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Quintana MSL, Alonso AC, Luna NMS, da Silva JP, Lino MHDS, Brech GC, Greve JMD. CORRELATION OF THE SAGITTAL BALANCE WITH POSTURAL ANALYSIS OF THE PELVIS AND LUMBAR SPINE. Acta Ortop Bras 2024; 32:e274089. [PMID: 38532866 PMCID: PMC10962061 DOI: 10.1590/1413-785220243201e274089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 06/20/2023] [Indexed: 03/28/2024]
Abstract
Objective Evaluate and correlate the sagittal balance parameters with the postural of the pelvis and lumbar spine. Methods 80 individuals of both sexes, aged between 20 and 35 years, were evaluated. Biophotogrammetry was done with the SAPO software program. Measurements of the sagittal balance parameters were obtained by analyzing a lateral view panoramic radiography of the vertebral column, in which the anatomical points of reference were digitally marked. The calculation of the angles was done automatically by the Keops program. Results In Keops assessment, 17.5% of the sample had high pelvic incidence angles (> 60°), 31.5% had low pelvic incidence angles (< 45°), and 51.2% had medium pelvic incidence angles (between 46° and 59°). SAPO showed 12,5% lordosis, 40% retroversion, and 47,5% normal curvature. In the right lateral view, pelvic incidence angle had a moderate and positive correlation with vertical alignment of the trunk and with vertical alignment of the body, and a negative and moderate correlation with horizontal alignment of the pelvis. Conclusion Differences were found between vertical alignment measurements from the postural evaluation system (SAPO). A positive correlation was found between PI from Keops and pelvic anteversion from SAPO. Level of Evidence II; Prospective Study.
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Affiliation(s)
- Marília Simões Lopes Quintana
- Universidade de São Paulo (FMUSP), School of Medicine, Orthopedics and Traumatology Institute of the Hospital das Clínicas, Laboratory Study of Movement, São Paulo, SP, Brazil
| | - Angelica Castilho Alonso
- Universidade de São Paulo (FMUSP), School of Medicine, Orthopedics and Traumatology Institute of the Hospital das Clínicas, Laboratory Study of Movement, São Paulo, SP, Brazil
- Universidade São Judas Tadeu (USJT), Graduate Program in Aging Sciences, São Paulo, SP, Brazil
| | - Natália Mariana Silva Luna
- Universidade de São Paulo (FMUSP), School of Medicine, Orthopedics and Traumatology Institute of the Hospital das Clínicas, Laboratory Study of Movement, São Paulo, SP, Brazil
- Universidade São Judas Tadeu (USJT), Graduate Program in Aging Sciences, São Paulo, SP, Brazil
| | | | - Matheus Henrique dos Santos Lino
- Universidade de São Paulo (FMUSP), School of Medicine, Orthopedics and Traumatology Institute of the Hospital das Clínicas, Laboratory Study of Movement, São Paulo, SP, Brazil
- Universidade São Judas Tadeu (USJT), Graduate Program in Aging Sciences, São Paulo, SP, Brazil
| | - Guilherme Carlos Brech
- Universidade de São Paulo (FMUSP), School of Medicine, Orthopedics and Traumatology Institute of the Hospital das Clínicas, Laboratory Study of Movement, São Paulo, SP, Brazil
- Universidade São Judas Tadeu (USJT), Graduate Program in Aging Sciences, São Paulo, SP, Brazil
| | - Júlia Maria D’Andrea Greve
- Universidade de São Paulo (FMUSP), School of Medicine, Orthopedics and Traumatology Institute of the Hospital das Clínicas, Laboratory Study of Movement, São Paulo, SP, Brazil
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Alonso AC, Silva-Santos PR, Quintana MSL, da Silva VC, Brech GC, Barbosa LG, Pompeu JE, Silva ECGE, da Silva EM, de Godoy CG, Greve JMD. Physical and pulmonary capacities of individuals with severe coronavirus disease after hospital discharge: A preliminary cross-sectional study based on cluster analysis. Clinics (Sao Paulo) 2021; 76:e3540. [PMID: 34852146 PMCID: PMC8595570 DOI: 10.6061/clinics/2021/e3540] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 10/29/2021] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVE This study aimed to analyze the physical and pulmonary capacities of hospitalized patients with severe coronavirus disease and its correlation with the time of hospitalization and complications involved. METHODS A total of 54 patients, aged ≥18 years of both sexes, were evaluated 2-4 months after hospital discharge in São Paulo, Brazil. The physical characteristics analyzed were muscle strength, balance, flexibility, and pulmonary function. The K-means cluster algorithm was used to identify patients with similar physical and pulmonary capacities, related to the time of hospitalization. RESULTS Two clusters were derived using the K-means algorithm. Patients allocated in cluster 1 had fewer days of hospitalization, intensive care, and intubation than those in cluster 2, which reflected a better physical performance, strength, balance, and pulmonary condition, even 2-4 months after discharge. Days of hospitalization were inversely related to muscle strength, physical performance, and lung function: hand grip D (r=-0.28, p=0.04), Short Physical Performance Battery score (r=-0.28, p=0.03), and forced vital capacity (r=-0.29, p=0.03). CONCLUSION Patients with a longer hospitalization time and complications progressed with greater loss of physical and pulmonary capacities.
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Affiliation(s)
- Angelica Castilho Alonso
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Programa de Graduacao em Ciencias do Envelhecimento, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR
| | - Paulo Roberto Silva-Santos
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Marília Simões Lopes Quintana
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Vanderlei Carneiro da Silva
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Guilherme Carlos Brech
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Programa de Graduacao em Ciencias do Envelhecimento, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR
| | - Lorena Gonçalves Barbosa
- Programa de Graduacao em Ciencias do Envelhecimento, Universidade Sao Judas Tadeu (USJT), Sao Paulo, SP, BR
| | - José Eduardo Pompeu
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Erika Christina Gouveia e Silva
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Elizabeth Mendes da Silva
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Caroline Gil de Godoy
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Julia Maria D’Andréa Greve
- Laboratorio de Estudos do Movimento, Instituto de Ortopedia e Traumatologia (IOT), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
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