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.