Avaliação da dor, funcionalidade e qualidade de vida de mulheres com osteoartrite de joelhos submetidas à um programa de exercício aeróbio e a fotobiomodulação
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Data
2019-11-05
Autores
Vasques, Jéssica Dayane da Costa [UNIFESP]
Orientadores
Renno, Ana Claudia Muniz [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
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O envelhecimento populacional é um fenômeno mundial, decorrente principalmente do declínio das taxas de mortalidade e fertilidade. Esse crescimento está diretamente associado ao aumento de doenças crônico-degenerativas. Dentre estas doenças, a osteoatrite (AO) é uma das principais causas de dor e incapacidade entre idosos além promover sintomas como, rigidez matinal, crepitação óssea e atrofia muscular, fatores que estão diretamente ligados com maior incapacidade funcional contribuindo para a diminuição do bem-estar e da qualidade de vida desses indivíduos. Os métodos não farmacológicos, como o exercício físico mostra-se benéfico na diminuição dos sintomas da OA. Recursos como a fotobiomodulação têm demonstrado resultados favoráveis. O objetivo desse estudo foi investigar os efeitos da fotobiomodulação e de um protocolo de exercício aeróbio na dor, rigidez articular, funcionalidade, e qualidade de vida em pacientes com OA de joelho. Foram avaliados 19 indivíduos com OA de joelho grau II e III, randomizados em 2 grupos: Grupo Exercício e Fotobiomodulação Placebo (GEFP, n =10), tratamento através de um protocolo de exercício aeróbio associado a fotobiomodulação placebo ou Grupo Exercício Fotobiomodulação Ativo (GEFA, n =9), tratamento através de um protocolo de exercício aeróbio associado a fotobiomodulação ativa. As intervenções foram realizadas 2x/semana por um período de 8 semanas. O programa de exercícios incluiu a fase de aquecimento, exercício aeróbio e fase de resfriamento. O cluster (808nm, 100mW, 4 J/ ponto totalizando 56J) foi aplicado no membro inferior mais afetado após o exercício. Para a avaliação e reavaliação foram aplicados questionários como o Escala visual analógica (EVA), Knee injury and Osteoarthritis Outcome Score (KOOS) e Short form 36 (SF-36) health survey questionnaire. Foi realizada a Goniometria da flexão do joelho e os testes 30-second Chair Stand Test e o Stair Climb Test. Os resultados demonstram que houve uma melhora significativa intragrupo no nível de dor em repouso (p<0,001), no teste de subir e descer degraus (p=0,012), capacidade funcional (p<0,001), estado geral de saúde (p=0,015), saúde mental (p=0,004), sintomas (p<0,001), dor em movimento (p=0,020), atividade de vida diária (p=0,003), desportiva e lazer (p=0,001) e qualidade de vida (p<0,001). Os resultados não foram significativos quando comparado intergrupo. Concluímos que o tratamento com exercício aeróbio melhorou o quadro de dor, funcionalidade e qualidade de vida de mulheres com AO de joelhos, porém a fotobiomodulação não potencializou os efeitos benéficos do exercício.
Population aging is a worlwide phenomenon, mainly due to the decline in mortality and fertility rates. Among these diseases, osteoarthritis (OA), is one of the main causes of pain and disability among the elderly, besides promoting symptoms such a morning stiffness, bone crackling and muscular atrophy, factors that are directly linked with greater functional disability contributing to the reduction of well-being, and quality of life of these individuals. Therefore, nonpharmacological methods, such as physical exercise, are beneficial in several aspects. In addition, features such as photobiomodulation have shown favorable results. Thus, the objective of this study was to investigate the effects of aerobic exercise protocol and photobiomodulation on the pain, functionality, joint stiffness and quality of life in patients with knee OA. Nineteen individuals with II and III grade of knee OA were evaluated, randomized into 2 groups: Exercise and Photobiomodulation Placebo Group (EPPG, n = 10), treatment through an aerobic exercise protocol associated with photobiomodulation placebo or Exercise and Photobiomodulation Active Group (EPAG, n = 9), treatment through an aerobic exercise protocol associated with photobiomodulation active. The interventions was performed 2x / week for a period of 8 weeks. The exercise program included the warm-up, aerobic exercise, and cooling phase. The cluster (808nm, 100mW, 4J / point totaling 56J) was applied to the most affected lower limb after exercise. Visual Analogue Scale (VAS), Knee injury and Osteoarthritis Outcome Score (KOOS) and Short form 36 (SF-36) health survey questionnaire was used for evaluation and reevaluation. In addition, Goniometry of knee flexion and the 30-second Chair Stand Test and Stair Climb Test was performed. Results show that there was a significant intragroup improvement in resting pain level (p<0,001), up and down steps (p=0,012), functional capacity (p<0,001), general health (p=0,015), mental health (p=0,004), symptoms (p<0,001), pain in motion (p=0,020), daily living activity (p=0,003), sports and leisure (p=0,001) and quality of life (p<0,001). Results were not significant when compared between groups. We conclude that treatment with aerobic exercise improved pain, functionality and quality of life of women with knee OA, but photobiomodulation did not enhance the beneficial effects of exercise.
Population aging is a worlwide phenomenon, mainly due to the decline in mortality and fertility rates. Among these diseases, osteoarthritis (OA), is one of the main causes of pain and disability among the elderly, besides promoting symptoms such a morning stiffness, bone crackling and muscular atrophy, factors that are directly linked with greater functional disability contributing to the reduction of well-being, and quality of life of these individuals. Therefore, nonpharmacological methods, such as physical exercise, are beneficial in several aspects. In addition, features such as photobiomodulation have shown favorable results. Thus, the objective of this study was to investigate the effects of aerobic exercise protocol and photobiomodulation on the pain, functionality, joint stiffness and quality of life in patients with knee OA. Nineteen individuals with II and III grade of knee OA were evaluated, randomized into 2 groups: Exercise and Photobiomodulation Placebo Group (EPPG, n = 10), treatment through an aerobic exercise protocol associated with photobiomodulation placebo or Exercise and Photobiomodulation Active Group (EPAG, n = 9), treatment through an aerobic exercise protocol associated with photobiomodulation active. The interventions was performed 2x / week for a period of 8 weeks. The exercise program included the warm-up, aerobic exercise, and cooling phase. The cluster (808nm, 100mW, 4J / point totaling 56J) was applied to the most affected lower limb after exercise. Visual Analogue Scale (VAS), Knee injury and Osteoarthritis Outcome Score (KOOS) and Short form 36 (SF-36) health survey questionnaire was used for evaluation and reevaluation. In addition, Goniometry of knee flexion and the 30-second Chair Stand Test and Stair Climb Test was performed. Results show that there was a significant intragroup improvement in resting pain level (p<0,001), up and down steps (p=0,012), functional capacity (p<0,001), general health (p=0,015), mental health (p=0,004), symptoms (p<0,001), pain in motion (p=0,020), daily living activity (p=0,003), sports and leisure (p=0,001) and quality of life (p<0,001). Results were not significant when compared between groups. We conclude that treatment with aerobic exercise improved pain, functionality and quality of life of women with knee OA, but photobiomodulation did not enhance the beneficial effects of exercise.
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Citação
VASQUES, Jéssica Dayane da Costa. Avaliação da dor, funcionalidade e qualidade de vida de mulheres com osteoartrite de joelhos submetidas à um programa de exercício aeróbio e a fotobiomodulação. 2019. 51 f. Trabalho de conclusão de curso de graduação (Fisioterapia) - Instituto de Saúde e Sociedade (ISS), Universidade Federal de São Paulo (UNIFESP), Santos, 2019.