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Fabre, Audrey Julie Marie (2017)
Publisher: [s.n.]
Languages: Portuguese
Types: Bachelor thesis
Subjects: Exercício terapêutico, Treino excêntrico, Functional exercise, Eccentric training, Exercício funcional, Therapeutic exercise
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia Introdução: A tendinopatia de Aquiles é descrita como uma lesão do tendão associada a uma incapacidade de gerir cargas, resultando em dor e limitação funcional. Embora muitos tratamentos para a tendinopatia estejam descritos, a evidência científica para a maioria dos tratamentos conservadores nem sempre é conclusiva. Objetivo: Avaliar a evidência da utilização de diferentes tipos de exercícios de fortalecimento no tratamento não operatório da tendinopatia de Aquiles não insercional. Metodologia: Foi efetuada uma pesquisa computadorizada, na base de dados PubMed/Medline utilizando as palavras-chave: (“Achilles tendinopathy” OR “Achilles”) AND (“Exercise” OR “Eccentric”) por artigos randomizados controlados a partir do ano 2000, em seres humanos, de língua inglesa, que incluíssem a tendinopatia da média porção do tendão de Aquiles e a descrição do tipo de intervenção realizada. Resultados: Foram incluídos 6 estudos randomizados controlados com um total de 230 indivíduos. Os artigos incluídos apresentaram uma média de 7.2 na escala de PEDro. Dos artigos analisados, 4 avaliaram os exercícios excêntricos na reabilitação na tendinopatia de Aquiles e 2 analisaram os exercícios combinados. Conclusão: Observaram-se evidência para a utilização de exercícios excêntricos na redução dos sintomas, na melhoria na função, na satisfação dos pacientes e na força muscular. Os exercícios deverão ser realizados com dor moderada. Uma frequência de 2 a 3 vezes por semana com uma progressão na carga e da intensidade é aconselhada num período de 12 semanas para obter resultados favoráveis. A atividade desportiva durante o tratamento não interfere nos resultados. Introduction: The Achilles tendinopathy is described as a tendon injury associated with an inability to handle loads, resulting in pain and functional limitation. Although many treatments for the tendinopathy are described, the scientific evidence for most conservative treatment is not always conclusive. Objective: To evaluate the evidence of different types of resistance exercises in non-surgical treatment of Achilles insertion tendinopathy. Methodology: A computer search in PubMed/Medline database using the keywords ("Achilles tendinopathy" OR "Achilles") and ("exercise" OR "eccentric") was performed through randomized controlled studies since the year 2000 in human beings, in english, which included the tendinopathy of the median part of the Achilles tendon and the description of the type of intervention. Results: Six randomized controlled trials with a total of 230 persons were included. The articles had an average of 7.2 on the PEDro scale. Of the articles analyzed, 4 assessed the eccentric exercise rehabilitation of Achilles tendinopathy and 2 trials, analyzed combined exercises Conclusion: Evidence was observed of using eccentric exercise in reducing symptoms, improving function, patient satisfaction and muscle strength. Exercises should be done with moderate pain. Frequency of 2 to 3 times by week through the load development and intensity is recommended over a period of 12 weeks to reach favorable results. Sports activity during the treatment does not interfere with the results. N/A
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