Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2015-12-15T18:02:54Z No. of bitstreams: 1 SannyDeAquinoFerreira_DISSERT.pdf: 754174 bytes, checksum: 26d80c8178eea6f529b00980b855da0b (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2015-12-29T21:14:02Z (GMT) No. of bitstreams: 1 SannyDeAquinoFerreira_DISSERT.pdf: 754174 bytes, checksum: 26d80c8178eea6f529b00980b855da0b (MD5) / Made available in DSpace on 2015-12-29T21:14:02Z (GMT). No. of bitstreams: 1 SannyDeAquinoFerreira_DISSERT.pdf: 754174 bytes, checksum: 26d80c8178eea6f529b00980b855da0b (MD5) Previous issue date: 2013-03-26 / Introdu??o: O envelhecimento ? um processo natural onde est? presente o decl?nio dos sistemas corporais. Neste processo, a grande maioria dos idosos corre o risco de apresentar doen?as cr?nicas, dentre elas a doen?a arterial obstrutiva perif?rica (DAOP), aumentando a vulnerabilidade e risco de desfechos cl?nicos adversos como decl?nio funcional, quedas, hospitaliza??o, institucionaliza??o e morte. Sendo assim ? poss?vel que a DAOP constitua uma liga??o entre estilo de vida e desempenho funcional, mediando os fatores de riscos e doen?as que acometem os idosos. Objetivo: Investigar a Rela??o entre desempenho funcional e indicadores de Doen?a Arterial Obstrutiva Perif?rica em idosas. Metodologia: Estudo cl?nico observacional transversal, com 54 idosas, a partir dos 60 anos. Foram exclu?das participantes com altera??es cognitivas que interfiram na aplica??o dos testes avaliativos. Foi aplicado mini exame do estado mental (MEEM), Short Phisical Performance Battery (SPPB), medidas de ?ndice tornozelo-bra?o (ITB), Perfil de Atividade Humana (PAH), question?rio de Edimburgo, a fim de averiguar claudica??o intermitente (CI) e hellrisetest (teste de ponta de p?). A an?lise estat?stica foi realizada de forma descritiva com m?dia e desvio padr?o e freq??ncias absolutas e relativas. Foram ainda aplicados o teste de Student (t), ANOVA e correla??o de Pearson (r) para analisar ?s poss?veis intera??es entre os dados coletados, sendo considerado um p valor de 0,05 e intervalo de confian?a de 95%. Resultados: A m?dia de idade foi de 69,2 (?6,9) anos, do escore total da SPPB foi de 9,42 (?2,55) e do ITB de 1,04 (?0,14) cuja preval?ncia de DAOP foi de 16,3%. N?o houve diferen?as significativas entre o score total do SPPB e vari?veis independentes bem como para heelrisetest e o SPPB e seus componentes. Foi observada diferen?a significativa para a presen?a de artropatia e velocidade de marcha com (p=0,03), e o componente sentar e levantar da cadeira com a vari?vel dislipidemia (p=0,02). Na an?lise do ITB com SPPB e seus componentes, houve correla??o significativa com velocidade de marcha (r=-0,35; p=0,008) e do PAH com o SPPB, velocidade de marcha e teste de sentar e levantar (p=0,001). Conclus?o: Sugere-se que os primeiros indicativos de decl?nio do desempenho funcional em idosas, relacionados ? DAOP, s?o melhor expressos no componente velocidade de marcha do SPPB. / The presence of peripheral arterial disease (PAD) increases the risk and vulnerability to adverse clinical outcomes in the elderly. Like this, we investigated the relationship between functional performance and indicators of PAD in elderly women. METHODS: Cross-sectional study in which 54 elderly were assessed by questionnaire mini mental state examination, Short Phisical Performance Battery (SPPB), ankle-brachial index (ABI), human activity profile (HAP) and Edinburgh questionnaire. Statistical analysis was performed using ANOVA, t test and Pearson correlation. We considered p <0.05 as significance level. RESULTS: The mean age SPPB and ABI were 69.2 (? 6.9) years, SPPB 9.42 (? 2.55) and ABI 1.04 (? 0.14). The prevalence of PAD was 16.3%. There was a significant correlation between ABI and gait speed (r = 0.75, p = 0.001) and between PAH with SPPB (p = 0.001). CONCLUSIONS: It is suggested that the decline in functional performance in older, expressed in gait velocity component of the SPPB, is related to the presence of PAD

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-03T19:58:57Z No. of bitstreams: 1 IngridFonsecaDamascenoBezerra_DISSERT.pdf: 2250315 bytes, checksum: 6dc2e6670913c5840973b1eedab44fbe (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-07T22:28:55Z (GMT) No. of bitstreams: 1 IngridFonsecaDamascenoBezerra_DISSERT.pdf: 2250315 bytes, checksum: 6dc2e6670913c5840973b1eedab44fbe (MD5) / Made available in DSpace on 2016-03-07T22:28:55Z (GMT). No. of bitstreams: 1 IngridFonsecaDamascenoBezerra_DISSERT.pdf: 2250315 bytes, checksum: 6dc2e6670913c5840973b1eedab44fbe (MD5) Previous issue date: 2015-01-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / INTRODU??O: A sexualidade humana ? reconhecida como um dos pilares da qualidade de vida. Em mulheres, a fun??o sexual ? influenciada ao longo da vida por in?meros fatores que podem levar ao aparecimento de altera??es no ciclo da resposta sexual e, consequentemente, a qualidade de vida (QV). A gravidez constitui um per?odo de altera??es, deixando-as f?sica e mentalmente vulner?veis, o que pode influenciar a fun??o sexual e qualidade de vida durante a gesta??o. OBJETIVO: Investigar a rela??o entre fun??o sexual, presen?a de sintomatologia depressiva e qualidade de vida, em mulheres gr?vidas. METODOLOGIA: Participaram deste estudo 207 gestantes atendidas no exame pr?-natal da Maternidade Divino Amor, Parnamirim/RN e pelas participantes do Curso para Gestantes do Departamento de Fisioterapia da UFRN (campus central). Aplicou-se, inicialmente, um question?rio contendo quest?es sobre dados sociodemogr?ficos, ginecol?gicos e obst?tricos, bem como autoconhecimento corporal e sexual. A fun??o sexual foi avaliada atrav?s do ?ndice de Fun??o Sexual Feminino (Female Sexual Function Index - FSFI). Para avaliar a qualidade de vida, utilizou-se o ?ndice de Qualidade de Vida de Ferrans & Powers para gestantes. A presen?a de sintomatologia depressiva foi verificada por meio da aplica??o do Invent?rio de Depress?o de Beck. Foi realizado o teste de Shapiro-Wilk para normalidade das vari?veis, Teste de Mann-Whitney para a realiza??o das compara??es e Teste de Wilcoxon para comparar a frequ?ncia sexual mensal, antes e durante a gravidez. Regress?o Linear M?ltipla foi aplicada para verificar a rela??o entre fun??o sexual, sintomatologia depressiva e qualidade de vida. Utilizou-se a Correla??o de Spearman, para verificar correla??o entre as vari?veis. Foi adotado um valor de p< 0,05. RESULTADOS: A fun??o sexual e sintomatologia depressiva se relacionaram com a qualidade de vida (R2 =0,30; p<0,001). A depress?o apresentou uma moderada correla??o negativa com a qualidade de vida (0,53; p<0,001), enquanto a fun??o sexual mostrou uma baixa correla??o positiva com a qualidade de vida (0,22; p=0,001). O planejamento da gravidez, a escolaridade e renda mostraram influenciar os escores de depress?o. Em rela??o ? fun??o sexual, foi visto que, durante a gesta??o, houve uma xv diminui??o da frequ?ncia sexual mensal do casal (Z=-10,56; p<0,001). Dentre os dom?nios sexuais, apenas a dor, mostrou diferen?a estatisticamente significativa, quando comparada, entre o segundo e terceiro trimestre (Z=-1,91; p<0,05). A pontua??o da qualidade de vida de gestantes com disfun??o sexual foi significativamente inferior que as gestantes sem disfun??o (Z=-2,87; p=0,004). Conclus?o: A fun??o sexual e a presen?a de sintomatologia depressiva est?o relacionadas com a qualidade de vida de mulheres gr?vidas. / INTRODUCTION: Human sexuality is recognized as one of the pillars of quality of life. In women, sexual function is influenced throughout life by many factors that can lead to the appearance of changes in the cycle of sexual response, and hence the quality of life (QOL). Pregnancy is a period of change, leaving them physically and mentally vulnerable, which may affect sexual function and quality of life during pregnancy. OBJECTIVE: To investigate the relationship between sexual function, presence of depressive symptoms and quality of life in pregnant women. METHODS: The study included 207 pregnant women attending prenatal examination of the Maternity Divine Love, Parnamirim / RN and the participants of the Course for Pregnant Women of the Department of Physical Therapy at UFRN (central campus). Initially it was applied, a questionnaire containing questions about sociodemographic, gynecological and obstetric data, as well as body and sexual self-knowledge. Sexual function was assessed using the Sexual Function Index Female (Female Sexual Function Index - FSFI). To assess the quality of life, we used the Quality Index Ferrans Life & Powers mom. The presence of depressive symptoms was verified by applying the Beck Depression Inventory. The Shapiro-Wilk test for normality was carried variables, Mann-Whitney test for carrying out the comparisons and the Wilcoxon test for comparing the monthly sexual frequency before and during pregnancy. Multiple linear regression was used to verify the relationship between sexual function, depressive symptoms and quality of life. We used the Spearman correlation to check correlation between the variables. Ap value <0.05 was adopted. RESULTS: Sexual function and depressive symptoms were related quality of life (R2 = 0.30, p <0.001). Depression had a moderate negative correlation with quality of life (0.53; p <0.001), whereas sexual function showed a positive correlation with low quality of life (0.22; p = 0.001). The planning of pregnancy, education and income shown to influence depression scores. With respect to sexual function, it was seen that during pregnancy, a reduction in the monthly frequency of sexual partner (Z = -10.56; p <0.001). Among the sexual domain, just the pain, showed a statistically significant difference compared between the second and third quarter (Z = -1.91, p <0.05). The score of the quality of life of women with sexual dysfunction was xvii significantly lower than that pregnant women without dysfunction (Z = -2.87, p = 0.004). Conclusion: Sexual function and the presence of depressive symptoms are related to the quality of life of pregnant women.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-03T19:58:58Z No. of bitstreams: 1 LaianeSantosEufrasio_DISSERT.pdf: 1711392 bytes, checksum: 1f82f99942db4aa4bd9e5f6ccbd356e8 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-07T23:20:52Z (GMT) No. of bitstreams: 1 LaianeSantosEufrasio_DISSERT.pdf: 1711392 bytes, checksum: 1f82f99942db4aa4bd9e5f6ccbd356e8 (MD5) / Made available in DSpace on 2016-03-07T23:20:52Z (GMT). No. of bitstreams: 1 LaianeSantosEufrasio_DISSERT.pdf: 1711392 bytes, checksum: 1f82f99942db4aa4bd9e5f6ccbd356e8 (MD5) Previous issue date: 2015-01-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / INTRODU??O: O ciclo grav?dico-puerperal causa in?meras transforma??es na vida da mulher, sejam elas f?sicas, hormonais, emocionais ou sociais. Tais altera??es podem afetar o equil?brio postural e a qualidade de vida dessas mulheres na gravidez, podendo persistir no p?s-parto. OBJETIVO: Analisar altera??es no equil?brio postural e qualidade de vida em mulheres na gravidez e no p?s-parto. METODOLOGIA: Este estudo foi composto por 47 mulheres participantes do Curso para Gestantes do Departamento de Fisioterapia da UFRN, avaliadas durante o per?odo gestacional (2? ou 3? trimestre) e no per?odo de 1 a 8 meses do p?s-parto. Realizou-se avalia??o de todas as participantes quanto ao equil?brio postural, pelo Balance Master?, em cinco testes espec?ficos: (1)Modified Clinical Test of Sensory Interaction on Balance ? MCTSIB; (2)Rhythmic Weight Shift Test ? RWS, (3) Unilateral Stance ? US, (4) Sit to Stand ? STS, e (5) Walk Across ? WA. A qualidade de vida (QV) foi avaliada aplicando-se o ?ndice de qualidade de vida de Ferrans & Powers (IQVFP), tanto na gesta??o quanto no p?s-parto. Para an?lise estat?stica dos dados foi utilizado o software Statistical Package for Social Sciencies for Personal Computer- SPSS (vers?o 20.0), aplicando-se os testes de: ShapiroWilk para avaliar a normalidade dos dados; Qui-quadrado para analisar a frequ?ncia de altera??es de equil?brio postural nos dois grupos da gesta??o e nos dois grupos do p?s-parto; o teste de McNemar para analisar frequ?ncias de altera??o de equil?brio das amostras relacionadas nos dois momentos de avalia??o; para comparar o comportamento do equil?brio postural ao longo da gesta??o e p?s-parto, e para a compara??o da QV entre os per?odos, utilizouse o teste de Wilcoxon; e ainda, o teste de Mann-Whitney para comparar os escores da QV nos dois grupos da gesta??o e nos dois grupos do p?s-parto. Foi adotado um p-valor < 0,05. RESULTADOS: Comparando o equil?brio postural na gesta??o e p?s-parto, no teste MSTSIB houve diferen?a estat?stica em superf?cie inst?vel de olhos fechados (p=0,001), e no teste US, na velocidade de oscila??o com perna direita de olhos fechados (p=0,03). Na qualidade de vida, observou-se diferen?a estat?stica entre os escores apenas entre os grupos do p?s-parto, no dom?nio Fam?lia (p=0,03); e ao comparar gesta??o e p?s-parto nos dom?nios Sa?de e Funcionamento (p=0,02) e o Socioecon?mico (p=0,01). CONCLUS?ES: Observou-se que as altera??es de equil?brio presentes na gesta??o persistem no p?s-parto, e a qualidade de vida ? considerada boa pelas mulheres, tanto na gesta??o como no p?s-parto. / INTRODUCTION: The pregnancy and childbirth cause many changes in a woman's life, whether physical, hormonal, emotional or social. Such changes may affect the postural balance and the quality of life of women in pregnancy and may persist after delivery. To analyze changes in postural balance and quality of life in women in pregnancy and postpartum. METHODS: This study consisted of 47 women participants of the Course for Pregnant Women of the Department of Physical Therapy at UFRN, evaluated during pregnancy (2? or 3? trimester) and in the period 1-8 months postpartum. In all participants was evaluated the postural balance, the Balance Master? in five specific tests: (1) Modified Clinical Test of Sensory Interaction on Balance-MCTSIB; (2) Rhythmic Weight Shift Test - RWS (3) unilateral stance - US, (4) Sit to Stand - STS, and (5) Walk Across - WA. The quality of life (QoL) was assessed by applying the Quality Score of life Ferrans & Powers (IQVFP), both during pregnancy and in the postpartum period. For statistical analysis we used the Statistical Package for Social Sciences software for Personal Computer- SPSS (version 20.0), applying the tests: Shapiro-Wilk to assess the normality of the data; Chi-square to analyze the frequency of postural balance changes in the two groups of pregnancy and postpartum in both groups; McNemar test to analyze balance disorders frequency of related samples in the two time points; to compare the behavior of postural balance during pregnancy and postpartum, and to compare the QoL between the periods, we used the Wilcoxon test; and yet, the MannWhitney test to compare the QoL scores in the two groups of pregnancy and postpartum in both groups. We adopted p-value <0.05. RESULTS: Comparing the postural balance during pregnancy and postpartum in MSTSIB test has statistical difference in unstable surface with closed eyes (p=0.001) and in the US test, the speed of oscillation with right leg with eyes closed (p=0,03). Quality of life, there was statistical difference between the scores only among postpartum groups, the family domain (p=0.03); and to comparing pregnancy and postpartum in domain health and operation (p=0.02) and the Socioeconomic domain (p=0.01). CONCLUSIONS: It was observed that the balance changes present during pregnancy persist postpartum, and the quality of life is considered good by women, both during pregnancy and postpartum.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-10T20:33:58Z No. of bitstreams: 1 RafaelLimeiraCavalcanti_DISSERT.pdf: 4718183 bytes, checksum: 0aadd04ecab41e4f64628ed88c21940e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-17T19:43:11Z (GMT) No. of bitstreams: 1 RafaelLimeiraCavalcanti_DISSERT.pdf: 4718183 bytes, checksum: 0aadd04ecab41e4f64628ed88c21940e (MD5) / Made available in DSpace on 2016-03-17T19:43:11Z (GMT). No. of bitstreams: 1 RafaelLimeiraCavalcanti_DISSERT.pdf: 4718183 bytes, checksum: 0aadd04ecab41e4f64628ed88c21940e (MD5) Previous issue date: 2014-06-30 / O sistema circadiano possui proje??es neurais para o Sistema Nervoso Aut?nomo (SNA), interferindo diretamente na modula??o simp?tico-vagal do sistema cardiovascular. Perturba??es no sistema circadiano, como por exemplo as mudan?as de fase no ciclo claro-escuro (CE), tem sido relacionadas ao risco de surgimento de doen?as cardiovasculares, devido ao aumento do t?nus simp?tico card?aco e redu??o dos intervalos RR (iRR). Objetivo: Investigar a intera??o entre o Sistema de Temporiza??o Circadiano e o controle auton?mico card?aco de ratos. Materiais e m?todo: Foram utilizados 18 ratos Wistar (?; idade=139,9 ? 32,1 dias; peso=219,5 ? 16,2 g), alocados em tr?s grupos distintos: Controle (GC), Atraso de fase em 6h (GAT) e Avan?o de fase em 6h (GAV). Foram exclu?dos tr?s animais durante a coleta de dados (GC/GAT/GAV - n=5 cada).Tel?metros foram implantados cirurgicamente em cada animal, para aquisi??o cont?nua de sinais de eletrocardiograma - ECG (dura??o de 21 dias no GC e 28 dias no GAT/GAV). Foi estabelecido um ciclo CE 12h:12h, com in?cio do claro ?s 18:00h e in?cio do escuro ?s 06:00h. Os animais do GC permaneceram no mesmo ciclo durante todo o per?odo experimental, enquanto que, no 14? dia de registro, o GAT e o GAV foram submetidos a um atraso e um avan?o em 6h, respectivamente. Durante todo o per?odo experimental, registrou-se a Atividade Locomotora (AL), a m?dia da Frequ?ncia Card?aca (mFC) e as vari?veis relacionadas aos iRR [m?dia dos iRR (mRR), SDNN, RMSSD, BF, AF e raz?o BF/AF]. Todos os dados foram analisados em blocos de 3 e 7 dias, quanto a presen?a de ritmo circadiano, valores do Cosinor - mesor, amplitude e acrofase (teste t pareado), rela??o de fase, diferen?as entre claro e escuro (teste t independente), m?dias a cada 30 minutos ao longo de cada s?rie temporal (ANOVA two way com post hoc de Bonferroni). Os dados do bloco B1, M1 e M2 do GC serviram como valores de refer?ncia para as compara??es entre os blocos de an?lise do GAT/GAV. Resultados: Observou-se ritmicidade circadiana nas vari?veis de AL, mRR e mFC(p<0,01). Verificou-se rela??o de fase entre as vari?veis mRR/mFC e a AL nos tr?s grupos, sendo menos est?vel no GAV. No GC, n?o foram encontradas diferen?as significativas entre os blocos, em nenhuma das an?lises(p>0,05). Nos blocos de 7 dias dos grupos experimentais, verificou-se redu??o significativa de mRR(p=0,04) e mFC(p=0,03) no GAT, e de AF(p=0,02) no GAV; al?m disso, entre os blocos de 3 dias, observou-se um aumento significativo de BF/AF(p=0,04) no GAT, bem como das vari?veis mRR(p=0,03), SDNN(p=0,04), RMSSD(p=0,04), BF(p=0,01) e AF(p=0,02) no GAV. Constatou-se que as diferen?as entre as m?dias da mRR, mFC e AL nas fases de claro e escuro n?o foram significativas ap?s as mudan?as de fase em alguns dos blocos analisados nos grupos experimentais. N?o foram encontrados resultados significativos na compara??o das vari?veis r?tmicas a cada 30 minutos ao longo de toda a s?rie experimental, exceto pela diminui??o significativa de mRR no meio da fase do escuro em B2 e no in?cio da fase de claro em B3 (p<0,01). Conclus?o: os avan?os e atraso de fase (6h) alteraram o controle auton?mico card?aco nos grupos experimentais atrav?s da redu??o tempor?ria da VFC. Os avan?os de fase, aparentemente, tiveram maior influ?ncia negativa nesse processo, em rela??o aos atrasos de fase. / Introduction: The circadian system has neural projections for the Autonomic Nervous System (ANS), directly interfering with sympathetic-vagal modulation of the cardiovascular system. Disturbances in the circadian system, such as phase changes in light-dark cycle (LD), has been related to the risk of development of cardiovascular diseases due to increased sympathetic tone and reduction o Heart Rate Variability (HRV - RR intervals). Purpose: Investigate the interaction between Circadian Timing System and cardiac autonomic control in rats. Materials and methods: We used 18 Wistar rats (?, age = 139.9 ? 32.1 days, weight = 219.5 ? 16.2 g), divided into three distinct groups: Control (CG), phase delay of 6h (GDe) and phase advance of 6h (GAd). Three animals were excluded during data collection (CG/GDe/GAd - n=5). Telemeters were surgically implanted in each animal for continuous acquisition of electrocardiographic (ECG) signals (duration of 21 days in the CG and 28 days in GDe/ GAd). A LD cycle was established 12h: 12h, beginning of light at18:00h and dark at 06:00h. The animals remained in the same CG LD cycle throughout the experimental period, while, on the 14th day of registration, the GDe and GAd underwent a delay and an advance in 6h, respectively. Throughout the experimental period, the locomotor activity (LA), the mean heart rate (mHR) and variables related to iRR [mean RR (mRR), SDNN, RMSSD, LF, HF and LF/ HF ratio ] were recorded. All data were analyzed in blocks of 3 and 7 days, for the presence of circadian rhythm, values of Cosinor - mesor, amplitude and acrophase (paired t test), phase relationship, differences between light and dark (t test independent), averages every 30 minutes along each time series (two-way ANOVA with post hoc Bonferroni). The data block B1,M1 and M2 in CG served as benchmarks for comparisons between series of analysis of the GAT/GAV. Results: We observed circadian rhythmicity in the variables LA, mRR and mFC(p<0.01). mRR and mFC showed phase relationship with the LA in all three groups, being less stable in GAd. In the CG, no significant differences between blocks were found in any of the analyzes(p>0.05). Among the 7 day blocks, there was a significant reduction in mRR(p=0.04) and mFC(p=0.03) in GDe and significant reduction in HF mean(p=0.02) in GAd; and between 3 day blocks, a significant increase of LF/HF(p= 0.04) in the GDe; besides mRR(p=0.03), SDNN(p=0.04), RMSSD (p=0.04), LF (p=0.01) and HF(p=0.02) significant increase in the GAd. It was found that the differences between the means of the mRR, LA and mFC in light and dark phases were not significant after phase changes in some of the blocks/moments (GDe and GAd). No significant results were found when comparing rhythmic variables means every 30 minutes over the blocks, except for a significant decrease in mRR at the middle of the dark phase (B2) and the start of light phase (B3) - (p<0.01). Conclusion: phase advances and delays (6h) altered cardiac autonomic control in the experimental groups by temporarily HRV decrease. Phase advances apparently had greater negative interference in this process, in relation to the phase delays.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-15T22:11:58Z No. of bitstreams: 1 IngridGuerraAzevedo_DISSERT.pdf: 2031705 bytes, checksum: eb74d521336e77556d793f40b4e8a342 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-20T00:46:41Z (GMT) No. of bitstreams: 1 IngridGuerraAzevedo_DISSERT.pdf: 2031705 bytes, checksum: eb74d521336e77556d793f40b4e8a342 (MD5) / Made available in DSpace on 2016-04-20T00:46:41Z (GMT). No. of bitstreams: 1 IngridGuerraAzevedo_DISSERT.pdf: 2031705 bytes, checksum: eb74d521336e77556d793f40b4e8a342 (MD5) Previous issue date: 2014-10-21 / O objetivo deste estudo foi estabelecer um padr ? o de normaliza??o da eletromiografia de superf?cie para os m?sculos respirat?rios esternocleidom astoideo (ECOM), escaleno (ESC) e reto abdominal ( RA ) . M?todos : Foram avaliados sujeitos saud?veis em rela??o a dados antropom?tricos, espirometria e s EMG durante a execu??o de cinco manobras distintas : sniff teste, press?o inspirat?ria m?xima (PIm?x), press?o expirat?ria m?xima (PEm?x) e c ontra? ? o Volunt?ria M ? xima Isom?trica (CVMI) dos m?sculos RA , ECOM e ESC. Para coloca??o dos eletrodos, a pele foi preparada com abras?o, seg uida de tricotomia, nas seguintes regi?es para aquisi??o dos sinais de eletromiografia: (1) ECOM: ter?o inferior da dist?ncia entre o processo mastoide e a articula??o esternoclavicular; (2) ESC: 5 cm para a direita a partir da articula??o esternoclavicula r e, neste ponto, 2 cm para cima e (3 ) RA : ao n?vel da cicatriz umbilical, 4 cent?metros ? direita . Na an?lise das vari?veis eletromiogr?ficas, a normalidade dos dados foi avaliada pelo teste Shapiro - Wilk . Compara??es entre as manobras inspirat?rias estudadas foram realizadas por meio do teste de Friedman e para manobras expirat?rias, teste de Mann Whitney . Ao dividir a amostra entre homens e mulheres, foi aplicado o teste de Mann - Whitney e Teste t de student de acordo com a normalidade dos dados . Re sultados : 35 sujeitos aceitaram participar do estudo, mas 5 foram exclu?dos ( IMC>25 kg/m? ) . A amostra foi composta por 30 sujeitos (1 5 mulheres), idade m?dia 25,7 ? 6,42 anos , IMC 22,2 ? 1,73 kg/m? e ?ndices espirom?tricos dentro dos limites considerados normais. A CVMI para os m?sculos ECOM, ESC e RA foi a que apresentou maior valor de RMS . Conclus?o: A manobra de CVMI para ECOM, ESC e RA foi a que apresentou maiores valores de RMS . Quando comparamos a RMS das manobras estudadas entre os grupos, n?o houve diferen?a significativa entre eles. / Aim : To evaluate and to standardize surface electromyography (sEMG) normalization procedures for respiratory muscles by comparing muscle activation during Maximal Voluntary Isometric Contraction (MVIC) and Maximal Respiratory Pressures (MIP, MEP and sniff test). Methods: Healthy subjects were evalua ted regarding demographics, spirometry and sEMG during the five maneuvers: sniff test, MIP , MEP and Maximal Voluntary Isometric C ontraction (MVIC) of RA, SCM and SC A . For electrode placement, skin was prepared with abrasion, followed by shaving in the foll owing regions for acquisition of el ectromyographic signals: (1) SC M: lower third of the distance between the mastoid process and t he sternoclavicular joint; (2) SC A : 5 cm to the right from the sternoclavicular joint and at this point, up to 2 cm; and (3 ) RA: the level of umbilicus, 4 cm to the right. In electromyographic variables analysis , the data normality was assessed by Shapiro - Wilk test. Comparisons among studied maneuvers were performed by Friedman Test and Dunn?s post - hoc for multiple comparisons a mong inspiratory maneuvers, and Mann Whitney test for expiratory maneuvers. Subgroups differences between genders were performed by Student's t test or Mann - Whitney test according to data normality. Results: 35 subjects participated in the study, b ut 5 we re excluded (BMI> 25 kg/ m?). Sample consisted of 30 subjects (1 5 women), mean age 27.3?7.43 years, BMI 22.2 ? 1.69 kg/m? and spirometric indices within normal limits. Specific MVIC for SCM, SCA and RA showed the highest RMS. When we grouped sample into gender we found no difference among RMS values for the studied SCM maneuvers, while for SCA, MVIC SCM / SCA was the one with the highest RMS and for RA, MVIC RA in men. Once considering women, MVIC SCM/SCA showed the highest RMS for SCM, SCA and MVIC RA showed t he highest value for RA. Conclusion: MVIC for SCM, SCA and RA muscles showed the highest RMS values. When comparing RMS between the studied groups, there was no significant difference between men and women.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-26T19:45:45Z No. of bitstreams: 1 PriscillaRiqueFurtado_DISSERT.pdf: 1546748 bytes, checksum: a3509e4944fe4fbcd3d434243426a399 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-29T19:38:25Z (GMT) No. of bitstreams: 1 PriscillaRiqueFurtado_DISSERT.pdf: 1546748 bytes, checksum: a3509e4944fe4fbcd3d434243426a399 (MD5) / Made available in DSpace on 2016-04-29T19:38:25Z (GMT). No. of bitstreams: 1 PriscillaRiqueFurtado_DISSERT.pdf: 1546748 bytes, checksum: a3509e4944fe4fbcd3d434243426a399 (MD5) Previous issue date: 2015-03-20 / Introdu??o: A determina??o da qualidade de vida (QV) de crian?as asm?ticas ? importante, pois, a asma grave ou com sintomas mal controlados, pode impedir a participa??o em atividades esportivas, prejudica o sono e o rendimento escolar, o que contribui para uma qualidade de vida ruim9 . Objetivos: Avaliar a rela??o entre qualidade de vida, capacidade de exerc?cio, e qualidade de sono de crian?as asm?ticas. Materiais e m?todos: Trata-se de um estudo observacional do tipo anal?tico transversal. A dispneia e a fadiga de membros inferiores foi alvaliada atrav?s da Escala 10-point Borg category-ratio (CR10); a espirometria, utilizando um espir?metro port?til digital KOKO? (Longmont, Estados Unidos da Am?rica); a qualidade de sono e presen?a de dist?rbios do sono, utilizando a Escala de dist?rbio de sono para crian?as (EDSC); a capacidade funcional, pelo teste do degrau de 6 minutos (TD6); e a qualidade de vida pelo Question?rio sobre a Qualidade de Vida na Asma Pedi?trica (QQVAP). O aceler?metro Actilife GT3X foi usado para classifica??o do n?vel de atividade f?sica. Foi utilizado o SPSS 17, n?vel de signific?ncia de 5%, e o teste de Kolmogorov-Smirnov para normalidade de dados. A estat?stica descritiva se deu atrav?s de m?dias, desvio padr?o e porcentagem. Os testes ?t? e ANOVA oneway foram usados para an?lises comparativas da qualidade de vida. O coeficiente de correla??o de Pearson foi utilizado entre as vari?veis quantitativas e os escores do QQVAP. Foram realizadas an?lises de regress?o linear m?ltipla (m?todo backward) entre as vari?veis que se correlacionaram. Resultados: Participaram 45 crian?as asm?ticas de ambos os sexos (60% - masculino), de faixa et?ria entre 7-12 anos. Dentre elas, 51,1% tinham asma de intermitente ? leve, e 48,9% tinham asma moderada ? grave. Os dist?rbios observados foram: Dist?rbio respirat?rio de sono (n=20), Hiperhidrose do sono (n=12), e Dist?rbio de in?cio e manuten??o do sono (n=2). A amostra foi composta por 71,1% de crian?as sedent?rias ou com n?vel de atividade f?sica leve. A m?dia de TD6-T foi 175,9?32,9. As m?dias do QQVAP para o escore Total, e dom?nios: sintomas (S), limita??o de atividades (LA) e Fun??o emocional (FE), foram respectivamente, 5,5?1,2; 5,6?1,3; 4,9?1,4; 5,7?1,3. A gravidade da asma, a qualidade de sono, e ? dispneia sentida ap?s o TD6, explicaram 31% da varia??o do escore total do QQVAP, e 35,6% do dom?nio de sintomas. A dispneia ap?s o 60 minuto de TD6 explicou a 7,2% para o dom?nio LA, e a gravidade em conjunto com o sono, explicaram 16,2% para o escore FE. Conclus?o: Os achados do presente estudo sugerem que em crian?as asm?ticas, a qualidade de vida pode estar relacionada ? gravidade da asma, a qualidade de sono, e ? dispneia sentida ap?s exerc?cios f?sicos. / Introduction: The determination of the quality of life (QoL) of asthmatic children is important because, severe or poorly controlled asthma symptoms, may prevent participation in sports activities, impairs sleep and school performance, which contributes to worse quality of life. Objectives: To evaluate the relationship between quality of life, exercise capacity, and quality of asthmatic children sleep. Objectives: To avaluate the relationship between quality of life, exercise capacity and capacity of sleep of asthmatic children. Methods: This study is an observational cross sectional. Dyspnea and fatigue of the lower limbs were assessed by the 10-point Borg scale category-ratio (CR 10); spirometry, using a digital portable spirometer KOKO? (Longmont, United States of America); quality of sleep and presence of sleep disorders, using The Sleep Disturbance Scale for Children (SDSC); for functional capacity, the 6MST was used; and for quality of life, the Pediatric Asthma Quality of Life Questionnaire (PAQLQ). The accelerometer Actilife GT3X was used for physical activity level classification. We used the SPSS 17, assigning the significance level of 5%, and Kolmogorov-Smirnov test for normality of data. Descriptive statistics are given as mean, standard deviation and percentage. The "t" test and oneway ANOVA were used for comparative analysis of the quality of life. The Pearson correlation coefficient was used between quantitative variables and PAQLQ scores. Multiple linear regression analysis (backward method) between the variables that correlated were made. Results: were 45 asthmatic children of both sexes (60% - male), at age 7-12 years. Among them, 51.1% had asthma intermittently to light, and 48.9% had moderate to severe asthma. The following sleep disorders were observed: sleep-disordered breathing (n = 20), sleep hyperhydrosis (n = 12), and disorders of initiating and maintaining sleep (n = 2). The sample consisted of 71.1% of sedentary children or with low physical activity level. The 6MST-T average was 175.9 ? 32.9. QQVAP mean for the Total score and domains: symptoms, activity limitation (AL) and emocional function (EF) were, respectively, 5.5?1.2; 5.6?1.3; 4.9?1.4; 5.7?1.3. Asthma severity, sleep quality, and dyspnea felt after 6MST, explained 31% of the change in total score QQVAP, and 35.6% of domain symptoms. Dyspnea after 6 minutes of TD6, 7.2% for the AL field and gravity level in combination with sleep, to 16.2% explained EF score. Conclusion: The findings of this study suggest that in asthmatic children, the quality of life may be related to asthma severity, sleep quality, and dyspnea felt after exercise.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-05-10T22:51:39Z No. of bitstreams: 1 RenataRamosTomazBarbosa_DISSERT.pdf: 1654067 bytes, checksum: 84171faf67f65fa3d48a436cea43dcd4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-05-17T22:57:23Z (GMT) No. of bitstreams: 1 RenataRamosTomazBarbosa_DISSERT.pdf: 1654067 bytes, checksum: 84171faf67f65fa3d48a436cea43dcd4 (MD5) / Made available in DSpace on 2016-05-17T22:57:23Z (GMT). No. of bitstreams: 1 RenataRamosTomazBarbosa_DISSERT.pdf: 1654067 bytes, checksum: 84171faf67f65fa3d48a436cea43dcd4 (MD5) Previous issue date: 2014-12-22 / Pacientes asm?ticos apresentam maior tend?ncia a desenvolverem um padr?o respirat?rio bucal e este fator pode contribuir para a patog?nese da doen?a. A literatura fundamenta-se na hip?tese da via a?rea ?nica que se refere ? ?ntima rela??o entre vias as a?reas superiores e inferiores em decorr?ncia do revestimento mucoso similar. Objetivo: observar a influ?ncia da respira??o bucal e suas repercuss?es nos volumes e capacidades pulmonares, press?es respirat?rias m?ximas, capacidade funcional e qualidade de sono de crian?as asm?ticas. M?todos: A popula??o foi constitu?da por crian?as entre 7-11 anos, encaminhadas de centros de refer?ncia para tratamento da asma pedi?trica do munic?pio de Natal- RN e escolares saud?veis, vinculados a uma escola da rede p?blica do munic?pio de Natal-RN. Inicialmente, as crian?as foram submetidas a uma avalia??o de car?ter cl?nico para estabelecer ou n?o a sua inclus?o no referido estudo. Foram coletados dados acerca da hist?ria pregressa, hist?ria familiar, terapia medicamentosa e n?o-medicamentosa, al?m da avalia??o do peso e altura para o c?lculo do ?ndice de Massa Corporal (IMC). Todos os participantes do estudo foram submetidos ? exames de Espirometria, Manuvacuometria, Teste de Caminhada de Seis Minutos (TC6M) e avalia??o da qualidade do sono atrav?s da Escala de Dist?rbios do Sono em Crian?as (EDSC). Os participantes do estudo foram submetidos ? avalia??o fonoaudiol?gica e otorrinolaringol?gica e subdivididas em 3 grupos: crian?as asm?ticas respiradores bucais (n=19), crian?as asm?ticas respiradores nasais (n=17) , e grupo controle, formado pelos escolares saud?veis (n=15).Resultados: os grupos foram homog?nios em rela??o ? sexo, idade, altura, peso e IMC. N?o foram observadas diferen?as na gravidade da asma (p=0,20) e os n?veis de controle da doen?a (p=0,70) entre os grupos estudados. As crian?as asm?ticas de ambos os grupos apresentaram maior frequ?ncia de sinais cl?nicos de dispneia ? grandes esfor?os (p<0,05), quando comparadas ?s crian?as saud?veis As crian?as do grupo ARN apresentaram maior grau obstrutivo, avaliado pelo ?ndice de tifeneau (VEF1?CVF), quando comparadas ? crian?as saud?veis e ARO (p=0,02). N?o houve diferen?a em rela??o ? capacidade funcional entre os grupos do estudo (p>0,05), embora as crian?as dos tr?s grupos tenham apresentado melhor desempenho funcional no segundo TC6? realizado (p< 0,01). Em rela??o ? avalia??o dos dist?rbios do sono, observou-se que as crian?as do grupo ARO apresentam preju?zos na qualidade do sono relacionados ? dist?rbios de in?cio e manuten??o do sono (p?0,05), dist?rbios respirat?rios do sono (p ?0,01), sonol?ncia excessiva diurna (p?0,05) e escore total (?0,01), quando comparadas ?s crian?as saud?veis e do grupo ARN. Conclus?o: O presente estudo revelou que o padr?o respirat?rio oral contribui para altera??es de fun??o pulmonar e desenvolvimento de dist?rbios do sono na asma pedi?trica. / Introduction: Mouth breathing is common in children with asthma and may cause structural changes which lead to a higher number of acute exacerbations. This study had the aim to analyze if mouth breathing causes damages in quality of sleep, lung functional and functional capacity of children with asthma comparing with healthy children. Methods: The sample consisted of children with asthma and healthy children aged 7-11 years old. All children underwent spirometry, anthropometric measurements and quality of sleep assessment. Children with asthma were divided into two groups: mouth breathing (19 children) and nasal breathing (17 children). A third group consisted of 15 healthy schoolchildren. Results: There were no differences regarding gender, age, height, weight and body mass index among groups. It was not found difference regarding asthma severity (P = 0.20) and different levels of asthma control (P = 0.70). Children with asthma from both groups had a higher occurrence of clinical signs of dyspnea upon exertion (P<0.001) when compared to healthy children. Children from the mouth breathing group showed worse quality of sleep related to disorders of initiating and maintaining sleep (P ? 0.05), sleep breathing disorder (P ? 0.01), excessive somnolence (P ? 0.05) and total score (P ? 0.01) when compared to the nasal breathing and the healthy children groups. Conclusion: Data from this study suggest that mouth breathing leads to repercussions on the development of sleep disorders in children with asthma.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-10T19:25:51Z No. of bitstreams: 1 CaioAlanoDeAlmeidaLins_TESE.pdf: 1424556 bytes, checksum: 198a373cf3368c013c9c897e05d23b65 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-13T20:51:28Z (GMT) No. of bitstreams: 1 CaioAlanoDeAlmeidaLins_TESE.pdf: 1424556 bytes, checksum: 198a373cf3368c013c9c897e05d23b65 (MD5) / Made available in DSpace on 2016-06-13T20:51:28Z (GMT). No. of bitstreams: 1 CaioAlanoDeAlmeidaLins_TESE.pdf: 1424556 bytes, checksum: 198a373cf3368c013c9c897e05d23b65 (MD5) Previous issue date: 2015-12-15 / Introdu??o: o Kinesio Taping (KT) vem sendo utilizado em pessoas saud?veis para aumentar o desempenho neuromuscular, entretanto s?o raros os estudos que avaliaram os seus efeitos tardios, apesar destes serem sugeridos. Objetivo: analisar o efeito tardio do KT no desempenho neuromuscular do quadr?ceps femoral, na oscila??o do centro de press?o e na fun??o do membro inferior de mulheres saud?veis. Materiais e m?todos: ensaio cl?nico, randomizado e cego, composto por 60 mulheres (idade m?dia de 21,9 ? 3,3 anos e IMC 22,3 ? 2,2 Kg/m2) submetidas ? avalia??o da oscila??o do centro de press?o atrav?s da baropodometria, da fun??o do membro inferior por meio do salto, do desempenho isocin?tico do joelho, da atividade eletromiogr?fica do vasto lateral (VL) e do senso de posi??o articular do joelho (SPA). Em seguida foram aleatoriamente distribu?das em tr?s grupos de vinte: controle ? n?o aplicou o KT; placebo - aplica??o do KT sem tens?o no quadr?ceps femoral; Kinesio Taping - aplica??o do KT com tens?o, no mesmo grupo muscular. As avalia??es foram realizadas em cinco momentos: antes da aplica??o do KT, imediatamente, 24h, 48h ap?s aplica??o e 24 horas ap?s a sua retirada (72h). Utilizou-se o SPSS 20.0, para a an?lise. O teste K-S foi utilizado para verificar a normalidade dos dados, o de Levene para homogeneidade das vari?ncias e ANOVA de modelo misto 3x5 para verificar diferen?as intra e intergrupo. Resultados: n?o houve diferen?a no pico de torque, na pot?ncia e nem na atividade eletromiogr?fica ou no SPA (p>0,05) entre os grupos. J? na velocidade de deslocamento do centro de press?o houve uma redu??o imediatamente ap?s a aplica??o no grupo Kinesio Taping (p<0,001), mas sem diferen?as entre os grupos (p=0,28). Houve uma redu??o no tempo do pico de torque nos tr?s grupos, nas avalia??es ap?s a aplica??o do KT (p<0,001) e um aumento no salto ?nico em todos os grupos (p<0,001), mas sem diferen?as entre eles. Conclus?o: O KT n?o ? capaz de alterar de maneira imediata, nem tardia a fun??o do membro inferior, a oscila??o do centro de press?o, o desempenho isocin?tico, o SPA do joelho e a atividade eletromiogr?fica do m?sculo VL, em mulheres saud?veis. / Introduction: Kinesio Taping (KT) has been used in healthy people to improve neuromuscular performance, however, few studies have evaluated its chronic effects, despite being suggested. Objective: To analyze the chronic effects of KT on neuromuscular performance of the quadriceps, the oscillation of the center of pressure and lower limb function in healthy women. Methods: blinded, randomized, controlled trial, composed of 60 women (mean age 21.9 ? 3.3 years and BMI 22.3 ? 2.2 kg / m2) submitted to the evaluation of oscillation of the center of pressure through the baropodometry, the lower limb function by the hop test, isokinetic knee performance, the electromyographic activity of the vastus lateralis (VL) and joint position sense of the knee (JPS). Then, participants were randomly divided into three groups of twenty: control - did not apply the KT; placebo - application of KT without tension on the quadriceps; Kinesio Taping - application of KT with tension in the same muscle group. The evaluations were conducted in five moments: prior to application of KT, immediately after the application, 24h, 48h after application and 24 hours after its removal (72h). SPSS 20.0 was used for statistical analysis. The KS test was used to verify the data normality, the Levene test for homogeneity of variances and a mixed-model ANOVA 3x5 to check intra and inter-group differences. Results: there was no difference in peak torque, the power, nor the electromyographic activity or SPA (p> 0.05) between groups. The displacement speed of center of pressure reduced immediately after the application on kinesio taping group (p <0.001), but with no differences between the groups (p = 0.28). There was a reduction in the time of peak torque among the three groups in the evaluations after KT application (p <0.001) and an increase in single hop in all groups (p <0.001), but with no differences between them. Conclusion: KT can not change, in a chronic way, the lower limb function, the oscillation of the center of pressure, the isokinetic performance, the JPS of the knee and the electromyographic activity of VL muscle in healthy women.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-15T00:26:28Z No. of bitstreams: 1 LarissaRamalhoDantasVarella_DISSERT.pdf: 1496447 bytes, checksum: c1f5334b98e1624c6e60c07fcccffa3e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-20T17:37:01Z (GMT) No. of bitstreams: 1 LarissaRamalhoDantasVarella_DISSERT.pdf: 1496447 bytes, checksum: c1f5334b98e1624c6e60c07fcccffa3e (MD5) / Made available in DSpace on 2016-06-20T17:37:01Z (GMT). No. of bitstreams: 1 LarissaRamalhoDantasVarella_DISSERT.pdf: 1496447 bytes, checksum: c1f5334b98e1624c6e60c07fcccffa3e (MD5) Previous issue date: 2015-11-10 / A p?s-menopausa caracteriza-se por altera??es hormonais e org?nicas decorrentes da fal?ncia ovariana, destacando-se as altera??es na musculatura do assoalho p?lvico (MAP). Tem-se na literatura atual que, em mulheres jovens, fatores gineco-obst?tricos e h?bitos de vida influenciam nessa perda de fun??o, no entanto, ainda h? incertezas sobre a influ?ncia dessas vari?veis no funcionamento da MAP de mulheres na p?s-menopausa. Assim, o presente estudo visou avaliar se h? influ?ncia da paridade, tipo de parto e n?vel de atividade f?sica sobre a MAP em mulheres na p?s-menopausa. Objetivou-se ainda comparar a for?a da MAP em mulheres na p?s-menopausa submetidas a parto normal e ces?rea, com diferentes n?veis de atividade f?sica, e com menopausa artificial e natural nas fases inicial e tardia, al?m de correlacionar o teste de for?a muscular e perineometria e analisar a confiabilidade inter-examinador da perineometria. Atrav?s de um estudo observacional, anal?tico e transversal foram estudadas 100 mulheres no per?odo da p?s-menopausa, com idades entre 45 e 65 anos, divididas, de acordo com o estado menopausal, em tr?s grupos: histerectomizadas, p?s-menopausa inicial e tardia. As pacientes foram questionadas sobre fatores sociodemogr?ficos e hist?ria gineco-obst?trica. Todas as volunt?rias foram submetidas ao exame f?sico, no qual foi mensurado o peso e altura para c?lculo do ?ndice de massa corporal e a circunfer?ncia cintura. A avalia??o do assoalho p?lvico foi realizada investigando a for?a e a press?o da MAP por meio do teste de for?a muscular e da perineometria. Para an?lise dos resultados foram utilizados a estat?stica descritiva, os testes de compara??o como ANOVA e a regress?o m?ltipla, al?m do teste Kolmogorov-Smirnov aplicado para testar a normalidade das vari?veis. Nos resultados, observou-se que em rela??o ?s caracter?sticas sociodemogr?ficas e antropom?tricas na amostra final (n = 85). Sendo observado que a maioria das mulheres nos tr?s grupos eram casadas (p=0.51) e cat?licas (p=0.13). A renda per capta variou de R$ 585,47 ? 466,67 a R$1.271,83 ? 1.748,97, sendo sem signific?ncia a diferen?a entre os grupos (p=0.05). O G>6apresentou uma m?dia de idade de 58,95 ?3,96 significativamente maior que o G<6 (53,21? 3,88) (p=0.000). Quanto as caracter?sticas antropom?tricas, n?o houve diferen?a entre os grupos em rela??o ao peso (p=0.32), altura (p=0.72), IMC (p=0.34) e circunfer?ncia de cintura (p=0.33). Obteve-se que o tipo de parto, paridade e n?vel de atividade f?sica n?o apresentaram influ?ncia sobre a fun??o da musculatura do assoalho p?lvico nas mulheres estudadas (p= 0.794). N?o foram vistas diferen?as na fun??o da MAP de mulheres submetidas a partos normais, cesarianos e normais + cesarianos (TFM p= 0.897; perineometria p = 0.502), de mulheres com 1 parto, 2-3 partos ou 4 partos ou mais (TFM p=0.28; perineometria p=0.13), e entre aquelas com diferentes n?veis de atividade f?sica (TFM p= 0.663; perineometria p=0.741) Acredita-se que o decl?nio da fun??o muscular em mulheres na p?s-menopausa esteja relacionado, fundamentalmente, ao processo de envelhecimento feminino. / The post-menopause stage is characterized by hormonal and organic alterations of ovarian failure. One of the most important of these is muscles alterations of the pelvic floor (MPF). According to current literature, in young women gynecological and obstetric factors, as well as lifestyles and habits influence that loss of function. However, there is still uncertainty about the influence of those variables in the MPF functions in post-menopause women. Thus, this study aimed at seeing if there is an influence from number of births, the type of birth and the level of physical activity on the MPF of post-menopause women. Another objective of this study was to compare MPF force in women who had had vaginal births with those who had been subjected to cesarean sections, those with different levels of physical activity and those with artificial and natural menopause in the initial and latter stages. Furthermore, the test of muscular force was compared to perineometry. Using observational, analytical and transversal observations, 100 women in the post-menopausal stage of life, between the ages of 45 and 65, were examined. They were divided according to the menopausal stage into three groups: women who had undergone hysterectomies, those in the initial stages of postmenopause and those in the late stage of postmenpause. The patients were questioned about social, demographic, gynecological and obstetric factors. All the volunteers were submitted to a physical examination where their height and weight were measured to arrive at the corporal mass index and their waist measurements were taken. The evaluation of the pelvic floor was conducted with muscular force tests and perineometry. These results were analyzed with statistical description and ANOVA statistical tests, multiple regression and Kolmogorov-Smirnov evaluations. The results showed homogeneity with regard to social demographic and anthropometric characteristics among the women in the final test sample (n=85). It was also seen that most of the women in all three groups were married (p=0.51) and catholic (p=0.13). The average per capital income varied between $R585.47 (+/-466.67) and $R1,271.83 (+/-1,748.95), with no significant difference between the groups (p=0.05). The G>6 group presented an average age between 58.95 (+/-3.96) which was significantly greater that the G<6 group?s average age (53.21+/- 3.88) (p=0.000). There was no difference between the groups? anthropometric characteristics of weight (p=0.32), height (p=0.72) and corporal mass index (p=0.34), nor in the waist measurements (p=0.33). Furthermore, no significant difference was noted in the MPF function of women who had had normal births, cesarean sections or a combination of the two (TFM p=0.897; perineum measurement p=0.502). Likewise, no differences were seen in the MPF function of women who had one, two to three or four or more births (TFM p=0.28, perineum measurement p=0.13). Finally, no difference was perceived among those with different levels of physical activity (TFM p=0.663; perineum measurement p=0.741). Therefore, we found that the type of delivery, number of births and physical activity had no influence on the muscular function of the pelvic floor among the women studied. It is believed that decline in muscular function in post-menopause women is fundamentally related to the process of aging.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-21T19:51:39Z No. of bitstreams: 1 AlineBragaGalvaoSilveiraFernandes_TESE.pdf: 1956224 bytes, checksum: 5247764d5dfb4d4603de592feb4ac79d (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-23T17:04:38Z (GMT) No. of bitstreams: 1 AlineBragaGalvaoSilveiraFernandes_TESE.pdf: 1956224 bytes, checksum: 5247764d5dfb4d4603de592feb4ac79d (MD5) / Made available in DSpace on 2016-06-23T17:04:38Z (GMT). No. of bitstreams: 1 AlineBragaGalvaoSilveiraFernandes_TESE.pdf: 1956224 bytes, checksum: 5247764d5dfb4d4603de592feb4ac79d (MD5) Previous issue date: 2015-12-21 / O AVC ? a principal causa de incapacidade a longo prazo entre os adultos e a aprendizagem motora ? primordial na reabilita??o das sequelas motoras. O objetivo do estudo foi avaliar a atividade eletroencefalogr?fica de pacientes com AVC na aprendizagem motora de um jogo baseado em realidade virtual. Participaram do estudo 10 pacientes com AVC cr?nico, destros, idade m?dia de 50,4 anos (? 8,12) sendo 5 com les?o cerebral esquerda (PE) e 5 com les?o ? direita (PD). Os participantes foram avaliados quanto ? atividade eletroencefalogr?fica (EEG) e ao desempenho na realiza??o de 15 repeti??es do jogo de dardos no XBOX Kinect e tamb?m por meio do NIHSS, MEEM, Fugl-Meyer e da escala de Ashworth modificada. Os pacientes foram submetidos a 12 sess?es de treino (fase de aquisi??o) em 4 semanas, cada qual com 45 repeti??es do jogo de dardos virtual. Ap?s o treino, os pacientes foram submetidos ? reavalia??o da atividade do EEG e do desempenho no jogo de dardos virtual (fase de reten??o). Foi utilizada a ANOVA de medidas repetidas para compara??o entre os grupos. De acordo com os resultados, houve diferen?a entre os grupos quanto ?s bandas de frequ?ncia ?Low Alfa? (p=0,0001), ?High Alfa? (p=0,0001) e Beta (p=0,0001). Verificou-se um aumento das pot?ncias de ativa??o de Alfa e diminui??o de Beta do grupo PD na fase de reten??o. No grupo PE, foi observado o aumento da pot?ncia de ativa??o de Alfa, por?m sem diminui??o da ativa??o de Beta. O grupo PD aumentou a ativa??o cerebral no hemisf?rio esquerdo com a pr?tica nas ?reas frontais. No entanto, o grupo PE apresentou maior ativa??o do hemisf?rio direito nas ?reas fronto-central, temporal e parietal. Quanto ao desempenho, foi observada uma diminui??o do erro absoluto no jogo para o grupo PD entre a fase de aquisi??o e reten??o (p=0,0001), por?m essa diferen?a n?o foi observada para o grupo PE (p=0,111). Conclui-se ent?o que os pacientes com les?o cerebral direita se beneficiaram mais do treino em ambientes virtuais no que diz respeito ao processo de aprendizagem motora, diminuindo o esfor?o neural e os erros com a pr?tica de uma tarefa. Em contrapartida, pacientes com les?o no hemisf?rio esquerdo parecem utilizar um maior esfor?o neural e ativa??o de ?reas contralesionais, sem melhoras do desempenho com a pr?tica de 12 sess?es. / Stroke is the leading cause of long-term disability among adults and motor relearning is essential in motor sequelae recovery. Therefore, various techniques have been proposed to achieve this end, among them Virtual Reality. The aim of the study was to evaluate electroencephalographic activity of stroke patients in motor learning of a virtual reality-based game. The study included 10 patients with chronic stroke, right-hande; 5 with left brain injury (LP), mean age 48.8 years (? 4.76) and 5 with injury to the right (RP), mean age 52 years (? 10.93). Participants were evaluated for electroencephalographic (EEG) activity and performance while performing 15 repetitions of darts game in XBOX Kinect and also through the NIHSS, MMSE, Fugl-Meyer and the modified Ashworth scale. Patients underwent a trainning with 45 repetitions of virtual darts game, 12 sessions in four weeks. After training, patients underwent reassessment of EEG activity and performance in virtual game of darts (retention). Data were analyzed using ANOVA for repeated measures. According to the results, there were differences between the groups (PD and PE) in frequencies Low Alpha (p = 0.0001), High Alpha (p = 0.0001) and Beta (p = 0.0001). There was an increase in alpha activation powers and a decrease in beta in the phase retention of RP group. In LP group was observed increased alpha activation potency, but without decrease in beta activation. Considering the asymmetry score, RP group increased brain activation in the left hemisphere with the practice in the frontal areas, however, LP group had increased activation of the right hemisphere in fronto-central areas, temporal and parietal. As for performance, it was observed a decrease in absolute error in the game for RP group between assessment and retention (p = 0.015), but this difference was not observed for LP group (p = 0.135). It follows then that the right brain injury patients benefited more from darts game training in the virtual environment with respect to the motor learning process, reducing neural effort in ipsilesionais areas and errors with the practice of the task. In contrast, patients with lesions in left hemisphere decrease neural effort in contralesionais areas important for motor learning and showed no performance improvements with practice of 12 sessions of virtual dart game. Thus, the RV can be used in rehabilitation of stroke patients upper limb, but the laterality of the injury should be considered in programming the motor learning protocol.