Safety of a physical therapy protocol for women with preeclampsia: a randomized controlled feasibility trial

Autor:	Ricardo de Carvalho Cavalli, Geraldo Duarte, Michelle S. Machado, Tawana Vicente Bertagnolli, Cristine Jorge Homsi Ferreira, Jackeline de Souza Rangel Machado
Rok vydání:	2018
Předmět:	Adult Middle Cerebral Artery medicine.medical_specialty Hemodynamics Blood Pressure Preeclampsia Young Adult 03 medical and health sciences 0302 clinical medicine Pre-Eclampsia Pregnancy GRAVIDEZ Internal Medicine medicine Humans Single-Blind Method 030212 general & internal medicine Physical Therapy Modalities reproductive and urinary physiology Protocol (science) 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology medicine.disease female genital diseases and pregnancy complications Treatment Outcome Physical therapy Feasibility Studies Female business
Zdroj:	Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP
ISSN:	1525-6065 1064-1955
DOI:	10.1080/10641955.2018.1439059
Popis:	To assess the feasibility and safety of a physiotherapy protocol applied to pregnant women with preeclampsia.Randomized, controlled, single-blind feasibility study, with 24 hospitalized pregnant women with preeclampsia. The intervention group received one session of the physiotherapy. The control group remained under the routine care of the hospital. The primary outcomes were Doppler velocimetry, cardiotocography, and maternal-fetal hemodynamics. Secondary outcomes were pain and anxiety assessed before and after the interventions. A mixed effects linear regression model was used, and the data were compared with the level of significance at 5%.The baseline characteristics of the participants were homogeneous between groups. Resistance index of the Middle Cerebral Artery (MAC) and Umbilical Artery (UA) and cardiotocography did not change significantly. The systolic blood pressure (SBP) increased 4.90 mmHg in the control group and 0.22 mmHg in the intervention group. The diastolic blood pressure (DBP) increased 1.34 mmHg in the control group and decreased 0.40 mmHg in the intervention group. The middle bood pressure (MBP) increased 4.66 mmHg in the control group while there was a decrease of 0.09 mmHg in the intervention group, without statistical difference. Heart rate (HR) decreased 0.94 bpm in the control group; whereas, in the intervention group, there was an increase of 6.30 bpm. The pain reduced clinically 2 points after the intervention. The anxiety reduced clinically in both the groups (-1.26 in the intervention group and -2.17 in the control group).The protocol applied in the intervention group is feasible and safe for both mother and fetus. Both groups showed clinical reduction in the levels of anxiety; whereas, pain was clinically reduced in the intervention group.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cac04b4eefa72b94f56caa264f8d7f9f https://doi.org/10.1080/10641955.2018.1439059 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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