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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19981 |
| Date | 19 January 2015 |
| Creators | Eufr?sio, Laiane Santos |
| Contributors | 35887044420, http://lattes.cnpq.br/2081849934383112, Micussi, Maria Thereza Albuquerque Barbosa Cabral, 04566613445, http://lattes.cnpq.br/2360845979410206, Garboggini, Patr?cia Virg?nia Silva Lord?lo, 64467449515, http://lattes.cnpq.br/9129212330828507, Viana, Elizabel de Souza Ramalho |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM FISIOTERAPIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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