Fisioterapia aquática no aprimoramento do equilíbrio de gestantes.

Abstract

Background: During pregnancy, there are changes in the woman's body as the trimesters go along. One of these changes appears in the posture, because it occursthe anterior displacement of the gravity center (GC),as consequence of the abdominal uterine growth and weight gain in breasts. The aquatic environment is good and safe for the health of pregnant womenin practicingphysical activity.It favors an adequate metabolic and cardiovascular adaptation, it prevents and minimizes postural changes and musculoskeletal discomfort, as well as it facilitates and provides greater support in performing movements and displacements, besidesthere is no risk of falling. Objectives: Investigate the effect of an aquatic physiotherapy program (AP) in order to maintainand improve the balance and life quality of expectant mothers in the second and third trimester of pregnancy. Methods: Exploratory observational study and descriptive quantitative in nature, case study type with convenience sample composed by four volunteers, first time pregnant women aged between 18 and 35 years. Twelve AP sessions were performed, and evaluations were made before the AP, after the 6th session and after the 12th session. Results: All participants had dynamic equilibrium preserved, 75% had a displacement toward the GC midline and better symmetry in weight-bearing on the lower limbs. Conclusions: Fluctuations in different plans (anteroposterior and laterolateral) were modified as expected during pregnancy, but it was obtained a more symmetrical weight distribution between the legs. Dynamic balance and life quality remained good.