Postural education program for socially vulnerable adolescents protected by institutional care: case series

Authors

DOI:

https://doi.org/10.5585/22.2023.25120

Keywords:

Posture, Adolescents, Social vulnerability, Health education

Abstract

Abstract
Introduction: Institutionalized young people may exhibit impaired development due to lack of support, correct guidance regarding their physiological changes, and knowledge about postural changes.
Methods: This is a longitudinal observational case series study. Adolescents residing in shelters who could understand the entire protocol were invited to participate in the study. Ten meetings were held, once a week, with 8 theoretical-practical interventions and 2 pre and post-PEP evaluations. The evaluations were: static posture, dynamic balance, handgrip strength, self-esteem, quality of life, and a theoretical questionnaire on general knowledge.
Results: From 18 adolescents, 11 (7 boys and 4 girls), with an average age of 14.8 (±1.3) years concluded the study. After the PEP intervention, a significant improvement was found in the knee angles (3.56º vs. 2.28º) and hip (-12.03º vs. -4.18º) in its plane lateral. The scores of the theoretical questionnaire were 4.75 vs. 11.63 and the handgrip strength was 22.91 vs. 28.54 kgf and 21.55 vs. 26.82 kgf for the right and left limbs. In the quality of life and self-esteem questionnaires, no statistically significant differences were obtained.
Conclusion: PEP imparts benefits to socially vulnerable adolescents for postural angles, handgrip strength and theoretical knowledge. Self-esteem and quality of life did not change, probably due to their high vulnerability.

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Author Biography

Anelise Sonza, Universidade do Estado de Santa Catarina (UDESC)

Departamento de Fisioterapia

Área de atuação: Pediatria

References

Fay DL, Akhavan S, Goldberg VM. Cadernos de Pesquisa. Angewandte Chemie International Edition 2006; 36: 9–246.

Schoen-Ferreira TH, Aznar-Farias M, Silvares EF de M. Adolescência através dos séculos. Psicologia: Teoria e Pesquisa 2010; 26: 227–234.

Bretas JR da S. Mudanças: a Corporalidade. 2003.http://www.repositorio.unifesp.br/bitstream/handle/11600/18442/Tese-7605.pdf;jsessionid=F22C07D3F14D1CD832A95781C2438228?sequence=2.

Sedrez JA, Da Rosa MIZ, Noll M, Medeiros FDS, Candotti CT. Fatores de risco associados a alterações posturais estruturais da coluna vertebral em crianças e adolescentes. Revista Paulista de Pediatria 2015; 33: 72–81.

Cardon G, De Bourdeaudhuij I, De Clercq D. Knowledge and perceptions about back education among elementary school students, teachers, and parents in Belgium. Journal of School Health 2002; 72: 100–106.

Jordá Llona M, Pérez Bocanegra E, García-Mifsud M, Jimeno Bernad R, Ortiz Hernández R, Castells Ayuso P. Escuela de espalda: una forma sencilla de mejorar el dolor y los hábitos posturales. An Pediatr (Engl Ed) 2014; 81: 92–98.

Vidal J, Borràs PA, Ponseti FJ, Cantallops J, Ortega FB, Palou P. Effects of a postural education program on school backpack habits related to low back pain in children. European Spine Journal 2013; 22: 782–787.

Casarotto RA, Murakami SC. Grupo de Coluna e Back-School. Rev fisioter Univ Säo Paulo 1995; 2: 65–71.

Dolphens M, Cagnie B, Danneels L, De Clercq D, De Bourdeaudhuij I, Cardon G. Long-term effectiveness of a back education programme in elementary schoolchildren: An 8-year follow-up study. European Spine Journal 2011; 20: 2134–2142.

Sonza A, Nascimento GL do, Junior MLS, Perez PM, Vaz G. Efeitos de um programa de educação postural online em atletas adolescentes de basquetebol. In: Ciências da saúde: Aspectos diagnósticos e preventivos de doenças. Atena Editora, 2023, pp 266–279.

Candotti CT, Macedo CH, Noll M, Freitas K De. Escola Postural: Uma Metodologia Adaptada Para Crianças. Revista eletrônica da Escola de Educação Física e Desportos - UFRJ 2009; 5: 34–49.

Turra P, Nichele L de FI, Badaró AFV. Caracterização da postura corporal de crianças em situação de vulnerabilidade social. Revista Neurociencias 2015; 23: 376–382.

Miranda LS, Graciosa MD, Puel AN, Raulino de Oliveira L, Sonza A. Masticatory muscles electrical activity, stress and posture in preadolescents and adolescents with and without temporomandibular dysfunction. Int J Pediatr Otorhinolaryngol 2021; 141: 110562.

Bulow A, Cat C, Anderson JE, Leiter JR, Macdonald PB. Original research the modified star excursion balance and y-balance test results differ when assessing physically active healthy adolescent females. The International Journal of Sports Physical Therapy 2019; 14: 192–203.

Elaine Ewing Fess, Christine A. Moran. ASHT’s Clinical Assessment Recommendations. 3th ed. American Society of Hand Therapists, 2016.

Carreira H, Amaral TF, Brás-Silva C, Oliveira BMPM, Borges N. Força da preensão da mão numa amostra de crianças dos 11 aos 14 anos. Acta Med Port 2010; 23: 811–818.

Maria A. Biofotogrametria confiabilidade das medidas do protocolo do software para avaliação postural ( SAPO ). 1980; : 299–305.

Leite JM. Efeito da Escola de Postura em Crianças. Universidade Castelo Branco 2009; 3

Andrade SC de, Araújo AGR de, Vilar MJP. Escola de Coluna: revisão histórica e sua aplicação na lombalgia crônica. Rev Bras Reumatol 2005; 45: 2–6.

Reis MM, Arantes PMM. Medida da força de preensão manual- validade e confiabilidade do dinamômetro saehan. Fisioterapia e Pesquisa 2011; 18: 176–181.

Elaine Ewing Fess, Christine A. Moran. ASHT’s Clinical Assessment Recommendations. 3th ed. American Society of Hand Therapists, 2016

Published

2023-11-22

How to Cite

1.
Postai M, Oliveira LR de, Puel AN, Sandini Junior ML, Nascimento GL do, Montemezzo D, et al. Postural education program for socially vulnerable adolescents protected by institutional care: case series. Cons. Saúde [Internet]. 2023 Nov. 22 [cited 2024 Jul. 2];22(1):e25120. Available from: https://periodicos.uninove.br/saude/article/view/25120

Issue

Section

Cases studies