Equilíbrio, mobilidade funcional e nível de atividade física de idosos institucionalizados que realizam e não realizam fisioterapia / Balance, functional mobility and physical activity level in institutionalized elderly who perform and not perform physiotherapy

RESUMO

Objetivo: Comparar o equilíbrio, mobilidade funcional e nível de atividade física de idosos institucionalizados que realizam e não realizam fisioterapia. Métodos: Participaram 60 idosos institucionalizados, 30 que realizavam fisioterapia (GF) e 30 que não realizavam (GNF). Os instrumentos utilizados foram Escala de Equilíbrio de Berg (EEB), Testes de Tinetti, Timed Up and Go (TUG) e de Alcance Funcional Anterior (TAF), e Questionário Internacional de Atividade Física (IPAQ). Resultados: Foi observada diferença no TUG (p=0,01), sendo que o GF levou mais tempo para realizar o teste (19,5±6,1 segundos) que o GNF (16,4±7,3 segundos). Também foi observada diferença no TAF (p=0,003), com melhor desempenho durante o teste no GNF (27,6±6,2cm) que no GF (22,4±5,1cm). Quanto ao NAF, 43,4% dos idosos do GF eram inativos e 43,3% do GNF ativos (p=0,015). Conclusões: Os idosos que realizavam fisioterapia apresentaram menor mobilidade funcional, menor alcance funcional anterior e menores níveis de atividade física.

ABSTRACT

Objective: To compare the balance, functional mobility and physical activity level of institutionalized elderly who undergo physiotherapy and the ones who do not undergo physiotherapy. Methods: Participated 60 institutionalized elderly, 30 who under went physiotherapy (PG) and 30 who didn't undergo physiotherapy (NPG). The instruments used were the Berg Balance Scale (BBS), Tinetti, Timed Up-and-Go (TUG) and Anterior Functional Reach (AFR) Tests. The level of physical activity was evaluated by the International Physical Activity Questionnaire (IPAQ). Results: There was a difference in TUG (p=0,01) as PG took longer to perform the test (19,5±6,1 seconds) compared to the NPG (16,4±7,3 seconds). A difference was also observed between the two groups in the AFR (p=0,003), with the NPG having a better performance during the test (27,6±6,2cm) in comparison to PG (22,4±5,1cm). On the physical activity level, 43,4% of the PG was inactives and 43,3% of NPG was actives (p=0,015). Conclusions: The elderly people who under went physiotherapy showed less functional mobility, lower anterior functional range and lower level of physical activity than those who didn't undergo physiotherapy.