Avalia??o do teste de eleva??o do calcanhar e composi??o corporal em mulheres idosas com doen?a arterial obstrutiva perif?rica

• Main Author: Silva, Ana Gabriela C?mara Batista da
• Other Authors: 02817849906
• Language: Portuguese
• Published: Universidade Federal do Rio Grande do Norte 2016
• Subjects: CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL; Doen?a arterial obstrutiva perif?rica; Composi??o corporal; Teste de eleva??o do calcanhar; ?ndice tornozelo braquial
• Online Access: http://repositorio.ufrn.br/handle/123456789/20338

Submitted by Automa??o e Estat?stica ([e-mail]) on 2016-04-26T19:45:44Z No. of bitstreams: 1 AnaGabrielaCamaraBatistaDaSilva_DISSERT.pdf: 1290926 bytes, checksum: 8d945ae20b850326ca6c815c81b574a7 (MD5) === Approved for entry into archive by Arlan Eloi Leite Silva ([e-mail]) on 2016-04-29T19:00:33Z (GMT) No. of bitstreams: 1 AnaGabrielaCamaraBatistaDaSilva_DISSERT.pdf: 1290926 bytes, checksum: 8d945ae20b850326ca6c815c81b574a7 (MD5) === Made available in DSpace on 2016-04-29T19:00:33Z (GMT). No. of bitstreams: 1 AnaGabrielaCamaraBatistaDaSilva_DISSERT.pdf: 1290926 bytes, checksum: 8d945ae20b850326ca6c815c81b574a7 (MD5) Previous issue date: 2015-02-27 === A doen?a arterial obstrutiva perif?rica (DAOP) ? uma patologia oclusiva cr?nica da circula??o arterial perif?rica causada principalmente por aterosclerose. Um dos m?todos cl?nicos propostos para avalia??o do endurance e fun??o muscular de membros inferiores ? o Heel Rise Test (HRT) ou teste de eleva??o do calcanhar, por?m sua capacidade de predizer a disfun??o causada pela DAOP e sua rela??o com a composi??o corporal n?o foram elucidados. O objetivo geral do trabalho foi avaliar o endurance da musculatura de membros inferiores, atrav?s do HRT, e a composi??o corporal em mulheres idosas com ?ndice tornozelo-braquial (ITB) compat?vel com a DAOP e mulheres com ITB Normal. Foram avaliadas 60 mulheres idosas, sendo 39 com ITB normal e 21 com ITB DAOP. A composi??o corporal foi quantificada atrav?s da bioimped?ncia el?trica multifrequencial segmentar direta. N?o foram observadas diferen?as marcantes de composi??o corporal entre grupos al?m de tend?ncia de menor valor de massa muscular em membros inferiores no grupo ITB DAOP. O n?mero de repeti??es no HRT apresentou correla??o com a composi??o corporal tanto de massa de gordura e suas porcentagens (Massa de gordura corporal r= -0,461, p<0,001; porcentagem de gordura corporal r= - 0,45, p<0,001; Porcentagem de gordura de tronco r= -0,584, p<0,0001; Massa de gordura de tronco r= -0,450, p<0,001), quanto de massa muscular em membros inferiores normalizada pelo peso (r= 0,434, p<0,001); contudo, n?o houve correla??o com o ITB que apenas correlacionou-se com a velocidade de realiza??o do teste (r= -0,300; p=0,019). Embora apresente correla??o com a composi??o corporal, sobretudo massa muscular de membros inferiores e seja ?til para avalia??o da endurance muscular de membros inferiores, padroniza??es dos par?metros do HRT s?o necess?rias para que o teste tenha sensibilidade no diagn?stico e determina??o da progress?o da DAOP em mulheres. === Peripheral Artery Disease (PAD) is a chronic atherosclerotic pathology caused by occlusion of peripheral arterial circulation. The standing Heel Rise Test (HRT) has been recommended as a relevant clinical instrument to evaluate endurance and muscular performance in the lower limbs; however, its capacity to predict disability resulted from PAD and its relation to body composition has not yet been elucidated. The aim of this study was to evaluate muscular endurance of the lower limbs using the Heel Rise Test, and to compare body composition through ankle-brachial index in elderly women with and without PAD. Sixty women were evaluated, where 39 presented normal ankle-brachial index and 21 with PAD. The body composition was mensured by segmental multi-frequency bioelectrical impedance. There were no significant differences in body composition between groups apart tendency to lower muscular mass in lower limbs on the group of ankle-brachial index with PAD. The number of repetitions on HRT showed correlation with body composition regarding body fat percentages (Fat mass r= -0,461, p<0,001; Percentage body fat r= -0,45, p<0,001; Percentage trunk mass r= -0,584, p<0,0001; Fat trunk mass r= -0,45, p<0,001) and muscular mass in lower limbs normalized by the weight; nevertheless, there was no correlation with ankle-brachial index, that was only associated with the velocity performed on the test (r= -0,3001, p=0,019). While HRT has correlation with body composition, particularly with lower limb muscular mass, and presents effectiveness in evaluating muscular endurance in lower limbs, standardization of the test parameters is necessary in order to have sensitivity in the diagnosis and determinations of PAD progression in women.