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Efeito do exercício físico em doentes com estenose do canal vertebral: uma revisão sistemática e construção e validação de um programa de exercício físico
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| 2.25 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
O exercício tem se mostrado eficaz na prevenção e gestão de condições de
saúde agudas e crónicas e, por isso, cada vez mais a atividade física é recomendada
para inúmeras patologias, não só as associadas com o avançar da idade como
também na generalidade dos casos.
Esta dissertação resultou de uma investigação levada a cabo durante 10
meses. Com a mesma, procurei analisar o estado do conhecimento em relação às
intervenções de exercício físico em indivíduos com estenose, identificando os seus
benefícios, nomeadamente na redução da dor e melhoria da mobilidade do doente; e
analisando qual a metodologia de exercício mais eficiente. Deste modo, foram
realizados dois estudos: Estudo 1 - Revisão sistemática sobre o que é realizado em
contexto de exercício em doentes com estenose do canal vertebral; Estudo 2 -
Construção e Validação de um programa de Exercício para doentes com estenose.
Para o estudo 1 foi utilizada a consulta de artigos e publicações de autores
internacionais e pretendeu-se analisar se existem intervenções com exercício físico
nestes doentes, que tipo de intervenção em exercício foram realizadas e que
resultados foram obtidos. Para o estudo 2 foi utilizado o CERT para reportar o
programa de exercício e o CReDECI2 para validação do programa de exercício.
São escassos os programas validados para esta população, por isso, urge ser
necessário a criação e validação dos mesmos por forma a dar suporte científico para a
criação de diretrizes e métodos mais específicos para a avaliação e prescrição do
exercício para esta população.
Conclui-se através da validação do programa de exercício que o mesmo é uma
excelente forma de proporcionar ao doente uma melhoria nas condições da sua vida,
afetando positivamente a melhoria da mobilidade e redução da dor. O fortalecimento
dos músculos do tronco, frequentemente mencionados na revisão sistemática pelos
vários autores, resultaram numa maior estabilidade do tronco e consequentemente
numa redução na dor.
Exercise has been shown to be effective in the prevention and management of acute and chronic health conditions and, therefore, physical activity is increasingly recommended for numerous pathologies, not only those associated with advancing age. This dissertation is the result of a 10-month investigation. With it, I sought to analyze the state of knowledge regarding physical exercise interventions in individuals with stenosis, identifying their benefits, namely in reducing pain and improving the patient's mobility; and analyzing which is the most efficient exercise methodology. Thus, two studies were carried out: Study 1 - Systematic review on what is done in the context of exercise in patients with stenosis of the spinal canal; Study 2 - Construction and Validation of an Exercise Program for patients with stenosis. For study 1, the consultation of articles and publications from international authors was used and the aim was to analyze whether there are interventions with physical exercise in these patients, what type of exercise intervention was carried out, and what results were obtained. For study 2, the CERT was used to report the exercise program and the CReDECI2 was used to validate the exercise program. There are few validated programs for this population, so there is an urgent need for their creation and validation in order to provide scientific support for the creation of more specific guidelines and methods for the evaluation and prescription of exercise for this population. It is concluded through the validation of the exercise program that it is an excellent way to provide the patient with an improvement in the conditions of his life, positively affecting the improvement of mobility and pain reduction. The strengthening of the core muscles, frequently mentioned in the systematic review by several authors, resulted in greater stability of the core and consequently a reduction in pain.
Exercise has been shown to be effective in the prevention and management of acute and chronic health conditions and, therefore, physical activity is increasingly recommended for numerous pathologies, not only those associated with advancing age. This dissertation is the result of a 10-month investigation. With it, I sought to analyze the state of knowledge regarding physical exercise interventions in individuals with stenosis, identifying their benefits, namely in reducing pain and improving the patient's mobility; and analyzing which is the most efficient exercise methodology. Thus, two studies were carried out: Study 1 - Systematic review on what is done in the context of exercise in patients with stenosis of the spinal canal; Study 2 - Construction and Validation of an Exercise Program for patients with stenosis. For study 1, the consultation of articles and publications from international authors was used and the aim was to analyze whether there are interventions with physical exercise in these patients, what type of exercise intervention was carried out, and what results were obtained. For study 2, the CERT was used to report the exercise program and the CReDECI2 was used to validate the exercise program. There are few validated programs for this population, so there is an urgent need for their creation and validation in order to provide scientific support for the creation of more specific guidelines and methods for the evaluation and prescription of exercise for this population. It is concluded through the validation of the exercise program that it is an excellent way to provide the patient with an improvement in the conditions of his life, positively affecting the improvement of mobility and pain reduction. The strengthening of the core muscles, frequently mentioned in the systematic review by several authors, resulted in greater stability of the core and consequently a reduction in pain.
Description
Keywords
programa de exercício estenose lombar dor mobilidade exercise program lumbar stenosis pain mobility