Avaliação das descrições dos exercícios terapêuticos em ensaios clínicos randomizados para o tratamento de entorse de tornozelo
Data
2021-07-30
Autores
Ismail, Murillo Mateus [UNIFESP]
Orientadores
Peccin, Maria Stella [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: A entorse de tornozelo é uma das afecções musculoesqueléticas mais comuns, principalmente em atletas. Existem dois tipos de tratamentos para a entorse de tornozelo, o conservador e o cirúrgico, sendo que o primeiro é o mais utilizado, tendo em vista que, além do menor custo e das menores chances de complicações, não existem evidências que relatam resultados superiores para o tratamento cirúrgico quando comparado ao conservador. Nesse sentido, justifica-se a necessidade de uma análise da descrição dos exercícios terapêuticos utilizados em estudos sobre o tema, por meio de um checklist que avalie tais descrições, para melhor entendimento das mesmas e possibilidade de reaplicações em pesquisas subsequentes e na prática clínica. Objetivos: Avaliar a descrição dos exercícios terapêuticos, em ensaios clínicos randomizados (ECRs), para o tratamento de entorse de tornozelo, através do checklist Consensus on Exercise Reporting Template (CERT). Metodologia: Foi um estudo transversal, investigativo e descritivo. Foram incluídos ECRs, encontrados na base de dados Physiotherapy Evidence Database (PEDro), que abordavam sobre o tratamento conservador de entorse de tornozelo. Os critérios de inclusão foram ECRs envolvendo indivíduos com entorse de tornozelo cujo tratamento conservador fosse por meio de exercícios, podendo ser comparado ao placebo, a outro tipo de tratamento conservador, ao não tratamento e à uma intervenção cirúrgica, sendo considerados quaisquer desfechos. A seleção dos estudos foi realizada por dois pesquisadores independentes e após a seleção dos mesmos, houve a aplicação do checklist CERT por dois revisores independentes e previamente treinados. Resultados: Foram incluídos 70 ECRs. A pontuação média (±DP) do checklist CERT foi de 6,32 (± 2,65) de um total de 19 pontos. Não houve diferença estatística significante nas comparações referentes ao ano de publicação ou ao tipo de condição do estudo, mas houve melhora significativa na pontuação dos estudos com alta qualidade metodológica (nota PEDro ≥ 6). Conclusão: A qualidade geral das descrições dos exercícios terapêuticos para entorse de tornozelo em ECR sobre o tema foi baixa, de acordo com o checklist CERT. Contudo, estudos com alta qualidade metodológica apresentaram melhor qualidade de descrição quando comparados com estudos de baixa qualidade metodológica.
Introduction: Ankle sprain is one of the most common musculoskeletal disorders, especially in athletes. There are two types of treatments for ankle sprains, conservative and surgical, the first being the most used, considering that, in addition to the lower cost and lower chances of complications, there is no evidence that reports superior results for surgical treatment when compared to conservative treatment. In this sense, the need for an analysis of the description of the therapeutic exercises used in studies on the topic is justified, by means of a checklist that evaluates such descriptions, for a better understanding of them and the possibility of reapplications in subsequent researches and in clinical practice. Objectives: To evaluate the description of therapeutic exercises, in randomized clinical trials (RCTs), for the treatment of ankle sprains, using the Consensus on Exercise Reporting Template (CERT) checklist. Methodology: It was a cross-sectional, investigative and descriptive study. RCTs found in the Physiotherapy Evidence Database (PEDro) database were included, which addressed the conservative treatment of ankle sprains. The inclusion criteria were RCTs involving individuals with ankle sprains whose conservative treatment was through exercise, which can be compared to placebo, to another type of conservative treatment, to non-treatment and to a surgical intervention, considering any outcomes. The selection of studies was carried out by two independent researchers and after their selection, the CERT checklist was applied by two independent and previously trained reviewers. Results: 70 RCTs were included. The average score (± SD) of the CERT checklist was 6.32 (± 2.65) out of a total of 19 points. There was no statistically significant difference in comparisons regarding the year of publication or the type of condition of the study, but there was a significant improvement in the scores of studies with high methodological quality (PEDro score ≥ 6). Conclusion: The general quality of the descriptions of therapeutic exercises for ankle sprains in RCT on the topic was low, according to the CERT checklist. However, studies with high methodological quality showed better quality of description when compared to studies with low methodological quality.
Introduction: Ankle sprain is one of the most common musculoskeletal disorders, especially in athletes. There are two types of treatments for ankle sprains, conservative and surgical, the first being the most used, considering that, in addition to the lower cost and lower chances of complications, there is no evidence that reports superior results for surgical treatment when compared to conservative treatment. In this sense, the need for an analysis of the description of the therapeutic exercises used in studies on the topic is justified, by means of a checklist that evaluates such descriptions, for a better understanding of them and the possibility of reapplications in subsequent researches and in clinical practice. Objectives: To evaluate the description of therapeutic exercises, in randomized clinical trials (RCTs), for the treatment of ankle sprains, using the Consensus on Exercise Reporting Template (CERT) checklist. Methodology: It was a cross-sectional, investigative and descriptive study. RCTs found in the Physiotherapy Evidence Database (PEDro) database were included, which addressed the conservative treatment of ankle sprains. The inclusion criteria were RCTs involving individuals with ankle sprains whose conservative treatment was through exercise, which can be compared to placebo, to another type of conservative treatment, to non-treatment and to a surgical intervention, considering any outcomes. The selection of studies was carried out by two independent researchers and after their selection, the CERT checklist was applied by two independent and previously trained reviewers. Results: 70 RCTs were included. The average score (± SD) of the CERT checklist was 6.32 (± 2.65) out of a total of 19 points. There was no statistically significant difference in comparisons regarding the year of publication or the type of condition of the study, but there was a significant improvement in the scores of studies with high methodological quality (PEDro score ≥ 6). Conclusion: The general quality of the descriptions of therapeutic exercises for ankle sprains in RCT on the topic was low, according to the CERT checklist. However, studies with high methodological quality showed better quality of description when compared to studies with low methodological quality.
Descrição
Citação
ISMAIL, Murillo Mateus. Avaliação das descrições dos exercícios terapêuticos em ensaios clínicos randomizados para o tratamento de entorse de tornozelo. 2021. 54 f. Trabalho de conclusão de curso de graduação (Fisioterapia) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2021.