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. 2017 Jul-Aug;25(4):147-150.
doi: 10.1590/1413-785220172504160652.

POSTURAL CONTROL ASSESSMENT IN PHYSICALLY ACTIVE AND SEDENTARY INDIVIDUALS WITH PARAPLEGIA

Paola Errera Magnani  1 , Alberto Cliquet Junior  2   3 , Daniela Cristina Carvalho de Abreu  1
Affiliations

POSTURAL CONTROL ASSESSMENT IN PHYSICALLY ACTIVE AND SEDENTARY INDIVIDUALS WITH PARAPLEGIA

Paola Errera Magnani et al. Acta Ortop Bras. 2017 Jul-Aug.

Abstract
in English, Portuguese

Objective: The aim of this study was to evaluate functional independence and trunk control during maximum-range tasks in individuals with spinal cord injuries, who were divided into sedentary (SSI, n=10) and physically active (PASI, n=10) groups .

Methods: Anamnesis was conducted and level and type of injury were identified (according to the American Spinal Injury Association protocol, ASIA) and the Functional Independence Measure (FIM) questionnaire was applied. For the forward and lateral reach task, the subjects were instructed to reach as far as possible. Mean data were compared using the unpaired t test and Mann-Whitney test and differences were considered significant when p<0.05 .

Results: The PASI group performed better in self-care activities (PASI: 40.8±0.42 points, SSI: 38.0±3.58 points, p=0.01), sphincter control (PASI: 10.5±1.84 points, SSI: 8.2±3.04 points, p=0.02), transfers (PASI: 20.7±0.48 points, SSI: 16.9±4.27 points, p=0.04), and total FIM score (PASI: 104.0±2.30 points, SSI 105.1±8.56 points, p=0.01). On the maximum reach task, the PASI group had a greater average range in all directions evaluated (p<0.05) .

Conclusion: The continuous practice of exercise increased motor function independence and trunk control in individuals with complete spinal cord injury. Level of Evidence II, Prospective Comparative Study.

Objetivo: O objetivo deste estudo foi avaliar a independência funcional e o controle de tronco durante tarefas de alcance máximo em indivíduos com lesão medular, que foram divididos em grupo sedentário (SSI, n = 10) e grupo fisicamente ativo (PASI, n=10).

Métodos: Foi realizada anamnese, identificação do nível e tipo de lesão (de acordo com o protocolo da ASIA - American Spinal Injury Association), e aplicou-se o questionário de Medida de Independência Funcional (MIF). Para a tarefa de alcance anterior e lateral os indivíduos foram instruídos a fazer o alcance máximo. Para comparação das médias dos dados foram aplicados o teste t não pareado e teste de Mann-Whitney, e as diferenças foram consideradas significativas quando p < 0,05.

Resultados: O grupo PASI teve melhor desempenho na realização de atividades de autocuidado (PASI: 40,8 ± 0,42 pontos, SSI 38,0 ± 3,58 pontos, p = 0,01), controle de esfíncter (PASI: 10,5 ± 1,84 pontos, SSI 8,2 ± 3,04 pontos, p = 0,02), transferências (PASI: 20,7 ± 0,48 pontos, SSI 16,9 ± 4,27 pontos, p = 0,04) e MIF total (PASI: 104,0 ± 2,30 pontos, SSI 105,1 ± 8,56 pontos, p = 0,01). No alcance máximo, o grupo PASI teve maior alcance médio em todas as direções avaliadas (p < 0,05) .

Conclusão: A prática de exercício físico contínuo aumentou a independência funcional motora e o controle de tronco em indivíduos com lesão medular completa. Nível de Evidência II, Estudo Prospectivo Comparativo.

Keywords: Cross-sectional studies; Motor activity; Postural balance; Recovery of function; Sedentary lifestyle; Spinal cord injuries.

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Conflict of interest statement

All authors declare no potential conflict of interest related to this article

Figures

Figure 1
Figure 1. Figure illustrating the maximum forward reach test. A) Initial test position, with the blue band corresponding to the measuring tape; B) final test position; C) Volunteer performing the test.
Figure 2
Figure 2. Illustration of the lateral reach test.
Figure 3
Figure 3. Values reported as mean + SD regarding the subscale of the FIM questionnaire.
Figure 4
Figure 4. Mean + SD values of the total score for the FIM questionnaire.
Figure 5
Figure 5. Mean + SD values of forward, right and left lateral reach for the groups of physically active and sedentary groups with spinal injury.
See this image and copyright information in PMC

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