Banca de QUALIFICAÇÃO: TATIANA LIRA MARINHO

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : TATIANA LIRA MARINHO
DATE: 03/07/2025
TIME: 09:00
LOCAL: https://meet.google.com/btz-qsge-dfs
TITLE:

IMPACT OF PHYSICAL ASSESSMENT ON BEHAVIOR CHANGE IN WOMEN WITH PATELLOFEMORAL PAIN.

KEY WORDS:

Patellofemoral Pain Syndrome; Physical Activity; Kinesiophobia; Behavior Change.

PAGES: 30
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Patellofemoral Pain (PFP) is one of the most prevalent dysfunctions of the knee joint, primarily affecting adolescents and young adults, with a twofold higher predisposition in women. Despite pain improvement being a main objective, kinesiophobia and low physical activity persist as significant barriers. Previous studies have investigated the impact of physical assessments on health habit changes, with varied results regarding the sustainability of behavioral changes in the long term. Objectives: To analyze the influence of performing a physical assessment on the level of pain, function, kinesiophobia, and physical activity in women with PFP. Methodology: This study utilized a prospective cohort design, with longitudinal follow-up of participants at two distinct time points: before the initial physical assessment and after a six-month period following the assessment. Data were initially collected in a laboratory at UFRN and the second stage was conducted in a virtual environment (Google Forms). The sample consisted of 29 adult women (18-40 years old) diagnosed with PFP. Inclusion criteria included knee pain for at least three months in specific activities and clinical signs of PFP. The International Physical Activity Questionnaire – short version (IPAQ-SF) , the Anterior Knee Pain Scale (AKPS) , and the Tampa Scale for Kinesiophobia – 11-item version (TSK-11) were used. Statistical analysis employed paired t-tests or Wilcoxon tests for baseline and 6-month comparisons, and one-way ANOVA with Bonferroni correction or Welch's ANOVA to compare physical activity profiles. Results: Out of 48 women initially evaluated, 29 participated in the six-month follow-up assessment. The sample was characterized by young adults with normal BMI (mean age 31.55 ± 5.82 years). A significant improvement in AKPS was observed after 6 months (p=0.009), indicating pain reduction and functional improvement. However, there were no significant changes in physical activity levels or kinesiophobia (p > 0.05). No significant changes in AKPS or kinesiophobia were found among the different physical activity alteration profiles. Discussion: The significant improvement in AKPS, although statistically significant, may be attributed to the natural fluctuating course of PFP, which can present spontaneous resolution or gradual improvement over time, even without intensive interventions. The absence of significant changes in physical activity and kinesiophobia, even with individualized feedback, suggests that information alone is insufficient to catalyze lasting behavioral changes. This finding corroborates the concept of the intention-behavior gap, where the intention to be more active does not translate into concrete action due to barriers and a lack of objective support for goal management. The persistence of kinesiophobia, as fear of movement and fear of re-injury, emerges as a significant psychosocial barrier to physical activity adherence. Conclusion: Health physical assessment with detailed feedback was shown to be associated with significant improvement in pain and function in women with PFP. However, the mere provision of information and feedback may be insufficient to overcome barriers such as kinesiophobia and to effectively transition from intention to action in adopting a more active lifestyle.

COMMITTEE MEMBERS:
Interno - 2413545 - LEONIDAS DE OLIVEIRA NETO
Interno - 2316237 - RODRIGO SCATTONE DA SILVA
Externo ao Programa - 1989744 - HASSAN MOHAMED ELSANGEDY - UFRN