Revista de terapia manual




















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Editor Chefe Prof. Nilvange, France. Montigny les Metz, France. Leoni S. Paulo Heraldo C. 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 and for sure what caused them trouble in some way.

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Marc Janin. A lateralidade podal foi determinada por meio do teste de chute. 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. 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 , aceito em 19 de Novembro de The analysis and evaluations of static and dynamic postur- al asymmetries are recommended for podiatrists to per- form for the correction of imbalances and to better de- sign foot orthotics 1,2.

The podiatry assessment of the athlete includes multiple clinical and kinetic tests. These tests provide a global, time effective analysis as well as clinically indicated spinal segmental articular analy- sis.

This particular test has a great inter and intra examiners reliability 10 and demonstrates abnormal physiological asymmetries of the spine As a result, if abnormal muscular tension is present, the range of movement and the tests results clearly demon- strate an abnormal physiological response. Such abnor- mal muscular tension may lead to sports injury. The kinetic tests include videographic analysis, static and dynamic foot pressure analysis and move- ments of the Center of Pressure COP.

Foot pressure analysis is performed with a computerized podometry system providing plantar pressure mapping. Foot mapping study surface and pressure distribution demonstrates an asymmetry in muscular tone and the use of myostat- ic regulatory feedbacks in response to positioning foam under the plantar surface of the foot In addition to these podometry data, posturo-kinet- ic indicators are recorded 17, The method selected to evaluate the posturo-kinetic capacity is the recording of the oscillations of the COP.

In clinical practice, this kinetic measure- ments are important to better assess the particular state of the subject: kinetic measurements can be differentiat- ing factors for scoliosis and non-scoliosis populations 21 , can quantify improved performance in practicing mara- thon runners versus beginners 22 , and can demonstrate the particular use of the ankle strategy in judo players ac- cording to the oscillations of the COP 14, These different tests provide a precise evaluation of the plantar support forces.

Each sport displays its own particular plantar activities and constraints The jumping foot however is the foot that stays on the ground when kicking the ball, the foot that stays on the beam in gymnastics, or the foot that stay on the ice when maintaining balance 13, 18, For an equal stimulation at the level of the medial arch, the stimulation under the kicking foot provides a better medio-lateral distribu- tion of foot pressures.

The same stimulation under both feet triples the shifting distance of the COP towards the kicking foot Finally in certain muscular tone asymme- tries, the orthotics elements are located according to the clinical test results posturodynamic, single foot stand, dropped arch, talus support, and foot asymmetries 27, During orthotics manufacturing, the podiatrist takes foot laterality into consideration the kicking vs.

In this study, we are investigating if there is a rela- tionship between particular asymmetries of the postur- 7. Our hypothesis is that the Bassani test results, peak foot plantar pressure and position of the COP re- late to the kicking foot and the results of the posturody- namic test relate to the jumping foot. Foot laterality was determined by means of the kicking test the foot kicking the ball is the kicking foot, the foot which stays on the group is the jumping foot.

The practitioner is located behind the patient and posi- tions each thumb on the patient anatomical landmarks right and left PSIS. The thumbs of the practitioner follow the movement of the anatomical landmarks. The validity of the test de- pends on the ability of the practitioner to accurately lo- cate the PSIS on the posterior portion of the iliac crest and not the gluteal folds.

The reproducibility of this test is good but can be effected with large subjects 1,2 , which is not the case in the particular population selected in this study. The practitioner positions his hands succes- sively on the four anatomical regions to be evaluated: lumbar, dorsal, cervical, and the pelvic girdle. Contributions to the understanding of manual therapy are examined by linking time, empirical observations made at the onset of experimentation, and clinical and laboratory verification.

Neurophysiology and biomechanical characteristics are the key to understanding manual therapy and the effects of manipulative physical therapy and manual therapy on dysfunctional musculoskeletal functional units nervous system, muscle, joint , and can be observed and explain the effects on pain, inflammation, and restriction of mobility. Manual therapy; Methodological bases; Definition; Proprioceptors; Nervous system; Osteopathy; Treatment techniques: structural, functional, manipulation.

Expongo como ejemplo los primeros pasos en este sentido realizados por Denslow. Estamos hablando de Igualmente, los trabajos de M. Freeman, Barry D.

Receptores articulares. Receptores tendinosos de Golgi. Son receptores sensibles a los cambios de fuerza. Receptores tipo I mecanorreceptores. Receptores tipo II mecanorreceptores. Receptores III mecanorreceptores. Receptores IV nociceptores.

Tienen una influencia tonicorrefleja sobre la motoneurona de la musculatura axial y de las extremidades. Se trata de un nivel de hipersensibilidad que afecta a todos sus elementos:. La forman dos plexos nerviosos:. Los dos plexos contienen fibras nociceptivas, propioceptivas y vasomotoras.

Esta misma rama dorsal es la que inerva los tegumentos posteriores del tronco, musculatura erectora del tronco. El dolor agudo de la columna vertebral encuentra su origen en los receptores nociceptivos de las ramas del plexo posterior que rodean al anillo fibroso posterior del disco, junto con los receptores durales y del ligamento posterior.

Las lesiones discales excitan los nociceptores de estos niveles produciendo dolor y espasmo muscular. Skip to main content Skip to main navigation menu Skip to site footer.

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