Talassoterapia para pacientes com fibromialgia: ensaio cl?nico rad?mico

Autor: Andrade, Sandra Cristina de
Jazyk: portugalština
Rok vydání: 2009
Předmět:
Zdroj: Repositório Institucional da UFRNUniversidade Federal do Rio Grande do NorteUFRN.
Druh dokumentu: Doctoral Thesis
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Fibromyalgia (FM) is a chronic rheumatic syndrome characterized by diffuse muscle-skeletal pain, and aerobic exercises represent a fundamental portion in therapeutic approach. Objective of this study was to evaluate the effectiveness of aerobic exercises accomplished in the water of the sea (thalassotherapy) for women with FM and to compare with exercises accomplished in the swimming pool, involving a multidisciplinary team, composed by rheumatologists, physical therapists, students of physical therapy and students of physical education. Forty six (46) women with age between 18 and 60 years with FM were randomized in 2 groups: a swimming pool group (23 patients) and a sea group (23 patients). 80th groups trained a week with the same program of aerobic conditioning 3 times (60 minutes each) for 12 weeks. Ali the patients were evaluated, before and immediately after treatment, with Visual Analogical Scale (VAS) for pain and fatigue, number of tending points, Fibromyalgia Impact Ouestionnaire (FIO), Short Form 36 Health Survey (SF-36), Pittsburgh Sleep Ouality Index (PSOI) and Beck Oepression Inventory (BOI). For statistical analysis, it was used paired-t test for analysis intra-group and non-paired test for inter-groups analysis, significance levei of p
A Fibromialgia (FM) ? uma s?ndrome reum?tica cr?nica, caracterizada por dor m?sculo esquel?tica difusa, onde os exerc?cios aer?bicos representam uma parcela fundamental na sua abordagem terap?utica. O objetivo deste estudo foi avaliar a efic?cia de exerc?cios aer?bicos realizados na ?gua do mar (talassoterapia) para mulheres com FM e comparar com exerc?cios realizados na piscina, envolvendo uma equipe multidisciplinar, composta por reumatologistas, fisioterapeutas e estudantes de fisioterapia e educa??o f?sica. Quarenta e seis (46) mulheres com idade entre 18 e 60 anos com FM foram randomizadas em 2 grupos: grupo da piscina (23 pacientes) e grupo do mar (23 pacientes). Ambos os grupos foram treinados com o mesmo programa de condicionamento aer?bico: tr?s vezes por semana, durante 60 minutos, por 12 semanas. Todas as pacientes foram avaliadas, antes e imediatamente ap?s o tratamento, pela Escala Visual Anal?gica (EV A) para dor e fadiga, contagem do n?mero de tender points, Fibromyalgia Impact Questionnaire (FIQ), Short Form 36 Health Survey (SF-36), Pittsburgh Sleep Quality Index (PSQI) e Beck Oepression Inventory (BDI). Na an?lise estat?stica, foram utilizados o teste t pareado para an?lise intragrupo e o teste t n?o-pareado para an?lise intrergrupos, sendo considerado um n?vel de signific?ncia p < 0,05. Quatro pacientes de cada grupo n?o completaram o programa de treinamento. Os grupos foram homog?neos e compar?veis na avalia??o inicial, com exce??o do BOI (p
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