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Analysis of conditioning cardiopulmonary and comparative study between direct and indirect methods of predicting oxygen consumption in wheelchair users with myelomeningocele

Grant number: 13/05936-4
Support type:Scholarships in Brazil - Master
Effective date (Start): September 01, 2013
Effective date (End): August 31, 2015
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:Ana Cláudia Mattiello-Sverzut
Grantee:Marisa Maia Leonardi Figueiredo
Home Institution: Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil

Abstract

Although the scientific literature has extensively studied the clinical manifestations of the different levels of myelomeningocele MMC, little attention has been paid to cardiopulmonary dysfunction in this disease. The evaluation of cardiorespiratory capacity by maximum oxygen consumption (VO2max), has been used as a means of predicting risk factors related to health, but the gold standard technique requires specifics that limit their widespread use. but the gold standard technique requires specifics that limit their widespread use. However, the objective is to verify if aerobic capacity of wheelchair users with myelomeningocele obtained by direct test as compatible as estimated by indirect test, and analyze data that predisposes to cardiovascular risks. Participate in this cross-sectional study, children and adolescents of both sexes, aged between 5 and 15 years, separated into two groups: GM - 11 non ambulatory individuals with myelomeningocele wheelchair users; and GC - 22 healthy individuals. The initial evaluation will consist of: anthropometric data, body composition by Bioelectrical Impedance, isometric muscle strength by dynamometer Hand-Held, grip strength by dynamometer Bulb, the level of spinal cord injury through protocol Hoffer et al. (1973) in GM, and, evaluation of Spontaneous Baroreflex Sensitivity (SBRE) and Variability of Systolic Blood Pressure and Heart Rate (VPAS and VFC). Subsequently will be forwarded to realization of direct and indirect VO2max tests. To evaluate the results, we used descriptive analysis and graphics, Pearson correlation coefficient, analysis of variance (ANOVA), non-parametric techniques (Kruskal-Wallis). Student t test for comparison between two groups or nonparametric Wilcoxon test. In all analyzes will set a significance level of 5%.

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
TUIJTELAARS, JANA A. M.; LEONARDI-FIGUIREDO, MARISA MAIA; CRESCENCIO, JULIO; GALLO, JR., LOURENCO; MARTINEZ, EDSON ZANGIACOMI; BLOEMEN, MANON; TAKKEN, TIM; MATTIELLO-SVERZUT, ANA CLAUDIA. Cardiopulmonary Exercise Test Using Arm Ergometry in Children With Spina Bifida: A Prediction Model for (V) over dotO(2peak). PEDIATRIC PHYSICAL THERAPY, v. 31, n. 2, p. 185-190, APR 2019. Web of Science Citations: 0.
LEONARDI-FIGUEIREDO, MARISA MAIA; DUTRA DE SOUZA, HUGO CELSO; MARTINS, EMANUELA JUVENAL; SQUIAVETO, MONALISA; MATTIELLO-SVERZUT, ANA CLAUDIA. Damaged cardiovascular autonomic control in wheelchair-using children and adolescents with myelomeningocele: a case-control study. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 23, n. 1, p. 27-32, JAN-FEB 2019. Web of Science Citations: 0.
LEONARDI-FIGUEIREDO, MARISA MAIA; DE SOUZA, MARIANA ANGELICA; DA SILVA LIZZI, ELISANGELA APARECIDA; LEMOS DE OLIVEIRA, LUCIANO FONSECA; CRESCENCIO, JULIO CESAR; SCHWARTZMANN, PEDRO VELLOSA; GALLO, JR., LOURENCO; MATTIELLO-SVERZUT, ANA CLAUDIA. The Use of a Wheelchair Propulsion Field Test to Determine Peak Heart Rate in Children and Adolescents With Myelomeningocele. PEDIATRIC EXERCISE SCIENCE, v. 30, n. 2, p. 251-258, MAY 2018. Web of Science Citations: 0.
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
FIGUEIREDO, Marisa Maia Leonardi. Cardiopulmonary analysis and a comparative study to predict maximum oxygen consumption in non-ambulatory children with myelomeningocele using direct and indirect tests.. 2015. Master's Dissertation - Universidade de São Paulo (USP). Faculdade de Medicina de Ribeirão Preto Ribeirão Preto.

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