Avaliação na função manual com tabuleiro portátil de atividades de vida diária
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Data
2016-08-26
Autores
Crancianinov, Camila Sant'Ana [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
A função do membro superior inclui a capacidade de alcance direcionado, preensão e manipulação de objetos. Tais capacidades formam a base motora requerida para a realização das atividades de vida diária (AVD) com eficiência. A eficiência do uso das mãos nas AVD pode ser afetada por patologias, bem como pelo envelhecimento. O desempenho motor de forma geral apresenta um declínio em idosos, aproximadamente à partir dos 60 anos. O presente estudo focaliza o uso do tabuleiro portátil de atividade de vida diária (TPAVD) para avaliação do desempenho em tarefas manuais. O TPAVD consiste de atividades envolvendo o uso de uma ou ambas as mãos em tarefas simples que os seres humanos realizam no seu cotidiano. O objetivo do presente estudo é avaliar a coordenação motora fina usando o tabuleiro portátil de AVD’s (TPAVD) ao longo do envelhecimento. O estudo contou com aproximadamente 60 participantes (15 participantes em cada grupo por faixa etária) dentro das seguintes faixas de idade, a saber: 20 a 25 anos, 45 a 50 anos, 60 a 65 anos, 70 anos ou mais, sem qualquer diagnóstico de patologia musculoesquelética e lesão neurológica que apresente problema e/ou disfunção no membro superior. As tarefas do TPAVD foram divididas em quatro subtestes distintos. Dessa forma, o tempo de execução de cada subteste e a soma do tempo de cada subteste foram utilizados como variável dependente. A hipótese do estudo foi de que o TPAVD poderia captar diferenças no tempo de execução entre os diferentes grupos em função da faixa etária. Ou seja, mais avançada à idade maior o tempo de execução nas atividades do tabuleiro. Os resultados do presente estudo confirmaram as diferenças nos desempenhos entre os grupos de faixas etárias na execução das tarefas do TPAVD, considerando a soma do tempo dos subtestes que compõe o TPAVD. Já com relação ao tempo de cada subteste, o subteste 2 foi o que não apresentou as diferenças esperadas. Os tempos nos subtestes 1, 3 e 4 foram gradativamente aumentando conforme a idade. O TPAVD é um instrumento com potencial para ser usado como avaliação da função manual.
The upper limb function includes ability to reach, hold and manipulate objects. These capabilities form the motor base required to perform the activities of daily living (ADLs) efficiently. The efficiency of the use of hands in the ADLs can be affected by diseases and aging process. The general motor performance shows a decline in the elderly, at about the age of 60. This study focuses on the use of portable board activity of daily living (PBADL) for performance evaluation on manual tasks. The PBADL consists of activities involving the use of one or both hands on simple tasks that humans perform in their daily lives. The aim of this study is to examine fine motor skills using portable board of ADLs (i.e., PBADL) across a range of ages. The study included approximately 60 participants (15 participants in each group by age group) within the following age groups, 20 to 25 years, 45-50 years 60-65 years 70 years or more, without any musculoskeletal diagnosis and neurological injury pathology or presenting problem and/ or dysfunction in the upper limbs. The PBADL tasks were divided into four distinct subtests. Thus, the execution time of each subtest and the total time of each subtest were used as dependent variables. The study hypothesis was that the PBADL could capture differences in execution time between different groups according to age group. That is, the older the participant the greater the time to execute the tasks in the PBADL. The results of this study confirmed the differences in performance of TPAVD tasks between age groups, considering the sum of the times of the subtests. In relation to the time of each subtest, subtest 2 was not presented the expected differences. The times subtests 1, 3 and 4 have been gradually increasing with age. The TPAVD is a potential methodology to be used as tool for evaluation of hand function.
The upper limb function includes ability to reach, hold and manipulate objects. These capabilities form the motor base required to perform the activities of daily living (ADLs) efficiently. The efficiency of the use of hands in the ADLs can be affected by diseases and aging process. The general motor performance shows a decline in the elderly, at about the age of 60. This study focuses on the use of portable board activity of daily living (PBADL) for performance evaluation on manual tasks. The PBADL consists of activities involving the use of one or both hands on simple tasks that humans perform in their daily lives. The aim of this study is to examine fine motor skills using portable board of ADLs (i.e., PBADL) across a range of ages. The study included approximately 60 participants (15 participants in each group by age group) within the following age groups, 20 to 25 years, 45-50 years 60-65 years 70 years or more, without any musculoskeletal diagnosis and neurological injury pathology or presenting problem and/ or dysfunction in the upper limbs. The PBADL tasks were divided into four distinct subtests. Thus, the execution time of each subtest and the total time of each subtest were used as dependent variables. The study hypothesis was that the PBADL could capture differences in execution time between different groups according to age group. That is, the older the participant the greater the time to execute the tasks in the PBADL. The results of this study confirmed the differences in performance of TPAVD tasks between age groups, considering the sum of the times of the subtests. In relation to the time of each subtest, subtest 2 was not presented the expected differences. The times subtests 1, 3 and 4 have been gradually increasing with age. The TPAVD is a potential methodology to be used as tool for evaluation of hand function.
Descrição
Palavras-chave
Envelhecimento, Mão, Função