Avaliação das respostas fisiológicas e da aplicabilidade do Incremental Shuttle Walk Test em pacientes com a Síndrome Pós-Covid tardia
Data
2024-07-04
Autores
Santos, Isabelle Xavier dos 
Orientadores
Vidotto, Milena Carlos
Tipo
Trabalho de conclusão de curso
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: A Síndrome Pós-COVID caracterizada por uma variedade de sintomas persistentes após a infecção aguda pelo coronavírus, representa um desafio significativo para a saúde pública. Muitos pacientes relatam fadiga, dispneia e diminuição da capacidade funcional, afetando sua qualidade de vida. O Incremental Shuttle Walk Test (ISWT) é um teste de caminhada amplamente utilizado na avaliação de pacientes com doenças cardíacas ou pulmonares, capaz de proporcionar um estresse cardiorrespiratório padronizado para todos os indivíduos, possibilitando a detecção de sinais importantes que afetam a tolerância ao exercício físico. Objetivo: Investigamos as respostas fisiológicas e a aplicabilidade do Incremental Shuttle Walk Test (ISWT) em pacientes que apresentaram a Síndrome Pós-COVID. Método: Trata-se de um estudo transversal envolvendo pacientes recrutados em um ambulatório especializado, com idade superior a 18 anos, de ambos os sexos, que apresentaram diagnóstico da Síndrome Pós-COVID. Durante a avaliação inicial, foram coletadas informações sobre dados antropométricos, comorbidades e histórico da COVID-19. Após isso, os participantes foram submetidos ao ISWT. Foram registradas antes e após o teste as variáveis fisiológicas, como frequência cardíaca (FC), pressão arterial (PA), saturação de oxigênio e a percepção subjetiva de esforço em relação à dispneia e fadiga muscular, utilizando a Escala de Borg. Resultados: Dezesseis indivíduos foram avaliados. A média de idade dos pacientes foi de 61,4 anos, com 75% do grupo sendo homens (n=12). A maioria dos participantes relatou ser praticante de atividade física (81,2%). A distância média percorrida no Incremental Shuttle Walk Test (ISWTD) foi de 54% do previsto, enquanto a FC máxima alcançada foi em média 71,2% da FC prevista. Não houve interrupção voluntária do teste por parte dos participantes; todos os testes foram finalizados com base no critério de resposta à carga cardiorrespiratória imposta pelos padrões dos ritmos sonoros utilizados. Conclusão: O Incremental Shuttle Walk Test mostrou-se uma ferramenta promissora para a avaliação da capacidade funcional em pacientes com Síndrome Pós-COVID. Seus resultados podem auxiliar na estratificação de risco, no planejamento de intervenções e no monitoramento da progressão da doença nessa população. Futuras pesquisas são necessárias para validar esses achados e explorar ainda mais o papel do ISWT na gestão da Síndrome Pós-COVID.
Introduction: Post-COVID Syndrome, characterized by a variety of persistent symptoms following acute coronavirus infection, represents a significant public health challenge. Many patients report fatigue, dyspnea, and decreased functional capacity, affecting their quality of life. The Incremental Shuttle Walk Test (ISWT) is a widely used walking test for assessing patients with cardiac or pulmonary diseases, capable of providing standardized cardiorespiratory stress for all individuals, allowing for the detection of important signs that affect physical exercise tolerance. Objective: We investigated the physiological responses and applicability of the Incremental Shuttle Walk Test (ISWT) in patients presenting with Post-COVID Syndrome. Method: This is a cross-sectional study involving patients recruited from a specialized outpatient clinic, aged over 18 years, of both sexes, who were diagnosed with Post-COVID Syndrome. During the initial evaluation, information on anthropometric data, comorbidities, and COVID-19 history was collected. After this, participants underwent the ISWT. Physiological variables such as heart rate (HR), blood pressure (BP), oxygen saturation, and subjective perception of effort in relation to dyspnea and muscle fatigue were recorded before and after the test using the Borg Scale. Results: Sixteen individuals were evaluated. The average age of the patients was 61.4 years, with 75% of the group being men (n=12). The majority of participants reported being physically active (81.2%). The average distance covered in the Incremental Shuttle Walk Test (ISWTD) was 54% of the predicted, while the maximum HR achieved was on average 71.2% of the predicted HR. There was no voluntary interruption of the test by the participants; all tests were completed based on the criterion of response to the cardiorespiratory load imposed by the standard sound rhythms used. Conclusion: The Incremental Shuttle Walk Test proved to be a promising tool for assessing functional capacity in patients with Post-COVID Syndrome. Its results can aid in risk stratification, intervention planning, and monitoring of disease progression in this population. Future research is needed to validate these findings and further explore the role of the ISWT in managing Post-COVID Syndrome.
Introduction: Post-COVID Syndrome, characterized by a variety of persistent symptoms following acute coronavirus infection, represents a significant public health challenge. Many patients report fatigue, dyspnea, and decreased functional capacity, affecting their quality of life. The Incremental Shuttle Walk Test (ISWT) is a widely used walking test for assessing patients with cardiac or pulmonary diseases, capable of providing standardized cardiorespiratory stress for all individuals, allowing for the detection of important signs that affect physical exercise tolerance. Objective: We investigated the physiological responses and applicability of the Incremental Shuttle Walk Test (ISWT) in patients presenting with Post-COVID Syndrome. Method: This is a cross-sectional study involving patients recruited from a specialized outpatient clinic, aged over 18 years, of both sexes, who were diagnosed with Post-COVID Syndrome. During the initial evaluation, information on anthropometric data, comorbidities, and COVID-19 history was collected. After this, participants underwent the ISWT. Physiological variables such as heart rate (HR), blood pressure (BP), oxygen saturation, and subjective perception of effort in relation to dyspnea and muscle fatigue were recorded before and after the test using the Borg Scale. Results: Sixteen individuals were evaluated. The average age of the patients was 61.4 years, with 75% of the group being men (n=12). The majority of participants reported being physically active (81.2%). The average distance covered in the Incremental Shuttle Walk Test (ISWTD) was 54% of the predicted, while the maximum HR achieved was on average 71.2% of the predicted HR. There was no voluntary interruption of the test by the participants; all tests were completed based on the criterion of response to the cardiorespiratory load imposed by the standard sound rhythms used. Conclusion: The Incremental Shuttle Walk Test proved to be a promising tool for assessing functional capacity in patients with Post-COVID Syndrome. Its results can aid in risk stratification, intervention planning, and monitoring of disease progression in this population. Future research is needed to validate these findings and further explore the role of the ISWT in managing Post-COVID Syndrome.
Descrição
Citação
SANTOS, Isabelle Xavier dos. Avaliação das respostas fisiológicas e da aplicabilidade do Incremental Shuttle Walk Test em pacientes com a Síndrome Pós-Covid tardia. 2024. 49 f. Trabalho de conclusão de curso (Graduação em Fisioterapia) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2024.