ABSTRACT
RESUMO: Objetivos: Estimar a prevalência e caracterizar a ocorrência de dor lombar gestacional (DLG), dor na cintura pélvica posterior (DCPP) e dor na sínfise púbica (DSP) entre gestantes residentes em Rio Grande, RS. Métodos: Estudo transversal realizado com todas as puérperas com parto em 2016. Foram utilizadas duas figuras para investigar a presença de DLG, DCPP e DSP de forma isolada ou combinada. Regressão logística multinomial foi usada para avaliar os fatores associados a cada sintoma. Resultados: DLG foi referida por 42,2% das entrevistadas, DSP por 4,9%, e DCPP por 2%, enquanto DLG + DSP por 9%, DLG + DCPP por 2,8%, DCPP + DSP por 1,1% e dor nas três regiões por 3,9% delas. Quanto maior era a idade da gestante, menor foi o risco de DLG e de DLG combinada a uma das regiões da cintura pélvica e maior o risco de DCPP + DSP. Depressão na gestação aumentou o risco de todas as combinações dos sintomas. Conclusão: Este estudo realizou uma descrição mais detalhada da ocorrência dos desfechos avaliados e de seus fatores associados. Estudos como este são raros no país, sobretudo com baixas taxas de perdas e recusas. A elevada prevalência dos sintomas avaliados sugere que sua investigação seja rotineira nas consultas de pré-natal, atendo-se a idade das gestantes, sintomas depressivos e a dores combinadas e intensas.
ABSTRACT: Objectives: To estimate the prevalence and characterize the occurrence of low back pain (LBP), posterior pelvic girdle pain (PPGP) and pubic symphysis pain (PSP) among pregnant women resident in Rio Grande, RS. Methods: This was a cross-sectional study of all postpartum women who gave birth in 2016. Two pictures were used to investigate the presence of LBP, PPGP and PSP, both isolated and combined. Multinomial logistic regression was used to evaluate the factors associated with each symptom. Results: LBP was reported by 42.2%, PSP by 4.9%, and PPGP by 2%, while LBP + PSP was reported by 9%, LBP and PPGP by 2.8% and PPGP + PSP by 1.1%, and pain in all three regions was reported by 3.9% of the sample. The more advanced the age of the pregnant women, the risk for LBP and of LBP combined with one of the pelvic girdle regions was reduced, while the risk for PPGP + PSP was increased. Depression during pregnancy increased the risk for all symptom combinations. Conclusion: This study provided a detailed description of the occurrence of the evaluated outcomes and its associated factors. Studies like this are rare in Brazil, especially a census with low rates of losses and refusals. The high prevalence of the evaluated symptoms suggests that it should be investigated routinely in prenatal care, taking into account the age of the pregnant women, depressive symptoms and those experiencing combined or intense pain.
Subject(s)
Humans , Female , Pregnancy , Child , Adolescent , Adult , Young Adult , Pregnancy Complications/epidemiology , Pubic Symphysis , Low Back Pain/epidemiology , Arthralgia/epidemiology , Pelvic Girdle Pain/epidemiology , Lumbar Vertebrae , Pregnancy Complications/etiology , Pain Measurement , Brazil/epidemiology , Logistic Models , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Age Factors , Gestational Age , Low Back Pain/etiology , Arthralgia/etiology , Depression/complications , Depression/epidemiology , Pelvic Girdle Pain/etiologyABSTRACT
O Pelvic Girdle Questionnaire (PGQ) possui boa confiabilidade teste-resteste, consistência interna e validade de construto. O instrumento é composto de 25 itens distribuídos em duas subescalas (atividades e sintomas). Objetivo: Adaptar transculturalmente para a população brasileira o "Pelvic Girdle Questionnaire" (PGQ). Método: O processo de adaptação transcultural ocorreu em 5 etapas: tradução, retrotradução, análise do comitê de especialistas, Estudo Delphi e pré-teste. Um Estudo Delphi foi adicionado ao processo para a submissão do instrumento à opinião de 17 fisioterapeutas especialistas de diversas regiões do país. Resultados: A partir dos resultados da tradução e retrotradução foi desenvolvida uma versão do PGQ sintetizada em português. Durante a etapa do comitê de especialistas não foram observadas diferenças semânticas entre a versão sintetizada quando comparada à original. Após consenso de mais de 80% dos especialistas do estudo Delphi, a versão do PGQ-Brasil foi aplicada na população-alvo durante o pré-teste. Sem mais alterações, a versão final do PGQ-Brasil foi concluída. Conclusão: O PGQ-Brasil demosntrouse bem adaptado para a realidade cultural da população brasileira, acrescentando-se, inclusive, o Estudo Delphi como ferramenta adicional para assegurar ainda mais a confiabilidade desse processo
The Pelvic Girdle Questionnaire (PGQ) has good test-retest reliability, internal consistency and construct validity. The instrument consists of 25 items divided into two subscales (activities and symptoms). Objective: The aim of this study was cross-culturally adapted for the Brazilian population "Pelvic Girdle Questionnaire" (PGQ). Method: The process of cross cultural adaptation occurred in 5 stages: translation, back translation, analysis of the expert committee, Delphi Study and pretest. A Delphi study was added to the process for submission of the instrument to the opinion of 17 physiotherapists experts from different regions of the country. Results: From the results of translation and back translation was developed a version of the PGQ synthesized in Portuguese. During the stage of the expert committee not semantic differences between the synthesized compared to the original version were observed. After consensus of more than 80% of the Delphi experts, study the version of PGQ-Brazil was applied to the target population during the pretest. Without further changes, the final version of the QMP-Brazil was completed. Conclusion: The PGQ-Brazil proved to be well adapted to the cultural reality of the Brazilian population, adding up, including the Delphi study as an additional tool to further ensure the reliability of this process
Subject(s)
Humans , Pelvic Girdle Pain , Brazil , Surveys and Questionnaires , Delphi Technique , Cultural DiffusionABSTRACT
Polymyalgia rheumatica is characterized by bilateral shoulder or pelvic girdle pain, morning stiffness of greater than 45 minutes' duration, constitutional symptoms, an elevated erythrocyte sedimentation rate and a rapid response to prednisolone (< or = 20 mg/day). Although it is not a rare disease, many cases might be neglected and treated inappropriately in pain clinics. We describe here two cases of polymyalgia rheumatica that was neglected and treated inappropriately.