Biblioteca Digital de Teses e Dissertações da USP 4 Biblioteca Digital de Teses e Dissertações da UFRGS 1 Repositório Institucional da FIOCRUZ (ARCA) 1

Kurusu, Ricardo Salles 1 Menarin, Vinicius 1 Oesselmann, Clarissa Cardoso 1 Rodrigues, Graziele Marques 1 Silva, Leandro Giacometti da 1 Venezuela, Maria Kelly 1

Cadore, Eduardo Lusa 1 Mattos, Inês Echenique 1

Dissertação 4 Tese 2

Português 6

generalized estimating equations 3 Equações de estimação generalizadas 2 diagnostic techniques 2 generalized linear mixed models 2 medidas repetidas 2 repeated measures 2 Mais ... técnicas de diagnóstico 2 Binomial negativa 1 Count Data 1 Dados categorizados nominais 1 Dados de contagem 1 Equilíbrio postural 1 Fragilidade 1 Generalized Estimating Equations 1 Marcha 1 Medidas repetidas no tempo 1 Modelos lineares generalizados mistos 1 Negative Binomial 1 Overdispersion 1 Sobredispersão 1 conditional models 1 dados longitudinais 1 equação de estimação generalizada 1 equações de estimação generalizadas 1 generalized linear models 1 hierarchical generalized linear models 1 linear mixed models 1 longitudinal data 1 marginal models 1 modelos condicionais 1 Ver todos ... menos ...

Balance 1 Frailty 1 Frailty is a known clinical dysfunction in the elderly population that produces physical limitations such as sarcopenia, involuntary weight loss, reduced gait speed and exhaustion. Proprioceptive Neuromuscular Facilitation (PNF) Concept is known as an activity-level intervention option for recovery from physical limitations. The objective of this thesis was to investigate the effects of intervention with PNF Concept during sittingstanding and walking on the functional capacity of frail and pre-frail elderly people. The study consists of a randomized clinical trial, using a PNF Concept protocol in activities such as sitting and walking, compared to a control group that performed the same activities, but without manual resistance. Functional capacity was assessed using the Short Physical Performance Battery (SPPB), habitual gait speed (GS), sit to stand (SS), Timed-up-and-go (TUG) test and static balance, as well as strength was assessed through handgrip strength (HGS). Intention-to-treat and per-protocol analyzes were performed with main effects (time and group) and the interaction time vs. group was analyzed using Generalized Estimating Equations (GEE). The significance level adopted was p<0.05. Considering the intention-to-treat analysis, there was a group vs. group interaction. time in SPPB, GS, SS and balance (P<0.05). PNF Concept group showed a significant improvement in SPPB (P=0.016), MV (P=0.001), SL (P=0.049), while control group showed a significant reduction in MV and HGS (P<0.05). In conclusion, we suggest that PNF Concept appears to be effective in improving sitting and standing performance, gait speed and SPPB, but further studies with a larger number of subjects are needed to corroborate these findings. 1 Functionality 1 Gait 1 Proprioceptive neuromuscular facilitation 1 Mais ... Sit-Stand 1 Ver todos ... menos ...