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Vol. 28. Issue S1.
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
(01 April 2024)
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Vol. 28. Issue S1.
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
(01 April 2024)
373
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COLOPROCTOLOGICAL SYMPTOMS IN PARALYMPIC SPORTS ATHLETES: A PILOT CROSS-SECTIONAL PREVALENCE STUDY IN THE NORTH REGION
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Pedro Renan Nascimento Barbosa1, Marília Passos Magno e Silva1
1 Department of Physical Therapy, Postgraduate Program in Human Movement Sciences at the Federal University of Pará (PPGCMH/UFPa), Belém, Pará, Brazil
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Vol. 28. Issue S1

1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)

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Background

Paralympic sports is a sports practice adapted for people with disabilities, who, due to exposure to the overload generated by training and competitions, become susceptible to health problems in sports, and the pelvic floor may have its functionality compromised, resulting in various dysfunctions such as coloproctological, characterized by changes in anorectal physiology, such as anal incontinence and constipation symptoms.

Objectives

To verify the prevalence of pelvic floor dysfunctions in athletes of paralympic sports.

Methods

Observational epidemiological research of a quantitative and descriptive cross-sectional nature, carried out with athletes of paralympic sports of any modality; data collection was by electronic forms using the Google Forms tool, the form was divided into sections: Presentation of the research in video along with Informed Consent Form (ICF), sociodemographic data, obstetric data, use of ostomies and validated questionnaires (Cleveland Clinic Florida Fecal Incontinence Score (CCFFIS), Bristol Scale and Rome III Criterion); initially with a pilot survey, initially tested in the North Region, in Belém do Pará, locality that resides its researchers, being part of a national research. Data were transferred from the platform to Excel 2019, tabulated, and a descriptive analysis of coloproctological symptoms was performed.

Results

The pilot research had 7 volunteers of both sexes (3 female participants and 4 male participants), aged 37±9.18 years, self-declared black, heterosexual, all of them people with physical disabilities, from 5 different modalities (sitting volleyball, judo, basketball, fencing, and wheelchair dancing), residents of the Metropolitan Region of Belém. Regarding obstetric history, of the 3 participants, only one reported a pregnancy, which evolved into abortion. None of the participants reported the presence of ostomies. The CCFFIS indicated that none of the participants had solid stool losses, however 2 participants indicated liquid stool losses, 4 lost gas/fluids, and 2 used linings to avoid soiling their clothes; furthermore, only 1 indicated a change in lifestyle due to involuntary loss. Regarding the Rome Criterion III, 3 of the participants reported the sensation of incomplete evacuation, besides the evacuation effort reported by 2 participants, as well as the sensation of blocking the exit of stools and hardened stools, and 1 participant reported the use of medication to evacuate and manual maneuvers to get rid of stools. Regarding the Bristol Scale, 4 reported stools with a degree of dryness, 2 with the normality pattern, and 1 reported softer stool.

Conclusion

It is noteworthy that the data presented, even if with a reduced n, indicate the need to describe these symptoms in this population, trace their profile and epidemiological data, and stimulate future interventions that minimize the severity and prevent these dysfunctions.

Implications

There is a large number of paralympic high-performance athletes from the North Region, making this research of great stimulus for prevention and intervention actions initially in loco.

Keywords:
Pelvic Floor Dysfunction
Parathletes
Sports for Persons with Disabilities
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Conflict of interest: The authors declare no conflict of interest.

Acknowledgment: To each paratleta that donated their time to participate in our research, to UFPa and CAPES.

Ethics committee approval: Research Ethics Committee of the Institute of Health Sciences of the Federal University of Pará (CEP/UFPa - Opinion Nº. 5.504.199).

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Brazilian Journal of Physical Therapy
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