Fisioterapia Esportiva

Pessoal, com a criação das comunidades não conseguimos trazer algumas listas, como a cevgravidez. Mas esse trabalho vale pra todomundo. Alguém topa adotar a tradução (e ganhar o crédito da tradução)?

Physical Therapy Exercise Program Can Reduce Risk of Postnatal Depression in New Mothers

ScienceDaily (Mar. 23, 2010) — A physical therapy exercise and health education program is effective in improving postnatal well-being and reducing the risk for postnatal depression (PND), according to a randomized controlled trial published in the March issue of Physical Therapy, (PTJ) the scientific journal of the American Physical Therapy Association (APTA).

Postnatal depression (PND) is a major health issue affecting up to 13% of all new mothers throughout the world, with most cases beginning in the first 3 months of the postnatal period. Although its duration varies among mothers, it is thought to be determined by sociocultural factors, such as self-esteem of the mother, the childbirth experience, and the availability of support and local services.

Previous studies have shown that general exercise improves mood states in younger and older women, improves well-being, and leads to a reduction in depressive symptoms in mothers diagnosed with PND. However, no studies have evaluated the benefits of group physical therapy exercise approaches to improve psychological health outcomes of women postnatally.

"Giving birth involves many changes in a woman’s physical, emotional, and social health," said Mary P. Galea, BAppSci (Physio), BA, PhD, Professor of Clinical Physiotherapy in the School of Physiotherapy at the University of Melbourne, Victoria, Australia, one of the authors of this study. "A group exercise program led by a physical therapist, who is an expert in improving and restoring motion to people’s daily lives, can help mothers who may be at risk for PND improve their well-being and enable them to better care for their children."

In this study, 161 English-speaking women who were being discharged from the postnatal ward of The Angliss Hospital were randomly assigned to an experimental Mother & Baby (M&B) Program or an education only (EO) group. Once a week for 8 weeks the M&B group, comprised of 62 women, undertook 1 hour of exercise with their babies, facilitated by a women’s health physical therapist, combined with 30 minutes of parenting education delivered by health care professionals. Seventy-three women were assigned to the EO group and received only the same written educational materials. Twenty-six of the women did not receive either of the allocated interventions.

Results revealed there was significant improvement in well-being scores and depressive symptoms of the M&B group compared with the EO group over the study period. More specifically, there was a significant positive effect on well-being scores and depressive scores at 8 weeks, and this score was maintained 4 weeks after completion of the program. The number of women identified as at risk for postnatal depression pre-intervention was reduced by 50 percent by the end of the intervention.

The primary outcome measure was a psychological well-being scale called the Positive Affect Balance Scale. This 10-question scale indicates psychological reactions of people in the general population to events in their daily lives. Participants also completed the Edinburgh Postnatal Depression Scale and answered questions regarding the amount of physical activity performed each week. These outcome measures were assessed at baseline, after 8 weeks, and then 4 weeks later.
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   Adapted from materials provided by American Physical Therapy Association, via EurekAlert!, a service of AAAS.

Journal Reference:

  1. E. Norman, M. Sherburn, R. H. Osborne, M. P. Galea. An Exercise and Education Program Improves Well-Being of New Mothers: A Randomized Controlled Trial. Physical Therapy, 2010; DOI: 10.2522/ptj.20090139

PHYS THER
Vol. 90, No. 3, March 2010, pp. 348-355
DOI: 10.2522/ptj.20090139

Research Reports
An Exercise and Education Program Improves Well-Being of New Mothers: A Randomized Controlled Trial
Emily Norman, Margaret Sherburn, Richard H. Osborne and Mary P. Galea

E. Norman, BPhysio, PGrad Cert (Exercise for Women), MPhysio, is Grade 4 Physiotherapist (Continence and Women’s Health) and Manager of Allied Health Clinical Research, Eastern Health, Ferntree Gully, Victoria, Australia.
M. Sherburn, BAppSci (Physio), MWomen’s Health, PhD, is Senior Lecturer, School of Physiotherapy, University of Melbourne, Parkville, Victoria, Australia.
R.H. Osborne, BSc, PhD, is Professor of Public Health, School of Health and Social Sciences, Deakin University, Burwood, Victoria, Australia.
M.P. Galea, BAppSci (Physio), BA, PhD, is Professor of Clinical Physiotherapy, School of Physiotherapy, University of Melbourne, Grattan Street, Parkville, Victoria 3010, Australia.

Address all correspondence to Dr Galea at: m.galea@unimelb.edu.au.

Objective: The purpose of this study was to evaluate the effect of a physical therapy exercise and health care education program on the psychological well-being of new mothers.

Design: This was a randomized controlled trial.

Participants: Primiparous and multiparous English-speaking women ready for discharge from The Angliss Hospital postnatal ward were eligible for this study. Women who were receiving psychiatric care were excluded. One hundred sixty-one women were randomized into the trial.

Intervention: The experimental group (n=62) received an 8-week "Mother and Baby" (M&B) program, including specialized exercise provided by a women’s health physical therapist combined with parenting education. The other group (education only [EO], n=73) received only the same educational material as the experimental group.

Main Outcome Measures: Psychological well-being (Positive Affect Balance Scale), depressive symptoms (Edinburgh Postnatal Depression Scale), and physical activity levels were assessed at baseline, after 8 weeks (post-program), and then 4 weeks later.

Results: There was significant improvement in well-being scores and depressive symptoms of the M&B group compared with the EO group over the study period. More specifically, there was a significant positive effect on well-being scores and depressive symptoms at 8 weeks, and this effect was maintained 4 weeks after completion of the program. The number of women identified as "at risk" for postnatal depression pre-intervention was reduced by 50% by the end of the intervention.

Limitations: Although this study provides promising short-term (4-week) outcomes, further work is needed to explore whether the intervention effects are maintained as sustained psychological and behavioral benefits at 6 months.

Conclusions: A physical therapy exercise and health education program is effective in improving postnatal well-being. Routine use of this program may reduce longer-term problems such as postnatal depression.

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