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Research Report Abstracts - Gesundheit

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WPT2011, <strong>Research</strong> <strong>Report</strong> <strong>Abstracts</strong> eS191<br />

Analysis: The mean amplitude of 10 H-reflexes was calculated<br />

for each test period and expressed as a percentage of<br />

the control. ANOVA and post-hoc Tukey’s HSD tests compared<br />

differences in H-reflex amplitude between pressure<br />

magnitudes with and without TENS.<br />

Results: When pressure was applied, there was a progressive<br />

decrease in mean H-reflex amplitude to 45% without TENS<br />

and 44% with TENS in the healthy volunteers. A decrease to<br />

29% without TENS and 33% with TENS was obtained in the<br />

patient population. Statistically significant differences were<br />

found between the H-reflex amplitudes at different pressure<br />

magnitudes in the healthy volunteers (p < 0.01), but not in the<br />

patient population. No differences were found in the H-reflex<br />

amplitudes with and without TENS in either group.<br />

Conclusions: The addition of TENS did not increase the<br />

inhibitory effect obtained with the pressure in isolation.<br />

Implications: The use of TENS as a treatment for spasticity<br />

requires further work.<br />

Keywords: H-reflex; Circumferential pressure; TENS<br />

Funding acknowledgements: This was a self-funded study.<br />

Ethics approval: Ethical approval was obtained from the<br />

South Glasgow University Hospitals Division <strong>Research</strong><br />

Ethics Committee. REC no. 05/S0702/136.<br />

<strong>Research</strong> <strong>Report</strong> Poster Display<br />

Number: RR-PO-213-25-Tue Tuesday 21 June 12:00<br />

RAI: Exhibit Halls 2&3<br />

THE ASSOCIATION BETWEEN RUNNERS’ LOWER<br />

LIMB ALIGNMENT WITH RUNNING-RELATED<br />

INJURIES: A SYSTEMATIC REVIEW<br />

Carvalho A.C.A., Hespanhol Junior L.C. 1 , Costa L.O.P. 1 ,<br />

Lopes A.D. 1<br />

1Universidade Cidade de São Paulo - UNICID, Masters in<br />

Physical Therapy Program, São Paulo, Brazil<br />

Purpose: To systematically review studies aimed at testing<br />

the association between lower limb alignment and runningrelated<br />

injuries.<br />

Relevance: Although running is one of the most popular<br />

sports in the world, there are few studies that describe the<br />

relationships between anatomic characteristics of lower limb<br />

in this population.<br />

Participants: Not applicable.<br />

Methods: We performed a search on MEDLINE, LILACS<br />

and SciELO. The keywords and operands used were: anatomical<br />

factors OR alignment OR Q angle OR foot structure OR<br />

lower limb injuries AND running. There was no restriction<br />

with regards to the year of publication.<br />

Analysis: Due to the heterogeneity of the studies in terms of<br />

study design, a meta-analysis was not possible; therefore the<br />

presentation of results is purely descriptive.<br />

Results: Of the 1919 studies found, 973 were excluded by<br />

the title, 686 were excluded after reading the abstract and 287<br />

were excluded after reading the original text. Eight articles<br />

were considered eligible and therefore were included. The<br />

main lower limb alignment characteristics related with the<br />

musculoskeletal injuries in runners found were: the Q angle<br />

greater than 20 ◦ , the navicular drop exceeding 5 mm, excessive<br />

pronation of the subtalar joint, the length discrepancy<br />

between the lower limbs (more than 10 mm), and the height<br />

of the medial longitudinal arch (dorsum foot height/truncated<br />

foot length ratio, high arch >0.356 and low arch

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