Impacts of home-based physical exercises on the health of people with spinal cord injury: a systematic review

  • José Igor Vasconcelos de Oliveira Universidade Federal de Pernambuco, Programa de Pós-Graduação em Educação Física, Recife, Pernambuco, Brasil. https://orcid.org/0000-0002-0034-9638
  • Lúcia Inês Guedes Leite de Oliveira Universidade de Pernambuco, Programa Associado de Pós-Graduação em Educação Física, Recife, Pernambuco, Brasil. https://orcid.org/0000-0002-5515-677X
  • Manoel da Cunha Costa Universidade de Pernambuco, Escola Superior de Educação Física de Pernambuco, Laboratório de Avaliação da Performance Humana, Recife, Pernambuco, Brasil. https://orcid.org/0000-0001-8815-8846
  • Raphael José Perrier-Melo Universidade de Pernambuco, Escola Superior de Educação Física de Pernambuco, Laboratório de Avaliação da Performance Humana, Recife, Pernambuco, Brasil. https://orcid.org/0000-0002-9460-6307
  • Mário Antônio de Moura Simim Universidade Federal do Ceará, Instituto de Educação Física e Esportes, Fortaleza, Ceará, Brasil. https://orcid.org/0000-0002-4659-8357
  • Saulo Fernandes Melo de Oliveira Universidade Federal de Pernambuco, Centro Acadêmico de Vitória, Núcleo de Educação Física e Ciências do Esporte, Recife, Pernambuco, Brasil. https://orcid.org/0000-0002-4402-1984
Palavras-chave: Physical exercise, People with disabilities, Human physical conditioning

Resumo

O período de confinamento ocasionado pela Pandemia do SARS-COV2, constitui-se em mais uma barreira para a prática de exercício físico por pessoas com lesão medular (LM). Diante das inúmeras terapias realizadas para este público, surge a necessidade de se evidenciar os benefícios de exercícios realizadas em casa. Assim, nosso objetivo foi determinar as principais características dos modos de treinamento do exercício físico realizados em casa e seus efeitos em pessoas com LM. Consultas a cinco bases de dados foram realizadas (PubMed, Science Direct, Sport Discus, Scopus e a Cochrane Central), em busca de estudos de intervenção, por meio da inclusão dos termos e descritores: “spinal cord injury”, “home-based”, “exercise”, “video game”, “home-based physical activity”. Os selecionados foram descritos realizando uma síntese narrativa. De 69.843 estudos, apenas 10 atenderam os critérios de elegibilidade, que totalizaram 153 indivíduos investigados (25 mulheres e 128 homens). Considerando o tipo de lesão, 118 participantes eram paraplégicos e 33 tetraplégicos. Os estudos estiveram relacionados a estimulação elétrica funcional (n = 4), dispositivos assistidos eletrônicos (n = 5) e exercícios de alongamento (n = 1). Observou-se que o foco das intervenções foram os aspectos morfológicos, neuromotores, de qualidade de vida e funcionais. Os estudos demonstraram melhoras na força e morfologia musculares, nas capacidades de realizar atividades diárias, na qualidade de vida e em capacidades funcionais, sem situações adversas relatadas. Embora com baixa quantidade de estudos randomizados, podemos concluir que diversos modos de exercício em ambiente domiciliar promovem benefícios para pessoas com LM, podendo ser alternativas para manutenção ou desenvolvimento da saúde dessa população.

Downloads

Não há dados estatísticos.

Referências

Van Der Scheer JW, Ginis KAM, DItor DS, Goosey-Tolfrey VL, Hicks AL, West CR, et al. Effects of exercise on fitness and health of adults with spinal cord injury: A systematic review. Neurology. 2017;89(7):736–45.

Gater DR. Obesity After Spinal Cord Injury. Phys Med Rehabil Clin N Am. 2007;18(2):333–51.

De Lima JAN, De Oliveira SFM, De Oliveira LIGL, Costa MDC. Evaluation of isometric strength in people with spinal cord injury: a review. Man Ther Posturology Rehabil J. 2016;14(0):361–77.

Eitivipart AC, De Oliveira CQ, Arora M, Middleton J, Davis GM. Overview of Systematic Reviews of Aerobic Fitness and Muscle Strength Training after Spinal Cord Injury. J Neurotrauma. 2019;36(21):2943–63.

Gaspar R, Padula N, Freitas TB, Oliveira JPJ, Torriani-Pasin C. Physical exercise for individuals with spinal cord injury: Systematic review based on the international classification of functioning, disability, and health. J Sport Rehabil. 2019;28(5):505–16.

Martin Ginis KA, Van Der Scheer JW, Latimer-Cheung AE, Barrow A, Bourne C, Carruthers P, et al. Evidence-based scientific exercise guidelines for adults with spinal cord injury: An update and a new guideline. Spinal Cord. 2018;56(4):308–21.

Berlowitz DJ, Wadsworth B, Ross J. Respiratory problems and management in people with spinal cord injury. Breathe. 2016;12(4):328–40.

Maffiuletti NA, Zory R, Miotti D, Pellegrino MA, Jubeau M, Bottinelli R. Neuromuscular adaptations to electrostimulation resistance training. Am J Phys Med Rehabil. 2006;85(2):167–75.

Berry HR, Perret C, Saunders BA, Kakebeeke TH, Donaldson NDN, Allan DB, et al. Cardiorespiratory and power adaptations to stimulated cycle training in paraplegia. Med Sci Sports Exerc. 2008;40(9):1573–80.

Berry HR, Kakebeeke TH, Donaldson N, Perret C, Hunt KJ. Energetics of paraplegic cycling: Adaptations to 12 months of high volume training. Technol Heal Care. 2012;20(2):73–84.

Moynahan M, Mullin C, Cohn J, Burns CA, Halden EE, Triolo RJ, et al. Home use of a functional electrical stimulation system for standing and mobility in adolescents with spinal cord injury. Arch Phys Med Rehabil. 1996;77(10):1005–13.

Sipski ML, Alexander CJ, Harris M. Long-term use of computerized bicycle ergometry for spinal cord injured subjects. Arch Phys Med Rehabil. 1993;74(3):238–41.

Taylor MJ, Schils S, Ruys AJ. Home FES: An exploratory review. Eur J Transl Myol. 2019;29(4):283–92.

Kern H, Carraro U, Adami N, Biral D, Hofer C, Forstner C, et al. Home-based functional electrical stimulation rescues permanently denervated muscles in paraplegic patients with complete lower motor neuron lesion. Neurorehabil Neural Repair. 2010;24(8):709–21.

Dolbow DR, Gorgey AS, Moore JR, Gater DR. Report of practicability of a 6-month home-based functional electrical stimulation cycling program in an individual with tetraplegia. J Spinal Cord Med. 2012;35(3):182–6.

Donaldson N, Perkins TA, Fitzwater R, Wood DE, Middleton F. FES cycling may promote recovery of leg function after incomplete spinal cord injury. Spinal Cord. 2000;38(11):680–2.

Dolbow DR, Gorgey AS, Cifu DX, Moore JR, Gater DR. Feasibility of home-based functional electrical stimulation cycling: Case report. Spinal Cord. 2012;50(2):170–1.

Oliveira S, Bione A, Oliveira L, da Costa A, de Sá Pereira Guimarães F, da Cunha Costa M. The Compact Wheelchair Roller Dynamometer. Sport Med Int Open. 2017;1(04):E119–27.

Van Straaten MG, Cloud BA, Morrow MM, Ludewig PM, Zhao KD. Effectiveness of home exercise on pain, function, and strength of manual wheelchair users with spinal cord injury: A high-dose shoulder program with telerehabilitation. Arch Phys Med Rehabil. 2014;95(10):1810-1817.e2.

Rowland JL, Rimmer JH. Feasibility of Using Active Video Gaming as a Means for Increasing Energy Expenditure in Three Nonambulatory Young Adults With Disabilities. PM R. 2012;4(8):569–73.

Chen MH, Huang LL, Lee CF, Hsieh CL, Lin YC, Liu H, et al. A controlled pilot trial of two commercial video games for rehabilitation of arm function after stroke. Clin Rehabil. 2015;29(7):674–82.

Bonnechère B, Jansen B, Omelina L, Van Sint Jan S. The use of commercial video games in rehabilitation: A systematic review. Int J Rehabil Res. 2016;39(4):277–90.

Higgins JPT, Thomas J, Chandler J, Cumpston M, Tianjing L, Page MJ, et al. Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Collab. 2019;

Moher D, Liberati A, Tetzlaff J, Altman DG, Altman D, Antes G, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6(7).

Saw AE, Main LC, Gastin PB. Monitoring the athlete training response: Subjective self-reported measures trump commonly used objective measures: A systematic review. Br J Sports Med. 2016;50(5):281–91.

Simim MAM, De Mello MT, Silva BVC, Rodrigues DF, Rosa JPP, Couto BP, et al. Load monitoring variables in training and competition situations: A systematic review applied to wheelchair sports. Adapt Phys Act Q. 2017;34(4):466–83.

Kern H, Carraro U, Adami N, Hofer C, Loefler S, Vogelauer M, et al. One year of home-based daily FES in complete lower motor neuron paraplegia: Recovery of etanic contractility drives the structural mprovements of denervated muscle. Neurol Res. 2010;32(1):5–12.

Gorgey AS, Lester RM, Wade RC, Khalil RE, Khan RK, Anderson ML, et al. A feasibility pilot using telehealth videoconference monitoring of home-based NMES resistance training in persons with spinal cord injury. Spinal Cord Ser Cases. 2017;3(1):1–8.

Dolbow DR, Gorgey AS, Ketchum JM, Moore JR, Hackett LA, Gater DR. Exercise adherence Duringhome-based functional electrical stimulation cycling by individuals with spinal cord injury. Am J Phys Med Rehabil. 2012;91(11):922–30.

Rupp R, Schließmann D, Plewa H, Schuld C, Gerner HJ, Weidner N, et al. Safety and efficacy of at-home robotic locomotion therapy in individuals with chronic incomplete spinal cord injury: A Prospective, pre-post intervention, proof-of-concept study. PLoS One. 2015;10(3):1–18.

Osuagwu BAC, Timms S, Peachment R, Dowie S, Thrussell H, Cross S, et al. Home-based rehabilitation using a soft robotic hand glove device leads to improvement in hand function in people with chronic spinal cord injury:a pilot study. J Neuroeng Rehabil. 2020;17(1):1–15.

Villiger M, Liviero J, Awai L, Stoop R, Pyk P, Clijsen R, et al. Home-based virtual reality-augmented training improves lower limb muscle strength, balance, and functional mobility following chronic incomplete spinal cord injury. Front Neurol. 2017;8(NOV).

Nightingale TE, Rouse PC, Walhin JP, Thompson D, Bilzon JLJ. Home-Based Exercise Enhances Health-Related Quality of Life in Persons With Spinal Cord Injury: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2018;99(10):1998-2006.e1.

Baldassin V, Shimizu HE, Fachin-Martins E. Computer assistive technology and associations with quality of life for individuals with spinal cord injury: a systematic review. Qual Life Res. 2018;27(3):597–607.

Ballaz L, Fusco N, Crétual A, Langella B, Brissot R. Peripheral Vascular Changes After Home-Based Passive Leg Cycle Exercise Training in People With Paraplegia: A Pilot Study. Arch Phys Med Rehabil. 2008;89(11):2162–6.

Duran FS, Lugo L, Ramirez L, Lic EE. Effects of an exercise program on the rehabilitation of patients with spinal cord injury. Arch Phys Med Rehabil. 2001;82(10):1349–54.

Groot S de, Scheer JW van der, Windt JA van der, Nauta J, Hijden LJC van der, Luigjes L, et al. Hand rim wheelchair training: Effects of intensity and duration on physical capacity. Health (Irvine Calif). 2013;05(06):9–16.

Widman LM, Abresch RT, Styne DM, McDonald CM. Aerobic fitness and upper extremity strength in patients aged 11 to 21 years with spinal cord dysfunction as compared to ideal weight and overweight controls. J Spinal Cord Med. 2007;30(SUPPL. 1).

Kilkens OJ, Dallmeijer AJ, De Witte LP, Van Der Woude LH, Post MW. The wheelchair circuit: Construct validity and responsiveness of a test to assess manual wheelchair mobility in persons with spinal cord injury. Arch Phys Med Rehabil. 2004;85(3):424–31.

Silva P, Cruz S, Fernandes S, Oliveira M De. Proposta de uma bateria de testes para avaliação de proposal of tests for evaluation of locomotion skills in. 2018;11(01):49–58.

Kawanishi CY, Greguol M. Validação de uma bateria de testes para avaliação da autonomia funcional de adultos com lesão na medula espinhal. Rev Bras Educ Física e Esporte. 2014;28(1):41–55.

Curtis KA, Roach KE, Applegate EB, Ama T, Benbow CS, Genecco TD, et al. Reliability and validity of the wheelchair user’s shoulder pain index (WUSPI). Paraplegia. 1995;33(10):595–601.

Curtis KA, Drysdale GA, Lanza RD, Kolber M, Vitolo RS, West R. Shoulder pain in wheelchair users with tetraplegia and paraplegia. Arch Phys Med Rehabil. 1999;80(4):453–7.

García-Gómez S, Pérez-Tejero J, Hoozemans M, Barakat R. Effect of a Home-based Exercise Program on Shoulder Pain and Range of Motion in Elite Wheelchair Basketball Players: A Non-Randomized Controlled Trial. Sports. 2019;7(8):180.

Gaffurini P, Calza S, Bissolotti L, Orizio C. Energy metabolism during activity-promoting video games practice in subjects with spinal cord injury: Evidences for health promotion. Eur J Phys Rehabil Med. 2013;49(October):2008–10.

Biddiss E, Irwin J. Active video games to promote physical activity in children and youth: A systematic review. Arch Pediatr Adolesc Med. 2010;164(7):664–72.

Publicado
04-05-2021
Seção
Artigos de Revisão