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Resultados da Intervenção da Fisioterapia após Ligamentoplastia do LCA: Estudo Série de Casos
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Advisor(s)
Abstract(s)
Introdução: A literatura sugere que o sucesso da ligamentoplastia do LCA está directamente relacionado
com a reabilitação após cirurgia, permitindo ao utente o retorno a um estilo de vida activo. Objectivo:
Descrever os resultados da intervenção da fisioterapia, às 6, 12 e 24 semanas, em indivíduos após
ligamentoplastia do LCA. Metodologia: Realizou-se um estudo série de casos, com uma amostra não
probabilística, constituída por 14 utentes (34 ± 11,92 anos) que cumpriam os critérios de inclusão e
exclusão estabelecidos. Os utentes foram avaliados na 1ª sessão de fisioterapia e às 6, 12 e 24 semanas
após cirurgia. Os resultados obtidos foram descritos ao nível da incapacidade funcional, da intensidade
da dor e da percepção global de melhoria. Resultados: Observou-se uma tendência de melhoria ao
longo das 24 semanas em todas as dimensões da KOOS-PT e na END, assim como na percepção de
melhoria pelo utente, medida através da PGIC-PT. Às 6 semanas, as melhorias nas variáveis de
resultados foram superiores às encontradas às 12 e 24 semanas, ao nível da intensidade da dor e
incapacidade funcional (à excepção das dimensões KOOS- actividades desportivas e de lazer e a KOOSqualidade
de vida). Conclusão: Os resultados sugerem que apesar da heterogeneidade da prática clínica,
a intervenção da fisioterapia parece ter contribuído para melhorias ao nível da capacidade funcional e da
dor, em indivíduos submetidos a ligamentoplastia do LCA e que essas melhorias são percepcionadas
pelos participantes como clinicamente importantes.
Abstract:Introduction: The success of ACL reconstruction is directly related with the rehabilitation after the surgery, allowing the patient to an active lifestyle return. Objective: To describe the results of physical therapy intervention, at 6, 12 and 24 weeks, in subjects after ACL reconstruction. Methodology: A case series design with a sample of 14 patients (34 ± 11,92 years) that fulfilled the pre- established inclusion and exclusion criteria. Patients were evaluated in four moments: in the first session of physiotherapy and at 6, 12 and 24 weeks after surgery. The results obtained after physiotherapy intervention were described at the level of functional disability, pain and global perception of change. Results: It was found that there was a trend of improvement, clinically important, over the 24 weeks in all dimensions of KOOS and in the NPRS. At 6 weeks, improvements were superior to those found at 12 and 24 weeks, at the level of functional disability (with the exception of the KOOS-sports and recreation function and KOOS-knee related quality of life dimensions) and pain. Conclusion:The results of this study suggest that in spite of the heterogeneity of clinical practice, physical therapy intervention provides improvements in terms of functional disability and pain in subjects after ACL reconstruction.
Abstract:Introduction: The success of ACL reconstruction is directly related with the rehabilitation after the surgery, allowing the patient to an active lifestyle return. Objective: To describe the results of physical therapy intervention, at 6, 12 and 24 weeks, in subjects after ACL reconstruction. Methodology: A case series design with a sample of 14 patients (34 ± 11,92 years) that fulfilled the pre- established inclusion and exclusion criteria. Patients were evaluated in four moments: in the first session of physiotherapy and at 6, 12 and 24 weeks after surgery. The results obtained after physiotherapy intervention were described at the level of functional disability, pain and global perception of change. Results: It was found that there was a trend of improvement, clinically important, over the 24 weeks in all dimensions of KOOS and in the NPRS. At 6 weeks, improvements were superior to those found at 12 and 24 weeks, at the level of functional disability (with the exception of the KOOS-sports and recreation function and KOOS-knee related quality of life dimensions) and pain. Conclusion:The results of this study suggest that in spite of the heterogeneity of clinical practice, physical therapy intervention provides improvements in terms of functional disability and pain in subjects after ACL reconstruction.
Description
Keywords
Ligamentoplastia Ligamento Cruzado Anterior Funcionalidade Dor Prática da Fisioterapia Anterior Cruciate Ligament Reconstruction Functional disability Pain Physical therapy practice
Citation
Bonança, C., Almeida, I.B., Cruz, E.B (2013). Resultados da intervenção da fisioterapia após ligamentoplastia do LCA: estudo série de casos. Revista Portuguesa de Fisioterapia no Desporto, 7 (2), 6-14