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A efetividade do exercício supervisionado em pacientes com espondilite anquilosante: uma revisão bibliográfica
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| 38704 | 285.53 KB | Adobe PDF |
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Abstract(s)
A Espondilite Anquilosante (EA) é uma doença autoimune que afeta o esqueleto axial, desencadeando inúmeras limitações. O tratamento combina a vertente farmacológica e a não farmacológica, onde podemos incluir o exercício. Objetivo: Verificar a efetividade do exercício supervisionado na Qualidade de Vida (QV) em pacientes com EA. Metodologia: Para formular a questão clínica, foi utilizado o método PICO. Assim, a pesquisa bibliográfica computorizada foi realizada através das bases de dados PubMed/Medline, Academic Search Complete, Web of Science e Cochrane (CENTRAL) com a combinação de palavras chave: (“ankylosing spondylitis” OR "axial spondyloarthritis") AND (exercise) AND (“quality of life”). Na PEDro recorreu-se às seguintes palavras (“ankylosing spondylitis”/exercise/”quality of life”) OR (“axial spondyloarthritis”/exercise/”quality of life”). Esta pesquisa teve como objetivo determinar os estudos randomizados controlados (RCT’s), que abordaram a efetividade do exercício supervisionado na QV. A qualidade metodológica foi analisada através da escala de PEDro Physiotherapy Evidence Database Scoring Scale. Resultados: Foram incluídos 7 estudos com média aritmética de 6,57. Num total foram recrutados 405 participantes. Conclusão: Dados conflituantes foram obtidos sobre o tipo de exercício a ser aplicado para melhoria na QV. Para além disso, o exercício supervisionado não foi superior ao não supervisionado.
Ankylosing Spondylitis (AS) is an autoimmune disease that affects the axial skeleton, triggering numerous limitations. The treatment combines pharmacological and non-pharmacological techniques, where we can include exercise. Objective: To verify the effectiveness of supervised exercise on the Quality of Life (QoL) of patients with AS. Methodology: To formulate the clinical question, the PICO method was used. Thus, the computerized bibliographic search was performed through PubMed/Medline, Academic Search Complete, Web of Science and Cochrane (CENTRAL) databases with the combination of keywords: (“ankylosing spondylitis” OR “axial spondyloarthritis”) AND (exercise) AND (“quality of life”). PEDro used the following words (“ankylosing spondylitis”/exercise/ “quality of life”) OR (“axial spondyloarthritis”/exercise/”quality of life”). This research aimed to determine the randomized controlled trials (RCT's) that addressed the effectiveness of supervised exercise on the QoL of these patients. Methodological quality was analysed using the PEDro Physiotherapy Evidence Database Scoring Scale. Results: Seven studies were included with an arithmetic mean of 6.57. A total of 405 participants were recruited. Conclusion: Conflicting data were obtained on the type of exercise to be applied to improve QoL. Furthermore, supervised exercise wasn’t superior to unsupervised.
Ankylosing Spondylitis (AS) is an autoimmune disease that affects the axial skeleton, triggering numerous limitations. The treatment combines pharmacological and non-pharmacological techniques, where we can include exercise. Objective: To verify the effectiveness of supervised exercise on the Quality of Life (QoL) of patients with AS. Methodology: To formulate the clinical question, the PICO method was used. Thus, the computerized bibliographic search was performed through PubMed/Medline, Academic Search Complete, Web of Science and Cochrane (CENTRAL) databases with the combination of keywords: (“ankylosing spondylitis” OR “axial spondyloarthritis”) AND (exercise) AND (“quality of life”). PEDro used the following words (“ankylosing spondylitis”/exercise/ “quality of life”) OR (“axial spondyloarthritis”/exercise/”quality of life”). This research aimed to determine the randomized controlled trials (RCT's) that addressed the effectiveness of supervised exercise on the QoL of these patients. Methodological quality was analysed using the PEDro Physiotherapy Evidence Database Scoring Scale. Results: Seven studies were included with an arithmetic mean of 6.57. A total of 405 participants were recruited. Conclusion: Conflicting data were obtained on the type of exercise to be applied to improve QoL. Furthermore, supervised exercise wasn’t superior to unsupervised.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Espondilite anquilosante Exercício Qualidade de vida Ankylosing spondylitis Exercise Quality of life