Alterações de equilíbrio postural e qualidade de vida em mulheres no ciclo gravídico puerperal
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...
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Formato: | Dissertação |
Idioma: | por |
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Universidade Federal do Rio Grande do Norte
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Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/19981 |
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Resumo: | 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. |
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