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Análise da eficácia do tratamento conservador versus cirúrgico na reabilitação da rutura do LCA em atletas: uma revisão bibliográfica
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Abstract(s)
Objetivo: Comparar a eficácia do tratamento cirúrgico versus conservador na funcionalidade do joelho no retorno à atividade, em desportistas, avaliando os níveis de osteoartrite, instabilidade do joelho, força muscular e utilizando escalas de avaliação subjetiva. Metodologia: Foi efetuada uma pesquisa na base de dados Pubmed, Web of Knowledge e ESBCOhost, de acordo com os termos de pesquisa. Após a seleção dos estudos, seguindo os critérios de elegibilidade, foi realizada a análise de qualidade metodológica pelo checklist Critical Appraisal Skills Programme (CASP). Resultados: Foram incluídos 5 artigos, 4 estudos de coorte e 1 randomizado, que englobaram 294 atletas. Os artigos compararam qual o tratamento mais eficaz (cirúrgico vs conservador) para o aumento da funcionalidade do joelho no retorno à atividade. Conclusão: Os outcomes clínicos foram bastante homogéneos para ambos os grupos, porém o grupo conservador apresentou um menor índice de desenvolvimento de osteoartrose e o grupo cirúrgico foi mais eficaz na manutenção da estabilidade do joelho.
Objective: To compare the efficacy of surgical treatment versus conservative treatment on the functionality of the knee upon return to activity in athletes, evaluating the levels of osteoarthritis, knee instability, muscle strength and using subjective assessment scales. Methodology: A search was performed in the Pubmed database, Web of Knowledge and ESBCOhost, according to the search terms. After the selection of the studies, following the eligibility criteria, the methodological quality analysis was performed using the Critical Appraisal Skills Programme (CASP) checklist. Results: Five articles were included, four cohort studies and one randomized study, encompassing 294 athletes. The articles compared which treatment was more effective (surgical vs. conservative) to increase knee functionality upon return to activity. Conclusion: The clinical outcomes were quite homogeneous for both groups, but the conservative group presented a lower rate of osteoarthrosis development and the surgical group was more effective in maintaining the stability of the knee.
Objective: To compare the efficacy of surgical treatment versus conservative treatment on the functionality of the knee upon return to activity in athletes, evaluating the levels of osteoarthritis, knee instability, muscle strength and using subjective assessment scales. Methodology: A search was performed in the Pubmed database, Web of Knowledge and ESBCOhost, according to the search terms. After the selection of the studies, following the eligibility criteria, the methodological quality analysis was performed using the Critical Appraisal Skills Programme (CASP) checklist. Results: Five articles were included, four cohort studies and one randomized study, encompassing 294 athletes. The articles compared which treatment was more effective (surgical vs. conservative) to increase knee functionality upon return to activity. Conclusion: The clinical outcomes were quite homogeneous for both groups, but the conservative group presented a lower rate of osteoarthrosis development and the surgical group was more effective in maintaining the stability of the knee.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Tratamento conservador Tratamento cirúrgico Ligamento cruzado anterior Conservative treatment Surgical treatment Anterior cruciate ligament