ABSTRACT
SUMMARY OBJECTIVE: The aim of this study was to analyze the effects of pandemic in the exercising practice and impact of the disease in patients with Fibromyalgia. METHODS: This is a cross-sectional, Internet-based survey answered by 1156 individuals with Fibromyalgia diagnosis. Questions were on epidemiology, social distancing habits, and exercise practice before and after COVID-19 pandemic, including subtypes of exercises (for resistance, flexibility, balance, and strength). The Fibromyalgia Impact Questionnaire was applied. RESULTS: In the whole sample, 57.7% of individuals practiced exercises before pandemic; during pandemic, only 34.8% practiced and 39.6% left this practice. Among those taking quarantine (n=440), 52.9% used to do exercises prior to pandemic; in the pandemic, 28.1% (reduction of 53.2%). The median Fibromyalgia Impact Questionnaire among those who practiced exercises in the pandemic was 73.6 (61.1-83.2) and that among those who did not was 80.4 (71.9-86.9), with p<0.0001. The Fibromyalgia Impact Questionnaire did not change according to the type of physical exercise (p=0.27). CONCLUSION: A high proportion of patients with Fibromyalgia stopped exercising during COVID-19 pandemic; as a result, the impact of the disease during this period was worse among those not practicing exercises.
Subject(s)
Humans , Fibromyalgia/epidemiology , COVID-19 , Exercise , Cross-Sectional Studies , Surveys and Questionnaires , Pandemics , SARS-CoV-2ABSTRACT
Racional: Escoliose é a causa mais comum de desvios na coluna (podendo afetar de 2% a 32% da população mundial) e é um problema de saúde pública. O diagnóstico precoce junto ao tratamento adequado são a chave para um bom prognóstico. A puericultura em crianças e adolescentes é a oportunidade imperdível para realização da triagem para escoliose durante o exame físico. Objetivo: Analisar se adolescentes estão sendo submetidos aos testes de triagem para diagnóstico precoce de escoliose Método: Foi aplicado questionário a 121 adolescentes de 10 a 17 anos em escolas estaduais de Curitiba, PR, Brasil, após apresentação de diapositivos com breve explicação sobre o tema. Os pais preencheram questionário com dados socioeconômicos. Resultados: 74 (61%) frequentaram anualmente consultas médicas, e em apenas 16 (13%), o médico era pediatra. Dos 121 estudantes, 16 (13%) tinham conhecimento prévio da existência dos testes e apenas 8 (7%) foram previamente submetidos aos testes. Conclusão: Há falha na realização médica dos testes de triagem para diagnóstico precoce de escoliose em crianças e adolescentes, com repercussões negativas quanto ao prognóstico e custo da assistência.
Background: Scoliosis is the most common cause of spinal deviations (affecting 2% to 32% of the world population) and is a public health problem. Early diagnosis and adequate treatment are the key to a good prognosis.Childcare in children and adolescents is an unmissable opportunity to screen for scoliosis during physical examination. Objective: To analyze whetheradolescents are being obtained from screening tests for early diagnosis of scoliosis Method:A questionnaire was administered to 121 adolescents aged 10 to 17 years in state schools in Curitiba, PR, Brazil, after presentation of slides with a brief explanation on the subject. Parents completed a questionnaire with socioeconomic data. Results: 74 (61%) attended annual consultations, and in only 16 (13%), the physician was a pediatrician. Of the 121 students, 16 (13%) had only prior knowledge of the existence of the tests and only 8 (7%) were prior to the tests. Conclusion: There is a failure in the medical performance of screening tests for early diagnosis of scoliosis in children and adolescents, with negative repercussions in terms of prognosis and cost of care.