Avaliação postural em mulheres submetidas à mamoplastia de aumento
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Data
2018
Autores
Barrera, Mayara Roberta [UNIFESP]
Orientadores
Aveiro, Mariana Chaves [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: Foi observado em mulheres com macromastia que há mudança do
centro de gravidade, as curvaturas da cifose torácica e lordose lombar são maiores e
também as lombalgias tem alta prevalência ocasionando a diminuição da
funcionalidade. Entretanto, aspectos psicológicos podem também influenciar nas
alterações posturais, como já foi identificado em estudos que mulheres com
hipomastia adotam postura cifótica na intenção de esconder as mamas. O presente
estudo adota a hipótese de que a cirurgia de mamoplastia não aumenta o grau da
cifose torácica, já que aspectos psicossociais e autoestima também são fatores
importantes para determinar a postura corporal. Objetivo: Comparar as curvaturas
da coluna vertebral, dor e autoestima de mulheres jovens que realizaram a
mamoplastia de aumento, com mulheres que desejam realizar a cirurgia. Métodos:
Foram avaliadas 24 participantes, divididas em dois grupos: com implante mamário e
sem implante mamário. As voluntárias responderam ao IPAQ versão curta, à Escala
de autoestima de Rosenberg e ao Questionário de dor de McGill. Para a avaliação
postural foi utilizado o Software para avaliação postural (SAPO). As medidas das
lordoses cervical e lombar e também cifose torácica foram obtidas pela ferramenta
de ângulos livres. Resultados: Foi observada diferença significativa intergrupo
apenas para a curvatura de lordose lombar, sendo que as voluntárias com implante
mamário possuem maior lordose lombar (p=0,02). Não houve diferença significativa
intergrupo para as variáveis: dor - McGill e Autoestima de Rosenberg. Não foi
observada correlação significativa entre as variáveis. Conclusão: A partir dos
resultados apresentados no estudo, concluímos que não há diferença entre a cifose
torácica dos grupos estudados, este dado demonstra que a hipótese tem
fundamento, porém a lordose lombar se apresentou aumentada no grupo com
silicone, o que sugere que os implantes podem induzir alterações na coluna
vertebral para compensação funcional.
Introduction: Was observed in women with mammary hypertrophy there is change the Centre of gravity, the curvature of the thoracic kyphosis and lumbar lordosis are larger and also the back pain has high prevalence causing decreased functionality, However, psychological aspects can also influence postural changes, as has been identified in studies that women with hypomasty adopt kyphotic posture in order to hide the breasts. This study adopts the hypothesis that breast surgery does not increase the degree of thoracic kyphosis, since psychosocial aspects and selfesteem are also important factors to determine the body posture. Objective: to Compare the curvatures of the spine, pain and self-esteem of young women who performed breast augmentation, with women who wish to perform the surgery. Methods: we evaluated 24 participants, divided into two groups: with and without breast implant. The volunteers responded to the IPAQ short version, Rosenberg selfesteem scale and McGill pain questionnaire. Postural evaluation was used: Software for postural assessment (SAPO). The measures of the cervical and lumbar lordoses and also were obtained by thoracic kyphosis angle tool free. Results: it was observed significant inter-group difference only to the curvature of lumbar lordoses, being that the volunteers with breast implant have increased lumbar lordosis (p = 0.02). There was no significant difference Intergroup for the variables: pain-McGill and Selfesteem of Rosenberg. No significant correlation was observed between the variables. Conclusion: the results presented in this study, we conclude that there is no difference between the thoracic kyphosis of groups, this fact demonstrates that the hypothesis is unfounded, but the lumbar lordosis performed increased in the group with silicone, suggesting that the implants may induce changes in the spine to functional compensation
Introduction: Was observed in women with mammary hypertrophy there is change the Centre of gravity, the curvature of the thoracic kyphosis and lumbar lordosis are larger and also the back pain has high prevalence causing decreased functionality, However, psychological aspects can also influence postural changes, as has been identified in studies that women with hypomasty adopt kyphotic posture in order to hide the breasts. This study adopts the hypothesis that breast surgery does not increase the degree of thoracic kyphosis, since psychosocial aspects and selfesteem are also important factors to determine the body posture. Objective: to Compare the curvatures of the spine, pain and self-esteem of young women who performed breast augmentation, with women who wish to perform the surgery. Methods: we evaluated 24 participants, divided into two groups: with and without breast implant. The volunteers responded to the IPAQ short version, Rosenberg selfesteem scale and McGill pain questionnaire. Postural evaluation was used: Software for postural assessment (SAPO). The measures of the cervical and lumbar lordoses and also were obtained by thoracic kyphosis angle tool free. Results: it was observed significant inter-group difference only to the curvature of lumbar lordoses, being that the volunteers with breast implant have increased lumbar lordosis (p = 0.02). There was no significant difference Intergroup for the variables: pain-McGill and Selfesteem of Rosenberg. No significant correlation was observed between the variables. Conclusion: the results presented in this study, we conclude that there is no difference between the thoracic kyphosis of groups, this fact demonstrates that the hypothesis is unfounded, but the lumbar lordosis performed increased in the group with silicone, suggesting that the implants may induce changes in the spine to functional compensation
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Citação
BARRERA, Mayara Roberta. Avaliação postural em mulheres submetidas à mamoplastia de aumento. 2018. 48 f. Trabalho de conclusão de curso de graduação (Fisioterapia) - Instituto de Saúde e Sociedade (ISS), Universidade Federal de São Paulo (UNIFESP), Santos, 2018.