Modelo transteórico de mudança de comportamentos na promoção da actividade física nas grávidas

Determinar se o Modelo Transteórico de Mudança de Comportamento (MTMC) é eficaz na promoção da actividade física (AF) nas grávidas. O grupo experimental (GE) participou no projecto “Mães em Movimento” baseado no MTMC. Aplicou-se o Questionário de AF para Gestantes, Escala de Estados de Mudança, Behavioural Regulation in Exercise Questionnaire e Questionário de Conhecimentos. Na 2ª avaliação, no GE, todas as grávidas referiram praticar AF. A motivação intrínseca e os conhecimentos aumentaram. O MTMC revelou-se um modelo eficaz na promoção da AF em grávidas.To determine whether the Transtheoretical Model of Behavior Change (TTM) is effective in promoting physical activity (PA) in pregnant women. The experimental group (EG), participated in the "Moms in Motion" based on the TTM. It was applied the Pregnancy Physical Activity Questionnaire, Stages of Change Questionnaire, Behavioral Regulation in Exercise Questionnaire and Skills Questionnaire. In the 2nd evaluation, in EG, all women reported practicing PA. The intrinsic motivation and knowledge increased. The TTM revealed to be an effective model in promoting PA habits in pregnant women

A health model based on the clinical practice of physiotherapists

In Portugal, respiratory and ear infections are the main reason for hospital visits in pediatric age and several risk factors have been pointed. The physiotherapist familiarity with these factors is crucial to act in health promotion. To characterize the risk factors for upper and lower respiratory and ear infections in children younger than 36 months attending daycare in Oporto.info:eu-repo/semantics/publishedVersio

Relationship between the ratio of the cervical muscles and non-specific neck pain in the school community

Neck disorders appear more often associated with pain and muscle fatigue, both in young individuals and in individuals of middle age. Sustained muscle contraction needed to maintain the head in several positions and fatigue caused by muscle weakness are some of the factors for the arising of neck pain.info:eu-repo/semantics/publishedVersio

Health promotion conceptual evolution and program development: a literature Review

The World Health Organization defends prevention and health promotion among communities as a driver of economic and social development, where the individual level of health literacy determines health choices such as adopting healthy lifestyles, managing individual healthcare and preventing chronic diseases. Currently, health promotion is guided by a set of values, being these principles essential for identifying needs and priorities, planning, implementing, evaluating and determining the health promotion programs, that can be defined as a set of programmed, integrated and interrelated strategies and actions that aim to promote health, prevent risks, reduce years of life lost due to disability and increase quality of life. There are several models for planning health promotion programs, such as the Precede-Proceed Model, the Multivariate Approach to community Health (MATCH) Model, the Mapped Intervention Model and the Social Marketing Model. A good planning of a health promotion program can effectively reduce the health costs.info:eu-repo/semantics/publishedVersio

Influence of exercise on functional capacity and in the lumbar and thoracic disability in ankylosing spondylitis

Ankylosing Spondylitis (AS) is a chronic inflammatory disease, associated to spine moblity limitations. Until today it isn’t known an efficient treatment; although, there are therapeutic strategies, like exercise, that can alleviate and delay the disease complications.info:eu-repo/semantics/publishedVersio

Exercise in ankylosing spondylitis: quality of life and cost/utility

The objective of this study is to assess the perception of QoL and the ratio cost/utility of a specific exercise program in patients with AS. Quasi-experimental study, performed in 28 individuals with AS, divided into group-based, home-based and group-control. All participants, except the group-control, did a specific exercise program to AS for 12 weeks. The evaluation was conducted in two stages, before (M0) and after (M1) the exercise program. Was utilized the Bath Indices, SF-36 and SF-6D as assessment instruments. The assumed significance value was 0.05. The experimental groups showed significant improvements in BASDAI and BASFI. There were significant differences among the three groups only in M1 BASMI (P = 0.035). It has been found in the SF-36, significant differences among groups M1 only. The results of the experimental groups of the SF-36, tended to increase, approaching the 100 (better QoL), this gains were more significant in group-based. The group-control showed significant results in BASDAI and BASFI, tending to worsen in all instruments. Regarding of cost/utility, for each 0.1 gain utility, cost/utility ratio for group-based was 211.90 € and home-based was 49.10 €. The performed exercise program was effective in producing changes in both experimental groups, being more evident in the group-based. The cost/utility ratio was more favourable in the home-based. The absence of physical exercise seems to negatively influence the course of the disease. Exercise has proven essential in the control/reduction in its symptoms and consequently the reduction in the indirect costs and increasing utilities.info:eu-repo/semantics/publishedVersio

Prevalence of cervical pain and functional disability in the school community

The school community is exposed to numerous risk factors for the occurrence of neck pain. These symptoms may cause restrictions on their functional capacity and there’s a need to make a proper measurement of this phenomenon, in a valid and reproducible manner. For this, the most recommended instrument is the Neck Disability Index (NDI); however its use in Portugal requires an analysis of its psychometric properties.info:eu-repo/semantics/publishedVersio

Effect of exercise on quality of sleep in patients with ankylosing spondylitis

Ankylosing spondylitis (AS) is an inflammatory rheumatic disease, associated with limited mobility of the spine, sleep disturbance, and fatigue. The exercise aims are to preserve mobility and decrease sleep disorders.info:eu-repo/semantics/publishedVersio

Building instrument to assess user satisfaction in communicating with health professionals based on the consensus of the Delphi method

Recent research in user-health professionals communication have emphasized the need to develop new instruments to evaluate user satisfaction in communicating with health professionalsinfo:eu-repo/semantics/publishedVersio

Severe stress urinary incontinence: pelvic floor muscle training program

International guidelines recommend a first line therapy in the treatment of female stress urinary incontinence (SUI), the pelvic floor muscle (PFM) training. This case report assesses the effects of the PFM training program in treating women with severe SUI. The urodynamic parameters allow diagnosed intrinsic sphincter deficiency and urethral hypermobility. The subjective and objective parameters were assessed at the beginning and after six-month of PFM training program. This case report confirms the efficiency of the intensive training program in severe SUI. The medical implications of the PFM training as first treatment option reflect favourable individual results and additionally contribute to the selection of the non-invasive treatment, the reduction of the incidence collateral effects, low costs and that does not prevent future treatment options