Introduction: Multiple sclerosis (MS) is an autoimmune disease that causes scar tissue in the nervous system and seriously affects the quality of life of people. Muscle weakness, spasticity and coordination problems are seen primarily in the lower extremities. Strengthening exercises improve muscle strength in people with multiple sclerosis, but there is no consensus on their effect on walking capacity. -/- Methods: To determine the relationship between gluteus maximus muscle strength, ataxia, balance and walking capacity in Multiple Sclerosis. An experimental study (...) design was applied. Gluteus maximus muscle strength was measured using a dynamometer. Walking capacity was determined by the 6-minute walk test (6MWT) and dynamic gait index (DGI). Balance was evaluated with the one-leg standing test (SLS). The severity of ataxia was measured with the International Ataxia Rating Scale (ICARS). Fatigue was evaluated with VAS and quality of life of all patients with SF36 short form. -/- Results: EDSS mean of the study = 3.39 ± 1.4; 2 men and 16 women with mean age = 37.17 ± 9.16 years were included. 6MWT, DGI, ALS, ICARS, VAS were different before and after treatment (p<0.05). There was no significant difference other than physical function and general health among the sub-parameters of SF36 (p>0.05). Correlation of muscle strength with ataxia, gait and balance was not significant (p>0.05) -/- Conclusion: In individuals with MS, the fact that the treatment program consists of modalities that include balance and sensory exercises as well as muscle strengthening exercises increases the success of rehabilitation. (shrink)

O propósito deste artigo é aprofundar o debate da narratalogia cognitiva sobre o papel das emoções e afetos na escrita e leitura do texto ficcional. Para tanto, buscamos fundamentos teóricos em teorias recentes da afetividade situada, em particular nos conceitos de andaimes, arranjos e milieus afetivos, a fim de observar como textos codificam afetos para suscitar estados afetivos e emocionais nos leitores. O mérito da interlocução virá da capacidade de fertilizar a compreensão do papel das emoções na construção de textos (...) ficcionais, mediante a análise do seu papel na composição de um texto em particular: o conto “Criançada”, de Anton Tchekhov. Como teorias da afetividade situada reservam um papel de destaque para o ambiente externo na construção da afetividade humana, argumentamos que a aplicação dessas teorias ao nosso objeto permite observar como a construção do espaço, a descrição dos objetos e os afetos dos personagens estão intimamente ligados, alimentando-se reciprocamente e fortalecendo-se em relações de feedback. Essas análises podem permitir que a narratologia cognitiva saliente elementos afetivos dos textos ficcionais até aqui pouco explorados nos estudos literários. (shrink)