Detalhes bibliográficos
| Ano de defesa: |
2019 |
| Autor(a) principal: |
Souza, Weslen Michel Rodrigues de
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| Orientador(a): |
Barrile, Silvia Regina
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| Banca de defesa: |
Não Informado pela instituição |
| Tipo de documento: |
Dissertação
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| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade do Sagrado Coração
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| Programa de Pós-Graduação: |
Saúde Funcional
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| Departamento: |
Ciências da Saúde e Biológicas
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| País: |
Brasil
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| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
https://tede2.usc.br:8443/handle/tede/481
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Resumo: |
Introduction: Peripheral Diabetic Polyneuropathy (PND) is a complication of diabetes mellitus (DM), characterized in a symmetrical, distal, chronic sensory-motor form and is defined as a neurological disorder that produces progressive loss of motor, sensory and peripheral autonomic nervous fiber functions , which in addition to symptoms may lead to a decrease in postural balance and an increased risk of falls. Objectives: To compare the effect of conventional physical exercise protocols and multicomponent physical exercises on functional capacity and performance, muscular performance, balance and flexibility of lower limbs in individuals with PND. Methods: This is an open-label, prospective, controlled clinical trial of 12 weeks. The sample consisted of 30 adults with type 2 DM (DM2) and PND, divided into 2 groups randomly, the multicomponent group (GMC; n = 15) who performed the multicomponent physical exercise protocol and the control group (CG; ) who performed conventional physical exercises. They were submitted to the evaluation of cognitive level, diagnosis and presence of polyneuropathy (Toronto Clinical Scoring System), sensitivity test (monofilament), blood pressure, heart rate, anthropometry, blood analysis, static balance (accelerometer), capacity functional (6-minute walk test), lower limb muscle performance (load cell), flexibility (Wells bench), and the SPPB (Short Physical Performance Battery) test battery that evaluates muscle performance; balance and functional capacity. The multicomponent exercise protocol was composed of Tai Chi Chuan, Yoga and Pilates solo in the rhythm of mild to moderate music, and the GC protocol consisted of aerobic exercise (40-60% FC training) and dynamic resisted physical exercises. Both offered in 3 sessions / week lasting 60 minutes, for 12 weeks. The distribution of the data was verified by the Shapiro-Wilk test, the One-Way ANOVA tests to verify the difference between the groups, the paired two-tailed Student T test to compare the moments, considering the significance level of 5%. Results: Of the 30 subjects studied, 13 (43.3%) were male and 17 (56.7%) were female, with a mean age of 68.1 ± 1.2 years, Diabetes time was 11.9 ± 1.3 years. Significant improvement of the reflexes, right and left sensory signals in the analysis of the diagnosis in the (GMC) when compared to the difference of the moment 1 to the moment 2 between the groups was observed significant improvement greater of the (GMC) when compared to (CG). The analysis of the functional capacity of the groups evaluated did not observe statistically significant differences between the groups, but the comparison between moments showed a statistically significant improvement in the hemodynamic variables and the distance walked in the 6-minute walk test (p = 0.003). Conclusion: Based on the findings of the present study, it can be said that the multicomponent protocol was able to promote blood pressure reduction, increase the distance covered in the 6MWT and reduce the time of the 4m gait tests, and sit and stand up after 12 weeks of intervention. |
