Impacto de um protocolo de exercício aeróbio associado a fotobiomodulação com dosagem progressiva na dor e qualidade do sono de mulheres com fibromialgia
Data
2023-02-14
Autores
Balão, Ana Beatriz 
Orientadores
Renno, Ana Claudia Muniz
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A fibromialgia (FM) é caracterizada pela dor muscular crônica generalizada e pela diminuição da qualidade do sono, acometendo principalmente mulheres. Vários estudos já mostraram que exercícios aeróbicos são efetivos para a melhora da dor e da qualidade do sono desta população; outros estudos já mostraram que a fotobiomodulação (FBM) se destaca pelos seus efeitos na modulação dos sintomas de FM. No entanto, não há consenso na literatura a respeito dos melhores parâmetros de FBM para essa população, com destaque para a FBM do tipo cluster nos principais grupos musculares do corpo e com dose progressiva ao longo do tratamento no nível de dor e nem ao menos na qualidade do sono. Assim, o objetivo deste estudo foi verificar o impacto de um protocolo de exercício aeróbio associado a FBM com dosagem progressiva na dor e qualidade do sono em mulheres com FM. Foram randomizadas e distribuídas 22 mulheres em dois grupos: GEFA: grupo exercício e FBM ativa (n=12), ou GEFP: grupo exercício e FBM placebo (n=13). Na avaliação clínica feita antes da intervenção, após 12 semanas de tratamento e no follow up de 26 semanas, foram aplicados a Escala Visual Analógica (EVA) de Dor e os questionários Pittsburgh Sleep Quality Index (PSQI) e Epworth Sleepiness Scale (ESS) para responder aos desfechos primários sobre o nível de dor e qualidade do sono, e os questionários Revised Fibromyalgia Impact Questionnaire (FIQR) e Fatigue Severity Scale (FSS) para responder aos desfechos secundários sobre qualidade de vida e nível de fadiga. As intervenções ocorreram através do exercício físico aeróbio em bicicleta ergométrica com progressão de carga através da frequência cardíaca máxima (FCmax) entre 75 e 80% e da aplicação da FBM com dosagem progressiva durante 12 semanas, 2 vezes por semana. O principal achado deste estudo demonstrou uma diferença estatística intergrupos para menor dor na semana anterior entre o momento inicial e final do GEFP. Os resultados permitiram concluir que FBM não foi capaz de proporcionar um efeito extra aos efeitos do exercício aeróbio em bicicleta ergométrica e com incremento de carga na dor, qualidade do sono, qualidade de vida e níveis de fadiga desta população.
Fibromyalgia (FM) is characterized by chronic generalized muscle pain and decreased sleep quality, affecting mainly women. Several studies have already shown that aerobic exercises are effective in improving pain and sleep quality in this population; other studies have already shown that photobiomodulation (PBM) stands out for its effects on pain modulation. However, there is no consensus in the literature regarding the best parameters of FBM, with emphasis on the cluster-type FBM in the main muscle groups of the body and with progressive dose throughout the treatment in the level of pain and not even in the quality of sleep. Thus, the aim of this study was to verify the impact of an aerobic exercise protocol associated with FBM with progressive dosage on pain and sleep quality in women with FM. 22 women were randomized and divided into two groups: EAPG: exercise group and active PBM (n=12), or EPPG: exercise group and placebo PBM (n=13). In the clinical evaluation performed before the intervention, after 12 weeks of treatment and 26 weeks follow up, the Visual Analog Pain Scale (VAS) and the Pittsburgh Sleep Quality Index (PSQI) questionnaire were applied to answer the primary outcomes on pain level and sleep quality. and Epworth Sleepiness Scale (ESS), respectively, and to respond to secondary outcomes on the impact of FM and level of fatigue, the Revised Fibromyalgia Impact Questionnaire (FIQR) and Fatigue Severity Scale (FSS). The interventions was aerobic exercise on a stationary bicycle with load progression through maximum heart rate (HRmax) between 75 and 80% and the application of PBM with progressive dosage for 12 weeks, twice a week. The main findings of this study demonstrated a statistical difference for less pain in previous week between initial and final time for EPPG. The results allowed to conclude that PBM was not able to provide and extra effect to the effects of aerobic on an ergometric bicycle and with increased load on pain, sleep quality, quality of life and levels of fatigue in this population.
Fibromyalgia (FM) is characterized by chronic generalized muscle pain and decreased sleep quality, affecting mainly women. Several studies have already shown that aerobic exercises are effective in improving pain and sleep quality in this population; other studies have already shown that photobiomodulation (PBM) stands out for its effects on pain modulation. However, there is no consensus in the literature regarding the best parameters of FBM, with emphasis on the cluster-type FBM in the main muscle groups of the body and with progressive dose throughout the treatment in the level of pain and not even in the quality of sleep. Thus, the aim of this study was to verify the impact of an aerobic exercise protocol associated with FBM with progressive dosage on pain and sleep quality in women with FM. 22 women were randomized and divided into two groups: EAPG: exercise group and active PBM (n=12), or EPPG: exercise group and placebo PBM (n=13). In the clinical evaluation performed before the intervention, after 12 weeks of treatment and 26 weeks follow up, the Visual Analog Pain Scale (VAS) and the Pittsburgh Sleep Quality Index (PSQI) questionnaire were applied to answer the primary outcomes on pain level and sleep quality. and Epworth Sleepiness Scale (ESS), respectively, and to respond to secondary outcomes on the impact of FM and level of fatigue, the Revised Fibromyalgia Impact Questionnaire (FIQR) and Fatigue Severity Scale (FSS). The interventions was aerobic exercise on a stationary bicycle with load progression through maximum heart rate (HRmax) between 75 and 80% and the application of PBM with progressive dosage for 12 weeks, twice a week. The main findings of this study demonstrated a statistical difference for less pain in previous week between initial and final time for EPPG. The results allowed to conclude that PBM was not able to provide and extra effect to the effects of aerobic on an ergometric bicycle and with increased load on pain, sleep quality, quality of life and levels of fatigue in this population.
Descrição
Citação
BALÃO, Ana Beatriz. Impacto de um protocolo de exercício aeróbio associado a fotobiomodulação com dosagem progressiva na dor e qualidade do sono de mulheres com fibromialgia. 2023. 67 f. Dissertação (Mestrado Interdisciplinar em Ciências da Saúde) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2023.