Percorrer por autor "Mesquita, Marina"
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- Adaptação cultural, linguística e validação para a população portuguesa do instrumento de medição: Australian Pelvic Floor QuestionnairePublication . Mesquita, Marina; Cavalheiro, LuísIntrodução: As disfunções do pavimento pélvico têm um impacto negativo na qualidade de vida das mulheres. Essas disfunções incluem maioritariamente: incontinência urinária, incontinência fecal e prolapsos dos órgãos pélvicos. O questionário Australian Pelvic Floor Questionnaire é um instrumento de medição de auto preenchimento usado para avaliar a função do pavimento pélvico, contém quatro domínios: Função da bexiga, Função dos intestinos, Prolapsos dos órgãos pélvicos e Função sexual. Serve para avaliar a frequência, gravidade e o impacto dos sintomas do pavimento pélvico na qualidade de vida. O objetivo deste estudo é adaptação cultural, linguística e a validação da versão original do Australian Pelvic Floor Questionnaire para o português europeu. Metodologia: Este estudo é um estudo metodológico, não experimental. O processo de adaptação cultural, linguística e validação realizou-se por três fases: equivalência semântica, constituída pela tradução e pela retroversão, validade de conteúdo, constituída pela revisão clínica da qualidade da tradução (três Fisioterapeutas especialistas na área de Saúde da Mulher) e pelo pré-teste cognitivo (constituído por nove mulheres com disfunção do pavimento pélvico) e a última fase constituída pela avaliação das propriedades psicométricas (constituído por 50 mulheres com disfunção do pavimento pélvico), fiabilidade (coerência interna, reprodutibilidade e erro padrão da medição), validade (de construção) e efeitos chão\ teto. Resultados: Na primeira fase do processo foi obtida a equivalência semântica e de conteúdo. A amostra do pré-teste considerou o questionário compreensível e adequado à população com disfunção do pavimento pélvico. Na avaliação das propriedades psicométricas o APFQ demonstrou um alfa de Cronbach alto, para os domínios da Função da bexiga 0,837, Função dos intestinos 0,756, Prolapso dos órgãos pélvicos 0,840 e Função sexual de 0,756. Na Pontuação total de 0,714. Na reprodutibilidade, os valores de ICC variaram entre 0,934 e 0,976 nos respetivos domínios, na Pontuação total foi 0,948. Conclusão: O Australian Pelvic Floor Questionnaire foi adaptado culturalmente, linguisticamente e validado para o português europeu. A versão portuguesa apresentou valores aceitáveis de validade e uma boa fiabilidade, demostrando poder ser útil, tanto na avaliação clínica das disfunções do pavimento pélvico, como na investigação.
- Cross-cultural adaptation and validation of the Portuguese version of the “Australian Pelvic Floor Questionnaire”Publication . Mesquita, Marina; Cavalheiro, Luís; Gonçalves, Rui Soles; Vicente, SóniaIntroduction and Hypothesis: Pelvic floor dysfunction (PFD) is a common problem that occurs among women and increases with age and weight. This study was aimed at cross-culturally adapting and validating the original version of the Australian Pelvic Floor Questionnaire (APFQ) into Portuguese. Methods: The process of cultural and linguistic adaptation and validation followed the guidelines. The obtained Portuguese version was assessed by an expert panel of physiotherapists specialized in women’s health. Women with pelvic floor dysfunction also participated in a cognitive pre-test (n = 9). A sample of 50 women with PFD completed the questionnaire to evaluate internal consistency, construct validity, reproducibility, floor/ceiling effects assessment, and standard error of measurement. Test–retest was assessed with a 2-week interval. The study was approved by the Ethics Commission and all participants signed an informed consent form. Results: Fifty women with a mean age of 53.90 (± 18.57) years, BMI of 27.5 (± 4.2), 55.6% with a bachelor’s degree, and all with at least one child, participated in the study. The psychometric properties of the APFQ showed a high Cronbach’s alpha for the four domains: bladder (0.837), bowel and sexual function (0.756), pelvic organ prolapse (0.840), and total score (0.714). In terms of reproducibility, intraclass coefficient domain values ranged from 0.934 to 0.976, with a total score of 0.948. Conclusions: The APFQ was cultural and linguistically adapted and validated for Portuguese. The Portuguese version of the APFQ (APFQ_P) showed acceptable values of validity and good reliability. It can be used in both clinical evaluation and in research on pelvic floor dysfunction.
- Health-related quality of life after rehabilitation from knee surgery in rural and urban settings : a quasi-experimental studyPublication . Moreira, José; João, Ana; Aguiar, Pedro; Raimundo, Armando; Mesquita, Marina; Flamínio, José; Almeida, Manuel; Boto, PauloBackground: Injury to the knee joint is associated with physical disability, stiffness, pain, restriction of movement and impairment of the person’s quality of life, with a few treatment options, including surgery and rehabilitation. This study aims to evaluate the impact of a rehabilitation program on the quality of life reported by patients living in rural and urban areas after knee surgery, using patient-reported outcome measures (PROMs). Methods: This quasi-experimental study with two groups of participants undergoing primary knee surgery was carried out in two rehabilitation centers, one in an urban area and another in a rural one. The same intervention was structured, with assessments at the start of the study (t0) and after a 4-week program (t1), and a comparison was made between the gains in rural and urban areas. We used descriptive and inferential analysis to analyze the effect of the intervention on health-related quality of life (HRQoL) using a linear regression model. Results: Participants (n = 62 aged between 19 and 84 years (40% of the sample aged over 65years) and 61.9% female, showed improvements in their EQ-5D-5L and HADS scores after the rehabilitation program. Considering the dimensions of HRQoL in both groups, there was a significant improvement in all the components in the rural context (p < 0.005), and improvements in the Mobility (t = 3.48; p = 0.002) and EQ_VAS (t = − 3.77; p = 0.001) components in the urban context. The effect of the program on health gains considering the Mobility was significantly greater in the rural group (− 0.97) compared to the urban group (− 0.13), as well as in the Pain/Disability (− 0.73) vs. (− 0.13) respectively. After analyzing the confounding factors, the rehabilitation center variable indicated gains of the EQ-5D-5L dimensions in a rural context (β= −0.390; t = − 3.041; p = 0.004), with an average reduction in health problems. Conclusion: There is evidence that the application of PROMs in rehabilitation programs after knee surgery is fundamental, considering the improvements in HRQoL and the optimization of anxiety/depression states in different contexts. PROMs should be applied systematically in clinical practice throughout the rehabilitation process, objectively measuring the results perceived by patients, and according to each context achieving health gains.
- Patient-reported outcome measures in knee injuries rehabilitation : a protocol for interventionPublication . Moreira, José; Mesquita, Marina; Flamínio, José; Almeida, Manuel Barbosa; Delgado, Bruno; Boto, PauloDifferent musculoskeletal conditions affect people all over the world and were considered by the WHO to be the main cause of disability in 4 of 6 regions in 2017, with an increase in the associated burden and the impact they have on today's society. One of these conditions is related to the knee, which is associated with complex and vulnerable injuries associated with ligaments, menisci, and cartilage. After surgery, there is a reflex inhibition of motor neurons and immobilization, there is rapid atrophy and weakness in the different associated muscles, affecting proprioception, strength and muscle function, compromising quality of life. The aim of this article is to describe a protocol for a rehabilitation program after surgery for people with knee injuries. An experimental study will be carried out with 75 patients, with control and experimental groups. In both groups, initial measurements will be compared with measurements after the program, at different times. It is hoped that this study will generate significant information on rehabilitation intervention for people with knee injuries.