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Análise da eficácia de um programa de fisioterapia preventiva em idosos que vivem na comunidade de Secretário, Rio de Janeiro
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 37815 | 1.05 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: as intervenções baseadas em exercícios de coordenação motora, atividades recreativas, cinética funcional, treino de transferência, exercícios respiratórios, alongamentos, fortalecimento muscular e global para restaurar ou manter as funções motoras, mostram-se efetivas, promovendo desenvolvimento das interações sociais e redução do risco de hospitalização. Objetivo: analisar a eficácia da realização de um programa de fisioterapia na aptidão física, medo de quedas e qualidade de vida de idosos que vivem na comunidade de Secretário, Rio de Janeiro. Metodologia: estudo quasi-experimental com uma amostra composta por 33 idosos, com uma média de idades 70,96 anos, sendo 26 do sexo feminino e 7 do sexo masculino registrados no Programa de Saúde da Família (PSF) do bairro de Secretário, Rio de Janeiro. As atividades foram realizadas duas vezes por semana com duração de 60 minutos, durante 6 meses. Foram aplicados questionários de anamnese, Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) e Falls Efficacy Scale-International (FES). Para o equilíbrio aplicou-se a escala de equilíbrio BERG, o Timed Up and Go (TUG), Five Step Test e, por último teste de caminhada (TC) 10m. Todas as avaliações foram aplicadas pela mesma ordem, no início e fim da intervenção. Esta consistiu numa fase de aquecimento, exercícios de mobilidade ativa dos membros superiores e inferiores, exercícios de equilíbrio, dupla tarefa e movimentos livres ao som de diferentes ritmos musicais. Resultados: Em todas as variáveis estudadas houve melhorias significativas após a intervenção (0,000<p<0,015). Relativamente ao momento inicial de avaliação, a idade obteve uma correlação positiva com o Step Test e negativa com o Berg. O Índice de Massa Corporal teve uma correlação negativa com o domínio vitalidade. Quanto aos testes físicos, o TC, TUG e Step Test tiveram uma correlação positiva entre si e negativa com Berg. O TC, TUG, Step test, escala FES e Berg tiveram uma correlação com alguns domínios da SF-36. Quanto aos domínios do questionário SF-36, a maioria apresentou correlação positiva entre si (0,001<p<0,024). Conclusão: Dentro das limitações do presente estudo, e apesar de não haver um grupo de controlo para comparação, na presente amostra, a fisioterapia parece proporcionar benefícios em todos os parâmetros analisados, ou seja, na aptidão física, medo de quedas e qualidade de vida. Embora o processo do envelhecimento seja irreversível, a intervenção do fisioterapeuta é essencial, de modo a que os idosos tenham uma melhor qualidade de vida e autonomia.
Background: interventions based on motor coordination exercises, recreational activities, functional kinetics, transfer training, breathing exercises, stretching, muscle and global strengthening to restore or maintain motor functions are effective, promoting the development of social interactions and reducing the risk of hospitalization. Aim: analyze the physical condition, fear of falling and quality of life of elderly of the community of Secretário, Rio de Janeiro, before and after a physical therapy intervention. Methods: This is a quasi-experimental study with a sample of 33 elderly people, with a mean of 70.96 years, where 26 were females and 7 males registered in the Family Health Program (PSF) in the neighborhood of Secretário, Rio de Janeiro. The activities were performed twice a week lasting 60 minutes, for 6 months. Anamnesis assessments and application of the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) and the Falls Efficacy Scale- International (FES) were performed. To assess balance, the BERG balance scale was applied, the Timed Up and Go (TUG), Five Step Test and, finally, the 10m walk test (WT). In all the elderly, the assessments were applied in the same order before and after the intervention. The intervention consisted of different phases as warm-up, active exercises in upper and lower limbs, balance exercises, double task, and free movements with the sound of different music. Results: In all variables analyzed there were significant better results (0,000<p<0,015). In the beginning of the study, age was positively correlated with Step Test and negative with Berg. Body mass index was negatively correlated with the domain vitality. The physical tests WT, TUG and Step Test were positively correlated with each other and negatively with Berg. WT, TUG, Step test, FES and Berg had correlations with some domains of SF-36 and the domains of this scale were in its majority positively correlated between each other (0,001<p<0,024). Conclusion: Within the limitations, and although this study had no control group for comparison, in this sample, the physical therapy had benefits in all the parameters analyzed, as physical condition, fear of falling and quality of life. Although the aging process is irreversible, the intervention of the physiotherapist is essential, so that the elderly may improve their quality of life and autonomy.
Background: interventions based on motor coordination exercises, recreational activities, functional kinetics, transfer training, breathing exercises, stretching, muscle and global strengthening to restore or maintain motor functions are effective, promoting the development of social interactions and reducing the risk of hospitalization. Aim: analyze the physical condition, fear of falling and quality of life of elderly of the community of Secretário, Rio de Janeiro, before and after a physical therapy intervention. Methods: This is a quasi-experimental study with a sample of 33 elderly people, with a mean of 70.96 years, where 26 were females and 7 males registered in the Family Health Program (PSF) in the neighborhood of Secretário, Rio de Janeiro. The activities were performed twice a week lasting 60 minutes, for 6 months. Anamnesis assessments and application of the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) and the Falls Efficacy Scale- International (FES) were performed. To assess balance, the BERG balance scale was applied, the Timed Up and Go (TUG), Five Step Test and, finally, the 10m walk test (WT). In all the elderly, the assessments were applied in the same order before and after the intervention. The intervention consisted of different phases as warm-up, active exercises in upper and lower limbs, balance exercises, double task, and free movements with the sound of different music. Results: In all variables analyzed there were significant better results (0,000<p<0,015). In the beginning of the study, age was positively correlated with Step Test and negative with Berg. Body mass index was negatively correlated with the domain vitality. The physical tests WT, TUG and Step Test were positively correlated with each other and negatively with Berg. WT, TUG, Step test, FES and Berg had correlations with some domains of SF-36 and the domains of this scale were in its majority positively correlated between each other (0,001<p<0,024). Conclusion: Within the limitations, and although this study had no control group for comparison, in this sample, the physical therapy had benefits in all the parameters analyzed, as physical condition, fear of falling and quality of life. Although the aging process is irreversible, the intervention of the physiotherapist is essential, so that the elderly may improve their quality of life and autonomy.
Description
Keywords
Fisioterapia Prevenção Exercício terapêutico Idoso Physiotherapy Prevention Therapeutic exercise Elderly