Força muscular, funcionalidade e qualidade de vida em pacientes com doença de Parkinson após treinamento resistido de baixo volume: um ensaio clínico randomizado
Resistance training in patients with Parkinson's disease
DOI:
https://doi.org/10.34019/1982-8047.2024.v50.42359Palavras-chave:
Doença de Parkinson, Exercício Físico, Força MuscularResumo
Introdução: O treinamento resistido (TR) ou musculação aumenta a força muscular e reduz sintomas motores na doença de Parkinson (DP). Objetivo: Verificar os efeitos do TR de baixo volume na força muscular, performance funcional e qualidade de vida de pacientes com DP leve a moderado. Metodologia: Um ensaio clínico randomizado foi realizado com 15 pacientes com DP de 64,27 ± 7 anos, divididos em: Grupo Controle (GC), n= 6, e Grupo Treinamento Resistido (GTR), n= 9. O GC não realizou exercício. O GTR realizou o TR individualizado, por 8 semanas. Cada treino com 6 exercícios, 2 séries de 10 repetições com carga de 60% a 80% de 10 repetições máximas (RM) e intervalo de descanso de 2 minutos. As avaliações foram: teste de força muscular de 10 RM no supino e leg press; performance funcional no Time Up and Go (TUG) e qualidade de vida pelo Parkinson's Disease Questionnaire-39 (PDQ-39). Na análise dos dados foram utilizados o Qui-quadrado e t de Student, além do t pareado e Wilcoxon com o Statistical Packageof Social Sciences (SPSS, 23.0) e significância de p<0,05. Resultados: Os grupos estavam similares antes da intervenção. Após 8 semanas houve diferença significativa entre GC e GRT, respectivamente: na força muscular no supino (25,83±8,61 kg) (43,33±15,6 kg), p= 0,03; no leg press (40,83±25,58 kg) (97,22±16,22 kg), p<0,001; no TUG (12,70±3,42 segundos) (6,94±1,01 segundos), p<0,001; e no score do QDP-39: (41,88±16,70) (18,09±6,78), p= 0,02. Após 8 semanas, no GC houve piora significativa (p>0,05) da qualidade de vida. No entanto, no GTR houve aumento significativo (p>0,05) da força muscular, da funcionalidade e da qualidade de vida. Conclusão: O TR de baixo volume aumentou a força muscular de membros superiores e inferiores, além de melhorar a performance funcional e a qualidade de vida de pacientes com DP leve a moderado.
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Copyright (c) 2024 Tatiane Cristina Luz de Abreu, Juliana Alves Carneiro
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