Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-14T22:27:54Z No. of bitstreams: 1 AdaCristinaJacomeSarmentoSilva_DISSERT.pdf: 2090978 bytes, checksum: 2438c00f5a7ca049f27847f09a1110a6 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-16T19:05:21Z (GMT) No. of bitstreams: 1 AdaCristinaJacomeSarmentoSilva_DISSERT.pdf: 2090978 bytes, checksum: 2438c00f5a7ca049f27847f09a1110a6 (MD5) / Made available in DSpace on 2017-03-16T19:05:21Z (GMT). No. of bitstreams: 1 AdaCristinaJacomeSarmentoSilva_DISSERT.pdf: 2090978 bytes, checksum: 2438c00f5a7ca049f27847f09a1110a6 (MD5) Previous issue date: 2016-02-26 / Introdu??o: Pacientes asm?ticos apresentam maior tend?ncia a desenvolverem um padr?o respirat?rio predominantemente bucal, e a altera??o do padr?o respirat?rio pela s?ndrome do respirador bucal (SRB) implica em necessidades posturais adaptativas. Objetivo: O prop?sito do presente estudo foi verificar a rela??o entre a fun??o pulmonar e os ?ngulos posturais da coluna cervical e cintura escapular de crian?as asm?ticas respiradores bucais. M?todo: Trata-se de um estudo transversal de car?ter anal?tico, conduzido de acordo com as recomenda??es do STROBE. Foram avaliadas 31 crian?as asm?ticas respiradores bucais com idade compreendida entre 7 e 12 anos. A avalia??o fisioterap?utica constituiu de coleta de dados antropom?tricos, espirometria e para captura dos pontos anat?micos demarcados foi utilizado o Sistema de An?lise do Movimento Qualisys Motion Capture Systems. O Software para Avalia??o Postural (SAPo) foi utilizado para fazer a medida dos ?ngulos posturais da coluna cervical e cintura escapular. Os dados foram analisados atrav?s do software SPSS vers?o 17.0 e n?vel de signific?ncia de 5%. A normalidade de distribui??o dos dados foi testada com o teste de Kolmogorov-Smirnov (KS). A ANOVA one way seguida do Post Hoc Tukey foram utilizados para verificar diferen?as nas angula??es posturais e vari?veis espirom?tricas, nos grupos et?rios entre 7-8; 9-10 e 11-12 anos. O teste de correla??o de Pearson foi realizado para verificar a correla??o entre as vari?veis espirom?tricas (vari?veis dependentes), com as vari?veis independentes: altura, peso e as angula??es posturais. A an?lise de regress?o linear m?ltipla foi realizada para identificar as vari?veis preditoras da fun??o pulmonar de crian?as asm?ticas com padr?o de respira??o bucal. Resultados: As vari?veis protrus?o de ombro esquerdo, capacidade vital for?ada (CVF), volume expirat?rio for?ado no primeiro segundo (VEF1) e pico de fluxo expiat?rio (PFE) apresentaram diferen?as significativas entre os grupos et?rios: 7-8 e 11-12 anos e 9-10 e 11-12 anos. Os modelos de regress?o linear m?ltipla identificaram que: 1) as vari?veis altura, alinhamento de acr?mio direito, alinhamento de acr?mio esquerdo s?o preditores da CVF nas faixas et?rias de 7-8 anos; 2) as vari?veis alinhamento do acr?mio direito, alinhamento do acr?mio esquerdo, protrus?o de ombro direito, protrus?o de ombro esquerdo foram preditores da CVF na faixa-et?ria entre 9-10 anos; 3) alinhamento de acr?mio esquerdo, protrus?o ombro direito e protrus?o ombro esquerdo s?o preditores do VEF1 na faixa et?ria de 9-10 anos; 4) a altura, o alinhamento do acr?mio direito, o alinhamento do acr?mio esquerdo e protrus?o de ombro esquerdo s?o preditores do PFE na faixa et?ria de 9-10 anos. Conclus?o: A protrus?o de ombro esquerdo, CVF, VEF1, fluxo expirat?rio for?ado entre 25% e 75% da CVF (FEF25-75) e PFE podem ser influenciadas pela idade. O peso, altura e ?ngulos posturais cervicais e de cintura escapular s?o preditores da fun??o pulmonar de crian?as asm?ticas respiradores bucais com idade entre 7 e 10 anos. / Introduction: Patients with asthma are more likely to develop a predominantly mouth breathing pattern and a change in the breathing pattern by the mouth breathing syndrome (MBS) implies in postural adjustments. Objective: The purpose of this study was to evaluate the correlation between lung function and postural angles of mouth breathing asthmatic children. Method: This is a crosssectional study of analytical character, conducted in accordance with the STROBE recommendations. 31 mouth breathing asthmatic children aged between 7 and 12 years were evaluated. A speech therapist evaluation was performed which consisted of: Glatzel mirror test; predominantly mouth breathing confirmation during the last six months, and at least one of the following findings: skeletal crossbite, high palate, anterior open bite, shortened upper lip and lower everted and lack of lip seal. The diagnostic confirmation of oral breathing pattern was verified by otoscopy, rhinoscopy, oropharyngoscopy and fibronasopharyngolaryngoscopy. The physical therapy evaluation consisted of anthropometric data, spirometry and assessment of postural pattern by the Qualisys Motion Movement Analysis System Capture Systems. Data were analyzed using SPSS software version 17.0 with a significance level of 5%. The normality distribution of the data was tested with the Kolmogorov-Smirnov (KS) test. The one-way ANOVA followed by Tukey's Post Hoc were used to assess differences in postural angles and spirometric variables in the age groups between 7-8; 9-10 and 11-12 years. Multiple linear regression analysis was performed to identify predictors of lung function of asthmatic children with mouth breathing pattern. Results: The variables left shoulder protrusion, FVC, FEV1 and PEF showed significant differences between the age groups: 7-8 and 11-12 years and 9-10 and 11-12 years. The multiple linear regression models found that: 1) the time variable height, right acromion alignment and left acromion alignment are predictors of FVC in the age groups of 7-8 years; 2) the variable right alignment of the acromion, left alignment acromion, right shoulder protrusion, left shoulder protrusion FVC were predictors in the age group between 9-10 years; 3) Left alignment acromion, right shoulder and left shoulder protrusion are FEV1 predictors aged 9-10 years; 4) the height, right alignment of the acromion, the left alignment of the acromion and left shoulder protrusion are predictors of PFE in the age group of 9-10 years. Conclusion: The left shoulder protrusion, FVC, FEV1, FEF25-75% and PEF may be influenced by age. The weight, height, and the cervical and the shoulder girdle posture angles are predictors of lung function of mouth breathing asthmatic children aged 7 and 10 years.