Banca de DEFESA: SILVIA OLIVEIRA RIBEIRO LIRA
Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.STUDENT : SILVIA OLIVEIRA RIBEIRO LIRA
DATE: 12/10/2022
TIME: 15:00
LOCAL: VIDEOCONFERÊNCIA
TITLE:
Analysis of lumbopelvic pain and level of functionality and disability in pregnant women
KEY WORDS:
Internacional Classification of Functioning, Disability and Health. Pregnancy, Pain.
PAGES: 80
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:
Background: In the gestacional period, the woman goes throug a series of changes in order to reate na environment conducive to the development of the fetus. These can result in the devolpment of painful symptoms, such as lumpopelvic pain, impacting the functionality of this population.
Aims: To Analyse lumpopelvic pain and it’s impact on the functionality of pregnant woman.
Methodology: Cross-sectional study whose unit of analysis was the pregnant woman. Adopt as inclusion criteria, pregnant women between 18 and 40 years of age, with internet acess at any gestacional age. As contracted, the following intruments were provided: Individual Assessment Form, Oswestry Disability Index and World Health Organization Disability Assessment Shedule 2.0. Statistical data analysis was performed using the Statistical Package for the Social Science – SPSS version 20.0. The variables selected for this study were: sociodemographic, obstetric, life habtis, pain (intensity and level of capacity generated by lumbopelvic pain - %) and funcionality and disabilities (specific core score).
Results: 142 pregnant Woman took part in this study. The results were elaborated from 4 articles.
Article 1 – Protol of sistemactic review of therapeutic exercise versus other modalities to prevent and treat low back pain and pelvic pain during pregnancy
Article 2 – 142 pregnanct women. The chronological mean, weight and height were, respectively, 31.37 ±4.93 years og age, 72.08 ±13.22 kg and 1.62± 5.91 meters. Not having a disability according to WHODAS 2.0 decreases the chance of having lumbopelvic pain in pregnancy by 81.7% compared to having severe disability. Whereas from 1 to 4 minimal income increases the the chance of having a loin pregnancy by 3.06 times having a single income with 5 property or higher income.
Article 3 – 132 women participated in this study. The median chronological age of women in the lumbopelvic group was 31.00 (19.00-39.00) and in the pain without pain, 32.00 (20.00-38.00). When comparing women with and without pain, a statistically significant difference was observed for the cognition (p=0.0035) and participation (p=0.012) domains.
Article 4 – 99 pregnant women iwth a mean chronological age of 30.94 ±4.74 were included in this study, of which 6.1% (n=1) were in the firts gestacional trimester, 54.5% (n=54) in the second gestacional trimester and 38.4% (n=38) in the third gestacional trimester. The meand score for the IIO was 12.34 (10.39) and for the WHODAS, 102.62 (75.85). It was observed that 63.6% (n=63) of the women had minimal disability according of the IIo and When analysing the WHODAS 2.0, 63.6% (n=63) reported mild disability. When analysing the relationship between IIO and WHODAS 2.0, statistical significance was observed (p=0.002).
Considerations: Functionality ia a multidimensional concept and, therefore, influenced by several factors. The identification of factors thay may be related to lumbopelvic pain, as well as the understanding of the funcional status of the pregnant women, can help health professionals in the adequate management of the complaints presente throughout the pregnancy-puerperal cycle and the elaboration or adequacy of specif interventions and adapted to the needs of this population.
COMMITTEE MEMBERS:
Externa ao Programa - 1242804 - ADRIANA GOMES MAGALHAES - nullPresidente - 2212151 - ELIZABEL DE SOUZA RAMALHO VIANA
Externa à Instituição - INGRID FONSECA DAMASCENO BEZERRA - EBSERH
Interna - 2786809 - MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI
Externa à Instituição - PALLOMA RODRIGUES DE ANDRADE - UFPB