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- Impact of clinical pilates on satisfaction with life of women with urinary incontinencePublication . Santos, Paula Clara; Lopes, Sofia; Teixiera, Ricardo João; Macedo, Carla; Azevedo, Rogério; Mesquita, CristinaThe high prevalence of urinary incontinence is a problem of public health due to its physical, psychological, social and economic effects. It affects predominantly all age female gender and may influence satisfaction with life. Clinical Pilates has been studied in healthy subjects and seems to have positive effects on the psychological and general well-being. However, this method lacks evidence upon its effect on women with urinary incontinence. This study aims to assess the impact of a Clinical Pilates exercise-based program on the perception of contraction of pelvic floor muscles and in satisfaction with life of women with urinary incontinence. A quasi-experimental investigation has been carried out with a 60 women sample distributed by an Experimental Group (EG; n=30) and a Control Group (CG; n=30). Participants were aged ≥ 50 years, diagnosed with stress and mixed urinary incontinence, grade ≥ 3 in the Modified Oxford Grading Scale. EG performed 60 minutes classes of Clinical Pilates based exercises twice a week for ten weeks. CG had no intervention. Pelvic floor efficacy was assessed through Broome’s Self-Efficacy Scale and satisfaction with life through Satisfaction with Life Scale. Descriptive statistics and the Inferential Statistics were used. The T-Student test, the Wilcoxon and the Mann-Whitney tests were used in case of abnormality with α = 0.05). The results showed that the Clinical Pilates exercise-based program had positive effects on the contraction of pelvic floor muscles, total score [79(10.48) vs 35.9(11.44); p < 0.001] in both Broome’s sub-scales, A [80.71(9.29) vs 35.36(18.57); p < 0.001] and B [77.6(11.06) vs 35.36(18.57); p = 0.02] and in satisfaction with life [24.00(8.00) vs 16.00 (8.00); p < 0.001]. In conclusion, Clinical Pilates has positively influenced participants’ perception of pelvic floor muscles contraction and satisfaction with life.
- Occupational health: does compliance with physical activity recommendations have a preventive effect on musculoskeletal symptoms in computer workers?Publication . Moreira, Sara; Salomé Ferreira, Maria; Begoña Criado, Maria; Machado, Jorge; Mesquita, Cristina; Lopes, Sofia; Santos, Paula ClaraA lack of physical activity in computer workers (CW) can contribute to the development of musculoskeletal symptoms (MSS). Aim: (i) Evaluate MSS over a 12 month and 7 days period, (ii) determine physical activity (PA) levels and compliance with World Health Organization (WHO) PA recommendations, and (iii) assess the relationship between compliance with WHO PA recommendations and MSS. A cross-sectional observational study comprising 119 computer workers. The Nordic Musculoskeletal Questionnaire (NMQ) was used to evaluate the MSS and the International Physical Activity Questionnaire (IPAQ) was used to analyse the perception of the level of PA. MSS occurred in the lumbar region (56.3%), neck (43.7%), and shoulders (39.5%). 44.7% of the participants reported a low level of PA. The percentage of compliance was similar among women and men (62.2% vs. 58.5%, respectively). Negative correlations were found between pain intensity and metabolic equivalent values. The participants who followed the WHO PA recommendations reported a lower frequency of MSS compared to those who did not, but the differences were not statistically significant. It was possible to conclude that computer workers presented a higher frequency of MSS in the lower back, neck, and shoulders. Regarding the level of PA, participants were mostly classified as low. Participants who followed the WHO PA recommendations reported lower MSS than those who did not. This finding could be important in obtaining successful programs that promote health-oriented physical activity in this group of workers.
- The influence of an aquatic exercise program on balance in patients with ankylosing spondylitisPublication . Ferreira, Margarida; Mesquita, Cristina; Santos, Paula Clara; Borges, João; Graça, Maria; Henriques, Ana; Lopes, SofiaAnkylosing spondylitis (AS) is a chronic inflammatory rheumatic disease that leads to a limitation of mobility, which can cause postural deficits and progressive loss of balance. Aquatic exercise improves this health condition. The objetive is to verify the influence of an aquatic exercise program, on balance and functionality, in individuals with AS. Pre-experimental study carried out on 6 individuals with AS. All individuals were assessed at baseline (M0) and 12 weeks after the intervention (M1) using the Bath indices (BASMI, BASFI and BASDAI) and the balance assessment protocol (‘Body Sway’) by the Physiosensing Platform. Data were analyzed using the Statistical Program Statistical Package for the Social Sciences (SPSS), version 26. Were used descriptive statistics and Wilcoxon test to compare M0 and M1. The significance value was 0.05. We verify improvements in BASMI (P = 0.046), BASFI (P = 0.042) and BASDAI (P = 0.027) scores. Through the analysis of the center of pressure variables, there were no statistically significant differences, between moments, in the protocol. However, when assessing balance, in the anteroposterior mean distance in both the protocol (eyes open) and in the protocol (eyes closed), in the root mean square in both protocols and in mediolateral mean velocity, only in the protocol (eyes open), there was a slight decrease in the median value. The present study suggests that the specific aquatic exercise program, may influence balance and improve functionality in a population with AS. Therefore, the Bath indices translate improvements in the symptoms and functionalities of these participants.
- Gestational weight gain and relationship with sedentary physical activity in the second trimester of pregnancyPublication . Moreira, Sofia; Santos, Paula Clara; Mesquita, Cristina; Lopes, Sofia; Couto, Miriam; Abreu, Sandra; Mota, JorgePregnancy is phase of big changes for women. Although the growing evidence about the benefits of a physically active lifestyle during pregnancy is still high the number of sedentary pregnant or that interrupt physical exercise during pregnancy. Among other consequences, physical inactivity can be related to weight gain during pregnancy. To evaluate the weight gain in the second trimester of pregnancy and verify if the sedentary physical activity influences this weight gain.
- The sedentary physical activity of pregnant women in the second trimester and the relationship with neonatal outcomesPublication . Santos, Vanessa da Silva; Santos, Paula Clara; Mesquita, Cristina; Lopes, Sofia; Couto, Miriam; Abreu, Sandra; Mota, JorgeThe pregnancy might be considered as a condition of risk for the change of habits of physical activity (PA). It’s known that the pregnant women increase their spent time in the sedentary PA with implications in the woman and the fetus health. The moderate and vigorous PA during the pregnancy is recommended as a promoter behavior of the maternal and fetal health. The diary PA of the mother during the pregnancy is an important factor influencer of the weight, of the length and of the cephalic perimeter of the baby at birth. Analyze the relation between the sedentary PA of the woman in the second trimester of pregnancy with the following fetal outcomes at birth: weight, length and cephalic perimeter.
- Physical exercise and quality of life in Ankylosing SpondylitisPublication . Lopes, Sofia; Mesquita, Cristina; Santos, Paula; Gomes, LavíniaAnkylosing spondylitis (AS) is an inflammatory rheumatic disease, chronic and systemic. AS affects Quality of Life (QoL) negatively resulting in different degrees of disability. The factors that contribute most to the decrease of QoL are the decline of functional capacity, increase of pain and psychological changes. Exercise has proven to be essential in the control/reduction of symptomatology and consequently improvement of QoL. Evaluate the effects of a specific exercise program in QoL in patients with AS.
- Orofacial and temporomandibular region symptomatology in musiciansPublication . Duarte, Ana; Lopes, Sofia; Santos, Paula; Mesquita, CristinaTemporomandibular disorders consist of a group of pathologies that affect the temporomandibular joint, masticatory muscles and other components of the stomatognathic system (Clemente et al., 2015; Santos & Fragelli, 2017) .Temporomandibular disorders can be associated with lifestyle and occupation and they are notably becoming more frequent in instrumentalists musicians (Glória et al., 2018). Objectives: To determine the frequency of orofacial and temporomandibular region symptomatology in musicians, as well as to determine the existence of differences between instrumentalists groups (wind, stringed and percussion). The secondary objective is to analyse the relation between potential risk factors, such as the number of years of instrumental practice experience, the average number of practice hours per week and the type of instrumental practice as a profession or a hobby in the different domains evaluated.