Eficácia de um protocolo de exercícios associado à fototerapia na dor, qualidade de vida e força muscular de mulheres com osteoartrite de joelho
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Data
2017
Autores
Souza, Mayra Cavenague de [UNIFESP]
Orientadores
Vassão, Patricia Gabrielli [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
Título da Revista
ISSN da Revista
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Resumo
A osteoartrite (OA) é uma doença crônico degenerativa que acomete mais comumente a
articulação do joelho. Cerca de 25% dos indivíduos acima de 65 anos sofrem de dor e
incapacidade decorrentes desta doença. Além disso, mulheres referem maior quadro
doloroso e menor qualidade de vida quando comparado aos homens. O exercício físico
resistido tem se mostrado eficaz na redução da dor e consequente melhora da
funcionalidade e qualidade de vida. Além disso, a fototerapia se destaca como um
recurso não farmacológico capaz de promover efeitos anti-inflamatórios e analgésicos.
Assim, o objetivo deste estudo foi avaliar a eficácia do exercício físico associado a
fototerapia na melhora no quadro de dor, funcionalidade e força muscular de mulheres
com OA de joelho. Para isso, 32 mulheres entre 55 e 70 anos, foram randomizadas e
analisadas entre os grupos: Grupo Exercício e Laser Placebo (GELP, n = 17) tratamento
através de protocolo de exercícios associado a irradiação laser placebo e Grupo Exercício
e Laser Ativo (GELA, n = 15) tratamento através de protocolo de exercícios associado à
irradiação laser ativo. As intervenções foram realizadas 2x/semana por um período de
oito semanas. O programa de exercícios incluiu um aquecimento em esteira,
fortalecimento e alongamento dos principais grupos musculares dos membros inferiores.
Para avaliação e reavaliação de ambos os grupos, foram aplicados questionários como o
Western Ontario and Mac Master Universities Osteoarthritis Index (WOMAC),
Lequesne, Escala Visual Analógica (EVA) de Dor e avaliação da força dos membros
inferiores com célula de carga (CC). Os resultados demonstraram que ambos os grupos
apresentaram melhora significativa em EVA, WOMAC, Lequesne, RM, CC Flexores de
quadril, CC Extensores de quadril, CC Extensores de joelho, CC Abdutores e CC
Adutores. Assim, através dos resultados obtidos podemos concluir que o protocolo de
exercícios empregado neste estudo foi efetivo na diminuição da dor, melhora
funcionalidade e ganho de força muscular de mulheres com OA de joelhos. Ainda, o laser
foi capaz de potencializar o ganho de força dos mm abdutores de quadril.
Osteoarthritis (OA) is a degenerative chronic disease that most commonly affects the knee joint. About 25% of those aged over 65 years suffer from pain and disability resulting from this disease. Furthermore, women report greater pain symptoms and lower quality of life compared to men. The resistance exercise has been proven effective in reducing pain and improvement in functionality and quality of life. Furthermore, phototherapy stands as a non-pharmacological means capable of promoting antiinflammatory and analgesic effects. The objective of this study is to evaluate the effectiveness of physical exercise associated with phototherapy in improvement in pain condition, quality of life and muscular strength of women with knee OA. For this, 32 women between 55 and 70 years, will be randomized between groups: Exercise and Laser Placebo Group (ELPG, n = 17), which will treat through exercise protocol associated with placebo laser irradiation and Exercise and Laser Active Group (ELAG, n = 15), which will treat through exercise protocol associated with laser irradiation active. Interventions will be performed twice a week for an eight, week period. The exercise program will include a heating mat, strengthening and stretching the major muscle groups of the lower limbs. For evaluation and re-evaluation of both groups, questionnaires will be applied as the Western Ontario and Mac Master Universities Osteoarthritis Index (WOMAC), Lequesne, Visual Analogue Scale (VAS) pain and evaluation of the strength of the lower limbs with load cell. The results showed that both groups have significant improvement in EVA, WOMAC, Lequesne, RM, CC Hip flexors, CC Hip extensors, CC Knee extensors, CC Abdutors and CC Adductors. Thus, we can conclude that the exercise protocol considered in this study was effective in reducing pain, improving function and gain of muscle strength in women with knee OA. Furthermore, the laser was able to potentiate the strength gain of the hip abductors
Osteoarthritis (OA) is a degenerative chronic disease that most commonly affects the knee joint. About 25% of those aged over 65 years suffer from pain and disability resulting from this disease. Furthermore, women report greater pain symptoms and lower quality of life compared to men. The resistance exercise has been proven effective in reducing pain and improvement in functionality and quality of life. Furthermore, phototherapy stands as a non-pharmacological means capable of promoting antiinflammatory and analgesic effects. The objective of this study is to evaluate the effectiveness of physical exercise associated with phototherapy in improvement in pain condition, quality of life and muscular strength of women with knee OA. For this, 32 women between 55 and 70 years, will be randomized between groups: Exercise and Laser Placebo Group (ELPG, n = 17), which will treat through exercise protocol associated with placebo laser irradiation and Exercise and Laser Active Group (ELAG, n = 15), which will treat through exercise protocol associated with laser irradiation active. Interventions will be performed twice a week for an eight, week period. The exercise program will include a heating mat, strengthening and stretching the major muscle groups of the lower limbs. For evaluation and re-evaluation of both groups, questionnaires will be applied as the Western Ontario and Mac Master Universities Osteoarthritis Index (WOMAC), Lequesne, Visual Analogue Scale (VAS) pain and evaluation of the strength of the lower limbs with load cell. The results showed that both groups have significant improvement in EVA, WOMAC, Lequesne, RM, CC Hip flexors, CC Hip extensors, CC Knee extensors, CC Abdutors and CC Adductors. Thus, we can conclude that the exercise protocol considered in this study was effective in reducing pain, improving function and gain of muscle strength in women with knee OA. Furthermore, the laser was able to potentiate the strength gain of the hip abductors
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Citação
SOUZA, Mayra Cavenague de. Eficácia de um protocolo de exercícios associado à fototerapia na dor, qualidade de vida e força muscular de mulheres com osteoartrite de joelho. 2017. 39 f. Trabalho de conclusão de curso (Graduação em Fisioterapia) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2017.