Efetividade do treinamento físico sobre o desempenho físico em pacientes com dermatomiosite e polimiosite
revisão sistemática e metanálise
DOI:
https://doi.org/10.1590/1809-2950/21001328032021Resumo
| Este estudo teve por objetivo avaliar o impacto
do treinamento físico sobre o desempenho físico em
pacientes com dermatomiosite e polimiosite. Para tanto,
uma revisão sistemática e metanálise foi conduzida de
acordo com as diretrizes do PRISMA (Preferred Reporting
Items for Systematic Reviews and Meta-Analyses). A
pesquisa bibliográfica foi realizada nas seguintes bases
de dados: PubMed/MEDLINE e Web of Science, utilizando
combinações das seguintes palavras-chave em inglês:
dermatomyositis OR polymyositis OR myositis AND
exercise OR physical exercise OR physical therapy OR
aerobic exercise OR endurance exercise OR resistance
exercise. Foram incluídos estudos que atenderam aos
seguintes critérios: (1) os participantes apresentavam
diagnóstico de dermatomiosite ou polimiosite; (2)
os pacientes foram submetidos a um protocolo de
treinamento físico; (3) o desempenho físico foi mensurado
antes e após o protocolo de treinamento físico. Um
total de 14 artigos foram selecionados para inclusão na
revisão sistemática e 10 artigos foram selecionados para
inclusão na metanálise. Os resultados demonstram que o
treinamento físico é eficaz em aumentar o desempenho
físico global nos pacientes com dermatomiosite e
polimiosite (tamanho do efeito: 0,72; IC 95% 0,55; 0,89).
Além disso, foi demonstrado também que tanto as
variáveis de desempenho aeróbio (tamanho do efeito:
0,88; IC 95% 0,54; 1,21), quanto as variáveis de desempenho
resistido (tamanho do efeito: 0,64; IC 95% 0,43; 0,85) são
beneficiadas com o treinamento físico nesses pacientes.
Conclui-se que o treinamento físico apresentou um efeito
benéfico significativo sobre o desempenho físico global,
aeróbio e resistido em pacientes com dermatomiosite e
polimiosite
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