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Efeito do exercício terapêutico nos défices dos doentes com Alzheimer: revisão sistemática
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Abstract(s)
A doença de Alzheimer (DA) é uma desordem neurodegenerativa irreversível, levando a amnésia progressiva com aparecimento posterior de perda cognitiva, comportamental e alterações que prejudicam a função e actividades da vida diária (AVD’s). Vários estudos têm demonstrado que o exercício terapêutico apresenta benefícios na DA.
Objectivo: O objectivo da presente revisão sistemática foi verificar os efeitos do exercício terapêutico nos défices dos doentes com Alzheimer. Metodologia: Pesquisa na base de dados PubMed, para identificar os estudos randomizados controlados, publicados na língua inglesa entre 2009 e 2014, que abordassem os efeitos dos exercícios terapêuticos com pessoas com a DA. Os critérios de inclusão foram: doentes com a DA e programas de reabilitação com participação do fisioterapeuta. Critérios de exclusão: estudos em que os participantes tenham a coexistência com outras doenças e estudos que não descrevem programas de exercícios. Resultados: Foram identificados 9 artigos randomizados controlados, com classificação metodológica de 7,4 na escala de PEDro, incluíram 1025 participantes. Conclusão: Os resultados dos estudos sugerem que exercícios terapêuticos são benéficos nos principais défices da DA.
Alzheimer´s Disease (AD) is irreversible neurodegenerative disorder, leading to a progressive amnestic disorder with subsquent appearance of other cognitive, behavioural and neuropsychiatric changes that impair social function and activites of daily living. Several studies have demonstrated that exercise has a therapeutic benefit in AD. Objective: The purpose of this systematic review was to evaluate the effects of exercise therapy in patients with deficits of Alzheimer´s. Methods: Search in the PubMed database to identify randomized controlled trials, published in english between 2009 and 2014, that adress the effects of therapeutic exercises for people with AD. Inclusion criteria were: patients with AD and rehabilitation programs with participation of the physiotherapist. Exclusion criteria: studies in wich participants have coexistence with other diseases and studies that did not describe exercise programs. Results: 9 randomized controlled articles, with methodological rating of 7.4 in the PEDro scale, included 1025 participants. Conclusion: The results of the studies suggest that therapeutic exercises are beneficial in the main deficits of AD.
Alzheimer´s Disease (AD) is irreversible neurodegenerative disorder, leading to a progressive amnestic disorder with subsquent appearance of other cognitive, behavioural and neuropsychiatric changes that impair social function and activites of daily living. Several studies have demonstrated that exercise has a therapeutic benefit in AD. Objective: The purpose of this systematic review was to evaluate the effects of exercise therapy in patients with deficits of Alzheimer´s. Methods: Search in the PubMed database to identify randomized controlled trials, published in english between 2009 and 2014, that adress the effects of therapeutic exercises for people with AD. Inclusion criteria were: patients with AD and rehabilitation programs with participation of the physiotherapist. Exclusion criteria: studies in wich participants have coexistence with other diseases and studies that did not describe exercise programs. Results: 9 randomized controlled articles, with methodological rating of 7.4 in the PEDro scale, included 1025 participants. Conclusion: The results of the studies suggest that therapeutic exercises are beneficial in the main deficits of AD.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Doença de Alzheimer Actividade física Exercício Fisioterapia Alzheimer Disease Physical activity Exercise Physiotherapy