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      Avaliação da qualidade de vida, da dor nas costas, da funcionalidade e de alterações da coluna vertebral de estudantes de fisioterapia Translated title: Assessment of quality of life, back pain, functionality and changes of the spine of physical therapy students

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          Abstract

          O objetivo deste estudo foi avaliar a qualidade de vida, dor nas costas, funcionalidade e as alterações da coluna vertebral de estudantes de fisioterapia. Participaram 42 universitários, sendo avaliada a coluna vertebral por meio do arcômetro, a dor nas costas por meio de um questionário multidimensional de dor, a qualidade de vida por meio do questionário SF-36 e funcionalidade a partir do Roland-Morris. Foi realizada estatística descritiva e teste qui-quadrado (α=0,05). Os resultados demonstraram: prevalência de alterações nas curvaturas da coluna vertebral de 38,1%; (n=16); alta prevalência de dor nas costas (69%; n=29); baixa prevalência de comprometimento da funcionalidade (3,4%; n=1); que não há associação entre as alterações nas curvaturas da coluna vertebral e funcionalidade e dor nas costas; e que os escores dos domínios do SF-36 foram maiores que 45, exceto o domínio "dor", cujo escore aproximado foi de 35. Conclui-se que quanto menor os níveis de intensidade da dor melhor o nível de qualidade de vida.

          Translated abstract

          The objective was to evaluate the quality of life, back pain, function and the changes of the spine of physical therapy students. 42 students participated in this study. We assessed the spine through the arcometer, back pain using a multidimensional pain questionnaire, quality of life using the SF-36 and feature from the Roland-Morris. Descriptive statistics and chi-square test (α = 0.05) was performed. The results demonstrated a prevalence of changes in curvatures of the spine 38,1% (n =16), high prevalence of back pain (69%, n = 29), low prevalence of impaired functionality (3.4%, n = 1), there is no association between changes in the curvatures of the spine and back pain and functionality, and SF-36 domain scores were higher than 45, except in "pain" area (score = 35). Conclusion: the lower the levels of pain intensity level, best the quality of life.

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          Translation, adaptation and validation of the Roland-Morris questionnaire--Brazil Roland-Morris.

          The purpose of the present study was to translate the Roland-Morris (RM) questionnaire into Brazilian-Portuguese and adapt and validate it. First 3 English teachers independently translated the original questionnaire into Brazilian-Portuguese and a consensus version was generated. Later, 3 other translators, blind to the original questionnaire, performed a back translation. This version was then compared with the original English questionnaire. Discrepancies were discussed and solved by a panel of 3 rheumatologists and the final Brazilian version was established (Brazil-RM). This version was then pretested on 30 chronic low back pain patients consecutively selected from the spine disorders outpatient clinic. In addition to the traditional clinical outcome measures, the Brazil-RM, a 6-point pain scale (from no pain to unbearable pain), and its numerical pain rating scale (PS) (0 to 5) and a visual analog scale (VAS) (0 to 10) were administered twice by one interviewer (1 week apart) and once by one independent interviewer. Spearman's correlation coefficient (SCC) and intraclass correlation coefficient (ICC) were computed to assess test-retest and interobserver reliability. Cross-sectional construct validity was evaluated using the SCC. In the pretesting session, all questions were well understood by the patients. The mean time of questionnaire administration was 4 min and 53 s. The SCC and ICC were 0.88 (P<0.01) and 0.94, respectively, for the test-retest reliability and 0.86 (P<0.01) and 0.95, respectively, for interobserver reliability. The correlation coefficient was 0.80 (P<0.01) between the PS and Brazil-RM score and 0.79 (P<0.01) between the VAS and Brazil-RM score. We conclude that the Brazil-RM was successfully translated and adapted for application to Brazilian patients, with satisfactory reliability and cross-sectional construct validity.
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            Prevalência de alterações posturais em escolares do ensino médio em uma cidade no Sul do Brasil

            OBJETIVOS: Estimar a prevalência de alterações posturais laterais e ântero-posteriores em adolescentes do sexo feminino e verificar se determinados fatores socioeconômicos, demográficos, antropométricos e comportamentais estão associados a essas alterações posturais. MÉTODOS: Inquérito epidemiológico com amostra representativa de 495 estudantes do ensino médio regular diurno, com idade de 14 a 18 anos na Cidade de São Leopoldo, Brasil. As estudantes foram avaliadas nos meses de outubro e novembro de 2004. As alterações posturais foram definidas como alterações nas curvas fisiológicas da coluna vertebral, identificadas através de avaliação postural não-invasiva. RESULTADOS: Observou-se uma prevalência de 66% (IC95%: 61,5 a 70,0) para as alterações laterais e de 70% (IC95%: 65,2 a 73,5) para as alterações ântero-posteriores. As alterações laterais foram mais prevalentes nas alunas com índice de massa corporal normal (razão de prevalência, ou RP = 1,32; IC95%: 1,09 a 1,59) e nas que assistiam à televisão por mais de 10 horas semanais (RP = 1,16; IC95%: 1,02 a 1,32). A prevalência de alterações ântero-posteriores foi maior nas alunas cujos responsáveis estudaram até o nível fundamental (responsáveis femininos, RP = 1,30; IC95%: 1,09 a 1,55; e responsáveis masculinos, RP = 1,20; IC95%: 1,02 a 1,40) e nas alunas com sobrepeso ou obesidade (RP = 1,33; IC95%: 1,19 a 1,48). CONCLUSÕES: Preocupa a alta prevalência de alterações na postura das adolescentes, uma vez que essas alterações podem gerar problemas na coluna vertebral a médio e longo prazo. É importante que profissionais da área da saúde, inclusive professores de educação física, estejam aptos a realizar avaliações posturais, e que esse procedimento seja realizado rotineiramente nas escolas.
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              Low back pain among professional bus drivers: ergonomic and occupational-psychosocial risk factors.

              Professional drivers have been found to be at high risk for developing low back pain. However, the exact reasons are poorly understood. To assess the prevalence of LBP among Israeli professional urban bus drivers, and evaluate the association between LBP in drivers and work-related psychosocial and ergonomic risk factors. A total of 384 male full-time urban bus drivers were consecutively enrolled to this cross-sectional study. Information on regular physical activity and work-related ergonomic and psychosocial stressing factors was collected during face-to-face interviews. The prevalence of LBP was assessed using the Standardized Nordic Questionnaire. From the total cohort, 164 bus drivers (45.4%) reported experiencing LBP in the previous 12 months. Ergonomic factors associated with LBP were uncomfortable seat (odds ratio 2.6, 95% confidence interval 1.4-5.0) and an uncomfortable back support (OR 2.5, 95% CI 1.4-4.5). In the group of drivers with LBP, 48.5% reported participation in regular physical activities vs. 67.3% in the group without LBP (P<0.01). The following psychosocial stressing factors showed significant association with LBP: "limited rest period during a working day" (1.6, 1.0-2.6), "traffic congestion on the bus route" (1.8, 1.2-2.7), "lack of accessibility to the bus stop for the descending and ascending of passengers" (1.5, 1.0-1.5), and "passengers' hostility" (1.8, 1.1-2.9). Work-related ergonomic and psychosocial factors showed a significant association with LBP in Israeli professional urban bus drivers. Prevention of work-related stress, organizational changes targeted to reduce stressful situations, improvement in seat comfort, and encouraging regular sports activity need to be evaluated as prevention strategies for LBP in professional bus drivers.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                motriz
                Motriz: Revista de Educação Física
                Motriz: rev. educ. fis.
                Universidade Estadual Paulista (Rio Claro )
                1980-6574
                June 2013
                : 19
                : 2
                : 243-251
                Affiliations
                [1 ] Universidade Federal do Rio Grande do Sul Brazil
                [2 ] Universidade Federal do Rio Grande do Sul Brazil
                [3 ] Universidade Federal do Rio Grande do Sul Brazil
                Article
                S1980-65742013000200001
                10.1590/S1980-65742013000200001
                910d739f-6c17-4dad-883a-555be6042a2a

                http://creativecommons.org/licenses/by/4.0/

                History
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                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=1980-6574&lng=en
                Categories
                SPORT SCIENCES

                Sports medicine
                Qualidade de vida,Quality of life,Coluna vertebral,Dor,Spine,Pain
                Sports medicine
                Qualidade de vida, Quality of life, Coluna vertebral, Dor, Spine, Pain

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