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Avaliação dos efeitos de um programa de reabilitação combinado com inibidores TNF, em indivíduos com espondilite anquilosante: revisão bibliográfica
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Advisor(s)
Abstract(s)
Introdução: A espondilite anquilosante (EA) é uma patologia crónica, do foro reumatológico. Os métodos de tratamento recomendados incluem a fisioterapia, embora não apresentando evidência estabelecida para esta condição. Objetivo: Analisar a eficácia de um programa de reabilitação combinado com inibidores TNF, em indivíduos com espondilite anquilosante. Metodologia: Pesquisa computorizada nas bases de dados PEDro, Web of Science, PubMed e Google Scholar para identificar os estudos randomizados controlados (RCTs) que avaliaram os efeitos de um programa de reabilitação combinado com inibidores TNF na EA. Resultados: Foram incluídos 4 estudos envolvendo 188 indivíduos, com média aritmética de 5.75 em 10 na escala de PEDro. Conclusão: A terapia farmacológica juntamente com um programa de reabilitação (grupo experimental), parece influenciar positivamente a qualidade de vida, funcionalidade, mobilidade da coluna vertebral, dor, atividade da doença, gravidade dos sintomas, fadiga e rigidez em pacientes com EA, quando comparados com apenas terapia farmacológica (grupo controlo).
Introduction: Ankylosing spondylitis (AS) is a chronic, rheumatologic condition. The recommended treatment methods include physical therapy, although there is no established evidence for this condition. Objective: To analyze the effectiveness of a rehabilitation program combined with TNF inhibitors in individuals with ankylosing spondylitis. Methodology: Computerized search of PEDro, Web of Science, PubMed and Google Scholar databases to identify randomized controlled trials (RCTs) that evaluated the effects of a rehabilitation program combined with TNF inhibitors in AS. Results: 4 studies involving 188 subjects were included, with an arithmetic mean of 5.75 out of 10 on the PEDro scale. Conclusion: Pharmacologic therapy together with a rehabilitation program (experimental group) seems to positively influence quality of life, functionality, spinal mobility, pain, disease activity, symptom severity, fatigue and stiffness in patients with AS, when compared to pharmacologic therapy alone (control group).
Introduction: Ankylosing spondylitis (AS) is a chronic, rheumatologic condition. The recommended treatment methods include physical therapy, although there is no established evidence for this condition. Objective: To analyze the effectiveness of a rehabilitation program combined with TNF inhibitors in individuals with ankylosing spondylitis. Methodology: Computerized search of PEDro, Web of Science, PubMed and Google Scholar databases to identify randomized controlled trials (RCTs) that evaluated the effects of a rehabilitation program combined with TNF inhibitors in AS. Results: 4 studies involving 188 subjects were included, with an arithmetic mean of 5.75 out of 10 on the PEDro scale. Conclusion: Pharmacologic therapy together with a rehabilitation program (experimental group) seems to positively influence quality of life, functionality, spinal mobility, pain, disease activity, symptom severity, fatigue and stiffness in patients with AS, when compared to pharmacologic therapy alone (control group).
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Espondilite anquilosante TNF Fisioterapia Exercício Reabilitação Ankylosing spondylitis Physiotherapy Exercise Rehabilitation