Intervenção fisioterapêutica sobre a força de preensão manual e capacidade funcional em pacientes pós-COVID-19/ Physiotherapeutic intervention on handgrip strength and functional capacity in post-COVID-19 patients/ Intervención fisioterapéutica sobre la fuerza de agarre manual y capacidad funcional en pacientes post-COVID-19
Palavras-chave:
Covid-19, Teste de Caminhada, Força da Mão, Desempenho Físico Funcional, ReabilitaçãoResumo
Objetivo: analisar os efeitos da intervenção fisioterapêutica na força de preensão manual e na capacidade funcional em pacientes pós-COVID-19. Método: estudo de coorte retrospectivo, realizado em prontuários de pacientes pós-COVID-19 atendidos em na clínica escola do curso de fisioterapia na Universidade de Passo Fundo, entre março e novembro de 2021. Valores relacionados a dinamometria manual e ao teste de caminhada de seis minutos (TC6min) foram extraídos antes e após a reabilitação cardiopulmonar. Resultado: foram analisados 16 pacientes, com idade média de 49,81±13,79 anos. Após a intervenção, houve aumento significativo nos valores da dinamometria manual nas mulheres (mão direita p=0,014; mão esquerda p=0,041) e nos homens (mão direita p=0,008; mão esquerda p=0,007), assim como, no TC6min (p=0,033). Houve diferença entre o valor pré-intervenção do TC6min e o valor previsto do TC6min (p=0,006). Esta diferença não foi observada na comparação entre o valor pós-intervenção do TC6min e o valor previsto do TC6min (p=0,073). Conclusão: os participantes apresentam comprometimento da força de preensão manual e da capacidade funcional, sendo que a intervenção fisioterapêutica pode melhorar esses aspectos.
Referências
Phelan AL, Katz R, Gostin LO. The Novel Coronavirus Originating in Wuhan, China. JAMA. 2020; 323(8):709.
Greve JMD, Brech GC, Quintana M, Soares AL de S, Alonso AC. Impacts of COVID-19 on the immune, neuromuscular, and musculoskeletal systems and rehabilitation. Rev Bras Med do Esporte. 2020; 26(4):285–8.
Yan R, Zhang Y, Li Y, Xia L, Guo Y, Zhou Q. Structural basis for the recognition of SARS-CoV-2 by full-length human ACE2. Science (80- ). 2020; 367(6485):1444–8.
Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak – an update on the status. Mil Med Res. 2020; 7(1):11.
World Health Organization. Mortes por Covid-19 batem 4 milhões; Guterres quer Plano Global de Vacinação [Internet]. 2021 [cited 2021 Jul 8]. Available from: https://news.un.org/pt/story/2021/07/1755982
Vacchiano V, Riguzzi P, Volpi L, Tappatà M, Avoni P, Rizzo G, et al. Early neurological manifestations of hospitalized COVID-19 patients. Neurol Sci. 2020; 41(8):2029–31.
Paliwal VK, Garg RK, Gupta A, Tejan N. Neuromuscular presentations in patients with COVID-19. Neurol Sci. 2020; 41(11):3039–56.
Finsterer J, Scorza F. SARS-CoV-2 associated rhabdomyolysis in 32 patients. Turkish J Med Sci. 2021; 51(3):1597–600.
Simpson R, Robinson L. Rehabilitation following critical illness in people with COVID-19 infection. Am J Phys Med Rehabil. 2020; 99(6):470–4.
Minetto MA, Fior SD, Busso C, Caironi P, Massazza G, Maffiuletti NA, et al. Effects of neuromuscular electrical stimulation therapy on physical function in patients with COVID-19 associated pneumonia: Study protocol of a randomized controlled trial. Contemp Clin Trials Commun. 2021; 21(1):100742.
Poulsen JB. Impaired physical function, loss of muscle mass and assessment of biomechanical properties in critical ill patients. Dan Med J. 2012; 59(11):B4544.
Legrand D, Vaes B, Matheï C, Adriaensen W, Van Pottelbergh G, Degryse J-M. Muscle Strength and Physical Performance as Predictors of Mortality, Hospitalization, and Disability in the Oldest Old. J Am Geriatr Soc. 2014; 62(6):1030–8.
Tozato C, Ferreira BFC, Dalavina JP, Molinari CV, Alves VL dos S. Cardiopulmonary rehabilitation in post-COVID-19 patients: case series. Rev Bras Ter Intensiva. 2021; 33(1):167–171.
Polastri M, Nava S, Clini E, Vitacca M, Gosselink R. COVID-19 and pulmonary rehabilitation: preparing for phase three. Eur Respir J. 2020; 55(6):2001822.
Vitacca M, Lazzeri M, Guffanti E, Frigerio P, D’Abrosca F, Gianola S, et al. Italian suggestions for pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure: results of a Delphi process. Monaldi Arch Chest Dis. 2020; 90(2).
Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020; 66(2):73–82.
Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020; 39:101166.
Yan H, Ouyang Y, Wang L, Luo X, Zhan Q. Effect of respiratory rehabilitation training on elderly patients with COVID-19. Medicine (Baltimore). 2020; 99(37):e22109.
Rooney S, Webster A, Paul L. Systematic Review of Changes and Recovery in Physical Function and Fitness After Severe Acute Respiratory Syndrome–Related Coronavirus Infection: Implications for COVID-19 Rehabilitation. Phys Ther. 2020; 100(10):1717–29.
Tuzun S, Keles A, Okutan D, Yildiran T, Palamar D. Assessment of musculoskeletal pain, fatigue and grip strength in hospitalized patients with COVID-19. Eur J Phys Rehabil Med. 2021; 57(4):653-662.
Ekiz T, Kara M, Özçakar L. Measuring grip strength in COVID-19: A simple way to predict overall frailty/impairment. Hear Lung. 2020; 49(6):853–854.
Stevens RD, Marshall SA, Cornblath DR, Hoke A, Needham DM, de Jonghe B, et al. A framework for diagnosing and classifying intensive care unit-acquired weakness. Crit Care Med. 2009; 37(1):S299–308.
Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011; 40(4):423–429.
Mehmet H, Yang AWH, Robinson SR. Measurement of hand grip strength in the elderly: A scoping review with recommendations. J Bodyw Mov Ther. 2020; 24(1):235–243.
Jorge MSG, Ribeiro D dos S, Garbin K, Moreira I, Rodigheri PV, Lima WG de, et al. Values of handgrip strength in a population of different age groups. Lect Educ Física y Deport. 2019; 23(249):56–69.
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019; 48(1):16–31.
Holland AE, Spruit MA, Troosters T, Puhan MA, Pepin V, Saey D, et al. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respir J. 2014; 44(6):1428–1446.
Awdeh H, Kassak K, Sfeir P, Hatoum H, Bitar H, Husari A. The SF-36 and 6-Minute Walk Test are Significant Predictors of Complications After Major Surgery. World J Surg. 2015; 39(6):1406–12.
Du H, Wonggom P, Tongpeth J, Clark RA. Six-Minute Walk Test for Assessing Physical Functional Capacity in Chronic Heart Failure. Curr Heart Fail Rep. 2017; 14(3):158–166.
Bokov P, Delclaux C. Interprétation et utilisation des explorations fonctionnelles respiratoires de routine de l’adulte : spirométrie, volumes non mobilisables, diffusion, hématose, test de provocation bronchique à la métacholine et test de marche. La Rev Médecine Interne. 2016; 37(2):100–110.
Moreira MAC, Moraes MR de, Tannus R. Teste da caminhada de seis minutos em pacientes com DPOC durante programa de reabilitação. J Pneumol. 2001; 27(6):295–300.
Betschart M, Rezek S, Unger I, Beyer S, Gisi D, Shannon H, et al. Feasibility of an Outpatient Training Program after COVID-19. Int J Environ Res Public Health. 2021; 18(8):3978.
Tanriverdi A, Savci S, Kahraman BO, Ozpelit E. Extrapulmonary features of post-COVID-19 patients: muscle function, physical activity, mood, and sleep quality. Irish J Med Sci. 2022; 191(3):969-975.
Cao J, Zheng X, Wei W, Chu X, Chen X, Wang Y, et al. Three-month outcomes of recovered COVID-19 patients: prospective observational study. Ther Adv Respir Dis. 2021; 15:175346662110094.
Cortés-Telles A, López-Romero S, Figueroa-Hurtado E, Pou-Aguilar YN, Wong AW, Milne KM, et al. Pulmonary function and functional capacity in COVID-19 survivors with persistent dyspnoea. Respir Physiol Neurobiol. 2021; 288(1):103644.
Daynes E, Gerlis C, Chaplin E, Gardiner N, Singh SJ. Early experiences of rehabilitation for individuals post-COVID to improve fatigue, breathlessness exercise capacity and cognition – A cohort study. Chron Respir Dis. 2021; 18:147997312110156.
Lau HM-C, Lee EW-C, Wong CN-C, Ng GY-F, Jones AY-M, Hui DS-C. The Impact of Severe Acute Respiratory Syndrome on the Physical Profile and Quality of Life. Arch Phys Med Rehabil. 2005; 86(6):1134–40.
Hui DS, Wong KT, Ko FW, Tam LS, Chan DP, Woo J, et al. The 1-Year Impact of Severe Acute Respiratory Syndrome on Pulmonary Function, Exercise Capacity, and Quality of Life in a Cohort of Survivors. Chest. 2005; 128(4):2247–61.
Sidiras G, Patsaki I, Karatzanos E, Dakoutrou M, Kouvarakos A, Mitsiou G, et al. Long term follow-up of quality of life and functional ability in patients with ICU acquired Weakness – A post hoc analysis. J Crit Care. 2019; 53(1):223–30.
Nambi G, Abdelbasset WK, Alrawaili SM, Elsayed SH, Verma A, Vellaiyan A, et al. Comparative effectiveness study of low versus high-intensity aerobic training with resistance training in community-dwelling older men with post-COVID 19 sarcopenia: A randomized controlled trial. Clin Rehabil. 2021; 1(1):026921552110369.
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