Drives Neurais - Parte 2
Autor: Prof. Marcus Lima | Publicado: 2016-11-01T07:19:00-03:00


Para os que ainda não leram a primeira parte: Drives Neurais Parte 1.

&nbsp; 

Aos que quiserem receber o pdf do artigo original, podem acessá-lo nessa landing page: Artigo Drives Neurais.



O Instituto Fortius também tem um Workshop do Gustavo Mesquita falando sobre os Drives Neurais, aqui vai o link para poderem assistir à primeira parte free: Workshop Fortius Drives Neurais. &nbsp; 


Boa leitura aos amigos.





O que são Drives Neurais?&nbsp;
- Parte 2 -



Gustavo Mesquita e
Marcus Lima





Vimos na primeira parte as definições dos termos e uma noção geral do significado da expressão "Drives Neurais Motores" e uma ideia aproximada da teoria dos drives. Vejamos agora alguns exemplos de alguns drives neurais motores (existem MUITOS outros mais além dos descritos neste pequeno artigo).






PRINCIPAIS DRIVES




Drive da Respiração:&nbsp;





A respiração pode ser considerada como o “1º Drive
Neural Motor”, afinal já iniciamos a vida respirando. Ela tem, obviamente, uma
grande influência sobre tudo que fazemos, afinal algo que realizamos de 5 a 30
mil vezes por dia não pode ser ignorado.




A
respiração está sob controle inconsciente, mas também, em um certo grau, temos
o controle consciente dela, de certa forma, uma ponte entre o consciente – inconsciente.











A respiração pode nos tirar do “Domínio Simpático”,
onde estamos na clássica situação de “Luta ou Fuga” ao nos depararmos com
alguma situação estressante e/ou perigosa. 



Modificar a forma como respiramos produz uma
alteração do estado mental, portanto, através do trabalho com o drive da
respiração podemos reeditar informações que influenciam o Sistema Nervoso
Central. 



Vejamos com algum detalhe uma maneira pela qual o
drive da respiração, quando bem trabalhado, pode influenciar a alteração de
tônus do sistema nervoso autônomo (tirando
do estado de dominância simpática: Luta ou Fuga; para um estado de dominância
parassimpática: Relaxamento).








O nervo vago é o 10º nervo craniano, ele envia
fibras parassimpáticas para quase todos os grandes órgãos, exceto as glândulas
adrenais, descendo até os 2/3 proximais do cólon.



Suas
funções envolvem:







→ Diminuir a frequência cardíaca e pressão arterial.








→ Movimento peristáltico do estômago.








→ Transpiração.








→ Estimula a produção de células que reparam órgãos e
transmite informações das vísceras para o cérebro.







O nervo vago também inerva a região crural do
diafragma, portanto o correto funcionamento do drive da respiração (utilização eficiente do diafragma) está
associado com a ativação do nervo vago, que por sua vez tem todas essas
ligações com o funcionamento visceral.






“Estimular o nervo vago é uma maneira de aumentar o
tônus do sistema nervoso parassimpático – Isso pode ser feito através do Drive
da Respiração”







O Drive da Respiração influencia todos os outros drives






Drive Motor Escrito:



Os programas motores são criados no cerebelo, no
centro de controle motor. Muitas tentativas, bem e malsucedidas, são realizadas
antes do cérebro selecionar o programa mais bem-sucedido e armazená-lo como uma
rotina no centro de controle motor para uso futuro.&nbsp;&nbsp;





O
drive motor escrito, portanto, tem relação com a criação de novos engramas
motores, desde aprender a caminhar até o aprendizado
de habilidades esportivas complexas.&nbsp;







No filme Matrix vemos vários exemplos de Drives Motores Escritos que eram carregados instantaneamente para os personagens. Na cena abaixo, o personagem Neo, interpretado por 
Keanu Reeves, senta na cadeira e em 5 segundos aprende Jiu-Jitsu, ou 
seja, o Drive Motor Escrito da luta de jiu-jitsu, que pela via normal levaria anos para ser aprendido, é transferido instantaneamente para o sistema nervoso central de Neo pelo personagem Tank.





Ou quando a 
personagem Trinity precisa pilotar um helicóptero para uma fuga, ela 
liga para Tank que imediatamente transfere o Drive Motor Escrito de como
 pilotar helicópteros para seu sistema nervoso central em questão de 
segundos.







Em geral 
leva-se muito tempo até que um drive motor escrito seja construído, 
especialmente para um aprendizado complexo de tornar-se um faixa preta 
de jiu-jitsu ou pilotar um helicóptero. Mas será possível um dia 
chegarmos perto do nível do filme? Aprendermos habilidades complexas em 
pouco tempo?



Já existem tentativas nesse sentido, um estudo, publicado na Frontiers in Human Neuroscience, usou protocolos de neuroestimulação para melhorar a habilidade de pilotos de avião iniciantes no desempenho em um simulador de voo (vídeo explicando os procedimentos abaixo, em inglês). 



&nbsp;&nbsp; 

Ao fim do 
processo, o grupo que recebeu a eletroestimulação demonstrou melhoras 
quando comparados ao grupo controle. Ainda estamos longe de Neo e 
Trinity de Matrix, mas no futuro, quem sabe...






Aprendizado é a
palavra-chave deste drive, devemos ensinar aos indivíduos um novo funcionamento
organizado.





&nbsp; 



Drive de Músculos Sinérgicos:



A Teoria
dos Sistemas Dinâmicos afirma que:







“Movimentos são executados em sistemas ou
padrões, ao invés de músculos individuais"






(OBS: Na verdade a Teoria dos Sistemas Dinâmicos é bem mais complexa, os que quiserem se aprofundar no assunto podem conferir as referências ao final do texto).






Dessa forma, podemos descrever este drive como
sendo de conexões neurais entre músculos que compartilham uma mesma função
dentro da cadeia cinética. Então, podemos imaginar que existem MUITOS drives de
músculos sinérgicos dentro dessa cadeia, numa intrincada organização que
auxilia o funcionamento de nossos padrões de movimento (Na figura ao lado vemos os músculos que compartilham a função de
estabilização segmentar da coluna: Em especial Transverso do Abdome e Multífidos).



Shirley Sahrmann, tem um conceito interessante
chamado: Caminho de Menor Resistência (Ela foi, ao que saibamos, quem introduziu
este conceito ao movimento, porém, ele é antigo e aplicável a muitas áreas de
nossas vidas).




&nbsp;“O cérebro é como a água,
sempre vai seguir o caminho de menor resistência”





&nbsp;





O
que em poucas palavras significa que quando existem padrões de movimento
disfuncionais, o cérebro escolhe o caminho alternativo mais fácil para executar
determinada tarefa. Acontece que como o programa motor (padrão disfuncional) está armazenado e reforçado (pelo uso) este tornou-se o Caminho de
Menor Resistência&nbsp;







Se um ou
mais músculos de um drive que controla determinado movimento articular estiver
com um funcionamento anormal, aquele determinado movimento articular terá
problemas, se este determinado movimento articular está com problemas, o
restante da cadeia cinética também será afetado.



Isso
encaixa em um outro conceito chamado de Interdependência
Regional: O bom ou mau funcionamento de uma parte afeta o todo.



Exemplo:







Se os
isquiotibiais estão com problemas de funcionamento (hipertônicos/rígidos ou
inibidos/ativação insuficiente) eles podem tornar-se resistentes ao movimento (Drive de Músculos Sinérgicos da Extensão do Quadril: Isquiotibiais
e Glúteo máximo). Portanto, se há insuficiência na extensão do quadril, um
movimento compensatório precisa ocorrer e possivelmente ocorrerá na coluna
lombar (caminho de menor resistência).
A lombar agora está sujeita a um movimento além da conta, maiores forças
impostas à articulação e às estruturas ao redor. Isso irá afetar toda cadeia
cinética (interdependência regional).


&nbsp;





OBSERVAÇÕES
IMPORTANTES: 




→ Ao
invés de cada músculo participar de somente um drive, um músculo individual participa de múltiplas sinergias (múltiplos drives) e que podem estar
sendo acionadas ao mesmo tempo. O padrão de ativação vai depender da tarefa,
das condições do ambiente e de múltiplos fatores (Jiang et. al 2007;
Ting e MacPherson 2005; D’Avella et. al 2006; Saltiel et. al 2001).&nbsp; &nbsp;







→ Dentro de um drive de músculos sinérgicos, sempre Um Deles será ativado primeiro, o
chamado “START UP” (aquele que
liga), os outros músculos virão depois. O foco no resgate do bom funcionamento de um determinado drive, que foi identificado como chave para resolver uma queixa de nossos clientes/pacientes/atletas, é neste músculo chamado de “start
up”.


Ex: Na estabilização segmentar da
coluna, o transverso abdominal é o “start
up”, aquele que é ativado primeiro. Como se fosse o capitão de uma equipe
liderando seus companheiros ao entrar em campo.&nbsp;

Se existe um problema em que a estabilização segmentar da coluna é identificada como fator chave (envolvendo ou não dor lombar), o foco inicial deveria ser no correto funcionamento do transverso do abdome.










Exemplos de Drives de Músculos
Sinérgicos:






Masseter,
Temporal e pterigóideos contralaterais: Mastigação.


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A evolução humana nos dá uma pista de que
estes músculos estão interligados formando um drive, especialmente MASSETER e TEMPORAL. Hominídeos primitivos,
como os Australopitecos (Falando nos australopitecus em geral, pois existem várias
espécies deles), precisavam passar o dia inteiro mastigando,
pois se alimentavam de alimentos duros e fibrosos. Para tanto, precisavam, além
de molares grandes, de músculos mastigatórios grandes e fortes. Sobre o assunto,
vejamos um trecho do ótimo livro do Dr. Daniel E. Lieberman, “A História do
Corpo Humano”.





“Como não é de surpreender, os crânios
de australopitecos como os da figura 6 apresentam muitos indícios de ter possuído
grandes músculos mastigatórios, capazes de gerar muita força de mordida. O temporal,
o músculo em forma de leque ao longo do lado da cabeça, era tão grande em
muitos australopitecos que cristas ósseas cresciam nas partes de cima e de trás
do crânio para lhe dar mais espaço para se inserir. Além disso, o feixe desse músculo,
que corre entre as têmporas e o zigoma para se inserir no maxilar, era tão
grosso que os arcos zigomáticos dos australopitecos eram deslocados para o
lado, tornando suas faces tão largas quanto altas. Os grandes zigomas dos
australopitecos também forneciam muito espaço para a vasta expansão de outro
importante músculo mastigatório, o masseter, que corre do zigoma até a base do
maxilar. Além de serem grandes, os músculos mastigatórios dos australopitecos
eram também configurados para gerar força de maneira eficiente”.





A figura acima mostra as cristas que serviam de pontos de inserção para o temporal e o masseter do Australopitecus Boisei (que viveu de cerca de 2 até 1 milhão de anos atrás), aumentando a força de alavanca destes músculos, e desta forma, aumentando a eficiência do torque mastigatório a ser gerado. Estima-se que o Au. Boisei conseguia gerar uma força de mordida de cerca de 2,5 vezes a que somos capazes de gerar. (À direita na figura, os músculos temporal e masseter do Homo Sapiens). Portanto, estes 2 músculos estão intimamente ligados, formando um drive, como nos mostra a evolução de nossa espécie.




&nbsp;&nbsp;&nbsp; 


Trapézio
superior, inferior e serrátil anterior: Rotação
da escápula.&nbsp;










Glúteo médio, mínimo e tensor da fáscia lata: Controle
da pelve/quadril nos
planos frontal e
transverso.






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AVALIAÇÃO DO DRIVE DA RESPIRAÇÃO



O padrão respiratório ideal pode ser
representado como um cilindro. (imagem abaixo), a pressão intra-abdominal gerada por uma respiração
eficiente é fundamental para a estabilização sagital do tronco (além dos outros benefícios da respiração
citados anteriormente). &nbsp;


&nbsp;
Essa pressão intra-abdominal é gerada por uma coordenação
eficiente entre o diafragma, diafragma pélvico (assoalho pélvico), músculos abdominais e paravertebrais. É a
respiração eficiente que desencadeia, portanto, a estabilidade reflexa do
tronco – esse é um conceito do DNS: Dynamic Neuromuscular Stabilization (Conceito global proposto pelo checo Pavel
Kolar, que usa os princípios neurofisiológicos da maturação do sistema
locomotor para: Avaliação – Tratamento – Exercício).&nbsp;









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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="52"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="52"
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  <w:LsdException Locked="false" Priority="46"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="46"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="52"
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  <w:LsdException Locked="false" Priority="46"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="52"
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->



Podemos utilizar uma avaliação bem simples,
inspirada no DNS, a fim de verificar se existe um movimento eficiente do
diafragma.



<!--[if gte mso 9]>
 
  
 
<![endif]--><!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->



Apesar de poder ser realizado em diversas posições, mostramos o teste sendo feito deitado em posição supinada:&nbsp;





→ Deitado (com
as pernas com ou sem suporte), sentado ou até mesmo em pé. Podemos avaliar
mais de uma posição, o que é interessante para notarmos se existe alguma
diferença no padrão respiratório em diferentes posições de avaliação.



<!--[if gte mso 9]>
 
  
 
<![endif]--><!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->



→ Palpar para verificar se existe movimento anterior
do abdome na inspiração.



<!--[if gte mso 9]>
 
  
 
<![endif]--><!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="51"
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->



→ Palpar para verificar se existe movimento lateral
do tórax na inspiração.



<!--[if gte mso 9]>
 
  
 
<![endif]--><!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
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  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 5"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="52"
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  <w:LsdException Locked="false" Priority="46"
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  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 6"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 6"/>
 
<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->



→ Palpar para verificar se existe movimento posterior
(na região lombar) na inspiração.



<!--[if gte mso 9]>
 
  
 
<![endif]--><!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
 <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
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  LatentStyleCount="371">
  
  
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  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
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  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
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  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
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  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
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  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" Priority="1" SemiHidden="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text Indent"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Message Header"/>
  
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Salutation"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Top of Form"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Address"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Code"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Keyboard"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Preformatted"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Typewriter"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Variable"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" Priority="34" QFormat="true"
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  <w:LsdException Locked="false" Priority="30" QFormat="true"
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  <w:LsdException Locked="false" Priority="37" SemiHidden="true"
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  <w:LsdException Locked="false" Priority="46"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="46"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 3"/>
  <w:LsdException Locked="false" Priority="46"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 4"/>
  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 5"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 5"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 5"/>
  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 6"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 6"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 6"/>
 
<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->



→ Verificar se existe movimento inferior do gradil
costal na expiração.



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<![endif]--><!--[if gte mso 10]>

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 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
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<![endif]-->



→ Durante
as palpações verificar se a ativação é simétrica.







 

 

RESGATE DO DRIVE DA RESPIRAÇÃO







A primeira estratégia corretiva (a ser integrada em diferentes contextos,
dependente do problema que se apresenta e do escopo da prática de cada um)
deveria ser centrada na retomada de um padrão respiratório eficiente.



<!--[if gte mso 9]>
 
  
 
<![endif]--><!--[if gte mso 9]>
 
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->





“Se a respiração não está normal – nenhum movimento pode estar normal” –
Karel Lewit



 


Uma
maneira simples de se ensinar como respirar de maneira eficiente, e por
consequência iniciar o trabalho de estabilização do tronco, já que vimos que a
função Respiratória ↔ Estabilizadora
do diafragma não pode ser dissociada, é com o Exercício de Respiração 90/90:

<!--[if gte mso 9]>
 
  
 
<![endif]-->
<!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->





→ Deitado na posição 90/90 (90º de flexão no joelho e quadril, daí o nome 90/90). Iniciar com
um suporte para as pernas (bola suíça,
banco, steps, etc.).

<!--[if gte mso 9]>
 
  
 
<![endif]-->
<!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" Priority="51"
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  <w:LsdException Locked="false" Priority="52"
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->



→ A instrução verbal é para que respire normalmente e
de maneira relaxada.

<!--[if gte mso 9]>
 
  
 
<![endif]-->
<!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->→ Você
pode pressionar a área que deseja estimular (para
que funcione adequadamente) dando a instrução verbal ao indivíduo: “empurre
minha mão para fora” ou “empurre meus dedos para fora” (se for utilizar a ponta
dos dedos). Na figura logo acima, vemos que o próprio indivíduo está empurrando as mãos contra a lateral do tronco.

<!--[if gte mso 9]>
 
  
 
<![endif]--><!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number 5"/>
  
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Closing"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Signature"/>
  <w:LsdException Locked="false" Priority="1" SemiHidden="true"
   UnhideWhenUsed="true" Name="Default Paragraph Font"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text Indent"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue 5"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Message Header"/>
  
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Salutation"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Date"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text First Indent"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text First Indent 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Note Heading"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text Indent 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text Indent 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Block Text"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Hyperlink"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="FollowedHyperlink"/>
  
  
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Document Map"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Plain Text"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="E-mail Signature"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Top of Form"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Bottom of Form"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Normal (Web)"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Acronym"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Address"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Cite"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Code"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Definition"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Keyboard"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Preformatted"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Sample"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Typewriter"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="HTML Variable"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Normal Table"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="annotation subject"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="No List"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Outline List 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Outline List 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Outline List 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Simple 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Simple 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Simple 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Classic 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Classic 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Classic 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Classic 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Colorful 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Colorful 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Colorful 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Columns 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Columns 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Columns 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Columns 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Columns 5"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Grid 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Grid 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Grid 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Grid 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Grid 5"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Grid 6"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Grid 7"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Grid 8"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table List 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table List 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table List 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table List 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table List 5"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table List 6"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table List 7"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table List 8"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table 3D effects 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table 3D effects 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table 3D effects 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Contemporary"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Elegant"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Professional"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Subtle 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Subtle 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Web 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Web 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Web 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Balloon Text"/>
  
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Table Theme"/>
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  <w:LsdException Locked="false" Priority="34" QFormat="true"
   Name="List Paragraph"/>
  
  <w:LsdException Locked="false" Priority="30" QFormat="true"
   Name="Intense Quote"/>
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  <w:LsdException Locked="false" Priority="19" QFormat="true"
   Name="Subtle Emphasis"/>
  <w:LsdException Locked="false" Priority="21" QFormat="true"
   Name="Intense Emphasis"/>
  <w:LsdException Locked="false" Priority="31" QFormat="true"
   Name="Subtle Reference"/>
  <w:LsdException Locked="false" Priority="32" QFormat="true"
   Name="Intense Reference"/>
  
  <w:LsdException Locked="false" Priority="37" SemiHidden="true"
   UnhideWhenUsed="true" Name="Bibliography"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
  
  
  
  
  
  
  
  
  
  
  
  
  
  <w:LsdException Locked="false" Priority="46"
   Name="Grid Table 1 Light Accent 1"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="Grid Table 6 Colorful Accent 1"/>
  <w:LsdException Locked="false" Priority="52"
   Name="Grid Table 7 Colorful Accent 1"/>
  <w:LsdException Locked="false" Priority="46"
   Name="Grid Table 1 Light Accent 2"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="Grid Table 6 Colorful Accent 2"/>
  <w:LsdException Locked="false" Priority="52"
   Name="Grid Table 7 Colorful Accent 2"/>
  <w:LsdException Locked="false" Priority="46"
   Name="Grid Table 1 Light Accent 3"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="Grid Table 6 Colorful Accent 3"/>
  <w:LsdException Locked="false" Priority="52"
   Name="Grid Table 7 Colorful Accent 3"/>
  <w:LsdException Locked="false" Priority="46"
   Name="Grid Table 1 Light Accent 4"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="Grid Table 6 Colorful Accent 4"/>
  <w:LsdException Locked="false" Priority="52"
   Name="Grid Table 7 Colorful Accent 4"/>
  <w:LsdException Locked="false" Priority="46"
   Name="Grid Table 1 Light Accent 5"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="Grid Table 6 Colorful Accent 5"/>
  <w:LsdException Locked="false" Priority="52"
   Name="Grid Table 7 Colorful Accent 5"/>
  <w:LsdException Locked="false" Priority="46"
   Name="Grid Table 1 Light Accent 6"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="Grid Table 6 Colorful Accent 6"/>
  <w:LsdException Locked="false" Priority="52"
   Name="Grid Table 7 Colorful Accent 6"/>
  
  
  
  
  
  
  
  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 1"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 1"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 1"/>
  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 2"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 2"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 2"/>
  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 3"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 3"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 3"/>
  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 4"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 4"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 4"/>
  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 5"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 5"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 5"/>
  <w:LsdException Locked="false" Priority="46"
   Name="List Table 1 Light Accent 6"/>
  
  
  
  
  <w:LsdException Locked="false" Priority="51"
   Name="List Table 6 Colorful Accent 6"/>
  <w:LsdException Locked="false" Priority="52"
   Name="List Table 7 Colorful Accent 6"/>
 
<![endif]--><!--[if gte mso 10]>

 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:8.0pt;
 mso-para-margin-left:0cm;
 line-height:107%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri",sans-serif;
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-fareast-language:EN-US;}

<![endif]-->



A partir dessa instrução (“empurre meus dedos para fora”), podemos ir por etapas:

<!--[if gte mso 9]>
 
  
 
<![endif]-->


<!--[if gte mso 9]>
 
  Normal
  0
  
  
  21
  
  
  false
  false
  false
  
  PT-BR
  X-NONE
  X-NONE
  
   
   
   
   
   
   
   
   
   
  
  
   
   
   
   
   
   
   
   
   
   
   
  
<![endif]--><!--[if gte mso 9]>
 <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
  DefSemiHidden="false" DefQFormat="false" DefPriority="99"
  LatentStyleCount="371">
  
  
  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="heading 2"/>
  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="heading 3"/>
  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
  <w:LsdException Locked="false" Priority="9" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 1"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 5"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 6"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 7"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 8"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index 9"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 1"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 2"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 3"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 4"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 5"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 6"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 7"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 8"/>
  <w:LsdException Locked="false" Priority="39" SemiHidden="true"
   UnhideWhenUsed="true" Name="toc 9"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Normal Indent"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="footnote text"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="annotation text"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="header"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="footer"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="index heading"/>
  <w:LsdException Locked="false" Priority="35" SemiHidden="true"
   UnhideWhenUsed="true" QFormat="true" Name="caption"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="table of figures"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="envelope address"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="envelope return"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="footnote reference"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="annotation reference"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="line number"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="page number"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="endnote reference"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="endnote text"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="table of authorities"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="macro"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="toa heading"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Bullet"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List 5"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Bullet 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Bullet 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Bullet 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Bullet 5"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Number 5"/>
  
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Closing"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Signature"/>
  <w:LsdException Locked="false" Priority="1" SemiHidden="true"
   UnhideWhenUsed="true" Name="Default Paragraph Font"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="Body Text Indent"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue 2"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue 3"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
   Name="List Continue 4"/>
  <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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Fizemos
a analogia da cavidade abdominal como um cilindro, onde o ar deve se distribuir
simultaneamente para todos os pontos desse cilindro (imagem à esquerda). Se é assim que deve ser, vamos passo a passo
estimulado as partes desse cilindro, sempre nos certificando que o indivíduo
compreende e consegue ir automatizando o processo.



&nbsp; 


CONCLUSÃO


Logicamente
o trabalho não para por aí e nem a real compreensão deste amplo conceito se
esgota em um pequeno artigo. Aqui procuramos dar um entendimento geral da
teoria dos drives neurais motores, com exemplos que pudessem facilitar a
compreensão além de sugerirmos uma maneira de avaliar e “reiniciar” o primeiro
e mais importante dos drives neurais motores: A Respiração.









Falamos no texto que o cérebro compreenderá os
exercícios que prescrevemos como: 0 ou 1. Sendo ZERO atividades entendidas como
naturais (ou funcionais) que serão
baseadas no nosso desenvolvimento motor (e
para isso devemos compreender a cinesiologia desenvolvimental) e UM
atividades aprendidas (drive motor
escrito) que devem vir num segundo momento. Essa cuidadosa manipulação de exercícios compreendidos como 0 e 1 aumentam nossas chances de
sucesso. 


Como dissemos no início esse é um conhecimento
em construção, a estrada é longa e temos muito caminho ainda a percorrer...







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