TEDE Coleção:https://tedebc.ufma.br/jspui/handle/tede/tede/26102024-03-29T09:26:44Z2024-03-29T09:26:44ZEfeitos do distanciamento social causado pela Pandemia da Covid-19 na qualidade de vida e estado de depressão em idosos que participavam de um programa de exercícios físicosAMORIM, Rosane Constância Madeirahttps://tedebc.ufma.br/jspui/handle/tede/tede/51822024-03-07T14:38:46Z2023-09-28T00:00:00ZTítulo: Efeitos do distanciamento social causado pela Pandemia da Covid-19 na qualidade de vida e estado de depressão em idosos que participavam de um programa de exercícios físicos
Autor: AMORIM, Rosane Constância Madeira
Primeiro orientador: MENDES, Thiago Teixeira
Abstract: Purpose: A verification the perception of quality of life, possible symptoms of
depression in the elderly during social isolation caused by the COVID-19 pandemic.
Materials and methods: The study included 19 elderly people who were divided into
two groups: those who belonged to a regular physical exercise program GEF (n=8)
and the group that did not participate in any regular physical exercise program GC
(n=11), with mean ages of 70.2±6.9 and 70.3±6.3 years respectively. The variables of
quality of life (SF-36) and possible symptoms of depression (GDS-30) collected in the
pre-pandemic moment in 2019-2020 were investigated, as well as data relating to
these aspects collected at the time of the pandemic in 2021, added to the scale of fear
in relation to COVID-19. The collections of data occurred through telephone calls and
online experiments using Google Forms or scheduled face-to-face meetings. Statistical
analysis: To analyze the effects of social isolation on depression, a non-parametric
analysis (qualitative data) and non-parametric analyzes of variance were used to
compare the inter (non-paired measure - Mann-Whitney test) and intra (paired
measure - Wilcoxon test) moments groups. The data referring to the COVID 19 fear
scale were analyzed using the Mann-Whitney test and are presented as median and
interquartile range (Q1 – Q3). For the analysis of the quality domains, ANOVA for 2
repeated measures was used to compare different moments and groups, with the
results presented as mean ± standard deviation and we adopted a significance level
of p<0.05. Results: Was found as a result as for fear of COVID-19, the GEF 22.5(19.5
27.5) group compared to GC 15 (14–19) expressed greater fear, representing a
significant difference (p<0.05). In the results referring to the screening of depressive
symptoms (GDS-30) in the intergroup comparisons of the GEF pre 5.5 (4.7–8) and
pandemic 7 (4.5 – 8.2) and the GC pre 8 (4. 5 – 10) and pandemic 7 (5.5 – 9.5), there
were no significant differences, but the GEF group had a higher score on the scale
when compared to the pre pandemic group. Among the Quality-of-Life domains (SF
36), no significant difference was found in inter and intragroup comparisons.
Conclusion: During the COVID-19 pandemic period, no differences were observed in
quality of life and symptoms of depression in groups of elderly people who participated
in a physical activity project and elderly people who did not participate in any exercise
group. The low adherence to social distancing and the adoption of spontaneous
physical activity carried out by both groups probably influenced the results found in the
present study.
Instituição: Universidade Federal do Maranhão
Tipo do documento: Dissertação2023-09-28T00:00:00ZTradução, adaptação transcultural e validação do pain attitudes questionnaire para o português brasileiro em pacientes com dor oncológicaGUEDES, César Leonardo Ribeirohttps://tedebc.ufma.br/jspui/handle/tede/tede/51692024-03-02T02:54:35Z2024-02-16T00:00:00ZTítulo: Tradução, adaptação transcultural e validação do pain attitudes questionnaire para o português brasileiro em pacientes com dor oncológica
Autor: GUEDES, César Leonardo Ribeiro
Primeiro orientador: DIBAI FILHO, Almir Vieira
Abstract: Objective: To carry out the translation, cross-cultural adaptation and validation into
Brazilian Portuguese of the Pain Attitudes Questionnaire – Revised (PAQ-R) in cancer
pain patients. Methods: The research was carried out at the Cancer Hospital of
Maranhão and Aldenora Bello Hospital (São Luís, MA, Brazil), after approval by the
institution’s research ethics committee. In addition to the PAQ-R, the following
instruments were applied: Barthel Index, Hospital Anxiety and Depression Scale
(HADS), Edmonton Symptom Assessment System (ESAS) and Pain Catastrophizing
Scale (PCS). The measurement properties evaluated in the present study were: crosscultural validity, structural validity, construct validity, reliability and internal consistency.
Results: The research consisted of 165 cancer patients. The average age of the
individuals in the research was 49 years old, with a predominance of women (63%),
married (59.9%) and with basic education (53.3%). 33 different types of cancer were
identified, the most prevalent being cervical cancer (23%) and breast cancer (9.1%).
The internal structure of the PAQ-R with 5 domains and 23 items proved to be
adequate. Adequate test-retest reliability and internal consistency were observed. In
construct validity, we observed the expected magnitude of the correlation between all
domains of the PAQ-R and functional independence, between the stoic strength
domain of the PAQ-R and depression, and between catastrophizing and the domains
of stoic strength, stoic superiority and cautious doubt of the PAQ-R. No floor and ceiling
effects were observed in the studied sample. Conclusion: The Brazilian version of the
PAQ-R with 5 domains and 23 items presented adequate construct validity, reliability
and internal consistency for patients with cancer pain.
Instituição: Universidade Federal do Maranhão
Tipo do documento: Dissertação2024-02-16T00:00:00ZConfiabilidade e validação do teste de marcha estacionária de 2 minutos em indivíduos com doença de ParkinsonSANTOS, Marina Genari Murad Carolino doshttps://tedebc.ufma.br/jspui/handle/tede/tede/51312024-02-06T12:29:49Z2023-12-14T00:00:00ZTítulo: Confiabilidade e validação do teste de marcha estacionária de 2 minutos em indivíduos com doença de Parkinson
Autor: SANTOS, Marina Genari Murad Carolino dos
Primeiro orientador: DIBAI FILHO, Almir Vieira
Abstract: Objective: This study aimed to evaluate the test-retest and interrater reliability of
the 2-minute Step Test (2MST) and its validation in the population with
Parkinson's disease (PD). Materials and methods: Two previously trained
examiners applied the 2MST in two different moments, with an interval of 7 to 14
days between them. In addition, clinical measurements of PD were carried out
using the following instruments: Berg Balance Scale (BBS), Unified PD Rating
Scale (UPDRS), Hoehn and Yahr Scale (HY), gait speed and cadence, test sitting
and standing up 5 times (TSS5T) and Timed Up and Go (TUG). Regarding
statistical analysis, the intraclass correlation coefficient was used to measure
reliability and the Pearson and Spearman correlation coefficients were used to
correlate TME2 with other clinical tests (significance level assumed to be 5%).
The agreement between the measurement taken at the time and the
measurement recorded later via video was assessed via Bland-Altman graphs.
Results: The 2MST showed high test-retest reliability (intraclass correlation
coefficient [ICC] = 0.80, standard error of measurement [SEM] = 10.59, minimum
detectable difference [MDD] = 29.35), as well as interexaminer ( ICC = 0.93, SEM
= 4.49, MMD = 12.46). There was acceptable agreement between assessments
made with in-person and video examiners, through analysis of Bland-Altman
graphs. All instruments showed a statistically significant correlation with 2MST,
except HY and TSS5T. A correlation magnitude above 0.50 was found between
2MST and gait speed, and a correlation magnitude between 0.30 and 0.50 with
EEB, gait cadence, UPDRS and TUG, thus confirming the construct validity.
Conclusion: The 2MST proved to be a highly reliable tool for evaluating
functional capacity in patients with PD, with the construct validity also being
proven based on its correlation with gait speed and cadence, UPDRS, EEB and
TUG.
Instituição: Universidade Federal do Maranhão
Tipo do documento: Dissertação2023-12-14T00:00:00ZEfeito de quatro meses de intervenção aquática no desenvolvimento motor de bebêsMARTINS, Fernanda Cristina Nogueira Figueiredohttps://tedebc.ufma.br/jspui/handle/tede/tede/51002024-01-11T22:00:24Z2023-10-31T00:00:00ZTítulo: Efeito de quatro meses de intervenção aquática no desenvolvimento motor de bebês
Autor: MARTINS, Fernanda Cristina Nogueira Figueiredo
Primeiro orientador: WALTER, Cinthya
Abstract: Introduction: The baby's sensory experiences about the environment occur through
movements, through exploration. Its scope and depth depend on the ability to control
these movements, defining their quality. The participation of babies in water activities
has increased considerably, however, in the literature there is a lack of investigations
into their influence on motor development. Objective: To investigate the effect of four
months of aquatic intervention on the motor development of babies. Method: The
sample consisted of 17 babies, of both sexes, aged six to nine months at the initial
assessment, with no previous experience with systematized motor activity. Those
responsible answered a socioeconomic questionnaire and anamnesis about the
breastfeeding period, gestation period and whether the babies had already attended a
daycare center. The Denver II Test was applied to evaluate maturational development
and, together with information from the questionnaires, the babies were paired into two
groups: experimental (EG, n =10, 7.5 ±1.08 months), four months old intervention and
control (CG, n = 7, 7.43 ± 0.98 months), without intervention. The intervention with
aquatic activities began one month after the initial assessment. Classes lasted 30
minutes, divided into three moments: parent-child interaction, material handling and
submersion, twice a week. The interval between classes was a minimum of one and a
maximum of four days. The dependent variable, motor development, was assessed
using the Alberta Infant Motor Scale (EMIA) applied to both groups at three moments:
at the beginning of the experiment, after three months and after five months. The
results were presented as mean and standard deviation. Comparison of the raw EMIA
scores of babies in the CG (Friedman test, followed by the Wilcoxon post hoc test)
indicated an increase in the second and third assessment. In GE there was a significant
increase only in the second assessment. In the comparison between groups (U of Man
Whitney) there was no difference in the first assessment, indicating that the groups
started in a similar way, in the second assessment the EG showed significant
superiority with a medium effect size and in the third assessment there was no
significant difference. Conclusion: In the evaluation per baby with intervention, there
was no reduction in the raw score, maintenance values were higher and later than
those of babies without intervention. By age, except for the group that started at 6
months in the 2nd assessment, the average with intervention was higher than without
intervention. In the percentile classification, babies with intervention showed a lower
proportion of regression and a higher proportion of progression and maintenance, also
later. Two months of intervention with aquatic activities led to a better EMIA score, both
in relation to the previous assessment (3 months before) and also compared to babies
without intervention, adding evidence for the benefits of aquatic activities on the motor
development of babies.
Instituição: Universidade Federal do Maranhão
Tipo do documento: Dissertação2023-10-31T00:00:00Z