Funcionalidade de mulheres com dor pélvica crônica considerando a prática de atividade física e a cinesiofobia

Abstract

Introduction: Chronic Pelvic Pain (CPP) can be defined as the perception of pain symptoms originating from structures and/or organs of the pelvis, lasting for a minimum of 6 months. Women with CPP may exhibit psychological factors that influence the perpetuation of pain, in addition to experiencing impairments in their daily, social, and professional activities. Thus, the aim is to investigate whether there is a difference in the functionality of women with CPP, considering factors such as physical activity and kinesiophobia. Objective: To compare the functionality of women with CPP, considering the practice of physical activity and kinesiophobia. Methodology: This is a cross-sectional study with a sample of 168 women with CPP treated at the outpatient clinics of Maternidade Escola Assis Chateaubriand (MEAC), aged 18 to 45 years. Clinical, socioeconomic, demographic data, and physical activity practice (structured form) were collected. Tampa Scale for Kinesiophobia (TSK) was used to assess kinesiophobia, and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) questionnaire was used to assess functionality. SPSS version 20.0 was used for statistical analysis, employing means, standard deviations, absolute and relative frequencies, and the Student's T-test (significance level of 5%). Results: In our sample, only 29.2% (n=49) engaged in regular physical activity. Women who did not engage in regular physical activity demonstrated lower levels of functionality in the domains of activities of daily living and mobility (p < 0.05) compared to those who did. Women with CPP and severe kinesiophobia, comprising 28% (n=47) of the sample, exhibited lower levels of functionality in the domains of participation, self-care, mobility, and cognition (p < 0.05), as well as in the total WHODAS (p < 0.001), when compared to women with mild to moderate kinesiophobia. Conclusion: Women with CPP who do not engage in regular physical activity, as well as those considered to have severe kinesiophobia, presented a lower level of functionality. These aspects should be assessed and considered in the multiprofessional treatment of this condition.