No Brasil nascem várias crianças que requerem dos profissionais da área de saúde uma grande responsabilidade que é cuidar de cada gestante e de cada criança que nasce e começa a se desenvolver. Esta responsabilidade aumenta ainda mais diante do fato de que, sem a devida atenção, muitas dessas crianças morrem antes de completar um ano de idade. Cuidar da vida de cada gestante e de cada criança significa alguém que cuida. Para garantir um acompanhamento adequado durante o pré-natal e o controle no primeiro ano de vida foi previsto o fortalecimento das atividades entre o ensino, serviço e comunidade com o objetivo de oferecer uma assistência às gestantes e ao bebê. A disciplina SACI (Saúde e Cidadania) II elaborou atividades com as comunidades gestantes do Bairro “Nordeste”, Natal/RN, junto com a colaboração e empenho de cada profissional da “USF Nordeste”. Foram realizadas atividades com palestras temáticas em cuidados com a amamentação, alimentação saudável, exercícios funcionais adaptados a condição gestante, momento do parto e pós-parto, cuidados com o bebê, higiene do sono, vacinação e massagem “Shantala”. Como resultado, uma cartilha foi elaborada, com uma linguagem simples e de forma lúdica, proporcionando às mulheres um meio rápido para tirar dúvidas e um guia para acompanhamentos com a equipe de saúde.

Purpose: To translate, adapt and validate the International Consultation on Incontinence Modular Questionnaire on Female Lower Urinary Tract Symptoms ICIQ-FLUTS for the Brazilian female population. Materials and Methods: A translation of the questionnaire into Brazilian Portuguese was made followed by an adaptation for better understanding by native speakers. After that, the ICIQ-FLUTS was answered by eighty volunteers (n=80) twice (for interviewers 1 and 2) with an interval of 30 minutes between them. Furthermore, after 15 days from the evaluation, the participants answered the ICIQ-FLUTS again in order to verify the questionnaire stability over time. The questionnaires Utian Quality Of Life (UQOL) and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), which are validated in Brazil were also applied to perform the validation. Results: The result of the Cronbach α coeffi cient of the instrument presented a value of 0.832. The values for test-retest were 0.907 (inter-observer) and 0.901 (intra-observer). The correlation between ICIQ-FLUTS (score I-domain of urinary incontinence) with the ICIQ-SF (fi nal score) was strong and positive (r=0.836, p=0.000). In addition, the ICIQ-FLUTS showed moderate and negative correlation with the total score of UQOL (r=-0.691, p=0.017). Conclusion: The Portuguese version of the ICIQ-FLUTS questionnaire showed strong correlation to ICIQ-SF questionnaire and satisfactory values to test-retest and internal consistency.

The SPOAN syndrome is a neurodegenerative disease of autosomal recessive inheritance that causes atrophy of muscles of the upper and lower limbs of the affected individuals. The disease had its initial characterization carried out in individuals originating in the upper western part of the city of Serrinha dos Pintos, State of Rio Grande do Norte, by researchers from the Center for Human Genome Studies and Hospital das Clínicas of the University of São Paulo in the year 2005. Its clinical characteristics include: congenital and atrophic optic atrophy Progressive spastic paraplegia, with early onset of life, axonal neuropathy, with clinical onset after the first decade of life, startle response with unexpected sounds, dysarthria, spinal and foot deformities, and extrapyramidal signs. The present text aims to report the cases of patients with SPOAN under the physiotherapeutic assistance of the Expanded Nucleus of Family Health (NASF) in the city of Serrinha dos Pintos-RN. Experience report:This is an experience report on the care of patients with SPOAN syndrome assisted by the municipality's NASF. In the municipality there were 14 patients with SPOAN, but only 4 (28.5%) of these patients attended the physiotherapeutic care. The treatment lasted an average of 40-50 minutes, with moderate resting pauses between sessions. They consisted of: passive joint mobilization exercises, scapular and pelvic girdle dissociation exercises, intra-articular mobilization exercises, stretching, muscle strengthening , respiratory exercises, myofascial release, Kabat methods, Bobath and Pilates, electrotherapy, and auriculotherapy. Final considerations: Physiotherapic care given to patients with SPOAN syndrome is considered to be extremely important for the preservation of functionality of these patients, since there is a satisfactory clinical evolution, with improvement of muscular strength and flexibility, range of joint movement and respiratory capacity. Therefore, future studies regarding the diagnosis and prognosis of SPOAN are necessary, since early appropriate therapeutic intervention allows the best functional outcome.

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