O efeito da cinesioterapia em grupo na qualidade de vida, funcionalidade, ansiedade e depressão em pacientes com síndrome do impacto do ombro
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Data
2020-12-17
Autores
Gasparini, Cármino Sérgio
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
A Síndrome do Impacto do Ombro é uma enfermidade musculoesquelética limitante, de etiologia multifatorial que gera dor, perda de qualidade de vida, depressão, ansiedade, exclusão social, afastamento laboral, que afeta homens e mulheres, agravando-se com o avançar da idade. A fisioterapia auxilia na melhora do quadro físico e, com atendimento em grupos, intensificam-se os cuidados psicossociais. Objetivo: analisar o efeito de um programa de fisioterapia em grupo sobre a qualidade de vida, a funcionalidade, a ansiedade e depressão e intensidade da dor pré e pós-intervenção em indivíduos com Síndrome do Impacto do Ombro, em uma instituição pública de reabilitação. Métodos: Trata-se de um estudo quase-experimental com intervenção fisioterapêutica em grupo através da cinesioterapia e com avaliação pré e pós 60 dias de tratamento. Utilizou-se as escalas de avaliação: Escala Funcional da University of California at Los Angeles Shoulder Rating Scale (EF-UCLA) para avaliar a funcionalidade, o questionário Short Form Survey – 36 (SF36) para qualidade de vida, a Escala Hospitalar de Ansiedade (HADS-A) e Escala Hospitalar de Depressão (HADS-D) para ansiedade e depressão e a Escala Visual Analógica (EVA) para intensidade da dor. Foi feita uma análise descritiva inicial para caracterização dos pacientes. Considerando os momentos pré e pós foi utilizado o teste qui-quadrado de tendências para avaliação das escalas EF-UCLA e HADS. Um modelo em medidas repetidas foi utilizado para avaliar o SF36 o HADS e EVA corrigindo para possíveis fatores de confundimento. A correlação de Pearson entre as escalas pré e pós intervenção foram obtidas para verificar possíveis padrões de dependência entre os scores. Resultados: A amostra contou com 45 pacientes de ambos os sexos, com idade acima de 40 anos. Os pacientes, em sua maioria, eram mulheres 71%, com idade média de 57 anos (DP= 9,9 anos), caucasianos 58%, casados 66%, com ensino fundamental 56% e desempregados 33%. Após a intervenção, os pacientes apresentaram melhora da funcionalidade (p<0,0001), da qualidade de vida (p<0,0001), da ansiedade (p= 0.0009) e depressão (0,031) e da dor (p<0,0001). Conclusão: Esse estudo mostrou que a cinesioterapia em grupo apresentou-se como boa alternativa para o tratamento da SIO, pois demonstrou melhora na função do membro acometido, na qualidade de vida, ansiedade, depressão e da intensidade da dor.
Shoulder Impingement Syndrome is a limiting musculoskeletal disease of multifactorial ethology that generates pain, loss of quality of life, depression, anxiety, social exclusion, work leave, which affects men and women, worsening with advancing age. Physiotherapy helps to improve the physical condition and with care in groups, psychosocial care is intensified. Objective: To analyze the effect of a group physiotherapy program on quality of life, functionality, anxiety and depression and pain intensity before and after intervention in individuals with Shoulder Impact Syndrome, in a public rehabilitation institution. Methods: This is a quasi-experimental study with group physical therapy intervention through kinesiotherapy and with pre and post 60-day treatment. The evaluation scales were used: Functional Scale of the University of California at Los Angeles Shoulder Rating Scale (EF-UCLA) to assess functionality, the Short Form Survey - 36 (SF36) questionnaire for quality of life, the Hospital Anxiety Scale (HADS-A) and Hospital Depression Scale (HADS-D) for anxiety and depression and the Visual Analog Scale (VAS) for pain intensity. An initial descriptive analysis was performed to characterize the patients. Considering the pre and post moments, the chi-square trend test was used to assess the EF-UCLA and HADS scales. A model with repeated measures was used to evaluate SF36, HADS and EVA, correcting for possible confounding factors. Pearson's correlation between the pre and post intervention scales was obtained to verify possible dependency patterns between the scores. Results: The sample included 45 patients of both sexes, aged over 40 years. Most patients were 71% women, with an average age of 57 years (SD = 9.9 years), Caucasians 58%, married 66%, with elementary school 56% and unemployed 33%. After the intervention, patients showed improvement in functionality (p <0.0001), quality of life (p <0.0001), anxiety (p = 0.0009) and depression (0.031) and pain (p <0, 0001). Conclusion: This study showed that group kinesiotherapy presented itself as a good alternative for the treatment of SIO, as it demonstrated improvement in the function of the affected limb, in the quality of life, anxiety, depression and pain intensity.Results: The sample included 45 patients of both sexes, aged over 40 years. Most patients were 71% women, with an average age of 57 years (SD = 9.9 years), Caucasians 58%, married 66%, with elementary school 56% and unemployed 33%. After the intervention, patients showed improvement in functionality (p <0.0001), quality of life (p <0.0001), anxiety (p = 0.0009) and depression (0.031) and pain (p <0, 0001). Conclusion: This study showed that group kinesiotherapy presented itself as a good alternative for the treatment of SIO, as it demonstrated improvement in the function of the affected limb, in the quality of life, anxiety, depression and pain intensity.
Shoulder Impingement Syndrome is a limiting musculoskeletal disease of multifactorial ethology that generates pain, loss of quality of life, depression, anxiety, social exclusion, work leave, which affects men and women, worsening with advancing age. Physiotherapy helps to improve the physical condition and with care in groups, psychosocial care is intensified. Objective: To analyze the effect of a group physiotherapy program on quality of life, functionality, anxiety and depression and pain intensity before and after intervention in individuals with Shoulder Impact Syndrome, in a public rehabilitation institution. Methods: This is a quasi-experimental study with group physical therapy intervention through kinesiotherapy and with pre and post 60-day treatment. The evaluation scales were used: Functional Scale of the University of California at Los Angeles Shoulder Rating Scale (EF-UCLA) to assess functionality, the Short Form Survey - 36 (SF36) questionnaire for quality of life, the Hospital Anxiety Scale (HADS-A) and Hospital Depression Scale (HADS-D) for anxiety and depression and the Visual Analog Scale (VAS) for pain intensity. An initial descriptive analysis was performed to characterize the patients. Considering the pre and post moments, the chi-square trend test was used to assess the EF-UCLA and HADS scales. A model with repeated measures was used to evaluate SF36, HADS and EVA, correcting for possible confounding factors. Pearson's correlation between the pre and post intervention scales was obtained to verify possible dependency patterns between the scores. Results: The sample included 45 patients of both sexes, aged over 40 years. Most patients were 71% women, with an average age of 57 years (SD = 9.9 years), Caucasians 58%, married 66%, with elementary school 56% and unemployed 33%. After the intervention, patients showed improvement in functionality (p <0.0001), quality of life (p <0.0001), anxiety (p = 0.0009) and depression (0.031) and pain (p <0, 0001). Conclusion: This study showed that group kinesiotherapy presented itself as a good alternative for the treatment of SIO, as it demonstrated improvement in the function of the affected limb, in the quality of life, anxiety, depression and pain intensity.Results: The sample included 45 patients of both sexes, aged over 40 years. Most patients were 71% women, with an average age of 57 years (SD = 9.9 years), Caucasians 58%, married 66%, with elementary school 56% and unemployed 33%. After the intervention, patients showed improvement in functionality (p <0.0001), quality of life (p <0.0001), anxiety (p = 0.0009) and depression (0.031) and pain (p <0, 0001). Conclusion: This study showed that group kinesiotherapy presented itself as a good alternative for the treatment of SIO, as it demonstrated improvement in the function of the affected limb, in the quality of life, anxiety, depression and pain intensity.
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Palavras-chave
Cinesioterapia, Grupo, Qualidade de vida, Ansiedade, Depressão, Setor público, Síndrome do impacto do ombro, Kinesiotherapy, Group, Public Sector, Quality of Life, Anxiety, Depression, Subacromial impingemrnt syndrome