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  • 1. ! " # $ % $ & ! ' ( ) ! * ! * ! ! + " ) % , - $ . / 0 ! 1 ! 1 2 3 ! 1 4! 5 ! 6 7 ' ! 2 0 ! 8 # 9 8 : ! 8 : + ; % % ,, ! ! ( ! " < 2! $ = ; % % 88 ! . ! + ! > 0 = ! : ! 3 - - : 7 ! ! 7 ! * ) ! 7 7 , ! 0 (9 ? ( 9 % / . < ! ! ! ! (( ! * ("
  • 2. @ % )! ($ % ! ! ($ ( ! ! ! / (' A B 8; , $- 88; % / % $7
  • 3. % A & 8A , 8 8 ! 3 ! ! % @ " A , 8B , & % 8% A !" # $ " " % & ' !" () *%+,- # " ". " " "' ) - # / !" " 0 1 ' " " .0 % ,& 2 3 4 " 5 ) 5 " 3 6,& 3 4 " 5 5 " 3 , & 7 $ ( ,3 6 89 # . ". 5 " 3 ! " *% ' " " " ' " ' % :3 2 :' " 0 % 8% ; " 0 < = " " ' !" % 2*%+
  • 4. 8B , A C % 8 , % 8% A , , , 8 & , , A , ! 3 ! ! % @ $ : " / : !" " 0 " " " " ' >< % , : (0 ? 0 ?" ,3 0 " " " ' # $ #% 6, : @ ? & 3 ) 0 0 " " " ' # #% , : (#) ? 0 ,3 " . : 0 " " " ' # % % . " " ' ; " ' " : 0 % $" " " " " " 1 " " " " ' " # / " ) " " $ ' : % ,& - : 0 ? 3 ) : : " 3 ) :' ) :' ' # ' # ' .0 0 ' 0 " " ( ' ' , ' . ' % 6,& 2 - : A ? 3 B " " 0 " % " ) :' < ' . ' ". ' (. ' , ' ( ' , 0 . ' ; ' ; ' . ' ' ' 0 ' ) 0 ' # ' ' # : ' ) :' % ! " < " " ". " " 0 5 ' %
  • 5. & 8< D E & , % 8% A , ! 3 ! ! % @ ' 6,& 7 $ - : 3 " " " ' % C ' < ' : ' " ". < ' : D ; E 'EE ' . ) :' ; $ ' ' ". ' . ' ; $ : ' ; $ ". % ' " "F ? " ' ' !" % DIREÇÃO EXEMPLOS Cefálica Elevação da escápula, Dorso flexão Podálica ou Caudal Flexão do tronco e pescoço, Flexão lateral, Báscula anterior Medial Rotações internas, Retração da escápula Lateral Rotações externas, Protação da escápula Anterior Flexão horizontal Posterior Extensão horizontal Póstero Inferior Hiperflexão do ombro, Hiperextensão do tronco Póstero Superior Hiperextensão do ombro ! E " D ; ) : EE " "' "
  • 6. % A & 8A , 8 8 ! 3 ! ! % @ + ) ! * - & G< < . ) '5 - & " . 5 - & 0 - & " ". < # 0 ' G< % " ' " 3 *, & #'( # #) * + #, - " " " " $" ' " " ) % :3 0 ; " #% 6 3 " " 0 ( ' H ' 5 ' H ', " " ' " : % 8, & #'( &- %.- " " " : % :3 ' 0 :" % & " " 3 : ( , " 3 ? ' : 3 =, & #'( * # # - ' # ' " % ( &
  • 7. % A & 8A , 8 8 ! 3 ! ! % @ = & " " 3 8 .? : ( ) , " 3 ) :' : ' : ? H ' . ' : A ? EC $ ' I, & #'( /0$#* 1 ' - & " " " " " " % :3 ' 5 ' ) % & " " 3 : ( , " 3 ) :' : ' : 3 A ? J, & #'( - * + #, - & " " " " % :3 ' " ( ". , ' < & " " 3 = : " 3 & 2 3 ' . ' ? 5& 3 : ' ) :' : A ? & 7 $ 3 ' < : : % E $ ' K, & #'( # # #- & " " " " " ' % :3 ' ; & " " 3 8 . : " 3 & 2 3 ' . ' ? 5& 3 : ' ) :' : A ? % E $ '
  • 8. % A & 8A , 8 8 ! 3 ! ! % @ - ,,8F8 DE & , % 8% A , - . 3 :3 ) :' : ' - $" 3 :3 - C ' 3 " DF F : E " " " " - ' 3 " " . : : 5 - ' 3 " " $ 5 - < 3 ". ' " " 3 ' % "
  • 9. % A & 8A , 8 8 ! 3 ! ! % @ 7 G8, H , %I, , & % & , % AJ < - $ *2 "# "1 0 " " - $ " ' " 0 " " $ - $ " : ' 3 o " " "1 " % :3 ' ) : ) " " " .D ' : ; % o & " ' "1 " 0 < D $" " " " " " % :3 " " " : " ) : % - 1#) " . $ " $ ' < " " D . " ( ' "# ,% ) #< . $ ' " "1 " % - & - & 2 " 0 : " " " " " $ 0% :3 ):' " D ) : ; % - 3 & # * $4 & " < 0 % 5 ! " - 1 " ' F 3 # "% - 1 " ' 3 # ' % $
  • 10. % A & 8A , 8 8 ! 3 ! ! % @ 9 8 , & < K J L A < DE M% , < - &4 & % " o 2 "1 " < / 5 o : ' D " " 5 o " A" "1 5 o " " " ( " ,5 o :" " ' o " A % - 6&4 & $ % " o 2 " " < / 5 o : ' ( ) ,5 o " A" "1 5 o " " " "1 5 o " ' 5 o " 5 E : " " " A ' ! ' ' ' ; 0 " " :/ % :3 : ' . " % " ; ) ; ) " ' / % & " . ; ) "0:" ? . ; :/ /
  • 11. A < D E 8, % G < 8 1 8, 8A G 8 B C A 8 ! 3 ! ! % @ o ' : " " 5 o : ' 5 o ' # " ) " 5 o $ " " . ' 5 o . " ' . " " % o ' < $" " % :3 "1 < " % o $ " ; 5 o #" " " ' " " % o . ; / " "# % :3 2 :' " " % o " ' "1 <L " " ) ; ) %
  • 12. % A & 8A , 8 8 ! 3 ! ! % @ ( 8A ,8 8 8 & ; %%,, - & #'( 3 0 (& $" , - %* 3 ' ' ' ' ' ) .0 % - & *3 & # 3 o C ' 3 " . 0 0 % o C ' 3 #$ (% " ) , 0 ".F % +
  • 13. % A & 8A , 8 8 ! 3 ! ! % @ " - * #6 & # & % #3 o M" 3 " 3 ):' ("% . < , : ' ("% G . < % ! ,% o M" 3 " 3 ) :' ' (.G . < , ? ' (. < ,% 6 3 .G . < 0 ' ". % () :' ) :' ; $ . ' ". , o C0 :" " 3 ' ( . < , ' ( .G . < . < ,% - & #'( 3 " - & *3 & # 3 o C ' 3 " (% , F . < % o C ' 3 F " ; % o C ' 3 F ) ? ; " . " ) % ! ' 0 ) " " " " :/ " *H= / %
  • 14. % A & 8A , 8 8 ! 3 ! ! % @ $ - & *3 & # 3 o C ' 3 " 3 " ) : ) ) : ) < % " ( ,3 ) : ) : % " " ( ,3 ) : % o
  • 15. % A & 8A , 8 8 ! 3 ! ! % @ ' & 3 " 3 : " " : F "G " : F G :% " ( ,3 : : % " " ( ,3 : o & 3 1 : G () ' " ,3 ): : ( " . < , : . % 1 G ( ' ,3 . ) : % o C ' " 3 C ' ; / 3 . "G " "G " ) : "G " % F " 5 ". 5 C ' 3 F % ! " 3 "1 ' 0 : " " " " " % :3 : N 2 : O ' ; %
  • 16. % A & 8A , 8 8 ! 3 ! ! % @ + 8A ,8 8 8 & N %%88 - # & '( .* & " : )" - # & '( * #-$& " ) F - %* # " o 2 3 ' . ' o 3 ):' : ' ; : ' o 7 $ 3 ' : - & *3 & # " o 2 :'3 G G )" F )0 F % o : ' 3 1 "0:" " " ". " .G )" ' ) " G< . % o . 3 )0 1 "# #" F F 1 "0:" "G " % o 3 G " 0 (1 . ,% o C ' 3 )0 1 "G " F " " " ". % o C ' : 3 1 "0:" # ( ) " " /" ) . : < )" :, F .G )" ' % = ! ' .G )" ' # . % " " )/" %
  • 17. < 8 D E & O J ! 3 ! ! % @ = - # & '( .* & "2/" - # & '( * #-$& " G " - %* # " o 3 ):' : ' o 3 C ' ' : - 1#) 7* & 8 #9 + & *3 & # ," o 2 :'3 P< . ( " " " ". 6G )" - ' - G 0 /" " F , o : ' 3 )" " ( ' .G< , "# % E"1 D ; 3 . 0 < ' ; D " ' % o C ' 3 " " " ". G 0 % o C ' : 3 .G )" ' % - 1#) 2 & +#$ * :* & &2 #, o " 3 $ 3 ; : ' G. 5 $ 3 $ ' G. 5 ). 3 " $ ' G. ( ,5 " . 3 $ ' G. ( ,% - & o ). < ' ' 5 o " ) " " % . " . #" " ; / 5 o & $ ' " : % ! ! " " : D ; / 3 *% 2/" 8% ! )/" N ! G. =% ! " )/" N ! " G.
  • 18. < 8 D E & G < A P ! 3 ! ! % @ - - & #'( ) #"2G. N G. N o # & '( * #-$& " G " . o %* "2 :' ) :' - & #'( ;" N A o # & '( * #-$& " . o %* "C ' ( ' ' , & #'( %* # & '( # 0 A .F $" & $" & ? " 2 " " ' :" " $" & ? ) 2 " " " ' :" ) 2 :' H : ' ' H . ' ) ) 2 :' H : ' G " . - & *3 & # " o $( " 1 3 /" F ) : ;0 : . ) : 5 1 3 2. ). ). 5 1 3 . : : ;0 :). %
  • 19. % A & 8A , 8 8 ! 3 ! ! % @ 7 &4 4 &4 C C &4 A , & 8 & , G, - A *Q" JQ" % - " ( A *Q" , - ( A JQ" , - ( *Q" JQ" , - &# ( ' " " ,3 " " (D ; , ). ( , ' % - &# ( ' " " : ,3 " " (D ; ) , "1 ' % - &# <L ( ' " " #,3 "1 ): ' % - &# A ( ' " #,3 "1 ) : ' % - &# ( : ,3 " "1 G " )0 ) : ;0 : ". % - &# ( / ,3 " )0 "1 G < % - C &4 RS
  • 20. % A & 8A , 8 8 ! 3 ! ! % @ (9 , - * ""1 % - * &0& ". ) ( / ,. / ' ) ( ,% o ! ' ' " ' "1 < " o ! ' 4 & " " < 0" " % C % T / # ' % o ! ' #& " 0 ' % - " ) 0 / ) % :3 ) :' 7 6C R C U 6C R 2 CR 2 C
  • 21. A % & , A % % Q A 8 ! 3 ! ! % @ ( 6C R 2 CR 6C R C U 2 C - 6 " 0 / ) % :3 : ' % - 4 " / 0 ) ' " " % :3 ) :' % ! - " " A < . ) ) * / % - " " A < . ) ) * / %
  • 22. % A & 8A , 8 8 ! 3 ! ! % @ (( %/ . - C . " " () :' ) :' .0 , .G< : ( ' , " F . " " () " " . $ D " ' ' . " " ) " ,% - C . / ( "# ,G ". 0 " )G G " . 0 ; % 9
  • 23. < D R , A A ! 3 ! ! % @ (" - 2 ? " : 0 # ) " ) ) ) ? G " . " 1 % - C ? " " : " " : . " # ; " ". % " ". . G " #" ) " ".#" " ) : < " F " % - ? # " < ) % ) #) :G < ;0 " ' ) ' #5D0 # . "? " ; "# " " " ' : % ' 0 " " # . " < < ? " ? ' . " . A : % - 4 )$ V* " W " " )" G % - 6 3 ' 0 ):' < . " 0) %
  • 24. % A & 8A , 8 8 ! 3 ! ! % @ ($ AS 8, 8A ,8 T 8 - " 0 3 ". 0 % <= / / > +?, > +@, T X S 2 XS C & Y 2Y 6C C ? & S C C ? & S C T C C C & C C Y& &C RS C C RS 2C C " 0 3 B D ; $ % <= / / > +?, > +@, B C X S 2 XS C & Y 2Y Z 7 X S 2 XS C & Y 2Y C [ 2 XS & C C 2 XS C & Y 2Y
  • 25. % A & 8A , 8 8 ! 3 ! ! % @ (' ! ! ! / ! " A @ # " "3 )G G " K ' 3 8H= " . G ) ) : *9 K9 K9 9 . " % ' 3 .# " 1" ( ' 0. . , ' 3 " ( J K ] *,% ' 3 #$%&% '()$3 ' ' " . : . ' ) :' . #^+_% ' )$ : ' ' )$) :' ; $ #$%&% ()*%3 B@ # " "3 )G =9I9 J9 ' 3 2 : 89 J9 ' 3 & F ' 3 " ( ] *, ' 3 #$%&% '()$3 " ". % 0 $ ' ) . ' ' % #$%&) +,-./0)3 ( ' F ,% C@ 1&#2% " ' 3 2 ) G ' ) 3 2 *9 " ' 3 . 0 ' 3 " ): G ' : ' ". *9 D@ 2 # + ," "3 . ] " % & . : 0 (
  • 26. % A & 8A , 8 8 ! 3 ! ! % @ (+ 1 %(*2% /.3(#%( ' & 3 @ 0 ' 3 2 : *9 89 1 %(*2% 45#) ' & 3 6 " 0 ' 3 2 : 89 I9 1 %(*2% &63(#%( ' & 3 @ ) 0 ' 3 2 : J9 ]9 ' 3 JQ KQ ]Q ^Q ' 3 #$%&)3+,-./0)3 ' F #$%&)+,%+730)+3 . ' ' 0 "1 ' $ A @ & 6 +AA ," ' 3 6 ) D ( , ' ) 3 6 ) D ( ) , ' 3 ' 3 ( ' F , B@ & +AA ," ' 3 6 ) D ( , ' ) 3 6 ) D ( ) , ' 3 ' 3 " ( ' : F , "1 : $" " `X`% ). : " ) % Z0 ). " ) % C@ & + % # ," ' 3 & ** ' ) 3 2 : *9 *89 ' 3 ' 3 ( F , D@ & + 1& ," ' 3 2 D ' ) 3 2 ) D ' 3
  •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
  • 28. % A & 8A , 8 8 ! 3 ! ! % @ (- ' 3 ; G @ ? *HI " ( , G % & " ; 1 " # . ". ' 3 C " K 1 " ; 0 0 (*, ' 3 " .G< : #" F : " " "1 .G< : .G< . !" . ; " D " " " " % :" 3 < $" ) :' ' .G< : < .G< . ; " " D % E@ % 1 .* " 4 "1 " ) ' A ? . !" % ). " ; $ " % ' & 3 2 . ) K 1 " # . ". G *HI " ' 3 ; . 1. Inervação: Ramos anteriores dos 6 últimos nervos espinhais torácicos e nervo ilioipogástrico (L1) Ação: Aumento da pressão intra-abdominal A @ F *1 " ' 3 *89 *9 I9 # . ". ' ) 3 G " G ". ' 3 *8Q ' 3 ' . : *89 B@ # " 4 " "1 < D # " .G ' 3 +%)+ )#%(3 . *8 > I . * > I 09),%3 2 G G ; < % ' ) 3 " ) " " 1 ' < A )/" ' 3 2 " (* 8 =, ' 3 #$%&% (%&,%3 2 :' : ' : #$%&% :;/(3 2 :' C@ " ' 3 . *8 * ' ) 3 " / G ? 1. ' 3 & : ". (8 = I, ' 3 : "1 "
  • 29. % A & 8A , 8 8 ! 3 ! ! % @ (7 A @ $* " ) " 0 . " % ) " " / )G 3 #)7% '(7#,%( # , #)7% +%6-<#,% ( !) , %();35)83#),)8)( ) ,% ' 3 2 1 " ) :)F . 89 =9 # . ". ' 3 2/ ( = I J, ' 3 4 "1 " " ' ( ' , " ' : 0 " " M & C C aC X ( C ,3 A @ ;) " " 3 ; 9 " " 3 ; *9 J9 # . 0 " ) 3 ; 9 ' 3 F (**Q , & : ( = I, ' 3 #$%&) %0/&)3 ". $ 0 #$%&) +,-./0)3 E ' 3 . " " " ' % 0 )$ ' ' ' ' % E ' 6 3 : ' . B@ / #" "3 ; K 1 " # . 0 ' 3 & ; 1 " # . ". G ) : I 1 " ' 3 . 1" ' 3 ( K ], ' 3 ' : ' ' " . . : ". : ' ) C@ *1- " "3 ; 9 J9 0 ' 3 & ; > J ' 3 6 " A ) 0 ' 3 ( I J, ' 3 ' ' ) 0 " ". "1 ".F . " ".F " ( ; * > I # 8H= ) . " 0 A ) 0 , ".F " ( ; * >*H= . " 0 ,
  • 30. % A & 8A , 8 8 ! 3 ! ! % @ "9 D@ % &2 # + $ # &2 #," "3 I " # . ' 3 & # I ' ) 3 @ 0 ' 3 ' 3 0 " " ' E@ 2 # @ " ' 3 & ; > = " ' 3 6 ) : 89>J9 ' 3 C " I " ' 3 ( ' ) , G@ 2 # @ " ' 3 & ; ** > = ' 3 6 ) ) : I 1 " ' 3 ^Q **Q ' 3 . : 0 1 " ( ' : F , M C T C 6C & . A @ 9 " E +.#&=)0> 35#)03 "3 & ; *+ 8 ' 3 & ; * ] ' 3 ; ' 3 : ' ' E %(+)0 %&<% %&</9++#;%+3 )?3*)3 "3 & I I ' 3 2 " F 3+,%*%3 "3 & * I ' 3 & 8 K '()$3 "3 2 ' 3 & # . ". 0 ' 3 ; ' 3 %&7()*2% &#0)73()0? $ ' %&7()*2% #0)73()0? : ' "
  • 31. % A & 8A , 8 8 ! 3 ! ! % @ " E 03%,%+7)0> )73()03 3(8#,)03 "3 @ =9>K9 ' 3 & I K %(-,#,%3 "3 @ K 1 " ' 3 @ K " %;?)(3 "3 2 ' 3 & F:" A K 1 " ' 3 C " "0 ; ' 3 %&7()*2% &#0)73()0? ' %&7()*2% #0)73()0? : ' " B@ % @ 9 #+ #0 ," ? # 89 # . % " " # . " ; # . D % "3 & # . ' 3 & ; * 8 # . " ' 3 C " "0 ; ' 3 %&7()*2% &#0)73()0? C ' %&7()*2% #0)73()0? : ' C@ % " "3 6 ) # . ' 3 6 # . ) ' 3 " "0 ; 5 " " "0 ' 3 " " D@ 9 " "3 & ; # . ' 3 & ; # . ) ' 3 C " "0 ; ' 3 : '
  • 32. % A & 8A , 8 8 ! 3 ! ! % @ "( " A @ #- 3 " 3 . 0 " 3 . 0 " " !" ' 3 . 1" ' 3 : ( J K, ' 3 . ' . : " " ) :' : ' ' " ) :' : ' ; $ . ): ' ". B@ + * @ & # 3* ," "3 . b 0 ' 3 ) . 0 A ) 0 ' 3 . ' 3 . ( J K, ' 3 C ' " ' : ' . ): ' ' ". C@ " "3 . 0 ' 3 . 0 ' 3 2 ) .# " 1" ' 3 : ( J K, ' 3 C ' . ): ' ' ". D@ @ 9 " "3 ; 0 ' 3 2 ) ? ; ' 3 2 "# .# " 1" ' 3 ( J K, ' 3 C ' . ): ' ' ". : : ' ; $ . % E@ @ 9 " "3 ; 0 ' 3 2 ? ; ' 3 2 .# " 1" ' 3 ( J K, ' 3 : F . ' . ( # :" " =+_, : ' ): ' ". G@ 1 & # " "3 . ' 3 6 " 0 ) . () 0 ,
  • 33. % A & 8A , 8 8 ! 3 ! ! % @ "" ' 3 .# " 1" ' 3 . ( J K, ' 3 C ' " ): ' ' ". : : ' . ' . C C3 ) ' #" . 1" F ) 0 " " D0 . 1" " ' % E &C ? & 7 E 2C ? & 7 EC C E 6 & C " C S C C3 A @ !0& ! #" " 3 F 0 " 3 .# ' 3 . 0 ' 3 " A ( J K, ' 3 2 :' ' . ' ". " < " " . ' $ ' B@ & 1 #" "3 F 0 ' 3 & F ( 0 , ' ) 3 2 " *H= "# 1" ' 3 " A ( K , ' 3 2 :' ' . " &
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