Programa de resistência muscular para membros inferiores melhora sarcopenia urêmica
DOI:
https://doi.org/10.11606/issn.2317-0190.v30i1a203815Palavras-chave:
Sarcopenia, Treinamento de Força, Extremidade Inferior, Deficiência de Vitamina D, Insuficiência Renal Crônica, Diálise RenalResumo
Insuficiência renal crônica (IRC) é caracterizada pela deterioração irreversível dos néfrons, que causa uma condição crônica com prejuízo do desempenho físico dos indivíduos, principalmente de membros inferiores (MMII), devido a sarcopenia urêmica e déficit de vitamina D. Objetivo: Avaliar a eficiência de um programa de resistência muscular para MMII de pacientes com IRC. Métodos: Cinco pacientes com IRC participaram do programa de reabilitação que ocorreu 30 minutos antes do início da hemodiálise (HD), duas vezes por semana, cada sessão teve duração de 20 minutos, totalizando 14 sessões, sendo a primeira e última, destinadas a avaliação. A intervenção consistiu de circuito funcional e exercícios resistidos, isotônicos de cadeia cinética aberta e fechada. Foi avaliado o teste de sentar e levantar em 30 segundos e teste de uma repetição máxima (1RM). Resultados: Após a aplicação, foi verificado que a força muscular pós (2,92 ± 1,10) foi estatisticamente maior que a pré (1,90 ± 1,29, p= 0,02), além de evidenciar que as variáveis da progressão da carga e força muscular pós, estão diretamente correlacionadas (r² 0,976, p= 0,005). O desempenho no teste de sentar e levantar em 30 segundos obteve diferença significativa pré (6,8 ± 2,28) e pós intervenção (10,4 ± 1,67, p= 0,004). Conclusão: O programa de resistência muscular de MMII foi eficaz, visto que aumentou o desempenho físico funcional com ganho de força e resistência muscular em pacientes em HD.
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