The present study aimed to evaluate the effects of 12-week resistance training (RT) on muscle strength, dynamic balance, glycemic control and the lipid profile. Methods: The Laboratory of Movement Studies in the University of São Paulo, Brazil, developed this longitudinal study between 2021 and 2023. It assessed 62 males with type 2 diabetes mellitus pre and post an RT protocol. The participants, who were 69.8 (±3.9) years old, took part in a 12-week twice-weekly RT program. Three sets of eight to twelve repetitions each were executed for eight exercises targeting the large muscle groups. The intensity was set between 7 and 8 out of 10 for perceived effort, according to the Omni Resistance Exercise Scale. All participants were evaluated pre and post in knee extensor and flexor strength by isokinetic dynamometry, handgrip strength by manual dynamometry and dynamic postural balance by a force platform, as well as blood tests to determine the lipid and glycemic profiles. For comparison, paired t or Wilcoxon tests were used at an alpha of 5%. Results: There was an improvement in muscular strength by handgrip restricted to the non-dominant side (p = 0.033) and for the bilateral knee flexors (p < 0.001) and extensors (p < 0.001), as determined by isokinetic dynamometry. There was no improvement in dynamic postural balance, glycemic control or lipid control. Conclusions: The 12-week RT promoted improved muscle strength in knee extension and flexion and non-dominant grip pressure but did not affect dynamic balance, glycemic control or the lipid profile.

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.

The rapid shift to remote work due to the COVID-19 pandemic has profoundly impacted work environments, intensifying challenges related to mental health and burnout among university professors. This study aimed to evaluate the presence of Burnout Syndrome (BS) in university professors following the adoption of remote home work (RHw) mandated by COVID-19 health measures and to identify key predictors, including both risk and protective factors. Virtual questionnaires were administered to 345 professors of both genders, collecting data on bio-sociodemographic, clinical health and lifestyle screen. The Maslach Burnout Inventory was used to assess BS. Results showed high levels of emotional exhaustion, low levels of depersonalization, and moderate levels of reduced personal accomplishment among professors. Protective factors against emotional exhaustion included older age, lack of irritation with RHw, and regular physical activity, while risk factors included excessive workload, dissatisfaction, irritability, fatigue, changes in body mass, and physical inactivity. Older professors showed lower levels of depersonalization, while body mass changes and frequent alcohol consumption increased it. For reduced personal accomplishment, protective factors included older age, greater work experience, and employment in private institutions, whereas dissatisfaction was a risk factor. Findings indicate that RHw results in chronic stress for professors, primarily through emotional exhaustion. Key contributing factors include excessive workload, dissatisfaction, irritability, fatigue, and pandemic-related lifestyle changes, while protective factors include older age, positive attitudes toward RHw, and regular physical exercise.

Background: Acknowledging the relationship between postural control and muscle strength in lower limbs is important to find persons with high fall risk and to design fall prevention exercise programs. Objective: To investigate the connection between knee muscle strength, semi-static postural balance, and functional mobility in irregularly active older women. Methods: One hundred and ten older women aged 60 to 85 years underwent a semi-static postural balance test in a force and functional mobility measured by Timed Up & Go (TUG) with and without Cognitive Tasks (CT). Muscle strength of the knee was assessed by isokinetic dynamometry at 60°/s. Results: A negative correlation between the functional mobility (TUG with and without CT) and the muscular strength of the knee was observed. Regarding semi-static balance, there was a low negative correlation with peak torque corrected for body weight of the extensors with the following variables with eyes open: Mean Velocity Dominant limb (D) (r = -0.19; p = 0.03); and anteroposterior range Non-Dominant limb (ND) (r = -0.19; p = 0.04); with eyes closed: mediolateral range ND limb (r = -0.21; p = 0.02) and Mean Velocity ND limb (r = -0.18; p = 0.05). Conclusions: This study found that better functional mobility was associated with greater muscle strength in the knee in elderly women. There were weak negative correlations between knee extensor strength and some measures of semi-static postural balance, suggesting that different motor control actions are required to maintain semi-static balance and mobility. In the case of semi-static balance, a lower level of muscle response is required than in functional mobility.

An accurate assessment of balance problems is critical for decreasing the risk of falling in patients with Parkinson's Disease (PD). Reliable diagnostic tools such as Computerized Dynamic Posturography (CDP) are not feasible for the clinical setting. Therefore, the present study's aim was to assess the correlation between the clinical Balance Evaluation Systems Test (BESTest) and CDP. 20 male older adults with Parkinson's Disease (PD) were included in this study. Participants first executed the Sit-To-Stand (STS), Step/Quick turn (SQT), and Step Up and Over (SUO) tests on a Balance Master® force platform, followed by a clinical balance evaluation using the BESTest. Four outcomes of the CDP were negatively correlated with one or more BESTest domains or total BESTest score: STS sway velocity was negatively correlated with the anticipatory postural adjustment (p = 0.02) and sensory orientation (p = 0.01) domains. SQT turn time was negatively correlated with biomechanical restriction (for turns to the left, p = 0.01, and right, p = 0.03, respectively), postural response (p = 0.01, p = 0.01), dynamic balance during gait (p = 0.007, p = 0.001), and total score (p = 0.02, p = 0.01). Step over time to the right in SUP was negatively correlated with the limits of the stability domain (p = 0.002) and total BESTest score (p = 0.020). SUO impact index was negatively correlated with the anticipatory postural adjustment domain (p = 0.01). This study shows that several BESTest domains are significantly correlated with CDP outcomes, demonstrating that the BESTest can be used as a more clinically feasible alternative for computerized posturography, without loss of information.

Introdução: A vida das mulheres no mercado de trabalho é desafiadora, e ser estomizada agrava essa dificuldade. A reabilitação dessas pacientes busca sua inclusão social e retorno ao trabalho, essenciais para autoestima e sensação de utilidade. No entanto, enfrentam barreiras sociais, preconceito e falta de conhecimento, dificultando a reintegração laboral. A alteração da imagem corporal pela estomia afeta negativamente a percepção de corpo, sexualidade e beleza, aumentando a insegurança e constrangimento, especialmente em relação à bolsa coletora. A insatisfação sexual é comum, dificultando a autoimagem como pessoas atraentes e sexuais. Objetivo: Compreender o significado de ser mulher com estomia de eliminação em tempos contemporâneos. Método: Estudo qualitativo, descritivo e exploratório, com nove mulheres com estomias de eliminação. A coleta de dados foi por meio de entrevistas utilizando questões norteadoras, diário de campo e observação participante e os dados foram analisados através da Análise Temática de Conteúdo. Resultados: A média de idade das participantes é de 44 anos, sendo quatro com Ileostomia e cinco com Colostomia. Tiveram como diagnóstico: doença de Crohn, endometriose, retocolite ulcerativa, tumor desmóide, câncer colorretal, polipose adenomatosa familiar e doença de Hirschsprung. Através da análise das falas, foi extraído três categorias: “Dificuldades e Adaptação após a confecção da estomia”, “Profissão e Ocupação após a confecção de estoma” e “Autoimagem e sexualidade da mulher com estomia”. Conclusão: Ser mulher estomizada abrange grandes dificuldades e adaptações necessárias para uma melhor qualidade de vida e retomada das atividades, sendo um desafio para todas.