A influência da ansiedade sobre o equilíbrio postural em estudantes universitários
DOI:
https://doi.org/10.33233/fb.v12i4.919Abstract
Introdução: O sistema tônico postural regula a posição do corpo no espaço orientando-o e equilibrando-o. Elevados níveis de ansiedade têm sido correlacionados com as desordens do equilíbrio corporal. Objetivo: Investigar a influência do aumento nos níveis de ansiedade sobre o equilíbrio postural antes e durante um evento ansiogênico. Material e métodos: Para a análise, os participantes responderam ao Inventário de Ansiedade Traço-Estado de Spielberger e o equilíbrio postural foi mensurado por meio do Biodex Balance System. Resultados: As mulheres apresentaram-se significativamente mais ansiosas que os homens. A análise correlacional entre ansiedade-traço e o índice de oscilação médio-lateral nível 8 nas mulheres revelou correlação negativa significante antes do evento. Nos homens houve um aumento significativo da estabilidade no índice de oscilação antero-posterior e geral no nível 2 durante o evento ansiogênico, no entanto não houve alteração significativa nos níveis de ansiedade. Conclusão: Os resultados sugerem que a ansiedade-estado parece alterar o equilíbrio, no entanto o treinamento parece minimizar sua interferência.
Palavras-chave: ansiedade, equilíbrio postural, treinamento autógeno.
References
Bricot B. Postura normal y posturas patológicas. Revista IPP 2008;1(2):1-13.
Nashner LM. Sensory, neuromuscular, and biomechanical contributions to human balance. In: Duncan PM, ed. Balance: Proceedings of the American Physical Therapy Association Forum, APTA, Alexandria VA; 1990. p. 5-15.
Finley JM, Dhadher YY, Perreault EJ. Regulation of feed-forward and feedback strategies at the human ankle during balance control. Conf Proc IEEE Eng Med Biol Soc 2010;1-10.
Hainaut JP, Cailleta G, Lestienneb FG, Bolmont B. The role of trait anxiety on static balance performance in control and anxiogenic situations. Gait Posture 2011;33(4):604-8.
Perrin P, Schneider D, Deviterne D, Perrot C, Constantinescu L. Training improves the adaptation to changing visual conditions in maintaining human posture control in a test of sinusoidal oscillation of the support. Neurosci Lett 1998;245:155-8.
Redfern MS, Yardley L, Bronstein AM. Visual influences on balance. J Anxiety Disord 2001;15:81-94.
Dornan J, Fernie GR, Holliday PJ. Visual input: its importance in the control of postural sway. Arch Phys Med Rehabil 1978;59(12):586-91.
Diener HC, Dichgans J, Guschlbauer B, Bacher M. Role of visual and static vestibular influences on dynamic posture control. Hum Neurobiol 1986;5(2):105-13.
Norré ME. Posture in otoneurology. Acta Otorhinolaryngol Belg 1990;44(2):55-181.
Nashner L. Computerized dynamic posturography. In: Jacobson G, Newman C, Kartush J. Handbook of balance function and testing. St. Louis: Mosby Yearbook; 1993. p.280-307.
Wegener L, Kisner C, Nichols D. Static and dynamic balance responses in persons with bilateral knee osteoarthritis. J Orthop Sports Phys Ther 1997;25(1):13-8.
Spielberger CD. Anxiety as an emotional state. In: Spielberger CD, ed. Anxiety: Current trends in theory and research. New York: Academic Press; 1972.
Fadiman J, Frager R. Teorias da personalidade. São Paulo: Harper & Row do Brasil; 1982.
Wada M, Sunaga B, Nagai M. Anxiety affects the postural sway of the antero-posterior axis in college students. Neurosci Lett 2001;302:157-59.
Balaban CD. Neural substrates linking balance control and anxiety. Physiol Behav 2002;77:469-75.
Guida FW, Ludlow LH. A cross-cultural study of test anxiety. J Cross Cult Psychol 1989;20:178-90.
Costa CB. A influência do estresse e da ansiedade em sinais e sintomas da disfunção da ATM [Tese]. Rio de Janeiro: Universidade Gama Filho; 2000.
Biaggio AMB, NatalÃcio L, Spielberg CD. Desenvolvimento da forma experimental em português do inventário de ansiedade traço-estado (IDADE). Arq Bras Psicol Apl 1977;29: 31-2.
Ey M, Bernard P, Brisset C. Manual de Psiquiatria. São Paulo: Masson do Brasil; 1988.
Jefferson JW. Social Anxiety disorder: More than just a little shyness. J Clin Psychiatr 2001;3(1):4-9.
Goumas G, Madianos MG, Stefanis CN. Psychological functioning and psychiatric morbidity in an elderly urban population in Greece. Eur Arch Psychiatry Clin Neurosci 1992;242:127-34.
Sparrenberger F, Santos I, Lima RC. Epidemiologia do distress psicológico: estudo transversal de base populacional. Rev Saúde Publica 2003;37(4):434-9.
Nakazato K, Shimonaka Y. The Japanese State-Trait Anxiety Inventory: age and sex differences. Percept Mot Skills 1989;69:611-7.
Inderbitzen HM, Hope DA. Relationship among adolescent reports of social anxiety, anxiety, and depressive symptoms. J Anxiety Disord 1995;9:385-96.
Pajares F, Kranzler J. Self-efficacy beliefs and general mental ability in mathematical problem-solving. Contemp Educ Psychol 1995;20:426-43.
Silverman WK, La Greca AM, Wasserstein S. What do children worry about? Worries and their relation to anxiety. Child Dev 1995;66:671-86.
Simpson ML, Parker PW, Harrison AW. Differential performance on Taylor’s Manifest Anxiety Scale by Black private college freshmen: A partial report. Percept Mot Skills 1995;80:699-702.
Steer RA, Beck AT, Beck JS. Sex effect sizes of the Beck Anxiety Inventory for psychiatric outpatients matched by age and principal disorders. Assessment 1995;2:31-8.
La Rosa J. Ansiedade, sexo, nÃvel sócio-econômico e ordem de nascimento. Psicol Reflex Crit 1998;11(1):59-70.
Krożel W, Dupont S, Krust A, Chambon P, Chapman PF. Increased anxiety and synaptic plasticity in estrogen receptor β-deficient mice. Proc Natl Acad Sci 2001;98(21):12278–82.
Tjemström F, Fransson PA, Hafström A, Magnusson M. Adaptation of postural control to perturbations-a process that initiates long-term motor memory. Gait Posture 2002;15:75-82.
Baldwin SL, VanArnam, Thomas W, Ploutz-Snyder, LL. Reliability of dynamic bilateral postural stability on the Biodex Stability System in older adults. Med Sci Sports Exerc 2004;36(5)30-5.
Park H, Kim KJ, Komatsu T, Park SK, Mutoh Y. Effect of combined exercise training on bone, body balance, and gait ability: a randomized controlled study in community-dwelling elderly women. J Bone Miner Metab 2008;26(3):254-9.
Glaros AG, Hanson K. EMG biofeedback and discriminative muscle control. Biofeedback Self Reg 1990;15(2):135-43.
Redfern MS, Furman JM, Jacob RG. Visually induced postural sway in anxiety disorders. J Anxiety Disord 2007;21:704-16.
Prentice W. Técnicas de Reabilitação em Medicina Esportiva. 3ª ed. São Paulo: Manole; 2002. p. 612.
Bolmont B, Gangloff P, Vouriot A, Perrin PP. Mood state and anxiet influence abilities to maintain balance control in healthy human subjects. Neurosci Lett 2002;329(1):96-100.
Balaban CD, Porter JD. Neuroanatomical substrates for vestibule-autonomic interactions. J Vestibular Res 1998;8:7-16.
Gorman JM, Leibowitz MR, Fyer AJ, Stein J. A neuroanatomical hypothesis for panic disorder. Am J Psychiatry 1989;146:148-61.
Jacob RG, Redfern MS, Furman JM. Space and motion discomfort and abnormal balance control in patients with anxiety disorders. J Neurol Neurosurg Psychiatry 2009;80(1):74-8.
Brown LA, Polych MA, Doan JB. The effect of anxiety on the regulation of upright standing among younger and older adults. Gait Posture 2006;24:397-405.
Ohno H, Wada M, Saitoh J, Sunaga N, Nagai M. The effect of anxiety on postural control in humans depends on visual information processing. Neurosci Lett 2004;364:37-9.
Pasman EP, Murnaghan CD, Bloem BR, Carpenter MG. Balance problems with Parkinson's disease: are they anxiety-dependent? Neuroscience 2011;17:283-91.
Zaehle T, Herrmann C. Neural synchrony and white matter variations in the human brain – relation between evoked gamma frequency and corpus callosum morphology. International Journal Phychophysiology 2011;79:49-54.
Bart O, Bar-Haim Y, Weizman E, Levin M, Sadeh A, Mintz M. Balance treatment ameliorates anxiety and increases self-esteem in children with comorbid anxiety and balance disorder. Res Dev Disabil 2009;30(3):486-95.
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