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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.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22278 |
| Date | 26 February 2016 |
| Creators | Silva, Ada Cristina J?come Sarmento |
| Contributors | 72298863415, http://lattes.cnpq.br/1736384836028397, Andrade, Sandra Cristina de, 79175023415, http://lattes.cnpq.br/8102201624977157, Campos, Shirley Lima, 00780302427, http://lattes.cnpq.br/3095741580780287, Mendon?a, Karla Morganna Pereira Pinto de |
| Publisher | 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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