ALEXANDRA CANONICA

PROFESSOR at FMU/ESTACIO DE SÁ

Brazil · SAO PAULOJoined August 2020

Summary

Physiotherapist graduated from FMRP-USP (2007). She has a residency in Physiotherapy in Orthopedics at IOT-HCFMUSP (2008) and latu-sensu specializes in Physiology and Biomechanics of the Locomotor System: Rehabilitation and Training by the same institution (2013). She also has a specialization in Multiprofessional Orthopedics from Hospital Israelita Albert Einstein (2018) and a master's degree in Health Sciences from FMUSP (2018). She is currently a PhD student at FMUSP, Pilates instructor and physiotherapist in Orthopedics and Traumatology in private home care, professor of postgraduate courses and internship tutor at PUC-SP. He has experience in research in the field of Biomechanics of Movement, with an emphasis on Functional Assessment, working mainly on the following themes: postural balance and drivers of automotive vehicles.

Work Experience (2)

PROFESSOR

FMU/ESTACIO DE SÁ

August 2019 - Present

SAO PAULO

INTERNSHIP SUPERVISOR

PUC/SP

February 2020 - Present

SAO PAULO

Academic Studies (2)

phd

University of Sao Paulo

January 2018 - January 2021

Traumatology

Develop thesis on factors related to traffic accidents

master's degree

University of Sao Paulo

January 2015 - January 2017

Neurology

Developed dissertation on adaptation of the elderly in a vehicle driving simulator

Research areas of interest (3)

  • Applications for Health
  • Neurology, Brain Research
  • Physiotherapy, Orthopaedic Technology

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Positive changes in femoral nerve morphometry in older rats following aerobic training

BEGA, ARMANDO ; BOCALINI, DANILO SALES ; ALONSO, ANGÉLICA CASTILHO ; CANONICA, ALEXANDRA CAROLINA ; MAIFRINO, LAURA BEATRIZ MESIANO ; GAMA, ELIANE FLORENCIO ; DE SOUZA, ROMEU RODRIGUES et al
The objective of the present study was to analyze alterations of the femoral nerve of aged rats subjected to aerobic training. Wistar rats (12-mo of age) were divided in to two groups: S group (sedentary) and T group (trained). The exercise protocol were 16 weeks long. The groups were sacrificed at 16 months. Ultrafine sections of the femoral nerve have been used. There was no change in the body weight between the groups. T group showed a significant increase in myelinated fiber area, axon diameter, myelin sheath thickness and myelin fiber number compared with sedentary controls. In exercised trained animals, histograms of the frequency distribution of myelinated axons according to their areas showed increased number of medium and large fibers in relation to small fibers, which decreased in number. Aerobic training animals, showed the distribution of myelinated fiber population according to their area being bimodal, with the distribution shifted to the right, indicating increased fiber area. The T group showed a percent damage of large myelinated fibers significantly lower compared to controls. No significant difference was observed between the groups for the g-ratio. The T group also showed a significant increase in the number of microtubules and neurofilaments in myelinated fibers, which was not observed in S group. In conclusion, aerobic training improves nerve structure without evidence of nerve damage and produces an attenuation on the modifications in femoral nerve that develop in old age.

The effects of motor adaptation on ankle isokinetic assessments in older drivers

ALONSO, AC ; BRECH, GC ; ERMANDES, RC ; RODRIGUES, D ; AYAMA, S ; CANONICA, AC ; LUNA, NM ; SANTOS, SS ; MOCHIZUKI, L ; PETERSON, M ; GARCEZ-LEME, LE ; GREVE, JM .
Objectives: This study sought to analyze the extent of motor adaptation in ankle plantar flexors and dorsiflexors among older drivers during clinical isokinetic testing.

Methods: One hundred older adults (70.4±5.7 years) participated in two bilateral ankle plantar flexor and dorsiflexor isokinetic assessments at 30°/sec. Peak torque (PTQ), PTQ adjusted for body weight (PTQ/BW), and total work (TW) were analyzed.

Results: On the dominant side, PTQ/BW and TW were significantly greater for the second plantar flexion test than were those for the first such test (p<0.001), whereas PTQ, PTQ/BW, and TW (p<0.001) were significantly greater for the second dorsiflexion test than were those for the first such test. On the non-dominant side, plantar flexion PTQ and TW were significantly lower for the second test than were those for the first test (p<0.001).

Conclusion: Older drivers demonstrated better performance with the dominant limb on the second test. The low variability in test execution showed the existence of a motor adaptation effect for the tested movements, despite the short recovery period between the assessments.

Relation between the Sensory and Anthropometric Variables in the Quiet Standing Postural Control: Is the Inverted Pendulum Important for the Static Balance Control?

Alonso AC, Mochizuki L, Silva Luna NM, Ayama S, Canonica AC, Greve JM.
The aim of this study was to evaluate the relation between the sensory and anthropometric variables in the quiet standing.

Methods: One hundred individuals (50 men, 50 women; 20-40 years old) participated in this study. For all participants, the body composition (fat tissue, lean mass, bone mineral content, and bone mineral density) and body mass, height, trunk-head length, lower limb length, and upper limb length were measured. The center of pressure was measured during the quiet standing posture, the eyes opened and closed with a force platform. Correlation and regression analysis were run to analyze the relation among body composition, anthropometric data, and postural sway.

Results: The correlation analysis showed low relation between postural sway and anthropometric variables. The multiple linear regression analyses showed that the height explained 12% of the mediolateral displacement and 11% of the center of pressure area. The length of the trunk head explained 6% of displacement in the anteroposterior postural sway. During eyes closed condition, the support basis and height explained 18% of mediolateral postural sway.

Conclusion: The postural control depends on body composition and dimension. This relation is mediated by the sensory information. The height was the anthropometric variable that most influenced the postural sway.

Pressure pain threshold in the craniocervical muscles of women with episodic and chronic migraine: a controlled study

Grossi DB, Chaves TC, Gonçalves MC, Moreira VC, Canonica AC, Florencio LL, Bordini CA, Speciali JG, Bigal ME.
Objective: To estimate the pressure pain threshold (PPT) of the craniocervical muscles in women with episodic migraine (EM) n=15 and chronic migraine (CM) n=14, and in healthy volunteers (C) n=15.

Method: A blinded examiner obtained the PPT bilaterally, by pressure algometry, for the following muscles: frontalis, temporalis, masseter, trapezius and sternocleidomastoid. ANOVA (p<0.05) was used for statistical purposes.

Results: Contrasted to controls, individuals with EM had significantly decreased PPT values for frontal muscle (EM: 2.01±0.67 vs. C: 2.85±0.71), posterior temporalis bilaterally (right and left, respectively) (EM: 2.72±0.89 vs. C: 3.36±0.72 and EM: 2.60±1.00 vs. C: 3.35±0.85), upper trapezius bilaterally (EM: 2.69±1.00 vs. C: 3.49±0.83 and EM: 2.54±0.93 vs. C: 3.32±0.97) and women with CM: on frontal muscle bilaterally (CM: 2.16±0.52 vs. C: 2.79±0.71 and CM: 2.01±0.67 vs. C: 2.85±0.71) and upper trapezius (CM: 2.66±0.84 vs. C: 3.32±0.97), however, it was not verified differences between PPT values between EM and CM groups.

Conclusion: PPT is decreased in women with migraine relative to controls. Future studies should explore this parameter as a biological marker of the disease and a predictor of treatment.

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