movement Time, Med. Sci. Sports Exerc., 2004, 36(8), 1397–1402.
- [25] CRAMER J.T., HOUSH T.J., JOHNSON G.O., MILLER J.M., COBURN J.W., BECK T.W., Acute effects of static stretching on peak torque in women, J. Strngth. Cond. Res., 2004, 18(2), 236–241.
- [26] DAMIANO D.L., QUINLIVAN J., OWEN B.F., SHAFFREY M., ABEL M.F., Spasticity versus strength in cerebral palsy: relationships among involuntary resistance, voluntary torque, and motor function, Eur. J. Neurol., 2001, 5(8), 40–49.
Uwagi
PL
Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.
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Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-276fad56-431b-4fdc-a8db-4427da0e8302